A5047880441- Spinal Fractures and Fixation Techniques
- Scoliosis diagnosis and treatment
- Spine and Intervertebral Disc Pathology
- Cervical and Thoracic Myelopathy
- Medical Imaging and Analysis
- Pelvic and Acetabular Injuries
- Hip and Femur Fractures
- Frailty in Older Adults
- Musculoskeletal pain and rehabilitation
- Cardiac, Anesthesia and Surgical Outcomes
- Trauma and Emergency Care Studies
- Nutrition and Health in Aging
- Clinical practice guidelines implementation
- Anesthesia and Pain Management
- Orthopaedic implants and arthroplasty
- Spinal Dysraphism and Malformations
- Spinal Cord Injury Research
- Spinal Hematomas and Complications
- Trauma Management and Diagnosis
- Substance Abuse Treatment and Outcomes
- Hip disorders and treatments
- Bariatric Surgery and Outcomes
- Parkinson's Disease and Spinal Disorders
- Orthopedic Infections and Treatments
- Opioid Use Disorder Treatment
NYU Langone Health
2017-2025
University of Colorado Denver
2022-2024
The Spine Institute
2018-2023
Spinal Research
2022-2023
New York University Langone Orthopedic Hospital
2017-2022
Neurological Surgery
2018-2022
Orthopaedic Hospital
2018-2021
Financial Research (Hungary)
2019-2021
New York University
2018-2020
Johns Hopkins Medicine
2019-2020
Retrospective cohort study.This study aimed to evaluate the utility of modified frailty index (mFI-5) in a population patients undergoing spine surgery.The original (mFI-11) published as an American College Surgeons National Surgical Quality Improvement Program 11-factor was mFI-5 after variables were removed from recent renditions.Surgical isolated using current procedural terminology codes. mFI-11 (11) and (5) calculated 2005 2012. mFI determined by dividing factors present available...
Study Design. Retrospective review. Objective. Develop a simplified frailty index for cervical deformity (CD) patients. Summary of Background Data. To improve preoperative risk stratification surgical CD patients, (CD-FI) incorporating 40 health deficits was developed. While novel, the CD-FI is clinically impractical due to large number factors needed its calculation. increase clinical utility, simpler, modified (mCD-FI) necessary. Methods. patients (C2-C7 Cobb>10°, CL>10°, cSVA>4...
The study aimed to characterize trends in incidence, etiology, fracture types, surgical procedures, complications, and concurrent injuries associated with traumatic pediatric cervical using a nationwide database.The Kids' Inpatient Database (KID) was queried. Trauma cases from 2003 2012 were identified, patients isolated. Demographics, etiologies, levels, assessed. t-tests elucidated significance for continuous variables, χ2 categoric values. Logistic regressions identified predictors of...
Study Design. Retrospective review of prospectively collected data. Objective. To assess the clinical impact and economic burden three most common hospital-acquired conditions (HACs) that occur within 30-day postoperatively for all spine surgeries to compare these rates with other surgical procedures. Summary Background Data. HACs are part a non-payment policy by Centers Medicare Medicaid Services thus prompt hospitals improve patient outcomes safety. Methods. Patients more than 18 years who...
Study Design: Retrospective cohort study. Objective: To develop parameter thresholds obtainable from cervical radiographs that correlate with concomitant thoracolumbar malalignment. Summary of Background Data: T1 slope (T1S) is typically discussed in the context deformity and correlated health-related quality life outcomes. Prior research suggests T1S related to global alignment; however, a definition for “high” has not been established. Most patients undergoing surgery do undergo full-spine...
Retrospective cohort study.To describe our experience in the management and outcomes of vertebral column osteomyelitis (VCO), particularly focusing on risk factors early late mortality.Previous reports suggest a global increase spinal infections highlighting significant morbidity mortality. To date, there have been no from local population, previous report has assessed potential relationship frailty with mortality patients VCO.We reviewed 76 consecutive VCO between 2009 2016 Waikato...
