A5008339280- Scoliosis diagnosis and treatment
- Spinal Fractures and Fixation Techniques
- Pelvic and Acetabular Injuries
- Spine and Intervertebral Disc Pathology
- Hip disorders and treatments
- Orthopedic Surgery and Rehabilitation
- Elbow and Forearm Trauma Treatment
- Cardiac, Anesthesia and Surgical Outcomes
- Bone fractures and treatments
- Shoulder Injury and Treatment
- Cerebral Palsy and Movement Disorders
- Surgical site infection prevention
- Anesthesia and Pain Management
- Hernia repair and management
- Medical Imaging and Analysis
- Congenital Diaphragmatic Hernia Studies
- Musculoskeletal Disorders and Rehabilitation
- Spinal Dysraphism and Malformations
- Neurogenetic and Muscular Disorders Research
- Airway Management and Intubation Techniques
- Bone and Joint Diseases
- Clinical practice guidelines implementation
- Aortic Disease and Treatment Approaches
- Mitochondrial Function and Pathology
- Brain Metastases and Treatment
Children's Healthcare of Atlanta
2016-2025
Setting Scoliosis Straight Foundation
2025
Emory University
2015-2024
Stanford Medicine
2024
Shriners Hospitals for Children - Philadelphia
2023
ARC Centre of Excellence in Advanced Molecular Imaging
2022
The University of Queensland
2022
Murphy Oil Corporation (United States)
2022
Zimmer Biomet (United States)
2022
Medtronic (Israel)
2022
Serial casting can cure mild infantile idiopathic scoliosis. Its use in delaying surgery older children and those with larger curves or syndromes is poorly defined.A review of a single center's experience was performed. Patients were included if they had syndromic, neuromuscular, congenital scoliosis than 2.5 years an measuring >50 degrees.A retrospective performed on 29 patients meeting all inclusion criteria. Of these, 12 17 nonidiopathic curves. Average age at first cast 4.4 ± 2.1 years,...
Hospital stay after posterior spinal fusion (PSF) for adolescent idiopathic scoliosis (AIS) has decreased only modestly over time despite a healthy patient population. The purpose of this study was to evaluate the impact novel postoperative pathway on length (LOS) and complications.A retrospective review patients undergoing PSF AIS in 2011 2012 performed at 2 institutions evaluating demographics, preoperative Cobb angles, surgical duration, blood loss, LOS, complications. Patients one center...
To evaluate the clinical and economic impact of a novel postoperative pathway following posterior spinal fusion (PSF) in patients with adolescent idiopathic scoliosis (AIS).Patient charts were reviewed for demographic data to determine length surgery, implant density, use osteotomies, estimated blood loss, American Society Anesthesiologists (ASA) score, hospital stay, any subsequent complications. Hospital charges divided by charge code potential savings.Two hundred seventy-nine 365 (76.4 %)...
A retrospective cohort study comparing long-term clinical and radiographical outcomes using selective thoracic instrumented fusion versus long for the treatment of adolescent idiopathic scoliosis (AIS).To evaluate behavior lumbar curve in patients with AIS treated to assess outcome measures this patient population compared those spine.Selective preserves motion segments, but leaves residual deformity. Long-term results segmental fixation are limited.Nineteen 9 a returned at mean 20 years...
The safety of delayed surgical treatment severe supracondylar elbow fractures in children remains debated. No large studies have evaluated complications injury and surgery evaluating only type 3 fractures. Our aim was to review the results our experience treating with at various time points after injury.All treated operatively for humerus from 2004 2007 a single pediatric trauma center were identified. A total 1296 had operative treatment, which 872 Clinical records reviewed identify...
Background: Radically different conclusions exist in the pediatric orthopaedic and vascular literature regarding management of patients with a pink hand but no palpable radial pulse association supracondylar humeral fracture. Methods: One thousand two hundred ninety-seven consecutive, operatively treated fractures presenting to level-I trauma center from January 2003 through December 2007 were studied retrospectively. Clinical records reviewed determine neurological examination findings,...
