A5024847829- Spine and Intervertebral Disc Pathology
- Spinal Fractures and Fixation Techniques
- Management of metastatic bone disease
- Bone Tumor Diagnosis and Treatments
- Scoliosis diagnosis and treatment
- Sarcoma Diagnosis and Treatment
- Spinal Hematomas and Complications
- Medical Imaging and Analysis
- Pelvic and Acetabular Injuries
- Anesthesia and Pain Management
- Cervical and Thoracic Myelopathy
- Musculoskeletal pain and rehabilitation
- Total Knee Arthroplasty Outcomes
- Oral and Maxillofacial Pathology
- Hip disorders and treatments
- Trauma and Emergency Care Studies
- Cardiac, Anesthesia and Surgical Outcomes
- Orthopaedic implants and arthroplasty
- Pneumothorax, Barotrauma, Emphysema
- Myofascial pain diagnosis and treatment
- Gastrointestinal motility and disorders
- Spinal Dysraphism and Malformations
- Neurogenetic and Muscular Disorders Research
- Clinical practice guidelines implementation
- Bone and Joint Diseases
Duke University Hospital
2015-2024
Duke Medical Center
2015-2020
Duke University
2016-2017
University of Iowa
2005-2015
University of Iowa Hospitals and Clinics
2010-2015
Background: Spinal anesthesia has been associated with lower postoperative rates of deep-vein thrombosis, a shorter operative time, and less blood loss when compared general anesthesia. The purpose the present study was to identify differences in thirty-day perioperative morbidity mortality between choices among patients undergoing total knee arthroplasty. Methods: American College Surgeons National Surgical Quality Improvement Program (ACS NSQIP) database searched who underwent primary...
Retrospective review of a prospective cohort.To determine the incidence, causes, and risk factors for 30-day unplanned readmissions after lumbar spine surgery.The rising costs associated with spinal surgery have received national attention. Recently, government has chosen to target as quality measure. Few studies specifically analyzed readmission in multicenter patient cohort.A large, clinical registry was queried all patients undergoing 2012. Current Procedural Terminology codes were used...
Propensity score-adjusted prospective cohort study.To compare the incidence of complications in patients undergoing single-level lumbar discectomy between inpatient and outpatient settings, to determine baseline 30-day complication rates for discectomy, identify independent risk factors complications.Lumbar is most common spinal procedure performed can be done on an basis. Lower costs, greater patient satisfaction, equivalent safety have been reported with surgery.Patients 2005 2010 were...
Abstract Background The early management of polytrauma patients with traumatic spinal cord injury (tSCI) is a major challenge. Sparse data available to provide optimal care in this scenario and worldwide variability clinical practice has been documented recent studies. Methods A multidisciplinary consensus panel physicians selected for their established scientific expertise the acute tSCI different specializations was established. World Society Emergency Surgery (WSES) European Association...
The prevalence of dysphagia after anterior cervical decompression and arthrodesis is estimated to be 50% within one month 21% at twelve months. However, its exact etiology not well understood. objective the present study was explore relationship between intraoperative intra-esophageal pressure due surgical retraction, esophageal mucosal blood flow level surgery, postoperative dysphagia. Our hypothesis that sustained elevated on esophagus during associated with dysphagia.Seventeen selected...
Retrospective cohort study.To determine the trends and causes for increases in hospital charges adolescent idiopathic scoliosis (AIS) fusions.Trends utilization rates, surgical procedure types, AIS fusions have not been well investigated.We used International Classification of Diseases, Ninth Revision, billing codes to identify 29,594 fusion cases from National Inpatient Service (NIS) database between 2001 2011. Data were trended over time, contrasted against other common procedures. To...
Background: Risk factors for complication after single-level anterior cervical discectomy and fusion remain poorly defined. The purpose of this study was to identify the incidence risk from a large, prospectively collected database, with separate emphasis on safety outpatient procedures. Methods: American College Surgeons National Surgical Quality Improvement Program collects thirty-day morbidity mortality data more than 480 hospitals around United States. We retrospectively queried database...
Retrospective review.To determine if adjuvant radiation therapy (RT) improves overall survival (OS) following surgical resection of chordomas.The role RT for the treatment chordomas remains incompletely described. Previous studies have not found to improve OS, but these did group patients based on margin status or dose modality. We used National Cancer Database investigate in resection.Patients were stratified (positive vs. negative). Utilizing Kaplan-Meier method, OS was compared between...
In Brief Study Design. Retrospective review of prospectively collected data. Objective. To determine a cutoff below which worsening renal function is associated with increased risk morbidity and to the types magnitude impairment. Summary Background Data. Renal impairment an after lumbar spine surgery. However, degree increasing levels dysfunction are has not been well defined. Methods. A large, multicenter, clinical registry was queried for all adult patients undergoing surgery in 2012,...
Diabetes is an increasingly common medical condition affecting ∼29 million people (8 of whom are undiagnosed), or 9% the U.S. population. The estimated health expenditures to prevent and treat diabetes associated direct indirect complications totaled $245 billion in 2012, this cost on a trajectory double by 2030 (1,2). An 25% patients with will require surgery (3). Twenty-eight percent unaware that they have disease (2). Furthermore, 5–10% presenting for found previously unrecognized (4,5)....
Retrospective cohort study.To demonstrate a correlation between radiculopathy symptoms, foraminal morphology, and curve types.Patients with degenerative scoliosis frequently present stenosis radiculopathy, the origin of which is not well understood.A total 48 patients (384 foraminas) were included: 14 low back pain (B); 16 femoral nerve (F); 18 sciatic (S). The symptomatic foramen groups F S compared asymptomatic foramina. Alignment was measured from standardized radiographs; 3D-CT...
Retrospective cohort study.The purpose of this study was to compare outcomes between different treatment modalities for metastatic disease with indeterminate instability (Spinal Instability Neoplastic Score [SINS] 7-12).We retrospectively reviewed neurologically intact patients treated spinal a SINS 7 12. The stratified by approach: external beam radiation therapy alone (EBRT), surgery + EBRT (S+E), and cement augmentation (K+E). Kaplan-Meier analysis used assess differences in length...