A5063814916- Spine and Intervertebral Disc Pathology
- Management of metastatic bone disease
- Spinal Fractures and Fixation Techniques
- Cervical and Thoracic Myelopathy
- Anesthesia and Pain Management
- Advanced Radiotherapy Techniques
- Cardiac, Anesthesia and Surgical Outcomes
- Cancer Diagnosis and Treatment
- Sarcoma Diagnosis and Treatment
- Enhanced Recovery After Surgery
- History of Medical Practice
- Head and Neck Surgical Oncology
- Neurofibromatosis and Schwannoma Cases
- Intracranial Aneurysms: Treatment and Complications
- Meningioma and schwannoma management
- Traumatic Brain Injury and Neurovascular Disturbances
- Medical Imaging and Analysis
- Spinal Hematomas and Complications
- Pituitary Gland Disorders and Treatments
- Neuroblastoma Research and Treatments
- Lung Cancer Treatments and Mutations
- Acute Ischemic Stroke Management
- Employer Branding and e-HRM
- Hip disorders and treatments
- Diversity and Career in Medicine
Neurological Surgery
2019-2025
The Ohio State University Wexner Medical Center
2023-2025
The Ohio State University Comprehensive Cancer Center – Arthur G. James Cancer Hospital and Richard J. Solove Research Institute
2023-2025
Dr. M.G.R. Educational and Research Institute
2024
The Ohio State University
2023-2024
Cleveland Clinic
2018-2023
Memorial Sloan Kettering Cancer Center
2021-2023
Loma Linda University
2016-2023
Loma Linda University Medical Center
2016-2023
Case Western Reserve University
2019-2021
Enhanced recovery after surgery (ERAS) protocols have been shown to be effective at reducing perioperative morbidity and costs while improving outcomes. To date, spine limited in scope, focusing only on specific types of procedures or parts the surgical episode. The authors describe creation implementation one first comprehensive ERAS for surgery. protocol is unique that it has a paradigm encompassing entire period tailored based complexity each individual patient.
Background Mobile spine chordomas demonstrate varied surgical risk profiles compared to their sacral analogs. Often, the limitation performing an en bloc resection of a mobile chordoma is tumor violation epidural space. Given these limitations, we propose utilization carbon fiber-reinforced polyetheretherketone (CFR-PEEK) instrumentation in separation surgery enhance visualization for stereotactic body radiation therapy (SBRT) planning, allowing ablative radiosurgical dose be delivered....
<title>Abstract</title> <bold>Background and Objectives:</bold> Vertebral compression fracture (VCF) is a potential serious complication of spinal stereotactic body radiotherapy (SBRT). Previously we noted correlation between advanced Spinal Instability Neoplastic Score (SINS), tumor-related endplate (EP) disruption, certain primary pathologies with increased VCF risk. Here, report on an expanded patient cohort to further examine EP disruption's role in VCF. <bold>Methods: </bold>This...
OBJECTIVE The aim of this study was to identify and characterize intraoperative ultrasound (iUS) findings during separation surgery for treatment high-grade malignant epidural spinal cord compression that correlate with adequate decompression prognostication functional status. METHODS A retrospective review identified 24 iUS images videos obtained in 8 patients (age range 48–68 years) who underwent compression. following parameters were assessed: the ventral dorsal distances between dura...
Abstract Background Metastatic spine tumor surgery consists of palliative operations performed on frail patients with multiple medical comorbidities. Enhanced recovery after (ERAS) programs involve an evidence‐based, multidisciplinary approach to improve perioperative outcomes. This study presents clinical outcomes a metastatic ERAS pathway implemented at tertiary cancer center. Methods The program launched in April 2019, and data from January 2018 May 2020 were reviewed. Measured included...
Around 40% of cancer patients present with spinal metastases (SM), the lumbar spine being second most involved site (15%–30%) after thoracic (60%–80%). Since development separation surgery, minimally invasive surgery (MIS) has increasingly been applied to approach SM, mirroring benefits yielded in degenerative realm. Moreover, preoperative embolization potentially enhances local control for certain radioresistant histologies. Carbon fiber–reinforced PEEK hardware reduces image artifact,...
The cervicothoracic junction (CTJ) is a challenging region to stabilize after tumor resection for metastatic spine disease. objective of this study was describe the outcomes patients who underwent posterolateral decompression and instrumented fusion (i.e., separation surgery across CTJ instability due disease).
In a healthcare landscape in which costs increasingly matter, the authors sought to distinguish among clinical and nonclinical drivers of patient length stay (LOS) hospital following elective lumbar laminectomy-a common spinal surgery that may be reimbursed using bundled payments-and understand their relationships with outcomes costs.
BACKGROUND Fatality rates following penetrating traumatic brain injury (pTBI) are extremely high and survivors often left with significant disability. Infection pTBI is associated worse morbidity. The modern of central nervous system infections (INF) in civilian unknown. This study sought to determine the rate risk factors for INF impact antibiotic prophylaxis. METHODS Seventeen institutions submitted adult patients survival more than 72 hours from 2006 2016. Patients were stratified by...
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Background: Pediatric patients with metastatic and/or recurrent solid tumors have poor survival outcomes despite standard-of-care systemic therapy. Stereotactic ablative radiation therapy (SABR) may improve tumor control. We report the use of SABR in our pediatric population. Methods: This was a single-institutional study < 30 years treated SABR. The primary endpoint local control (LC), while secondary endpoints were progression-free (PFS), overall (OS), and toxicity. analysis performed...
Intrathecal pumps (ITPs) are indicated for refractory cancer pain and decrease systemic opioid requirements. While not yet pain, spinal cord stimulators (SCSs) used off-label with increasing evidence of their efficacy.
Study design retrospective review. Objective Enhanced Recovery After Surgery (ERAS) is a multidisciplinary set of evidence-based interventions to reduce morbidity and accelerate postoperative recovery. Complex spine surgery carries high risks perioperative blood loss, transfusion, suboptimal fluid states. This study evaluates the efficacy management component comprised restrictive transfusion policy, goal directed management, number tranexamic acid (TXA) utilization, autologous within our...
Gorham-Stout (GS) disease or "vanishing bone disease" is rare and characterized by progressive, spontaneous osteolysis resulting in loss of on imaging studies. Treatment modalities include combinations medical and/or surgical treatment radiation therapy.A 14-year-old female with GS presented a 1-year history thoracic back pain atypical headaches consistent intracranial hypotension. Magnetic resonance operative findings demonstrated cerebrospinal fluid leak (CSF) (e.g., that extended into the...
The endoscopic endonasal transphenoidal approach has proven to be a very versatile surgical for the resection of small midline skull base tumors. This is due its minimally invasive nature, potentially fewer neurological complications, and lower morbidity in comparison traditional craniotomies. been less commonly utilized large tumors such as suprasellar germ cell tumors, numerous reasons including surgeon's comfort with approach, higher chance postoperative cerebrospinal fluid (CSF) leak,...