The clinical teaching of medical students is essential to medicine; however, often may not inform patients their inexperience. Hence do have the opportunity consent specifically procedures being performed by students.The purpose this study was determine whether patients, when informed inexperience a student, would still procedure.Adult emergency department (114) were enrolled if they required one following procedures: sutures, intravenous (i.v.) access or splinting. Patients first surveyed...
Fletcher, Nicholas MD; Sofianos, D'Mitri BS; Berkes, Marschall Brantling Obremskey, William T. MD, MPH Author Information
A retrospective review of clinical and radiographic data from a single-center, prospectively collected scoliosis database.To assess risk factors for persistent thoracic hypokyphosis after posterior spinal fusion instrumentation (PSFI) adolescent idiopathic (AIS) to compare outcomes between patients with residual those normal kyphosis PSFI AIS.AIS is characterized by hypokyphosis, which should be corrected at the time surgical treatment. Risk ramifications have not been studied.Radiographic...
Study Design. Delphi process with multiple iterative rounds using a nominal group technique. Objective. The aim of this study was to use expert opinion achieve consensus on various aspects postoperative care following posterior spinal fusion (PSF) for adolescent idiopathic scoliosis (AIS). Summary Background Data. Significant variability exists in PSF AIS, despite relatively healthy patient population and continuously improving operative techniques. Current practice appears based either...
Background: Severe adolescent idiopathic scoliosis (AIS) can be treated with instrumented fusion, but the number of anchors needed for optimal correction is controversial. Methods: We conducted a multicenter, randomized study that included patients undergoing spinal fusion single thoracic curves between 45° and 65°, most common form operatively AIS. Of 211 randomized, 108 were assigned to high-density screw pattern 103, low-density pattern. Surgeons instructed use ≥1.8 implants per level...
Background: Because of the changing referral patterns, operative pediatric supracondylar humerus fractures are increasingly being treated at tertiary centers. To expedite patient flow, type II sometimes pinned in a delayed manner. We sought to determine if delay surgical treatment modified Gartland would affect rate complications following closed reduction and percutaneous pinning. Methods: performed retrospective review consecutive series 399 operatively center over 4 years. Mean age group...
Supracondylar humerus fractures are the most common operative in children; however, no studies describe older child with this injury. The purpose of study was to compare Gartland type III supracondylar children than 8 years age those younger 8. We hypothesized that there would be more complications children, reflecting a higher-energy injury mechanism.A retrospective chart review managed at single level I pediatric trauma institution from 2004 2007 performed. Patients were divided into...
Background: Surgeons have hesitated to use steroids in patients undergoing posterior spinal fusion because of the risk wound complications. The literature has supported postoperative other areas orthopaedics on basis more rapid recovery and improved pain control. We hypothesized that a short course dexamethasone following for treatment adolescent idiopathic scoliosis (AIS) would decrease opioid usage without increasing wound-healing problems. Methods: Consecutive AIS from 2015 2018 at single...
Background: Delayed-onset neurologic changes (DONCs) following spinal deformity surgery are poorly understood and often devastating. Methods: A retrospective review of cases from 12 hospitals was performed. The clinical radiographic parameters patients who experienced a new DONC after correction were evaluated. Results: Eighteen patients, with mean preoperative major Cobb angle 75° ± 24°, included. age at 13 2 years, 6 (33%) male. Seven had temporary intraoperative neuromonitoring changes....
Study Design. Retrospective cohort study of a prospectively collected multicenter database. Objective. To identify risk factors for developing distal junctional kyphosis (DJK) and elucidate optimal selection the lowest instrumented vertebra (LIV) utilizing sagittal stable (SSV) preoperative angle (DJA) to prevent DJK. Summary Background Data. While including SSV may minimize DJK following posterior spinal fusion (PSF) adolescent idiopathic scoliosis, relying solely on criteria can...