- Spine and Intervertebral Disc Pathology
- Spinal Fractures and Fixation Techniques
- Scoliosis diagnosis and treatment
- Cervical and Thoracic Myelopathy
- Anesthesia and Pain Management
- Medical Imaging and Analysis
- Hip and Femur Fractures
- Nutrition and Health in Aging
- Cardiac, Anesthesia and Surgical Outcomes
- Orthopaedic implants and arthroplasty
- Pelvic and Acetabular Injuries
- SARS-CoV-2 and COVID-19 Research
- Long-Term Effects of COVID-19
- Abdominal Surgery and Complications
- Clinical practice guidelines implementation
- COVID-19 Clinical Research Studies
- Management of metastatic bone disease
- Climate Change and Health Impacts
- Pelvic floor disorders treatments
- Shoulder Injury and Treatment
- Musculoskeletal pain and rehabilitation
- Spinal Hematomas and Complications
- Pain Management and Opioid Use
- Frailty in Older Adults
- Cerebral Palsy and Movement Disorders
Hospital for Special Surgery
2024-2025
Cornell University
2023-2024
Weill Cornell Medicine
2024
Weyerhauser (Canada)
2024
New York State College of Veterinary Medicine
2023
Study Design. Retrospective cohort study Objective. To determine the relationship between preoperative physical therapy (PT) and postoperative mobility, adverse events (AEs), length of stay (LOS) among patients with low normalized total psoas area (NTPA) undergoing ASD surgery. Summary Background Data. Sarcopenia as defined by NTPA has been shown to predict poor perioperative outcomes following adult spinal deformity (ASD) However, there is limited evidence correlating benefits PT within...
Pathology studies of SARS-CoV-2 Omicron variants concern (VOC) are challenged by the lack pathogenic animal models. While BA.1 and BA.2 replicate in K18-hACE2 transgenic mice, they cause minimal to negligible morbidity mortality, less is known about more recent VOC. Here, we show that contrast BA.1, BA.5-infected mice exhibited high levels correlating with higher early viral loads. Neither nor BA.5 replicated brains, unlike most prior Only BA.5–infected substantial weight loss, pathology...
Study Design. Retrospective review of a prospectively collected multisurgeon registry. Objective. To evaluate the outcomes minimally invasive (MI) decompression in patients with severe degenerative scoliosis (DS) and identify factors associated poorer outcomes. Summary Background Context. MI has gained widespread acceptance as treatment option for lumbar canal stenosis DS. However, there is lack research regarding clinical impact location DS exhibiting Cobb angle exceeding 20°. Materials...
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...
Retrospective review of prospectively collected data. To assess the impact erector spinae plane (ESP) blocks on recovery kinetics and patient-reported outcomes (PROMs) following minimally invasive transforaminal lumbar interbody fusion (MI-TLIF). ESP block continues to emerge as a safe effective regional anesthetic technique has been shown reduce immediate postoperative pain opioid requirements, although its patient farther out postoperatively remains unclear. Patients who underwent...
Study Design. Retrospective review of prospectively collected data Objective. To analyze temporal trends in improvement after minimally invasive transforaminal lumbar interbody fusion (MIS TLIF). Summary Background Data. Although several studies have shown that patients improve significantly MIS TLIF, evidence regarding the is still largely lacking. Methods. Patients who underwent primary single-level TLIF for degenerative conditions spine and had a minimum 2-year follow-up were included....
Introduction: Surgical counseling enables shared decision making and optimal outcomes by improving patients' understanding about their pathologies, surgical options, expected outcomes. Here, we aimed to provide practical answers frequently asked questions (FAQs) from patients undergoing an anterior cervical diskectomy fusion (ACDF) or disk replacement (CDR) for the treatment of degenerative conditions. Methods: Patients who underwent primary one-level two-level ACDF CDR conditions with a...
Background/Objectives: While the economic cost of adult spinal deformity (ASD) surgery has been studied extensively, its environmental impact is unknown. The aim this study to determine carbon footprint (CF) associated with ASD surgery. Methods: patients who underwent > four levels corrective between 2017 and 2021 were included. open group included a posterior-only, single-stage technique, while minimally invasive (MIS) was defined as use lateral interbody fusion percutaneous posterior...
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 review of prospectively collected data.
Study Design. Retrospective cohort Objective. To study the impact of class 2/3 obesity (body mass index, BMI > 35) on outcomes following minimally invasive decompression. Summary Background Data. No previous has analyzed Methods. Patients who underwent primary decompression were divided into 4 cohorts based their BMI: normal (BMI 18.5 to <25), overweight (25 <30), 1 (30 <35), and 35). Outcome measures were: 1) intraoperative variables: operative time, estimated blood loss (EBL);...
Study Design. Retrospective review of prospectively collected data. Objective. To identify the risk factors associated with failure to respond erector spinae plane (ESP) block following minimally invasive transforaminal lumbar interbody fusion (MI-TLIF). Summary Background Data. ESP is an emerging opioid-sparing regional anesthetic that has been shown reduce immediate postoperative pain and opioid demand MI-TLIF—however, not all patients who receive blocks perioperatively experience a...
The aim of this study was to assess the correlation between patient-perceived changes in health and commonly utilized patient-reported outcome measures (PROMs) lumbar spine surgery.