- Spine and Intervertebral Disc Pathology
- Spinal Fractures and Fixation Techniques
- Medical Imaging and Analysis
- Musculoskeletal pain and rehabilitation
- Cervical and Thoracic Myelopathy
- Anesthesia and Pain Management
- Hip and Femur Fractures
- Periodontal Regeneration and Treatments
- Frailty in Older Adults
- Pelvic and Acetabular Injuries
- Cardiac, Anesthesia and Surgical Outcomes
- Osteoarthritis Treatment and Mechanisms
- Cardiovascular Issues in Pregnancy
- Knee injuries and reconstruction techniques
- Management of metastatic bone disease
Hospital for Special Surgery
2023-2025
Cornell University
2022-2025
Weill Cornell Medicine
2024
Centre for Advanced Study
2024
National Center for Advancing Translational Sciences
2023
Objective: While minimally invasive-transforaminal lumbar interbody fusion (MIS-TLIF) has shown superiority in key clinical metrics over the open approach, evidence regarding patient-reported outcomes remains limited. This study compared postoperative recovery trajectories and symptomatic improvement phases between MIS TLIF.Methods: retrospective review included patients who underwent single-level or TLIF. Oswestry Disability Index (ODI) Numerical Rating Scale (NRS) for back leg pain were...
Retrospective review of prospectively collected multisurgeon data.Examine the rate, clinical impact, and predictors subsidence after expandable minimally invasive transforaminal lumbar interbody fusion (MI-TLIF) cage.Expandable cage technology has been adopted in MI-TLIF to reduce risks optimize outcomes. Although is particular concern when using as force required expand can weaken endplates, its rates, predictors, outcomes lack evidence.Patients who underwent 1 or 2-level cages for...
When creating minimally invasive spine fusion constructs, accurate pedicle screw fixation is essential for biomechanical strength and avoiding complications arising from delicate surrounding structures. As research continues to analyze how improve accuracy, long-term patient outcomes based on accuracy remain understudied. The objective of this study was accuracy. This a retrospective cohort patients who underwent 1- or 2-level transforaminal lumbar interbody were queried prospectively...
Retrospective cohort study. Frailty is defined as a state of minimal "physiologic reserve." The modified 5 factor frailty index (mFI-5) recently proposed metric for assessing and has been previously studied predictor morbidity mortality. However, its utility in predicting postoperative patient reported outcomes (PROMs) return to activities remains understudied. This retrospective study patients undergoing 1 or 2 level minimally invasive transforaminal lumbar interbody fusion queried from...
Study Design. Retrospective analysis Objective. To compare clinical outcomes of minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) among patients with different radiographical difficult spondylolisthesis. Summary Background Context. High-grade vertebral slip, collapsed disc, and less mobile segment can complicate segmental parameter restoration in MIS-TLIF. Few studies have examined if MIS-TLIF achieve comparable these challenging cases. Materials Methods. This study...
Objectives Stand-alone (SA) and anterior cage-and-plate (ACP) have been studied in cervical discectomy fusion (ACDF). However, assessment methods vary existing studies are not propensitymatched often lack patient-reported outcomes (PROMs). We compare rates between propensity-matched single- multi-level SA versus ACP using a method validated by intraoperative motion testing during revision surgery. also sagittal alignment, perioperative outcomes, PROMs. Methods Patients >18 years who...
Despite growing interest in cervical disc replacement (CDR) for conditions such as radiculopathy, limited data exists describing the impact of obesity on early postoperative outcomes and complications. These are especially important nearly half adult population United States is expected to become obese (body mass index [BMI] ≥ 30 kg/m2) by 2030. The goal this study was compare demographics, perioperative variables, complication rates following CDR.The 2005-2020 American College Surgeons...
Retrospective cohort study.
Study Design. Retrospective cohort study. Objective. (1) To develop a reliable grading system to assess the severity of posterior intervertebral osteophytes and (2) investigate impact on clinical outcomes after L5-S1 decompression fusion through anterior lumbar interbody (ALIF) minimally-invasive transforaminal (MIS-TLIF). Background. There is limited evidence regarding implications vertebral body for ALIF MIS-TLIF surgeries there are no established systems that define these osteophytes....
Retrospective cohort study.
Retrospective chart review.This study aimed to examine postoperative radiculitis after isolated L5-S1 anterior lumbar interbody fusion (ALIF), determine which factors contribute its development, and investigate the comparative outcomes of patients with versus without radiculitis.Both standalone traditionalALIF are common safe spine techniques. Although optimal safety effectiveness achieved through appropriate patient selection, ALIF is a potential complication that seems be least predictable...
Background: Pedicle screw placement during spine fusion is physically and mentally demanding for surgeons. Consequently, surgeons can become fatigued, which has implications both patient safety surgeon well-being. Purpose: We sought to assess the cognitive workload of placing pedicle screws using robotic-assisted navigation compared with fluoroscopic computed tomography (CT)-assisted placement. Methods: performed a nonrandomized prospective controlled trial compare 3 performing single-level...
Retrospective cohort study.
Knee osteoarthritis affects ~16% of adults in the world and is considered one most incapacitating diseases. Despite advances scientific knowledge biological treatments field orthopedics, available nonsurgical for knee are limited still ineffective delaying or stopping progression arthritis. Biologics such as platelet-rich plasma, bone marrow aspirate, progenitor cells have emerged potential osteoarthritis; however, results not expected. Carboplasty a new treatment that involves application...