A5087073257- Scoliosis diagnosis and treatment
- Spinal Fractures and Fixation Techniques
- Spine and Intervertebral Disc Pathology
- Medical Imaging and Analysis
- Pelvic and Acetabular Injuries
- Cardiac, Anesthesia and Surgical Outcomes
- Cervical and Thoracic Myelopathy
- Enhanced Recovery After Surgery
- Hip and Femur Fractures
- Nutrition and Health in Aging
- Colorectal Cancer Surgical Treatments
- Orthopaedic implants and arthroplasty
- Orthopedic Infections and Treatments
- Esophageal and GI Pathology
- Management of metastatic bone disease
- Surgical Simulation and Training
- Anesthesia and Pain Management
- Total Knee Arthroplasty Outcomes
- Abdominal Surgery and Complications
- Healthcare Systems and Public Health
- Chronic Disease Management Strategies
- Sarcoma Diagnosis and Treatment
- Reconstructive Surgery and Microvascular Techniques
- Trauma and Emergency Care Studies
- Anorectal Disease Treatments and Outcomes
Duke University
2024-2025
Duke Medical Center
2024-2025
Duke University Hospital
2024-2025
Neurological Surgery
2023-2025
Duke University Health System
2025
NYU Langone Health
2023-2024
The Spine Institute
2023-2024
Cheltenham General Hospital
2024
New York Proton Center
2023-2024
Royal Lancaster Infirmary
2021-2023
Introduction Although autologous iliac crest bone graft (ICBG) has long been the gold standard for spinal fusion, complications related to its harvest and availability issues with local autograft have encouraged development of substitutes that provide safer alternatives consistent clinical efficacy potential applications across musculoskeletal health, including fusion. This study evaluates initial safety a novel integrative matrix (IBM) in fusion procedures. Methods The charts twenty...
Aims The T1 pelvic angle (T1PA) provides a consistent global measure of sagittal alignment independent compensatory mechanisms and positional changes. However, it may not explicitly reflect goals that correlate with lower risk complications. This study assessed the value T1PA in achieving patients an adult spinal deformity (ASD). Methods Patients aged ≥ 18 years who had undergone surgery for ASD complete baseline data at least two-year postoperative, radiological, health-related quality life...
Yung, Anthony MMSc; Onafowokan, Oluwatobi O. BMBS; Fisher, Max R. MD; Cottrill, Ethan J. MD, PhD, MSEd; Prado, Isabel P. MS; Ivasyk, Iryna PhD; Wu, Caroline M. Parsons, Alexander W. MSc; Williamson, Tyler K. DO; Eck, Andrew Mir, Jamshaid Das, Ankita BS; Gilsilvetti, Mateo Tretiakov, Peter S. Shaffrey, Christopher I. Passias, G. MD Author Information
INTRODUCTION: Spinopelvic fixation significantly enhances the stability of lumbopelvic junction, which is particularly critical in adult spinal deformity surgeries involving long fusions. METHODS: Included ASD patients with complete baseline and two-year data. Analysis compared those =2 points SI (>TP) versus <2 (<TP) using descriptive statistics, means comparison, Chi-squared, logistic regression to assess medical surgical predictors outcomes. RESULTS: Among 447 studied (mean age:...
INTRODUCTION: The lumbar lordosis distribution index (LDI) is an important constituent of achieving adequate correction adult spinal deformity (ASD). While previous literature has evaluated LDI, targets can vary based on pelvic morphology that remains to be in the ASD population. METHODS: Operative patients fused from at least L1 and proximal pelvis with two-year follow-up were included. Patients stratified into three categories incidence (PI) [P1: PI<45°, P2 PI 45-60°, P3 >60°]. LDI...
Abstract Background Ileus is common after colorectal surgery and associated with an increased risk of postoperative complications. Identifying features normal bowel recovery the appropriateness for hospital discharge challenging. This study explored safety before return function. Methods A prospective, multicentre cohort was undertaken across international collaborative network. Adult patients undergoing elective resection between January April 2018 were included. The main outcome interest...
Study Design. Retrospective single-center study. Objective. To assess the influence of frailty on optimal outcome following ASD corrective surgery. Summary Background Data. Frailty is a determining factor in outcomes after surgery and may exert ceiling effect best possible outcome. Methods. patients with measures, baseline, 2-year ODI included. was classified as Not Frail (NF), (F) Severely (SF) based modified Index, then stratified into quartiles two-year improvement (most improved...
To assess the financial impact of Enhanced Recovery After Surgery (ERAS) protocols and cost-effectiveness in cervical deformity corrective surgery.
Study Design Retrospective cohort study. Objectives To assess the impact of Enhanced recovery after surgery (ERAS) protocols on peri-operative course in adult cervical deformity (ACD) corrective surgery. Methods Patients ≥18 yrs with complete pre-(BL) and up to 2-year (2Y) radiographic clinical outcome data were stratified by enrollment an ERAS protocol that commenced 2020. Differences demographics, outcomes, alignment targets, factors complication rates assessed via means comparison...
