A5053103163- Spine and Intervertebral Disc Pathology
- Spinal Fractures and Fixation Techniques
- Management of metastatic bone disease
- Diversity and Career in Medicine
- Brain Metastases and Treatment
- Health and Medical Research Impacts
- Spinal Cord Injury Research
- Neuroscience and Neural Engineering
- Neurological disorders and treatments
- Spinal Dysraphism and Malformations
- Glioma Diagnosis and Treatment
- Surgical Simulation and Training
- Meningioma and schwannoma management
- Anatomy and Medical Technology
- Cerebrospinal fluid and hydrocephalus
- Muscle activation and electromyography studies
- Neurofibromatosis and Schwannoma Cases
- Innovations in Medical Education
- Pelvic and Acetabular Injuries
- Medical Imaging and Analysis
- Medical Malpractice and Liability Issues
- Healthcare cost, quality, practices
- Peripheral Nerve Disorders
- Electronic Health Records Systems
- Hospital Admissions and Outcomes
Brown University
2017-2023
Rhode Island Hospital
2018-2023
Providence College
2019-2023
Stony Brook University
2020-2021
Neurological Surgery
2018-2021
Twin Cities Orthopedics
2021
John Brown University
2020
Lifespan
2020
Virginia Commonwealth University
2018
Albany Medical Center Hospital
2016
Use of lumbar fusion has increased substantially over the last 2 decades. For patients with stenosis and degenerative spondylolisthesis, landmark prospective randomized clinical trials (RCTs) published in New England Journal Medicine 2016 did not find clear evidence favor decompression alone this population.To assess national use vs for surgical treatment spondylolisthesis from to 2019.This retrospective cohort study included 121 745 hospitalized adult (aged ≥18 years) undergoing 1-level or...
OBJECT Several studies have indicated that the 30-day morbidity and mortality risks are higher among pediatric adult patients who admitted on weekends. This “weekend effect” has been observed with fora variety of diagnoses procedures, including myocardial infarction, pulmonary embolism, ruptured abdominal aortic aneurysm, stroke, peptic ulcer disease, surgery. In this study, outcomes for emergency neurosurgical procedures carried out weekend or after hours compared surgical performed during...
OBJECTIVE Wound breakdown and infection are common postoperative complications following resection of spinal neoplasms. Accordingly, it has become practice at some centers for plastic surgeons to assist with closure large posterior defects after spine tumor resection. In this study, the authors tested hypothesis that surgery complex improves wound outcomes neoplastic disease. METHODS Electronic medical records consecutive patients who underwent a neoplasm between June 2015 January 2019 were...
Advances in therapeutic neuromodulation devices have enabled concurrent stimulation and electrophysiology the central nervous system. However, artifacts often obscure sensed underlying neural activity. Here, we develop a method, termed Period-based Artifact Reconstruction Removal Method (PARRM), to remove from recordings by leveraging exact period of construct subtract high-fidelity template artifact. Benchtop saline experiments, computational simulations, five unique vivo paradigms across...
OBJECTIVE Malignant disease of the CNS is primary etiology for deaths resulting from cancer in pediatric population. It has been well documented that outcomes neurosurgery rely on extent tumor resection. Therefore, techniques improve surgical results have significant clinical implications. Intraoperative ultrasound (IOUS) offers real-time guidance and a more accurate means detecting residual inconspicuous to naked eye. The objective this study was evaluate correlation resection between IOUS...
BackgroundLateral lumbar interbody fusion (LLIF) is a minimally invasive surgical option for treating symptomatic degenerative spinal stenosis (DLSS) in select patients. However, the efficacy of LLIF indirectly decompressing spine DLSS, as well best radiographic metrics evaluating such changes, are incompletely understood.MethodsA single-institutional cohort patients who underwent DLSS between 5/2015 – 12/2019 was retrospectively reviewed. Diameter, area, and grades were measured central...
Diagnosis, pathophysiology, and rationale for surgical intervention in adult-onset tethered cord syndrome (ATCS) remain controversial. In this population, comorbid degenerative spinal disease (DSD) prior trauma may sometimes distract from radiologic evidence of TCS. We retrospectively reviewed electronic medical records consecutive patients (2011–2019) presenting with back pain, lower extremity neurological symptoms, and/or urinary or bowel who had fatty filum terminale (FT) low-lying conus...
Metastatic spine disease occurs in more than 10% of all cancer patients. Advances systemic treatment for has led to improved overall survival many types cancer, which increased the incidence spinal metastases. The most common presenting complaint patients with metastases is pain. Pain originating from can be oncological, mechanical, and/or neurological nature. Early recognition these symptoms helpful guide and accurately gauge patient prognosis. Unfortunately, prevalence degenerative back...
OBJECTIVE Medical malpractice litigation is a significant challenge in neurosurgery, with more than 25% of neurosurgeon’s career on average spent an open claim. While earlier research has elucidated characteristics related to brain tumor treatment, factors impacting outcome and indemnity payment amount are incompletely understood. METHODS The authors identified all medical cases tumors from 1988 2017 VerdictSearch, database 200,000 50 states. for each case was dichotomized the perspective...
In a competitive landscape for neurosurgical residency admission, research productivity is increasingly important. Medical school applicants to neurosurgery report high numbers of "scholarly products" as published by the National Residency Match Program. Despite increased student involvement in and productivity, best our knowledge, no previous reported studies have examined perspectives on their research.For 2 consecutive years (February 2019 February 2020), medical students (n = 55) from...
OBJECTIVE Accurate clinical documentation is foundational to any quality improvement endeavor as it ultimately the medical record that measured in assessing change. Literature on high-yield interventions improve accuracy and completeness of by neurosurgical providers limited. Therefore, authors sought share a single-institution experience two-part intervention enhance neurosurgery inpatient service. METHODS At an urban, level I trauma, academic teaching hospital, was implemented inpatients...
Background: A jumped facet joint is defined by when the inferior articular process of superior vertebra becomes locked anterior to vertebra. These typically traumatic lesions are exceedingly rare in thoracic spine. Here, we present a patient with unilateral upper spine treated open reduction and an instrumented fusion. Case Description: 45-year-old male presented after significant motor vehicle accident. In emergency room, he had Glasgow Coma Score 13 without any neurologic deficit. The...
Abstract Advances in device development have enabled concurrent stimulation and recording at adjacent locations the central nervous system. However, artifacts obscure sensed underlying neural activity. Here, we developed a novel method, termed Period-based Artifact Reconstruction Removal Method (PARRM), to remove from recordings by leveraging exact period of construct subtract high-fidelity template artifact. Benchtop saline experiments, computational simulations, five unique vivo paradigms...