A5033676738- Spine and Intervertebral Disc Pathology
- Cervical and Thoracic Myelopathy
- Spinal Fractures and Fixation Techniques
- Bone fractures and treatments
- Orthopedic Infections and Treatments
- Reconstructive Surgery and Microvascular Techniques
- Intraoperative Neuromonitoring and Anesthetic Effects
- Diet and metabolism studies
- Health Systems, Economic Evaluations, Quality of Life
- Musculoskeletal pain and rehabilitation
- Frailty in Older Adults
- Amoebic Infections and Treatments
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Pelvic and Acetabular Injuries
- Spinal Dysraphism and Malformations
- Bariatric Surgery and Outcomes
- Respiratory and Cough-Related Research
- Surgical Simulation and Training
- Body Contouring and Surgery
- Clinical practice guidelines implementation
- Medical Imaging and Analysis
- Asthma and respiratory diseases
- Orthopedic Surgery and Rehabilitation
- Anesthesia and Pain Management
- Hip and Femur Fractures
Thomas Jefferson University
2022-2024
Jefferson Hospital for Neuroscience
2022-2024
Rothman Institute
2022
Rothman Orthopaedics
2022
Neurological Surgery
2022
Lenox Hill Hospital
2019
Our primary objective was to compare the marginal intraoperative cost of 3 different methods for pedicle screw placement as part transforaminal lumbar interbody fusions (TLIFs). Specifically, we used time-driven activity-based costing costs between robot-assisted TLIF (RA-TLIF), with navigation (ION-TLIF), and freehand (non-navigated, nonrobotic) TLIF.
Study Design: The present study is a single-center, retrospective cohort of patients undergoing neurosurgical anterior cervical discectomy and fusion (ACDF). Objective Our objective was to use time-driven activity-based costing (TDABC) methodology determine whether surgeons’ case volume influenced the true intraoperative costs ACDFs performed at our institution. Summary Background Data: Successful participation in emerging reimbursement models, such as bundled payments, requires an...
BACKGROUND AND OBJECTIVES: Endoscopic lumbar diskectomy (ED) is a minimally invasive option for addressing disk herniations. With the introduction of value-based care systems, assessing true cost certain procedures critical when creating reimbursement models and comparing procedures. Here, we compared costs performing microdiskectomy (MD) ED using time-driven activity-based costing. METHODS: Total intraoperative episode was calculated costing methodology. Individual were obtained by direct...
INTRODUCTION: Successful participation in emerging reimbursement models, such as bundled payments, requires an understanding of true intraoperative costs, well the modifiable drivers those costs. Certain surgeons may have cost profiles that are favorable for these “at-risk” while other not. Unfortunately, neurosurgeons often unaware costs surgery. METHODS: Total was divided into direct and indirect All performing ACDFs at our institution from 2017 to 2022 were four volume-based cohorts: 1-9...
INTRODUCTION: Endoscopic lumbar discectomy (ED) is a minimally invasive option for addressing disc herniations. With the introduction of value-based care systems, assessing true cost certain procedures critical when creating reimbursement models and comparing procedures. METHODS: Total intraoperative episode was calculated using TDABC methodology. Individual costs were obtained by direct observation, electronic medical records, through querying multiple departments (business operations,...
INTRODUCTION: Neurosurgeons are often unaware of the true costs spine procedures. METHODS: Total cost was divided into direct and indirect costs. We identified all instances RA-TLIF (n=20), ION-TLIF (n=59), freehand TLIF (n=233) from 2020 to 2022 at our institution. Software developed automate extraction intraoperatively utilized personnel material resources electronic medical record (EMR). were determined through a combination observation, EMR extraction, inter-departmental collaboration...
There is currently a lack of consensus on the utility intraoperative neuromonitoring (IONM) for decompression Chiari type I malformation (CM-I). Commonly used monitoring modalities include somatosensory evoked potentials (SSEPs), motor (MEPs), and brainstem auditory (BAEPs). The purpose this study was to evaluate IONM in preventing neurological injury CM-I decompression.The authors conducted retrospective population adult patients (ages 17-76 years) diagnosed with between 2013 2021. included...
Background: The purpose of this study was to compare percutaneous pinning versus splinting soft tissue mallet finger injury determine if there are differences in residual extensor lag and complication rates. Methods: Patients ≥18 years age undergoing treatment from 2011 2020 were retrospectively reviewed. Exclusion criteria included bony or open incomplete documentation at final follow-up. Complications, including infection, hardware fixation failure wound complications, collected follow-up...
INTRODUCTION: To our knowledge, a comparison of the true intraoperative costs anterior cervical fusion (ACDF) vs. posterior foraminotomy (PCF) has never been done. METHODS: Total cost was divided into direct and indirect costs. Individual were obtained by observation, electronic medical records, through querying multiple departments. Timestamps for personnel material resources documented. estimated all single-level ACDFs PCFs from 2017 to 2022. Regression analyses performed identify factors...
INTRODUCTION: Understanding the true (intraoperative) cost to hospital when neurosurgeons perform anterior cervical discectomy and fusion (ACDF) is critical as we move towards value-based purchasing. METHODS: Total was divided into direct indirect costs. Individual costs were obtained by observation, electronic medical records, through querying multiple departments (business operations, sterile processing, plant pharmacy). Timestamps for all involved personnel material resources documented....
Background: Limited literature is available to define the impact of longus colli muscle, a deep flexor spine, on cervical spine stability despite its close proximity vertebrae. Aims and Objectives: The purpose this study was determine if cross-sectional area (CSA) associated with severity preoperative degenerative spondylolisthesis. Materials Methods: Patients undergoing elective anterior discectomy fusion (ACDF) for spondylolisthesis between 2010-2021 were retrospectively identified. Longus...
Study Design: The study design used was a retrospective cohort. Objective: objective of this is to determine if intraoperative improvements in sagittal alignment on the operating table persisted postoperative standing radiographs. Summary Background Data: Cervical may be correlated outcomes. Since anterior cervical discectomy and fusions (ACDFs) can restore some lordosis through intervertebral grafts/cages, it important understand radiographic measurements correlate with persistent changes....