- Spine and Intervertebral Disc Pathology
- Spinal Fractures and Fixation Techniques
- Cervical and Thoracic Myelopathy
- Scoliosis diagnosis and treatment
- Musculoskeletal pain and rehabilitation
- Medical Imaging and Analysis
- Anesthesia and Pain Management
- COVID-19 and healthcare impacts
- Pelvic and Acetabular Injuries
- Telemedicine and Telehealth Implementation
- Cardiac, Anesthesia and Surgical Outcomes
- Clinical practice guidelines implementation
- Orthopaedic implants and arthroplasty
- Hip disorders and treatments
- Management of metastatic bone disease
- Spinal Hematomas and Complications
- Health Systems, Economic Evaluations, Quality of Life
- Shoulder Injury and Treatment
- Delphi Technique in Research
- Pain Management and Opioid Use
- Total Knee Arthroplasty Outcomes
- Patient Satisfaction in Healthcare
- Diversity and Career in Medicine
- Health and Medical Research Impacts
- Urinary Bladder and Prostate Research
Franciscan Health
2022-2025
Center for Neurosciences
2022-2025
Virginia Mason Medical Center
2020-2025
Hospital for Special Surgery
2018-2023
Seattle University
2021-2022
Rush University Medical Center
2014-2021
New York Proton Center
2020
American Orthopaedic Association
2020
Institute of Semitic Studies
2020
Scoliosis Research Society
2020
Cross-sectional, international survey.The current study addressed the multi-dimensional impact of COVID-19 upon healthcare professionals, particularly spine surgeons, worldwide. Secondly, it aimed to identify geographical variations and similarities.A survey was distributed surgeons Questions were categorized into domains: demographics, observations, preparedness, personal impact, patient care, future perceptions.902 representing 7 global regions completed survey. 36.8% reported...
Background: Digital patient engagement platforms are designed to improve the efficacy of perioperative surgical home, but currently available solutions have shown low and provider adoption. The purpose this study was evaluate effectiveness a text-messaging (Short Message Service [SMS]) bot with respect following joint replacement procedures in randomized clinical trial. Methods: One hundred fifty-nine patients (83 control group 76 intervention group) were enrolled controlled trial comparing...
Study Design. Retrospective cohort study. Objective. To investigate the association between Hounsfield units (HU) measured at planned upper instrumented vertebra (UIV) and UIV+1 proximal junctional kyphosis (PJK) in patients with adult spinal deformity (ASD). Summary of Background Data. PJK is a common complication following surgery for ASD poor bone quality noted to be one risk factors. HUs from standard computed tomography (CT) scans can used evaluating regional quality. Methods....
Study Design Retrospective Cohort Study. Objective Isthmic spondylolisthesis is frequently encountered in spine surgical practice, though there a significant variation management strategies. We sought to evaluate revision rates between patients who underwent anterior-approach lumbar interbody fusion (ALIF) alone, posterolateral (PLF) PLIF/TLIF, and ALIF+PSF. Methods This retrospective study utilized large commercial insurance claims database of ≤65 years-old. Patients with isthmic...
Retrospective analysis.To compare postoperative narcotic consumption and pain scores between multimodal analgesia (MMA) patient-controlled (PCA) following minimally invasive transforaminal lumbar interbody fusion (MIS TLIF).A analgesic approach to management may lead decreased after orthopedic procedures. Additional evidence is, however, required determine how MMA compares intravenous PCA MIS TLIF.Patients undergoing 1-level TLIF followed by either or at our institution were compared in...
Retrospective cohort study.The aim of this study was to compare clinical and radiographic outcomes patients who underwent stand-alone lateral lumbar interbody fusion (LLIF) those posterolateral (PLF) for symptomatic adjacent segment disease (ASD).Recent studies have suggested that LLIF can successfully treat ASD; however, there are no date with the traditional open PLF in cohort.A total 47 consecutive or ASD between January 2007 August 2016 after failure conservative management were reviewed...
Abstract Introduction While telemedicine usage has increased due to the COVID-19 pandemic, there remains little consensus about how spine surgeons perceive virtual care. The purpose of this study was explore international perspectives providers on challenges and benefits telemedicine. Methods Responses from 485 members AO Spine were analyzed, covering provider perceptions All questions optional, blank responses excluded analysis. Results leading reported by decreased ability perform physical...
Background: Prone transpsoas lumbar interbody fusion (PTP) is a newer technique to treat various spinal disc pathologies. PTP variation of lateral (LLIF) that performed with the patient prone rather than in decubitus position. This approach offers similar benefits surgery, which include less blood loss, shorter hospital stay, and quicker recovery compared traditional open spine surgery. additional over positioning, more familiar position for surgeons, ability perform simultaneous posterior...
ABSTRACT This study explored three dimensional (3D) talonavicular joint (TNJ) coverage/orientation and bone morphology to reveal parameters that could classify identify predispositions cavus planus feet. 3D models of 65 feet from 40 subjects were generated computed tomography images classified as pes cavus, neutrally aligned, or asymptomatic/symptomatic planus. We calculated the talar navicular overlap (TNJ coverage). also measured orientation navicular, morphological talus angular position...
Retrospective analysis of a prospectively maintained surgical registry.To compare postoperative narcotic consumption between multimodal analgesia (MMA) and patient-controlled (PCA) after an anterior cervical discectomy fusion (ACDF).Studies suggest that approach to pain management leads decreased morphine total joint arthroplasty lumbar spinal procedures. Patients surgeons would benefit from knowing whether is superior PCA for ACDF.A retrospective cohort study ACDF patients receiving either...
Study Design. A retrospective analysis. Objective. The aim of this study was to quantify improvements in Visual Analogue Scale (VAS) neck and arm pain, Neck Disability Index (NDI), Short Form-12 (SF-12) Mental (MCS) Physical (PCS) Composite scores following an anterior cervical discectomy fusion (ACDF). Summary Background Data. ACDF is evaluated with patient-reported outcomes. However, the extent which these outcomes improve remains poorly defined. Methods. surgical registry patients who...
Study Design. A prospective questionnaire. Objective. The aim of this study was to evaluate factors that patients consider when selecting a spine surgeon. Summary Background Data. rise in consumer-driven health insurance plans has increased the role provider selection. purpose is identify may influence patient's criteria for Methods. Two hundred thirty-one who sought treatment by one surgeon completed an anonymous questionnaire consisting 26 questions. Four questions regarded demographic...
Pelvic Ewing sarcoma (ES) has poorer outcomes than extremity-based lesions and the method of local control is controversial.A retrospective review was performed 40 primary pelvic or sacral ES treated by a single surgeon. All received modern chemotherapy those that radiation were with dosages.Fifty-five percent disease-free at latest follow-up (median, 83.1 mos). Sixty-one had ≥ 99% necrosis, which associated 65% survival. Larger size (P = 0.016) absence metastatic disease 0.005) predictive...