A5106030729- Spine and Intervertebral Disc Pathology
- Spinal Fractures and Fixation Techniques
- Cervical and Thoracic Myelopathy
- Musculoskeletal pain and rehabilitation
- Orthopaedic implants and arthroplasty
- Radiation Dose and Imaging
- Medical Imaging and Analysis
- Acute Ischemic Stroke Management
- Health Systems, Economic Evaluations, Quality of Life
- Anesthesia and Pain Management
- Radiology practices and education
- Scoliosis diagnosis and treatment
- Clinical practice guidelines implementation
- Global Cancer Incidence and Screening
- Cerebrovascular and Carotid Artery Diseases
- Traumatic Brain Injury and Neurovascular Disturbances
- Health and Medical Research Impacts
- Surgical site infection prevention
- Infectious Diseases and Tuberculosis
- Stroke Rehabilitation and Recovery
- Artificial Intelligence in Healthcare and Education
- Innovations in Medical Education
- Advanced X-ray and CT Imaging
- Diversity and Career in Medicine
- Healthcare cost, quality, practices
Brown University
2023-2024
Johns Hopkins University
2017-2022
Johns Hopkins Hospital
2016-2021
Johns Hopkins Medicine
2017-2020
University of Washington Medical Center
2020
University of Pittsburgh
2020
Massachusetts General Hospital
2020
Harvard University
2020
University of California, San Francisco
2020
ORCID
2018
A retrospective 1-year cost-utility analysis.To determine the cost-effectiveness of anterior cervical discectomy and fusion with plating (ACDFP) in comparison posterior foraminotomy (PCF) for patients single-level radiculopathy.Cervical radiculopathy due to spondylosis is commonly treated by either PCF or ACDFP who are refractory nonsurgical treatment. Although some have suggested superior outcomes as compared PCF, former also associated greater costs. The present study analyzes versus...
OBJECT Infections following spine surgery negatively affect patient quality of life (QOL) and impose a significant financial burden on the health care system. Postoperative wound infections occur at higher rates dorsal cervical procedures than ventral procedures. Quantifying outcomes costs associated with may help to guide treatment strategies minimize deleterious consequences these infections. Therefore, goals this study were determine cost QOL affecting patients who developed deep subaxial...
Study Design Retrospective cohort study. Objective We sought to assess the predictive value of preoperative depression and health state on 1-year quality-of-life outcomes after anterior cervical diskectomy fusion (ACDF). Methods analyzed 106 patients who underwent ACDF. All had either bilateral or unilateral radiculopathy. Preoperative postoperative were assessed based visual analog scale, Pain Disability Questionnaire (PDQ), Patient Health (PHQ-9), EuroQol-5 Dimensions (EQ-5D)...
Retrospective 1-year cost-utility analysis.To determine the cost-effectiveness of decompression with and without instrumented fusion for patients grade I degenerative L4-L5 spondylolisthesis at follow-up.Despite its benefits to health outcomes, lumbar is associated substantial costs. This study analyzed follow-up.Four cohorts 25 were analyzed: cohort 1 (decompression), 2 (decompression posterolateral (PLF), 3 posterior interbody fusion/transforaminal fusion), 4 PLF fusion). One-year...
Cross-sectional analysis.Given the lack of strong evidence/guidelines on appropriate treatment for lumbar spine disease, substantial variability exists among surgical treatments utilized, which is associated with differences in costs to treat a given pathology. Our goal was investigate surgeons nationally same pathology similar patients.Four hundred forty-five completed survey clinical and radiographic case scenarios patients recurrent disc herniation, low back pain, spondylolisthesis. Those...
OBJECT Studies comparing surgical treatments for cervical spondylotic myelopathy (CSM) are heterogeneous, using a variety of different quality life (QOL) outcomes and myelopathy-specific measures. This study sought to evaluate the relationship these measures each other, better understand their use in evaluating patients with CSM. METHODS A retrospective was performed all CSM who underwent either ventral or dorsal spine surgery at single tertiary-care institution between January 2008 July...
Morphometric and volumetric analyses virtual screw placement.The aim of the study was to (1) define morphometric dimensions laminae C3-C7 (2) analyze feasibility unilateral bilateral translaminar placement at C3-C7.Previous studies on fixation have primarily focused upper cervical thoracic fixation. Most been conducted subaxial vertebrae in pediatric population a few adult population. In this study, we used computed tomographic (CT) scans calculate spatial anatomical environment for screws...
The lateral extracavitary approach (LECA) and costotransversectomy (CTE) are 2 dorsolateral approaches that avoid entrance into the pleural cavity facilitate ventral decompression. indications outcomes of each these have not been fully defined in literature.To assess techniques, indications, complications associated with LECA CTE to thoracic spine.A retrospective analysis was performed on all patients who underwent between 2000 2009 at our institution.A total 54 patient charts were reviewed...
OBJECT The authors investigated quality of life (QOL) outcomes after primary versus revision discectomy. METHODS A retrospective review was performed for all patients who had undergone a or discectomy at the Cleveland Clinic Center Spine Health from January 2008 through December 2011. Among in cohort, they identified those needed second Patient QOL measures were recorded before and surgery. These included responses to EQ-5D health questionnaire, Questionnaire–9, Pain Disability...
A retrospective 1-year cost-utility analysis.To determine the cost-effectiveness of using recombinant human bone morphogenic protein (rhBMP-2) in addition to autograft for 1- and 2-level lumbar fusions.rhBMP-2 has been studied extensively identify its benefits, risks, patient outcomes, costs relative [local or iliac crest graft (ICBG)]. This study seeks analyze adding rhBMP-2 versus without fusions.Thirty-three patients receiving either local ICBG (rhBMP-2 cohort) 42 only (control dorsal...
Background and Purpose Infarcts in acute ischemic stroke (AIS) patients may continue to grow even after reperfusion, due mechanisms such as microvascular obstruction reperfusion injury. We investigated whether how much infarcts AIS near-complete (expanded Thrombolysis Cerebral Infarction [eTICI] 2c/3) following endovascular treatment (EVT), assess the association of post-reperfusion infarct growth with clinical outcomes.Methods Data are from a single-center retrospective observational cohort...