Alec Giakas

ORCID: 0000-0002-0082-1648
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About
Contact & Profiles
Research Areas
  • Spine and Intervertebral Disc Pathology
  • Total Knee Arthroplasty Outcomes
  • Migraine and Headache Studies
  • Musculoskeletal pain and rehabilitation
  • Anesthesia and Pain Management
  • Streptococcal Infections and Treatments
  • Orthopedic Infections and Treatments
  • Scoliosis diagnosis and treatment
  • Orthopaedic implants and arthroplasty
  • Suicide and Self-Harm Studies
  • Autoimmune Neurological Disorders and Treatments
  • Cardiac, Anesthesia and Surgical Outcomes
  • Osteoarthritis Treatment and Mechanisms
  • Otolaryngology and Infectious Diseases
  • Foot and Ankle Surgery
  • Homicide, Infanticide, and Child Abuse
  • Diversity and Career in Medicine
  • Tendon Structure and Treatment
  • Pharmaceutical industry and healthcare
  • Hip and Femur Fractures
  • Traumatic Brain Injury Research
  • Artificial Intelligence in Healthcare and Education
  • Knee injuries and reconstruction techniques
  • Spinal Hematomas and Complications
  • Traumatic Brain Injury and Neurovascular Disturbances

Rothman Orthopaedics
2023-2025

Thomas Jefferson University
2024

Rothman Institute
2023-2024

Thomas Jefferson University Hospital
2023-2024

VLNComm (United States)
2023

Medical University of South Carolina
2023

University of South Carolina
2021-2023

Prisma Health
2023

Michigan State University
2022

United States Department of Veterans Affairs
2022

Study Design. Retrospective cohort. Objective. To assess the relationship between long-term gabapentinoid use and outcomes after lumbar fusion. Summary of Background Data. Gabapentinoids, which include gabapentin pregabalin, are commonly prescribed for radiculopathic pain. Basic science research has indicated that gabapentinoids may be detrimental to bone health/healing clinical works shown initiating at time spine surgery decrease postoperative opioid requirements increase risks adverse...

10.1097/brs.0000000000005338 article EN Spine 2025-03-19

Robotic systems are revolutionizing the field of orthopaedic surgery by enabling new approaches to joint reconstruction and spine procedures, with latest technologies in other sub-specialties continuing emerge. Improvements system capabilities have enhanced preoperative planning intraoperative precision, contributing growing adoption robotic technology. With global surgical robotics market projected reach $7.42 billion 2030, integration these practice has expanded significantly. platforms...

10.58616/001c.132487 article EN cc-by SurgiColl 2025-03-22

Study Design: Retrospective analysis. Objective: The purpose of this study is to quantify the rate at which atlantoaxial level omitted from official cervical magnetic resonance imaging (MRI) radiologic reports and identify potential missed pathology, emphasizing need for improved standardization evaluation. Summary Background Data: MRI a readily utilized modality evaluating axial skeleton. In our experience, spine often overlooked on in absence trauma or obvious pathology. Methods:...

10.1097/bsd.0000000000001805 article EN Clinical Spine Surgery A Spine Publication 2025-03-31

Study Design. Retrospective controlled cohort. Objective. To evaluate the effect of intraoperative liposomal bupivacaine (LB) infiltration on postsurgical pain management in adolescent idiopathic scoliosis (AIS) patients by analyzing postoperative opioid consumption, ambulation, and length stay (LOS). Summary Background Data. Optimal control for AIS undergoing posterior spinal fusion (PSF) is challenging. Multimodal protocols provide adequate analgesia while decreasing consumption. LB was...

10.1097/brs.0000000000004702 article EN Spine 2023-05-01

A large-scale retrospective analysis of veterans with chronic pain was conducted to examine (1) the annual incidence suicide attempts (SA) in headache and other conditions, (2) risk SA men women concurrent traumatic brain injury (TBI) as compared non-headache pain.This study (N=3,247,621) analyzed National Veterans Affair Health Administrative data patients diagnosed head, neck, back from 2000 2010. Multivariable Poisson regression used explore relative risks TBI stratified by sex.Veterans...

10.2147/jpr.s322432 article EN cc-by-nc Journal of Pain Research 2021-08-01

<h3>Background and Objectives</h3> The objective of this work was to examine the association between deployment-related traumatic brain injury (TBI) severity, frequency, other characteristics with headache outcomes in veterans evaluated at a Veterans Administration (VA) polytrauma support clinic. <h3>Methods</h3> We conducted retrospective chart review 594 comprehensive TBI evaluations 2011 2021. Diagnostic criteria were based on Department Defense/VA Consensus-Based Classification Closed...

