A5069899892- Spine and Intervertebral Disc Pathology
- Spinal Fractures and Fixation Techniques
- Musculoskeletal pain and rehabilitation
- Medical Imaging and Analysis
- Cervical and Thoracic Myelopathy
- Pelvic and Acetabular Injuries
- Anesthesia and Pain Management
- Scoliosis diagnosis and treatment
- Hip disorders and treatments
- Cardiac, Anesthesia and Surgical Outcomes
- Pain Management and Opioid Use
- Radiation Dose and Imaging
- Opioid Use Disorder Treatment
- Spinal Hematomas and Complications
- Cardiovascular Issues in Pregnancy
- Pelvic floor disorders treatments
- Orthopaedic implants and arthroplasty
- Pain Management and Treatment
- Connective tissue disorders research
- Shoulder Injury and Treatment
- Management of metastatic bone disease
- Bariatric Surgery and Outcomes
Hospital for Special Surgery
2022-2024
National Center for Advancing Translational Sciences
2023
Cornell University
2023
University of Arkansas for Medical Sciences
2021
Study Design. Retrospective cohort. Objective. To compare robotics and navigation for minimally invasive elective lumbar fusion in terms of radiation exposure time demand. Summary Background Data. Although various studies have been conducted to demonstrate the benefits both over fluoroscopy exposure, literature is lacking comparing versus navigation. Materials Methods. Patients who underwent one-level or two-level transforaminal interbody (TLIF) by a single surgeon using (Stryker SpineMask)...
Study Design. Retrospective review of prospectively collected data Objective. To analyze the postoperative factors that led delayed discharge in patients who would have been eligible for ambulatory lumbar fusion (ALF). Summary Background Data. Assessing inefficiencies is vital to increase feasibility ALF. Methods. Patients underwent single-level MI-TLIF and met eligibility criteria ALF were included. Length stay [LOS]; time post-anesthesia recovery unit [PACU]; alertness neurological exam,...
To analyze the usage of floor-mounted robot in minimally invasive lumbar fusion.Patients who underwent fusion for degenerative pathology using (ExcelsiusGPS) were included. Pedicle screw accuracy, proximal level violation rate, pedicle size, screw-related complications, and abandonment rate analyzed.Two hundred twenty-nine patients Most surgeries primary single-level fusion. Sixty-five percent had intraoperative computed tomography (CT) workflow, 35% preoperative CT workflow. Sixty-six...
Retrospective review of prospectively collected multisurgeon data.Examine the rate, clinical impact, and predictors subsidence after expandable minimally invasive transforaminal lumbar interbody fusion (MI-TLIF) cage.Expandable cage technology has been adopted in MI-TLIF to reduce risks optimize outcomes. Although is particular concern when using as force required expand can weaken endplates, its rates, predictors, outcomes lack evidence.Patients who underwent 1 or 2-level cages for...
The objective of this study was to assess the outcomes minimally invasive lumbar decompression in patients ≥ 80 years age and compare them with those younger groups.
Retrospective review of prospectively collected data.To determine the Oswestry Disability Index (ODI) cutoff for achieving Patient Acceptable Symptom State (PASS) at one year following minimally invasive lumbar spine surgery.An absolute score denoting PASS, rather than a change minimal clinically important difference (MCID), might be better metric to assess clinical outcomes.Patients who underwent primary transforaminal interbody fusion or decompression were included. The outcome measure was...
OBJECTIVE The goal of this study was to assess the outcomes minimally invasive transforaminal lumbar interbody fusion (MI-TLIF) in patients ≥ 70 years old and compare them younger age groups. METHODS This a retrospective data that were collected prospectively. Patients who underwent primary single-level MI-TLIF included divided into 3 groups: < 60, 60–69, years. outcome measures as follows: 1) patient-reported (PROMs) (i.e., visual analog scale [VAS] for back leg pain, Oswestry Disability...
Study Design. Matched cohort comparison. Objective. To determine perioperative outcomes of erector spinae plane (ESP) block for minimally invasive transforaminal lumbar interbody fusion (MI-TLIF). Summary Background Data. There is a paucity data on the impact ESP and its safety in MI-TLIF. Materials Methods. Patients who underwent 1-level MI-TLIF received (group E ) were included. An age sex-matched control group was selected from historical that standard-of-care NE). The primary outcome...
Study Design. Retrospective review of prospectively collected data. Objective. To determine the Neck Disability Index (NDI) cut-off for achieving patient acceptable symptom state (PASS) at six months following degenerative cervical spine surgery. Summary Background Data. An absolute score denoting PASS might be a better marker to assess clinical outcomes than change minimal clinically important difference. Materials and Methods. Patients who underwent primary anterior decompression fusion,...
Despite growing interest in cervical disc replacement (CDR) for conditions such as radiculopathy, limited data exists describing the impact of obesity on early postoperative outcomes and complications. These are especially important nearly half adult population United States is expected to become obese (body mass index [BMI] ≥ 30 kg/m2) by 2030. The goal this study was compare demographics, perioperative variables, complication rates following CDR.The 2005-2020 American College Surgeons...
Single-center, multisurgeon, retrospective review.To evaluate the timing of return to commonly performed activities following minimally invasive spine surgery. Identify preoperative factors associated with these outcomes.Studies have reported open techniques, but precise when patients after surgery remains uncertain.Patients who underwent either lumbar laminectomy (MI-L) or transforaminal interbody fusion (MI-TLIF) were included. Patient-reported outcome measures, drive, work, and...
Retrospective cohort study.
Retrospective cohort study.The aim of this study was to compare the relative value units (RVUs) and 30-day outcomes between primary revision pediatric spinal deformity (PSD) surgery.PSD surgery is frequently complicated by need for reoperation. However, there limited literature on physician reimbursement rates short-term following versus in population.This utilizes data obtained from American College Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) Pediatric database....
Performing lateral lumbar interbody fusion (LLIF) in a single prone position may pose many advantages over the traditional decubitus position, but there are questions concerning its safety profile and outcomes.
Retrospective review of a national database.
Study Design Retrospective cohort study. Objective To determine association between preoperative Patient-Reported Outcomes Measurement Information System Physical Function (PROMIS-PF) scores with postoperative pain, narcotics consumption, and patient-reported outcome measures (PROMs) following single-level lumbar microdiscectomy. Methods Consecutive patients who underwent microdiscectomy were identified from May 2017–May 2020. Patients grouped by their PROMIS-PF scores: mild disability...
Study Design. Retrospective chart review Objective. Identify demographic and sagittal alignment parameters that are independently associated with femoral nerve position at the L4-L5 disk space. Summary of Background Data. Iatrogenic or lumbar plexus injury during lateral interbody fusion (LLIF) can result in neurological complications. The LLIF “safe zone” is anterior half to two third However, varies inconsistently identifiable on magnetic resonance imaging. safe zone also narrowest L4-L5....
Background: Postoperative sagittal alignment has been shown to be associated with patient-reported outcome measures (PROMs) following open lumbar decompression procedures, although it is unknown whether preoperative imbalance affects clinical outcomes of minimally invasive surgical (MIS) only surgery. Purpose: We sought evaluate the impact pelvic incidence-lumbar lordosis (PI-LL) on PROMs after MIS laminectomy for treatment neurogenic claudication symptoms. Methods: conducted a retrospective...