Cervical spine deformity surgery has significantly evolved over recent decades. There been substantial work performed, which furthered the true understanding of alignment and advancements in surgical technique instrumentation. Concomitantly, cervical pathology contributing drivers have also improved, influenced development classification systems for treatment-guiding algorithms. This article aims to provide a synopsis current knowledge surrounding date, with particular focus on preoperative...
ABSTRACT Background: With the increasing amount of elective spine fusion patients presenting with cardiac disease and congestive heart failure, it is becoming difficult to assess when safe proceed surgery. Assessing severity failure (HF) through ejection fraction may provide insight into patients’ short- long-term risks. Purpose: The purpose this study was HF on perioperative outcomes surgery patients. Study Design/Setting: This a retrospective cohort PearlDiver database. Patient Sample: We...
BACKGROUND: Distal junctional kyphosis (DJK) remains a primary concern for surgeons performing cervical deformity (CD) surgery. Many times post-operative complications from CD surgeries render patients with worse recovery profiles than their peers. It is important to understand DJK following surgery patients. PURPOSE: To identify if successfully recover treatment/reoperation STUDY DESIGN/SETTING: Retrospective review of prospectively collected database PATIENT SAMPLE: 113 OUTCOME MEASURES:...
Background: Distal junctional kyphosis (DJK) is a concerning complication for surgeons performing cervical deformity (CD) surgery. Patients sustaining such complications may demonstrate worse recovery profiles compared to their unaffected peers. Methods: DJK was defined as >10° change in between LIV and LIV-2, index angle. CD patients were grouped according the development of by 3M vs. no development. Means comparison tests regression analyses used analyze differences groups arelevant...
Study Design: Retrospective cohort study.Purpose: To determine the incidence and success of three-column osteotomies (3COs) performed in primary revision adult spine deformity (ASD) corrective surgeries.Overview Literature: 3COs are often required to correct severe, rigid ASD presentations. However, controversy remains on utility 3COs, particularly surgery.Methods: Patients having 2-year data were included divided into 3CO non-3CO (remaining cohort) groups. For subanalysis, patients...
Study Design. Retrospective cohort study of prospectively enrolled database. Objective. We analyze the recovery pattern patients with adult structural spine disorder (ASD) who underwent corrective surgery enhanced after (ERAS+) protocol, including physical and psychological prehabilitation components, compared a non-ERAS protocol (ERAS-) up to 2 years (2Y) surgery. Background. Spine for ASD is often highly invasive, which can contribute prolonged recovery. The trajectory may be accelerated...
Background. Appendiceal diverticulitis is a rare cause of inflammation the appendix, which may mimic acute appendicitis. Its diagnosis often delayed, and its occurrence carries an increased risk significant complications, such as perforation. Case Presentation. A 23-year-old woman presented with sudden onset, severe, right lower quadrant abdominal pain nausea. Her WBC was elevated, CT showed findings indicative appendicitis 13 mm fluid-filled appendix local stranding. During laparoscopic...
Background:Haemophilus parainfluenzae (HPI) is a rare and underreported pathogen. Haemophilus causes respiratory, soft tissue, central nervous system (CNS) infections, endocarditis. Little data on HPI surgical infections are available, especially for intra-abdominal (IAI). Patients Methods:Haemophilus isolates were recovered from patients treated at rural hospital during two-year period. Isolation identification of the pathogen was done according to standard guidelines. A literature review...
Study Design. This was a retrospective review. Objective. To assess the factors contributing to durability of surgical results following adult spinal deformity (ASD) surgery. Summary Background. Factors long-term sustainability ASD correction are currently undefined. Materials and Methods. Operative patients with preoperatively (baseline) 3-year postoperatively radiographic/health-related quality life data were included. At 1 3 years postoperatively, favorable outcome defined as meeting at...
Aims The aim of this study was to investigate the impact level upper instrumented vertebra (UIV) in frail patients undergoing surgery for adult spine deformity (ASD). Methods Patients with spinal who had undergone T9-to-pelvis fusion were stratified using ASD-Modified Frailty Index into not frail, and severely categories. ASD defined as at least one of: scoliosis ≥ 20°, sagittal vertical axis (SVA) 5 cm, or pelvic tilt 25°. Means comparisons tests used assess differences between both groups....
Study Design Retrospective cohort study of a prospectively collected single-center database. Objective Distal Junctional Kyphosis (DJK) is one the most common complications in adult cervical deformity (ACD) correction. The utility radiographic alignment alone predicting and minimizing DJK occurrence warrants further study. To investigate impact post-operative on development ACD patients. Methods patients (≥18 yrs) with complete baseline (BL) two-year (2Y) data were included. DJF was defined...