- Craniofacial Disorders and Treatments
- Traumatic Brain Injury Research
- Cleft Lip and Palate Research
- Traumatic Brain Injury and Neurovascular Disturbances
- Spinal Dysraphism and Malformations
- Spinal Fractures and Fixation Techniques
- Cerebrospinal fluid and hydrocephalus
- Spine and Intervertebral Disc Pathology
- Scoliosis diagnosis and treatment
- Spinal Cord Injury Research
- Head and Neck Surgical Oncology
- Trauma and Emergency Care Studies
- Injury Epidemiology and Prevention
- Facial Trauma and Fracture Management
- Cardiac Arrest and Resuscitation
- Fetal and Pediatric Neurological Disorders
- History of Medical Practice
- Pelvic and Acetabular Injuries
- Family and Disability Support Research
- Glioma Diagnosis and Treatment
- Meningioma and schwannoma management
- Neurosurgical Procedures and Complications
- Agriculture and Farm Safety
- Surgical Simulation and Training
- Sports injuries and prevention
Neurological Surgery
2016-2025
Vanderbilt University Medical Center
2016-2025
Vanderbilt University
2016-2025
Monroe Carell Jr. Children's Hospital
2017-2024
Sports Concussion Institute
2016-2024
Johns Hopkins Medicine
2023
Johns Hopkins University
2023
University of British Columbia
2015-2021
Creative Commons
2021
British Columbia Children's Hospital
2015-2021
The authors recently used a combined approach of minimally invasive transpsoas extreme lateral interbody fusion (XLIF) and open posterior segmental pedicle screw instrumentation with transforaminal lumbar (TLIF) for the correction coronal deformity. complications radiographic outcomes were compared posterior-only scoliosis correction.The retrospectively reviewed all deformity cases that surgically corrected at University Pittsburgh Medical Center Presbyterian Hospital between June 2007...
The acute cerebral physiologic effects of ketamine in children have been incompletely described. We assessed the on intracranial pressure (ICP) and perfusion (CPP) with severe traumatic brain injury (TBI).
OBJECTIVE Sagittal synostosis is the most common type of craniosynostosis, resulting in deformity with distinctive morphological characteristics. These include occipital narrowing, parietal anteriorly shifted vertex depression, and exaggerated frontal bossing. The traditional cephalic index affords limited reliability quantifying initial severity correction. purpose this study was to conceptualize evaluate a set novel metrics based on optical surface scanning (OSS) technology used for...
Since its original description in 1982, transforaminal lumbar interbody fusion (TLIF) has grown popularity as a means for achieving circumferential fusion. The authors sought to define the perioperative complication rates of TLIF procedure at large academic medical center.For all eligible patients from consecutive series 531 procedures, institution's database and record were reviewed identify complications. Medical, nonprocedure-related complications such myocardial infarction pulmonary...
OBJECTIVE Disparities in surgical access and timing to care result from a combination of complex patient, social, institutional factors. Due the perception delayed presentation for overall health services treatment African American patients on part senior author, this study was designed identify quantify these differences between Caucasian children with craniosynostosis. In addition, hypotheses regarding reasons difference are discussed. METHODS A retrospective conducted 132 ages 0 17 years...
A hybrid approach of minimally invasive lateral lumbar interbody fusion (LLIF) followed by supplementary open posterior segmental instrumented (PSIF) has shown promising early results in the treatment adult degenerative scoliosis. Studies assessing impact this combined on correction and regional coronal angulation, sagittal realignment, maximum Cobb angle, restoration lordosis, clinical outcomes are needed. The authors report their for scoliosis.Twenty-six patients underwent LLIF PSIF a...
Attention deficit hyperactivity disorder (ADHD) and traumatic brain injury (TBI) are significant independent public health concerns in the pediatric population. This study explores impact of a premorbid diagnosis ADHD on outcome following mild TBI.The charts all patients with closed head (CHI) who were admitted to Children's Hospital Pittsburgh between January 2003 December 2010 retrospectively reviewed after institutional review board approval was granted. Patient demographics, initial...
Head trauma is a common cause of morbidity and mortality in the pediatric population often results skull fracture. Pediatric fractures are distinct from adult fractures. have greater capacity to remodel, but brain craniofacial skeleton still developing. Although head has been extensively studied, there sparse literature regarding The authors' aim was investigate characteristics, injuries, complications, outcomes patients whom surgical intervention needed for fractures.The authors performed...
Baseline and post-concussion neurocognitive testing is useful in managing concussed athletes. Attention deficit hyperactivity disorder (ADHD) stimulant medications are recognized as potential modifiers of performance on by the Concussion Sport Group. Our goal was to assess whether individuals with ADHD perform differently if this difference related use stimulants.Retrospective case-control study which 4373 athletes underwent baseline using ImPACT battery. 277 self-reported a history ADHD,...
In BriefThe authors analyzed the costs associated with three different procedures used to treat hydrocephalus in pediatric population. They believe this study highlights importance of patient-specific treatment decisions that are based on etiology and previous intervention. The medical characteristics a driving force cost care.
urgical procedures for craniofacial disorders are among the most common operations in pediatric neurosurgery.Typically, neurosurgeons collaborate with plastic surgery colleagues to manage these challenging conditions.This is a broad discipline many unanswered questions.This issue of Neurosurgical Focus attempts fill some those gaps, beginning snapshot practice patterns United States.Sullivan et al. find that include open cranial vault and endoscopic methods but also an increasing use...
OBJECTIVE Patients with a history of surgery for single-suture craniosynostosis (SSC) as an infant often wish to participate in sports later childhood. However, there are no established guidelines from neurosurgeons and craniofacial surgeons guide parents which their child should or not participate. Therefore, this study aimed evaluate the attitudes practice patterns experienced regarding counseling caregivers these patients about participation. METHODS A survey was administered plastic...
OBJECTIVE The surgical management of craniosynostosis varies without consensus on technique or standard outcomes reporting. authors this study aimed to investigate current in the United States. METHODS Two hundred seventy-five surgeons actively treating States were surveyed. results from a 28-item instrument analyzed according surgeon specialty, tenure, and geographic location practice. RESULTS overall response rate was 47.6% (131/275), final analyses included 58 plastic reconstructive 69...
Abnormal craniocervical motion (ACCM) in the setting of pediatric Chiari type 1 and 1.5 malformation (CM-1/1.5) is generally regarded to be uncommon. The focus this modified Delphi study was investigate build consensus regarding definition ACCM patients with CM-1/1.5 clinical radiographic methods identify it. An international group 14 neurosurgeons research expertise management CM asked participate. focused only on CM-1 excluded other types CM. initial survey current practices administered,...
INTRODUCTION: Intracranial cerebrovascular injury (iCVI) is a rare but potentially devastating complication of gunshot wounds to the head (GSWH). Despite firearm injuries being leading cause death children in United States, incidence, prognosis, and treatment iCVI pediatric patients has not been clearly described. METHODS: All GSWH from 01/2010 09/2023 at large Level 1 trauma center southeastern US were retrospectively reviewed. Cases intracranial vasculature identified. Demographics,...