A5079882248- Scoliosis diagnosis and treatment
- Spine and Intervertebral Disc Pathology
- Spinal Fractures and Fixation Techniques
- Pelvic and Acetabular Injuries
- Medical Imaging and Analysis
- Surgical Simulation and Training
- Musculoskeletal pain and rehabilitation
- Anatomy and Medical Technology
- Mechanical Circulatory Support Devices
- Graphene and Nanomaterials Applications
- Epilepsy research and treatment
- Health and Medical Research Impacts
- Pelvic floor disorders treatments
- Electrospun Nanofibers in Biomedical Applications
- Congenital Heart Disease Studies
- Spinal Dysraphism and Malformations
- Cardiovascular Conditions and Treatments
- Hernia repair and management
- Pharmacological Effects and Toxicity Studies
- Tissue Engineering and Regenerative Medicine
- Digital Accessibility for Disabilities
- History of Medical Practice
- Analytical Methods in Pharmaceuticals
- Urban and spatial planning
- Anesthesia and Pain Management
University of Minnesota
2016-2025
Duke University Hospital
2025
Duke Medical Center
2025
AdventHealth for Children
2021-2024
Florida College
2024
University of Florida
2024
Griffith University
2024
Gold Coast Health
2024
University of Minnesota Medical Center
2015-2023
Cornell University
2022
Object Current standard of care for patients with severe traumatic brain injury (TBI) is prophylactic treatment phenytoin 7 days to decrease the risk early posttraumatic seizures. Phenytoin alters drug metabolism, induces fever, and requires therapeutic-level monitoring. Alternatively, levetiracetam (Keppra) does not require serum monitoring or have significant pharmacokinetic interactions. In current study, authors compare EEG findings in receiving those monotherapy seizure prophylaxis...
Background: The lumbosacral hemicurve in adult spinal deformity (ASD) is a compensatory mechanism attempting to balance the main curve. Previous reports have examined correction via various techniques. Purpose: We perioperative coronal and sagittal plane for both curve utilizing deformity-correcting bilateral transforaminal interbody fusion technique (bTLIF). Methods: Patients (n = 79) who had bTLIF from single center with scoliosis (Cobb angle ≥ 20°), underwent primary fusion, were included...
Pelvic fixation with S2-alar-iliac (S2AI) screws is an established technique in adult deformity surgery. The authors' objective was to report the incidence and risk factors for underreported acute failure mechanism of S2AI screws.The authors retrospectively reviewed a consecutive series ambulatory adults fusions extending 3 or more levels, which included screws. Acute defined as occurring within 6 months index surgery requiring surgical revision.Failure occurred 125 patients (5%) consisted...
Multilevel posterior spine fusion is associated with significant intraoperative blood loss. Tranexamic acid an antifibrinolytic agent that reduces The goal of this study was to compare the percent total volume lost during spinal (PSF) or without tranexamic in patients adolescent idiopathic scoliosis (AIS).Thirty-six AIS underwent PSF 2011-2014; last half (n=18) received acid. We retrieved relevant demographic, hematologic, and outcomes information from medical records. primary outcome lost,...
Congenital scoliosis due to a hemivertebra requires surgical stabilization prior skeletal maturity if rapidly progressive curve growth occurs. Here the authors present unique case of man who, at age 12 years, had undergone Harrington rod placement for congenital T-11 and then, 53 presented with acutely myelopathy spinal cord compression from an arachnoid web despite solid fusion mass site. The patient underwent posterior midline approach resection pedicle level hemivertebra, intradural...
Pelvic fixation enhances long constructs during deformity surgery. Subsequent loosening of iliac screws and pain at the pelvis occur in as many 29% patients. Concomitant sacroiliac (SI) fusion may prevent potential failure. The objective this study was to describe a novel surgical technique single institution's experience using bilateral SI adult surgery with S2-alar-iliac (S2AI) triangular titanium rods (TTRs) placed navigation.The authors reviewed open joint fusions TTR performed between...
Background: Sacropelvic fixation is a continually evolving technique in the treatment of adult spinal deformity. The 2 most widely utilized techniques are iliac screw and S2-alar-iliac (S2AI) 1–3 . use these at base long fusion constructs, with goal providing solid to maintain surgical correction, has improved rates decreased revision 4 Description: procedure performed patient under general anesthesia prone position 3D computer navigation based on intraoperative cone-beam computed tomography...
Degeneration of both intervertebral discs (IVDs) and facet joints in the lumbar spine has been associated with low back pain, but whether how IVD/joint degeneration contributes to pain remains an open question. Joint can be identified by pairing T1 T2 magnetic resonance imaging (MRI) analysis techniques such as Pfirrmann grades (IVD degeneration) Fujiwara scores (facet degeneration). However, these are subjective, prompting need develop automated technique enhance inter-rater reliability....
A novel pelvic fixation screw fusion device (iFuse Bedrock Granite implant) was designed to promote bony through self-harvesting fenestrations throughout the outer shank. Bone on-growth and in-growth using this design have been demonstrated in a sheep model, but data from human subjects not reported. 66-year-old medically complex female with 2 prior spine fusions developed spondylodiscitis cephalad fusion, requiring removal of instrumentation, which included devices.
Thoracic pedicle screws have become the spinal anchor of choice because superior biomechanics this technique. It is widely used for treatment scoliosis, deformity (such as kyphosis), trauma, tumors, infection, and other pathologies. The technique demands precision malposition can result in cord or visceral injury with potential catastrophic consequences (death paralysis). There been many published articles looking at anatomy anatomic variation various populations according to race, age,...
Abstract BACKGROUND AND IMPORTANCE Pedicle subtraction osteotomy (PSO) is a 3-column used to correct rigid, large magnitude sagittal spinal deformity. PSO an inherently destabilizing procedure intraoperatively, with high risk of neurological deficits from vertebral body subluxation or translation during closure. Traditionally, closure has been performed utilizing compression cantilevering forces across adjacent level instrumentation. Such can loosen the instrumentation cause abrupt due force...
Objective This study aimed to determine the association between daily fluid intake and duration of hemodynamically significant patent ductus arteriosus (hsPDA). Study Design is a retrospective cohort extremely preterm infants (<29 weeks) admitted in Neonatal Intensive Care Unit Advent Health for Children from January 2013 March 2016, if hsPDA was diagnosed first week life serial echocardiograms were available. Diagnosis based on scoring system its estimated echocardiograms. Cohort divided...
Residency work-hour restrictions necessitate efficient, reproducible training. Simulation training for spinal instrumentation placement shows significant benefit to learners' subjective and objective proficiency. Cadaveric laboratories are most effective but have high cost low availability. The authors' goal was create a low-cost, simulation curriculum neurosurgery orthopedic surgery residents using synthetic models 3D computer-assisted navigation, assessing proficiency with of thoracolumbar...