Study Design. Retrospective review of a prospective database. Objective. The aim this study was to evaluate postop clinical recovery among adult spinal deformity (ASD) patients between frailty states undergoing primary procedures Summary Background Data. Frailty severity may be an important determinant for impaired after corrective surgery. Methods. It included ASD with health-related quality life (HRQLs) at baseline (BL), 1 year (1Y), and 3 years (3Y). Patients stratified by ASD-frailty...
The recommended timing of surgical intervention for vertebral osteomyelitis (VO) is controversial; however, most studies are not sufficiently powered. Our goal was to investigate the associated effects delaying surgery in VO patients on in-hospital complications, neurologic deficits, and mortality.Retrospective review National Inpatient Sample. Patients who underwent from 1998 2013 were identified using codes International Classification Disease, Ninth Revision, Clinical Modification....
Distal junctional kyphosis (DJK) development after cervical deformity (CD)-corrective surgery is a growing concern for surgeons and patients. Few studies have investigated risk factors that predict the occurrence of DJK.To DJK CD using predictive modeling.CD criteria was at least one following: C2-C7 Coronal/Cobb > 10°, C2-7 sagittal vertical axis (cSVA) 4 cm, chin-brow angle 25°. defined as an <-10° from end fusion construct to second distal vertebra, change in this by baseline...
Retrospective cohort study.Assess trends in sports-related cervical spine trauma using a pediatric inpatient database.Injuries sustained from sports participation may include such as fractures and spinal cord injury (SCI). Large database studies analyzing the population are currently lacking.The Kid Inpatient Database was queried for patients with external causes of secondary to activities 2003 2012. Patients were further grouped (CSI) type, including C1-4 C5-7 fracture with/without (SCI),...
Retrospective review.Determine whether alignment or myelopathy improvement drives patient outcomes after cervical deformity (CD) corrective surgery.CD correction involves radiographic malalignment and procedures to improve motor function pain. It is unknown outcomes.Inclusion: Patients with CD baseline/1-year outcome scores. Cervical was defined by in Ames modifiers. modified Japanese Orthopaedic Association (mJOA) as mild [15-17], moderate [12-14], severe [<12]. Patient groups included...
Background: Chiari malformations type 1 (CM-1), a developmental anomaly of the posterior fossa, usually presents in adolescence or early adulthood. There are few studies on national incidence CM-1, taking into account outcomes based concurrent diagnoses. To quantify trends treatment and associated diagnoses, as retrospective review Kid's Inpatient Database (KID) from 2003-2012 was conducted. Methods: Patients aged 0–20 with primary diagnosis CM-1 KID database were identified. Demographics...
Study Design: This is a retrospective review of single surgeon cervical deformity (CD) database. Objective: Quantitatively describe the extensor musculature in CD population, and delineate associations between posterior atrophy progressive sagittal deformity. Summary Background Data: While fatty infiltration (FI; ie, atrophy) lumbar has been associated with pain deformity, little known relationship FI, CD, alignment, functionality. Methods: patients [TS-CL>20 degrees, C2–C7 Cobb>10...
Current health-related quality of life (HRQL) metrics used to assess patient outcomes following surgical correction cervical deformity (CD) are not deformity-specific and thus cannot capture all aspects a patient's outcomes. The purpose this study is evaluate the sensitivity different HRQL outcome measures in assessing CD patients' 1-year post-operatively.Retrospective review prospective multi-center database. Inclusion criteria: patients ≥18 yrs with pre- post-operative radiographs HRQLs...
Study Design. Retrospective review of the American College Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database years 2010 to 2015. Objective. Investigate which short-term outcomes differ for cervical laminoplasty and laminectomy fusion surgeries. Summary Background Data. Conflicting reports exist in spine literature regarding following posterior fusion. The objective this study was compare 30-day these two treatment groups multilevel pathology. Methods. Patients who...
Proximal junctional kyphosis (PJK) is a common radiographic complication of adult spinal deformity (ASD) corrective surgery. Although previous literature has reported 5 to 61% incidence PJK, these studies are limited by small sample sizes and short-term follow-up. To assess the PJK utilizing high-powered ASD database. Retrospective review prospective multicenter Operative patients > 18 yr old from 2009 2017 were included. was defined as ≥ 10° for sagittal Cobb angle between inferior upper...