A5025278819- Spine and Intervertebral Disc Pathology
- Spinal Fractures and Fixation Techniques
- Medical Imaging and Analysis
- Pelvic and Acetabular Injuries
- Scoliosis diagnosis and treatment
- Musculoskeletal pain and rehabilitation
- Cervical and Thoracic Myelopathy
- Anesthesia and Pain Management
- Neurosurgical Procedures and Complications
- Pediatric Pain Management Techniques
- Pelvic floor disorders treatments
- Radioactive element chemistry and processing
- Pneumothorax, Barotrauma, Emphysema
- Foreign Body Medical Cases
- Graphite, nuclear technology, radiation studies
- Shoulder Injury and Treatment
- Coronary Interventions and Diagnostics
- Head and Neck Surgical Oncology
- Nerve Injury and Rehabilitation
- Infant Development and Preterm Care
- Nausea and vomiting management
- Hernia repair and management
- Orthopaedic implants and arthroplasty
- Esophageal and GI Pathology
- Nuclear and radioactivity studies
SUNY Upstate Medical University
2016-2025
University of Arizona
2023
Syracuse University
2022
Geisinger Lewistown Hospital
2020
University of Saskatchewan
2020
Beth Israel Deaconess Medical Center
2020
Upstate University Hospital
2012-2019
Yale University
2017
University of Rochester
2017
Lumbar interbody fusion is commonly performed to improve spinal stability in the context of degenerative, traumatic, and deformity-related pathologies. The axial lumbar (AxiaLIF) technique, also known as presacral arthrodesis, only technique approved by US Food Drug Administration. It a rarely utilized approach that aims achieve across L4 L5 and/or S1 levels, which are most susceptible pseudoarthrosis hardware failure. This case series describes utility AxiaLIF procedure salvage when...
Proximal junctional fractures (PJFr) can be a catastrophic complication associated with adult spinal deformity surgery. Osteoporosis major risk factor for the cause of PJFr. Recent studies suggest using surrogate computed tomography (CT) scans in place dual-energy x-ray absorptiometry (DEXA) scores bone mineral density (BMD). Investigate feasibility preoperative CT based at upper instrumented vertebrae (UIV) and one level proximally (UIV+1) distally (UIV-1) to predict possibility PJFr...
Correction of fixed spinal imbalance in a sagittal and/or coronal plane frequently needs tricolumnar wedge resection when the deformity is rigid. Complications associated with correction surgery are pseudoarthrosis and implant failure located along construct. The purposes this study were to assess comparative rates (implant failure) at weaker points lumbosacral junction level osteotomy, estimate overall incidence failure, comparatively analyze failures different This was an IRB approved,...
Treating surgeon's visual assessment of axial MRI images to ascertain the degree stenosis has a critical impact on surgical decision-making. The purpose this study was prospectively analyze surgeon experience inter-observer and intra-observer reliability assessing severity spinal MRIs by spine surgeons directly involved in Seven fellowship trained reviewed studies 30 symptomatic patients with lumbar graded central canal, lateral recess foramen at T12-L1 L5-S1 as none, mild, moderate or...
Three-column osteotomy is an effective means of correcting fixed sagittal plane deformities. Deformity correction surgeries may be associated with early postoperative neurological deficits often presenting as palsies involving the lumbar roots. The objective was to retrospectively assess a subset our series adult deformity and analyze patient surgical factors.Hospital records 17 patients from single center were examined. Inclusion criterion adults (>18 years) who underwent 3-column (pedicle...
A 56-year-old alcoholic male incurred L5 vertebral body and bilateral L4 pars fractures with progressive on anterolisthesis following low-energy falls while intoxicated. Recently, he had a L3-S1 laminectomy for lumbar spinal stenosis claudication. Preoperative imaging radiographs were negative defects instability, so an isolated decompressive surgery was performed. Following falls, his outpatient work-up revealed through the pedicles posterior third of body, recurrence axial back pain lower...
Case: This case of a 14-year-old boy presented with repetitive coughing secondary to rhinovirus infection. In addition pneumomediastinum, imaging demonstrated asymptomatic, yet significant holocord pneumorrhachis. Conclusion: Ectopic gas within the spinal canal, also referred as pneumorrhachis or “epidural gas,” may be traumatic, iatrogenic, less commonly, spontaneous. It is typically an incidental and asymptomatic finding in setting pneumomediastinum. Proposed pathophysiology includes air...
Introduction: Lumbar facet fracture-dislocations are rare injuries that generated from a significant trauma. Literature regarding these is limited to case reports, and there even more reports concerning whether the delay of operative intervention in neurologically intact patients can achieve good clinical results if concomitant and/or medical issues preclude urgent intervention. There has been no consensus on which techniques effective achieving an anatomic reduction injuries. Objectives: A...
Anterior cervical decompression and fusion (ACDF) is the standard surgical procedure for radiculopathy myelopathy, although ACDF includes risks of adjacent segment disease (ASD) subsequent revision procedures. Various interbody cage, plate, screw options can be utilized. Stand-alone devices were designed to overcome undesired complications hardware prominence associated dysphagia, soft tissue violation, level encroachment. Implants include biomechanical structural support (cage) composed...
The use of interspinous process devices are less invasive surgical methods designed to manage mild moderate lumbar spinal stenosis symptoms. Symptomatic relief may not be seen in all patients undergoing this procedure. Magnetic resonance imaging (MRI) parameters have been used predict the success clinical outcomes with symptomatic for decompressive surgeries. purpose study was determine feasibility using nerve root sedimentation sign mid- long-term treated spacers stenosis.This a...
Pelvic fixation improves the stability of spinal instrumentation and can be used in high-grade degenerative disease, trauma, deformity, destabilizing invasive pathologies, such as infection tumor. Classic techniques for spinopelvic include traditional iliac screws S2-Alar-Iliac screws. We present a case series describing distal ventral pathway (DVIP) discuss surgical indications merits this technique. describe use DVIP setting traumatic compare technique with existing approaches, summarize...
Introduction The use of intrathecal morphine has the potential to help alleviate pain that patients experience undergoing spinal surgeries. Complications can cause immobilization, which lead vascular thrombosis and ileus. Studies have shown epidural analgesia significantly lowered postoperative scores in scoliosis Intrathecal anesthesia been good control over initial 24-hour period. Purpose Determine if would reduce with minimal side effects. Methods surgical case logs from three deformity...