A5082207552- Spine and Intervertebral Disc Pathology
- Spinal Fractures and Fixation Techniques
- Musculoskeletal pain and rehabilitation
- Cervical and Thoracic Myelopathy
- Clinical practice guidelines implementation
- Traumatic Brain Injury and Neurovascular Disturbances
- Spinal Hematomas and Complications
- Transcranial Magnetic Stimulation Studies
- Intracranial Aneurysms: Treatment and Complications
- Scoliosis diagnosis and treatment
- COVID-19 and healthcare impacts
- Academic Writing and Publishing
- Telemedicine and Telehealth Implementation
- Meta-analysis and systematic reviews
- Pain Management and Treatment
- Pain Mechanisms and Treatments
- Medical Imaging and Analysis
- Immune cells in cancer
- Meningioma and schwannoma management
- Neurological and metabolic disorders
- Pregnancy-related medical research
- Healthcare Policy and Management
- Surgical Simulation and Training
- Neurofibromatosis and Schwannoma Cases
- Nanoplatforms for cancer theranostics
Spectrum Health
2022-2025
Michigan State University
2022-2025
Michigan United
2025
Thomas Jefferson University
2020-2024
Neurological Surgery
2021-2023
Jefferson Hospital for Neuroscience
2020-2022
Thomas Jefferson University Hospital
2020-2022
Universidade Federal do Estado do Rio de Janeiro
2021-2022
Academia Nacional de Medicina
2022
Hospital Universitário Gaffrée e Guinle
2020-2022
Literature Review (Narrative).To introduce the number 10 research priority for Degenerative Cervical Myelopathy: Individualizing Surgery.This article summarizes current recommendations and indications surgery, including how known prognostic factors such as injury time, age, disease severity, associated comorbidities impact surgical outcome. It also considers key areas of uncertainty that should be focus future research.While a small proportion conservatively managed patients may remain...
The authors compared primary lumbar spine fusions with revision by using patient Oswestry Disability Index (ODI) scores to evaluate the impact of North American Spine Society (NASS) evidence-based medicine (EBM) fusion indications on patient-reported outcome measures surgeries.
The following is a narrative discussion of bundled payments in spine surgery.The cost healthcare the United States has continued to increase. To lower healthcare, reimbursement models are being investigated as potential saving interventions by driving incentives and quality improvement fields such surgery.Narrative overview literature pertaining surgery synthesizing findings from computerized databases authoritative texts.Spine challenging define payment modes because high variability...
Multicenter study.The COVID-19 pandemic has obligated physicians to recur additional resources and make drastic changes regarding the standard physician-patient encounter. In last century, there been a substantial improvement in technology, which over years opened door new form of medical practicing known as telemedicine.Healthcare workers from three hospitals involved care for patients united states were invited share their experience using telemedicine deliver clinical patients.Since...
Degenerative lumbar spondylolisthesis (DS) patients are treated with instrumented fusion, following EBM guidelines, and typically have excellent clinical outcomes. However, not all fusion procedures adhere to due a lack of prospective data.This retrospective study compared outcomes DS according guidelines (EBM concordant) fused that did clear literature supported this treatment, the goal being examine value present guide care.A total 125 were considered concordant, while 21 discordant. Pre-...
See commentary "Commentary on "Are Lumbar Fusion Guidelines Followed? A Survey of North American Spine Surgeons"" in Volume 18 page 397.
Abstract BACKGROUND United States (U.S.) healthcare is a volume-based inefficient delivery system. Value requires the consideration of quality, which lacking in most disciplines. OBJECTIVE To assess whether patients who met specific evidence-based medicine (EBM)-based criteria preoperatively for lumbar fusion would achieve higher rates achieving minimal clinical important difference (MCID) than those did not meet EBM indications. METHODS All elective cases, March 2018 to August 2019, were...
Narrative Review.The increasing cost of healthcare overall and for spine surgery, coupled with the growing burden spine-related disease rising demand have necessitated a shift in practice standards new emphasis on value-based care. Despite multiple attempts to reconcile discrepancy between national recommendations appropriate use patterns employed clinical practice, resources continue be overused-often absence any demonstrable benefit. The following discussion illustrates 10 areas further...
OBJECTIVE Posterior cervical decompression and fusion (PCDF) is a commonly performed procedure to address myelopathy. A significant number of these patients require revision surgery for adjacent-segment disease (ASD) or pseudarthrosis. Currently, there no consensus among spine surgeons on the inclusion proximal thoracic instrumentation. This study investigates benefits extension in long-segment fusions potential drawbacks. The authors compare outcomes subaxial degenerative myelopathy with...
Retrospective observational case series.To assess the outcome of patients with diffuse idiopathic skeletal hyperostosis (DISH) dysphagia who underwent cricopharyngeal myotomy (CPM) in conjunction anterior osteophytectomy (OP).This is a retrospective study 9 that received combined intervention by neurosurgeons and otolaryngologists. Inclusion criteria for surgery consisted failed to respond conservative treatments had evidence both upper esophageal dysfunction osteophyte compression. We...
The present study design was that of a single center, retrospective cohort to evaluate the influence surgeon-specific factors on patient functional outcomes at 6 months following lumbar fusion. Retrospective review prospectively maintained database patients who underwent neurosurgical instrumented arthrodesis identified population.This seeks variable effects patient-reported such as Oswestry Disability Index (ODI) and effect North American Spine Society (NASS) concordance in setting surgeon...
Abstract Thyroid surgery is the primary treatment for substernal goiters, and iatrogenic injury to recurrent laryngeal nerve (RNL) always a risk. The literature suggests that lesions of RNL post resection goiter are not equally distributed, being more frequent on right (R‐RLN) in comparison left (L‐RLN). relative paucity basic anatomical clinical reportages R‐RLN injuries developmental factors may help explain its higher incidence justifies this study's undertaking. Here we compare versus...
There is a paucity of information regarding treatment strategies and variables affecting outcomes revision lumbar fusions.To evaluate the influence primary vs different surgeon on functional revisions.All elective fusion revisions, March 2018 to August 2019, were retrospectively categorized as performed by same or who surgery. Oswestry Disability Index (ODI) clinical collected. Multiple logistic regression identified multivariable-adjusted odds ratio (OR) independent analyzed.Of 130 cases,...
Retrospective observational cohort.A review of efficiency and safety fluoroscopy stereotactic navigation system for minimally invasive (MIS) Sacroiliac (SI) fusion through a lateral technique.Retrospective analysis an cohort 96 patients greater than 18 years old, that underwent MIS SI guided by or between January 2013 April 2020 with minimum 3 months follow-up. Intraoperative neuromonitoring (IONM) variable combination electromyography (EMG), somatosensory evoked potentials (SSEPs) motor...
Study Design: This is a retrospective observational study. Objective: study evaluates the impact of postoperative fever on rate readmission among lumbar fusion patients. Summary Background Data: Postoperative common event across surgical specialties that often triggers an extensive work-up can significantly increase hospital costs and length stay, although results are usually negative for infection. There paucity literature studying in Materials Methods: A chart review all patients who...