A5053571200- Spine and Intervertebral Disc Pathology
- Spinal Fractures and Fixation Techniques
- Scoliosis diagnosis and treatment
- Cervical and Thoracic Myelopathy
- Medical Imaging and Analysis
- Pelvic and Acetabular Injuries
- Musculoskeletal pain and rehabilitation
- Spinal Hematomas and Complications
- Management of metastatic bone disease
- Anesthesia and Pain Management
- Nerve Injury and Rehabilitation
- Shoulder Injury and Treatment
- Intraoperative Neuromonitoring and Anesthetic Effects
- Peripheral Nerve Disorders
- Trauma Management and Diagnosis
- Orthopaedic implants and arthroplasty
- Anatomy and Medical Technology
- Pain Management and Opioid Use
- Frailty in Older Adults
- Surgical Simulation and Training
- Orthopedic Surgery and Rehabilitation
- Cerebrospinal fluid and hydrocephalus
- Spinal Dysraphism and Malformations
- Head and Neck Surgical Oncology
- Colorectal Cancer Surgical Treatments
Barrow Neurological Institute
2017-2025
St. Joseph's Hospital and Medical Center
2018-2025
University of South Florida
2014-2024
Neurological Surgery
2013-2024
American Association of Neurological Surgeons
2024
Carolinas Healthcare System
2024
Carolina Neurosurgery and Spine Associates
2024
Twin Cities Spine Center
2023
Toronto Western Hospital
2023
Brown University
2023
Object The object of this study was to evaluate an alternative surgical approach degenerative thoracolumbar deformity in adults. authors present their early experience with the minimally invasive, lateral retroperitoneal transpsoas for placing interbody grafts and providing anterior column support adult deformity. Methods retrospectively reviewed a prospectively acquired database all patients treated at our institution. All patient data were recorded including demographics, preoperative...
Object The lateral retroperitoneal transpsoas approach is being increasingly employed to treat various spinal disorders. minimally invasive blunt and dissection poses a risk of injury major nervous structures. addition electrophysiological monitoring potentially decreases the lumbar plexus. With respect use direct approach, however, there sparse knowledge regarding relationship between retroperitoneum/psoas muscle plexus at each segment. authors undertook this anatomical cadaveric study...
A retrospective review.The objective is to evaluate subsidence related minimally invasive lateral retroperitoneal lumbar interbody fusion by reviewing our experience with this procedure.Polyetheretherketone intervertebral cages of different lengths, widths, and heights filled various allograft types are commonly used as spacers in fusions. Subsidence a potential complication. To date, there no published reports specifically addressing subsidence, because it relates series patients undergoing...
Minimally invasive surgery (MIS) is an alternative to open deformity for the treatment of patients with adult spinal deformity. However, at this time MIS techniques are not as versatile techniques, and have been reported result in suboptimal sagittal plane correction or pseudarthrosis when used severe deformities. The minimally (MISDEF) algorithm was created provide a framework rational decision making surgeons who considering versus spine surgery.A team experienced developed MISDEF that...
In Brief Study Design. Prospective registry. Objective. The objective of this study was to examine patient outcomes using a mini-open, lateral approach for the treatment traumatic thoracic and lumbar fractures. Summary Background Data. high-quality published studies that methods acute fractures are few present contain insufficient samples make broad conclusions. Despite this, we know conventional surgical techniques often include large, morbid exposures. More recent advancements in less...
There were several unifying themes that emerged from the peer-review discussion of articles in this Focus issue on minimally invasive spine (MIS) surgery. Although it is somewhat intuitive goals less-invasive surgery include minimization surgical footprint and its resultant effect patient, an authoritative definition MIS remains elusive. We propose a based identifying common principles surgery—“An procedure one by virtue extent means technique results less collateral tissue damage, resulting...
Object It is hypothesized that minimally invasive surgical techniques lead to fewer complications than open surgery for adult spinal deformity (ASD). The goal of this study was analyze matched patient cohorts in an attempt isolate the impact approach on adverse events. Methods Two multicenter databases queried patients with ASD treated via and at least 1 year follow-up revealed 280 who had undergone (MIS) or a hybrid procedure (HYB; n = 85) (OPEN; 195). These were divided into 3 separate...
Symptomatic herniated thoracic discs remain a surgical challenge and historically have been associated with significant complications. While neurological outcomes improved the abandonment of decompressive laminectomy, attempt to minimize complications morbidities continues through less invasive approaches. Many these techniques, such as thoracoscopy, not widely adopted due technical difficulties. The current study was performed examine safety early results minimally lateral approach for...
In the surgical treatment of spinal deformities, importance restoring lumbar lordosis is well recognized. Smith-Petersen osteotomies (SPOs) yield approximately 10° per level, whereas pedicle subtraction result in as much 30° increased lordosis. Recently, selective release anterior longitudinal ligament (ALL) and placement lordotic interbody grafts using minimally invasive lateral retroperitoneal transpsoas approach (XLIF) has been performed an attempt to increase while avoiding morbidity...
The object of this study was to evaluate a novel surgical technique in the treatment adult degenerative scoliosis and present our early experience with minimally invasive lateral approach for anterior longitudinal ligament release provide lumbar lordosis examine its impact on sagittal balance. Methods . All patients spinal deformity (ASD) treated retroperitoneal transpsoas interbody fusion (MIS LIF) were examined. Patient demographics, clinical data, spinopelvic parameters, outcome measures...
Minimally invasive surgery (MIS) techniques are becoming a more common means of treating adult spinal deformity (ASD). The aim this study was to compare the hybrid (HYB) surgical approach, involving minimally lateral interbody fusion with open posterior instrumented fusion, circumferential MIS (cMIS) approach treat ASD.The authors performed retrospective, multicenter utilizing data collected in 105 patients ASD who were treated via techniques. Criteria for inclusion age older than 45 years,...
Minimally invasive surgery (MIS) can be used as an alternative or adjunct to traditional open techniques for the treatment of patients with adult spinal deformity. Recent advances in MIS techniques, including advanced anterior approaches, have increased range candidates deformity surgery. The minimally (MISDEF2) algorithm was created provide updated framework decision-making when considering correction
The single-position prone transpsoas (PTP) lateral interbody fusion represents an alternative approach to the traditional lumbar (LLIF) typically performed with patient in decubitus position. Advantages of PTP surgery include improved segmental lordosis, surgery, and ease performing posterior techniques as needed. However, learning curve is distinct from that LLIF Here, we highlight senior author's surgery. authors review key strategies preoperative workup, selection, operative techniques,...
The minimally invasive lateral retroperitoneal transpsoas approach is increasingly used to treat various spinal disorders. Accessing the space and traversing abdominal wall poses a risk of injury major nervous structures adds significant morbidity procedure. Most current literature focuses on anatomy lumbar plexus within substance psoas muscle. However, there sparse knowledge regarding trajectory nerves that travel along retroperitoneum muscles in relation spine. objective this study define...
Minimally invasive (MI) fusion and instrumentation techniques are playing a new role in the treatment of adult spinal deformity. The open pedicle subtraction osteotomy (PSO) Smith-Petersen (SPO) proven segmental methods for improving regional lordosis global sagittal parameters. Recently MI anterior column release (ACR) was introduced as method treating imbalance. There is paucity data literature evaluating alternatives to PSO SPO balance correction. Thus, authors conducted preliminary...