- Spine and Intervertebral Disc Pathology
- Cervical and Thoracic Myelopathy
- Spinal Fractures and Fixation Techniques
- Musculoskeletal pain and rehabilitation
- Pelvic and Acetabular Injuries
- Spinal Hematomas and Complications
- Scoliosis diagnosis and treatment
- Pituitary Gland Disorders and Treatments
- Radiation Dose and Imaging
- Traumatic Brain Injury and Neurovascular Disturbances
- Medical Imaging and Analysis
- Glioma Diagnosis and Treatment
- Adrenal and Paraganglionic Tumors
- History of Medical Practice
- Neurosurgical Procedures and Complications
- Intracranial Aneurysms: Treatment and Complications
- Healthcare Policy and Management
- Management of metastatic bone disease
- Clinical practice guidelines implementation
- Health Systems, Economic Evaluations, Quality of Life
- Cerebrospinal fluid and hydrocephalus
- Diversity and Career in Medicine
- Medical History and Innovations
- Nerve Injury and Rehabilitation
- Neurofibromatosis and Schwannoma Cases
St. Joseph's Hospital and Medical Center
2016-2025
Barrow Neurological Institute
2016-2025
Neurological Surgery
2011-2025
Carolinas Healthcare System
2024
Carolina Neurosurgery and Spine Associates
2024
University of California, Los Angeles
2023
Barrow Brain and Spine
2022
HonorHealth
2015-2022
Louisiana State University Health Sciences Center Shreveport
2017-2018
Stanford University
2018
Object The introduction of the Neuroform microstent has facilitated embolization complex cerebral aneurysms, which were previously not amenable to endovascular therapy. Typically, use this stent necessitates administration dual antiplatelet therapy minimize thromboembolic complications. Such may increase risk hemorrhage in patients who require concurrent external ventricular drainage and/or subsequent permanent cerebrospinal fluid diversion. Methods authors' neurosurgical database was...
To review the cost effectiveness for management of a unilateral cervical radiculopathy with either posterior foraminotomy (PCF) or anterior discectomy and fusion (ACDF) in military personnel, particular focus on time required to return active-duty service.Following internal board approval, authors conducted retrospective 38 cases which patients underwent surgical radiculopathy. Nineteen who PCF were matched age, treatment level, surgeon 19 had undergone ACDF. Successful outcome was...
Reported complications of recombinant human bone morphogenetic protein-2 (rhBMP-2) use in anterior cervical discectomy and fusion (ACDF) cases include dysphagia swelling. However, often occurs after multilevel ACDF procedures performed with allograft (without BMP) as well. To date, there has been no large study comparing the rates patients who have undergone using spacers those underwent polyetheretherketone (PEEK) cages filled rhBMP2. The authors report one first such comparisons between...
Kambin's triangle is an anatomical corridor used to access critical structures in a variety of spinal procedures. It considered safe space because it devoid vascular and neural importance. Nonetheless, there currently significant variation the literature regarding exact dimensions borders triangle. This confusion was originally caused by leaving superior articular process (SAP) unassigned description working triangle, despite Kambin identifying that structure his original report. The SAP...
✓The widespread use of instrumentation in the lumbar spine has led to high rates fusion. This been accompanied by a marked rise adjacent-segment disease, which is considered be an increasingly common and significant consequence or lumbosacral Numerous biomechanical studies have demonstrated that segments fused with rigid metallic fixation lead amounts supraphysiological stress on adjacent discs facets. The resultant disc degeneration and/or stenosis may require further surgical intervention...
Case report.To review the management of a patient with progressive osteolysis vertebral body after undergoing cervical arthroplasty for refractory radiculopathy.Since Food and Drug Administration's (FDA) approval devices in 2007, many surgeons have incorporated this technology into clinical practice. As becomes more widespread, complications unique to are inevitable. To date, only limited number been reported literature suggesting safety device. authors' knowledge, report represents first...
OBJECTIVE The purpose of this study was to evaluate the performance different supervised machine learning algorithms predict achievement minimum clinically important difference (MCID) in neck pain after surgery patients with cervical spondylotic myelopathy (CSM). METHODS This a retrospective analysis prospective Quality Outcomes Database CSM cohort. data set divided into an 80% training and 20% test set. Various (including logistic regression, support vector machine, decision tree, random...
Cervical spondylotic myelopathy (CSM) shows varying levels of improvement after surgical treatment. While some patients improve soon surgery, others may take months to years show any signs improvement. The goal this study was evaluate postoperative improvement, patient-reported outcomes, and patient satisfaction up 2 treatment for CSM, which will help optimize the current strategies effectively manage expectations. This a retrospective prospectively collected data using Quality Outcomes...
To determine the effect of obesity on clinical, radiographic, and surgical outcomes after lateral lumbar interbody fusion (LLIF) versus minimally invasive surgery (MIS) transforaminal (TLIF) compare effectiveness LLIF MIS TLIF in treating obese patients. A retrospective comparative analysis patients who underwent single-level L4-5 or over a 7-year period was performed. Spinopelvic parameters were compared based pre- postoperative radiographs. Body mass index (BMI) ≥30 deemed "high"; BMI <30...
OBJECTIVE It is not clear whether smoking impacts patient-reported outcomes (PROs) in patients with cervical spondylotic myelopathy (CSM). The aim of this study was to explore the impact status on baseline symptom severity and rate achieving satisfaction minimal clinically important differences (MCIDs) for PROs CSM. METHODS This an analysis prospective Quality Outcomes Database CSM module. Patients aged ≥ 18 years diagnosed primary who underwent elective surgery were included. (visual analog...
OBJECTIVE Cervical spondylotic myelopathy (CSM) can be associated with urinary dysfunction, leading to an inability or marked difficulty micturition. This study aimed evaluate the long-term prognosis, and recovery in patients CSM following surgical intervention. METHODS The cases of Quality Outcomes Database SpineCORe group were analyzed. Urinary control was assessed using modified Japanese Orthopaedic Association (mJOA) function subscore. Improvement defined as a minimum improvement 1 point...