10.1212/wnl.0000000000200518 article EN cc-by-nc-nd Neurology 2022-05-23

Study Design. Retrospective cohort study. Objective. The objective of this study was to investigate associations between spine surgeon characteristics and different types industry payments. Summary Background Data. Industry funding has played an important role in research technological innovation within surgery, payments supporting have risen significantly comparison from other sources. To our knowledge, no studies investigated academic associated with categories Materials Methods. A query...

10.1097/brs.0000000000004906 article EN Spine 2023-12-19

Background: Autologous chondrocyte implantation (ACI) and matrix-induced autologous (MACI) are 2-stage procedures requiring an index full-thickness cartilage biopsy. Only a portion of patients ultimately undergo second-stage ACI/MACI. Purpose: To identify with articular defects who underwent arthroscopic debridement biopsy for ACI/MACI compare those did not proceed within 2 years after Additionally, the authors sought to why implantation. Study Design: Case-control study; Level evidence, 3....

10.1177/23259671241271705 article EN cc-by-nc-nd Orthopaedic Journal of Sports Medicine 2024-09-01

This case report presents findings from a unique culture-negative but biopsy-proven necrotizing fasciitis affecting the upper extremity that was successfully treated with early operative debridement. The abrupt onset of an often heterogeneous presentation physical exam and laboratory makes diagnosing this entity challenging. strengths include (1) demonstrating how microorganism gram stain culture can be negative despite suggestive in operating room (2) identifying role lymphedema as...

10.58616/001c.93009 article EN cc-by SurgiColl 2024-06-22

Aim: To examine the clinical accuracy and applicability of ChatGPT answers to commonly asked questions from patients considering posterior lumbar decompression (PLD). Methods: A literature review was conducted identify 10 that encompass some most common concerns may have regarding surgery. The selected were then posed ChatGPT. Initial responses recorded, no follow-up or clarifying permitted. Two attending fellowship-trained spine surgeons graded each response chatbot using a modified Global...

10.20517/ais.2024.24 article EN Artificial Intelligence Surgery 2024-09-04

Necrotising fasciitis (NF) is a severe, rapidly progressing infection of the muscular fascia and subcutaneous tissue. Monomicrobial NF from hypermucoviscous Klebsiella pneumoniae (hvKP-NF) rare but highly virulent, most common in East Asia. This report reviews unique case hvKP-NF US male his 40s with undiagnosed diabetes mellitus, presenting severe sepsis, neck swelling calf pain. Imaging revealed pyomyositis sternocleidomastoid, debridement cultures confirmed hvKP. Despite unremarkable...

10.1136/bcr-2024-262362 article EN BMJ Case Reports 2024-12-01

Foot drop is relatively common and can be a notable source of patient dissatisfaction even potential litigation. For the spine surgeon evaluating such patient, natural inclination to investigate spinal etiology; however, foot develop from multitude distinct insults along several locations, extending cerebral cortex leg musculature itself. In-depth understanding relevant anatomy implicated in drop, as well pathologies that may impede those structures, paramount expanding surgeon's...

10.5435/jaaos-d-24-00705 article EN Journal of the American Academy of Orthopaedic Surgeons 2024-12-27

Systemic lupus erythematosus (SLE) is an autoimmune disease with varying dermatological findings. We review a unique presentation of SLE literature review. A previously healthy early adolescent female presented painful, oral mucosal bullae filled sanguineous fluid. She endorsed tender right knee, but examination revealed no additional abnormalities. CBC demonstrated severe pancytopaenia. Further workup, including Coombs positive RBCs and ANA, anti-Smith, anti-dsDNA antibodies, confirmed...

10.1136/bcr-2022-251989 article EN BMJ Case Reports 2023-01-01

The peroneus longus (PL) and brevis (PB) tendons comprise the lateral compartment of leg stabilize foot during weightbearing. Peroneal tendinopathy can precipitate ankle pain induce functional disability. progression peroneal pathology to dysfunction is thought stem from asymptomatic, subclinical tendinopathy. There may be clinical benefit identifying asymptomatic patients with this condition before Various ultrasonographic characteristics have been observed in purpose study identify...

10.1177/24730114231164146 article EN cc-by-nc Foot & Ankle Orthopaedics 2023-01-01
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