A5062174487- Spinal Fractures and Fixation Techniques
- Scoliosis diagnosis and treatment
- Spine and Intervertebral Disc Pathology
- Pelvic and Acetabular Injuries
- Hip disorders and treatments
- Hip and Femur Fractures
- Cervical and Thoracic Myelopathy
- Spinal Dysraphism and Malformations
- Shoulder and Clavicle Injuries
- Anesthesia and Pain Management
- Medical Imaging and Analysis
- Dysphagia Assessment and Management
- Sarcoma Diagnosis and Treatment
- Intraoperative Neuromonitoring and Anesthetic Effects
- Cerebral Palsy and Movement Disorders
- Esophageal and GI Pathology
- Pectus Deformity Diagnosis and Treatment
- Opioid Use Disorder Treatment
- Orthopaedic implants and arthroplasty
- Enhanced Recovery After Surgery
- Pain Management and Opioid Use
Gillette Children's Specialty Healthcare
2020-2024
Twin Cities Spine Center
2018-2024
Allina Health
2024
Columbia University Irving Medical Center
2018-2021
Texas Health Dallas
2019-2021
Penn Presbyterian Medical Center
2019
New York Hospital Queens
2018
NewYork–Presbyterian Hospital
2018
Retrospective review of a prospectively collected multicenter database.To assess how "overcorrection" the main thoracic curve without control proximal increases risk for shoulder imbalance in Lenke type 1 Adolescent Idiopathic Scoliosis (AIS).Postop is common complication following AIS surgery. It thought that more cephalad upper-instrumented vertebra (UIV) decreases and 2 curves; however, this has not been proven.Thirteen surgeons reviewed preop 5-year postop clinical photos PA radiographs...
The objective of this study was to describe and evaluate a new surgical procedure for the correction coronal imbalance (CI) in adult spinal deformity patients, called "kickstand rod" technique.
Background: The selection of the lowest instrumented vertebra (LIV) in patients with adolescent idiopathic scoliosis (AIS) is still controversial. Although multiple radiographic methods have been proposed, there no universally accepted guideline for appropriate LIV. We developed a simple and reproducible method LIV Lenke type-1 (main thoracic) 2 (double curves investigated its effectiveness producing optimal positioning at 5 years follow-up. Methods: radiographs 299 or AIS that were included...
The early principles of spinal fusion in the adolescent population focused on preventing progression while simultaneously correcting deformity. These have remained relatively unchanged since their introduction more than a century ago, but recent improvements imaging, instrumentation, and corrective techniques provided new insight diagnosis, management, postoperative care this condition. Treatment options for management patients with onset scoliosis also evolved dramatically over last 2...
OBJECTIVETo demonstrate that a more ventral starting point for thoracic pedicle screw insertion, produced by aggressively removing the dorsal transverse process bone down to superior articular facet (SAF), results in larger margin error and medial angulation compared traditional (DSP). The will be quantified maximal insertional arc (MIA).METHODSThe study population included 10 consecutive operative patients with adult idiopathic scoliosis who underwent primary surgery. All measurements were...
A retrospective review of prospectively collected data.The objective this study was to investigate the fusion status lumbar spine and lumbosacral junction at 2 years postoperatively after complex adult spinal deformity (ASD) surgery.Achieving is crucial for maintaining optimal alignment in ASD surgery. However, prospective data assessing using large patient populations are lacking population.Postoperative radiographs 162 patients from Scoli-Risk-1 database, who underwent surgery with sacrum,...
To evaluate whether preoperative conversion from a gastrostomy tube (G-tube) to gastrojejunostomy (GJ-tube) decreases short-term postoperative aspiration pneumonia and gastrointestinal complications in children with neuromuscular scoliosis. We conducted retrospective chart review January 2006 October 2021 of pediatric patients who had scoliosis were fed G-tube before spinal fusion. Eligible divided into two groups based on they converted GJ-tube preoperatively. Preoperative characteristics...
Study Design. Retrospective review of prospectively collected data. Objective. The current study evaluates whether the addition Vertebral Bone Quality (VBQ) score to Fusion Risk Score (FRS) improves its ability predict perioperative outcomes. Summary Background Data. FRS was developed assess preoperative risk in patients undergoing thoracic and lumbar fusions. It includes patient-derived surgical variables, but it does not include one that directly accounts for bone health. VBQ allows...
To describe the incidence of reoperation and factors contributing to surgical revision within a minimum 10 years after spinal fusion for scoliosis in patients with nonambulatory cerebral palsy (CP).
Study design. Retrospective Objective: Evaluate correlations between preoperative expectations for pain improvement and 12-month functional outcomes satisfaction following 1-2 level primary anterior cervical surgery. Summary of background data: Limited data exists evaluating patients’ relief subsequent Understanding may help identify patients most likely to benefit from Methods: Patients who underwent ACDF or CDA degenerative disease 2016-2021 were included. All had NDI data. Preoperative...
Although rare, severe congenital cervical spine deformity can present with limited treatment options and potentially catastrophic outcomes. The use of halter traction for correction in children has been well described, but it not previously reported the management neonates.A baby girl born at full-term gestation presented generalized hypotonia, bilateral club feet, significant right upper extremity weakness. Imaging demonstrated a swan-neck spinal cord compression. Halter was initiated...
Anterior cervical discectomy and fusion (ACDF) disc arthroplasty (CDA) are attractive targets for transition to the outpatient setting. We assessed prevalence of rapid responses major complications in inpatient setting following 1 or 2-level ACDFs CDAs. evaluated factors that may place patients at greater risk a response postoperative complication.This was an institutional review board-approved, retrospective cohort study adults undergoing ACDF CDA hospital over 2-year period (2018 2019)....
Background: As the opioid epidemic in United States has continued to gain momentum recent years, current study aims explore efficacy of ketamine a traditionally challenging setting regarding pain control, and contribute toward developing an opioid-free intraoperative protocol spinal deformity surgery. Methods: Fifty-four patients who underwent surgery between January 1, 2017 December 31, by one senior surgeon were included. Demographic data preoperative use was collected. Surgical details...
Patients with pectus excavatum and scoliosis can present a unique clinical challenge to operative correction. In patients severe deformities, vascular structures in between the spine sternum are at risk of compression, leading hemodynamic collapse during correction deformity setting unrepaired excavatum. Careful consideration multidisciplinary coordination should be used determine optimal timing, sequence, approach repair anterior posterior deformities.