Khoi Duc Than

Professor of Neurosurgery

Neurosurgery

khoi.than@duke.edu

AT A GLANCE

Credentials

Academic Experience

Expertise
1. Keywords

Research

Publications
1. Selected Publications

Artistic Works / Events

Teaching

Advising & Mentoring

Recognition

Professional Activities

Manage Profile

Embed Profile Data

Selected Publications

Comparison of intraoperative and postoperative outcomes between open, wiltse, and percutaneous approach to traumatic thoracolumbar spine fractures without neurological injury: A systematic review and meta-analysis.

Journal Article N Am Spine Soc J · December 2024 BACKGROUND: Traumatic thoracolumbar fracture fixation without neurological injury can be performed using the traditional open, mini-open Wiltse, and percutaneous approaches. This systematic review and meta-analysis aims to compare perioperative outcomes be ... Full text Link to item Cite

The T4-L1-Hip Axis: Sagittal Spinal Realignment Targets in Long-Construct Adult Spinal Deformity Surgery: Early Impact.

Journal Article J Bone Joint Surg Am · September 18, 2024 BACKGROUND: Our understanding of the relationship between sagittal alignment and mechanical complications is evolving. In normal spines, the L1-pelvic angle (L1PA) accounts for the magnitude and distribution of lordosis and is strongly associated with pelv ... Full text Link to item Cite

Comparing posterior cervical foraminotomy with anterior cervical discectomy and fusion in radiculopathic patients: an analysis from the Quality Outcomes Database.

Conference J Neurosurg Spine · July 1, 2024 OBJECTIVE: The objective of this study was to compare clinical and patient-reported outcomes (PROs) between posterior foraminotomy and anterior cervical discectomy and fusion (ACDF) in patients presenting with cervical radiculopathy. METHODS: The Quality O ... Full text Link to item Cite

Nationwide Analysis of Risk Factors Related to Opioid Weaning Following Lumbar Decompression Surgery - A Retrospective Database Study.

Journal Article World Neurosurg · June 2024 BACKGROUND: Opioids are often prescribed for patients who eventually undergo lumbar decompression. Given the potential for opioid-related morbidity and mortality, postoperative weaning is often a goal of surgery. The purpose of this study was to examine th ... Full text Link to item Cite

Commentary on "Radiological and Clinical Significance of Cervical Dynamic Magnetic Resonance Imaging for Cervical Spondylotic Myelopathy".

Journal Article Neurospine · June 2024 Full text Link to item Cite

Assessing the Accessibility, Engagement, and Value of the Virtual Global Spine Conference as an Educational Platform for Spine: A Three-Year Review.

Journal Article World Neurosurg · May 2024 INTRODUCTION: The Coronavirus disease 2019 pandemic ushered a paradigm shift in medical education, accelerating the transition to virtual learning in select cases. The Virtual Global Spine Conference (VGSC), launched at the height of the pandemic, is a tes ... Full text Link to item Cite

Early Experience with Prone Lateral Interbody Fusion in Deformity Correction: A Single-Institution Experience.

Journal Article J Clin Med · April 15, 2024 Background/Objectives: Lateral spine surgery offers effective minimally invasive deformity correction, but traditional approaches often involve separate anterior, lateral, and posterior procedures. The prone lateral technique streamlines this process by al ... Full text Open Access Link to item Cite

What predicts the best 24-month outcomes following surgery for cervical spondylotic myelopathy? A QOD prospective registry study.

Journal Article J Neurosurg Spine · April 1, 2024 OBJECTIVE: The aim of this study was to identify predictors of the best 24-month improvements in patients undergoing surgery for cervical spondylotic myelopathy (CSM). For this purpose, the authors leveraged a large prospective cohort of surgically treated ... Full text Open Access Link to item Cite

Predictors of pelvic tilt normalization: a multicenter study on the impact of regional and lower-extremity compensation on pelvic alignment after complex adult spinal deformity surgery.

Journal Article J Neurosurg Spine · April 1, 2024 OBJECTIVE: The objective was to determine the degree of regional decompensation to pelvic tilt (PT) normalization after complex adult spinal deformity (ASD) surgery. METHODS: Operative ASD patients with 1 year of PT measurements were included. Patients wit ... Full text Open Access Link to item Cite

Does the number of social factors affect long-term patient-reported outcomes and satisfaction in those with cervical myelopathy? A QOD study.

Journal Article J Neurosurg Spine · April 1, 2024 OBJECTIVE: It is not clear whether there is an additive effect of social factors in keeping patients with cervical spondylotic myelopathy (CSM) from achieving both a minimum clinically important difference (MCID) in outcomes and satisfaction after surgery. ... Full text Open Access Link to item Cite

Does diabetes affect outcome or reoperation rate after lumbar decompression or arthrodesis? A matched analysis of the Quality Outcomes Database data set.

Journal Article J Neurosurg Spine · March 1, 2024 OBJECTIVE: Diabetes mellitus (DM) is a known risk factor for postsurgical and systemic complications after lumbar spinal surgery. Smaller studies have also demonstrated diminished improvements in patient-reported outcomes (PROs), with increased reoperation ... Full text Open Access Link to item Cite

Advancing Prone-Transpsoas Spine Surgery: A Narrative Review and Evolution of Indications with Representative Cases.

Journal Article J Clin Med · February 16, 2024 The Prone Transpsoas (PTP) approach to lumbar spine surgery, emerging as an evolution of lateral lumbar interbody fusion (LLIF), offers significant advantages over traditional methods. PTP has demonstrated increased lumbar lordosis gains compared to LLIF, ... Full text Open Access Link to item Cite

What factors influence surgical decision-making in anterior versus posterior surgery for cervical myelopathy? A QOD analysis.

Journal Article J Neurosurg Spine · February 1, 2024 OBJECTIVE: The aim of this study was to explore the preoperative patient characteristics that affect surgical decision-making when selecting an anterior or posterior operative approach in patients diagnosed with cervical spondylotic myelopathy (CSM). METHO ... Full text Open Access Link to item Cite

What predicts the best 24-month outcomes following surgery for cervical spondylotic myelopathy? A QOD prospective registry study

Journal Article JOURNAL OF NEUROSURGERY-SPINE · 2024 Full text Open Access Cite

Osteoimmunology: Interactions With the Immune System in Spinal Fusion.

Journal Article Int J Spine Surg · December 27, 2023 Spinal fusion is important for the clinical success of patients undergoing surgery, and the immune system plays an increasingly recognized role. Osteoimmunology is the study of the interactions between the immune system and bone. Inflammation impacts the o ... Full text Open Access Link to item Cite

Clinical and Radiographic Outcomes for Patients with Cervical Adjacent Segment Disease Treated with Anterior Cervical Discectomy and Fusion with Integrated Interbody Spacers.

Journal Article World Neurosurg · December 2023 INTRODUCTION: Anterior cervical discectomy and fusion (ACDF) is among the most common spine procedures. Adjacent segment disease (ASD), characterized by degenerative disease at an adjacent spinal level to a prior fusion, is a well-recognized and significan ... Full text Open Access Link to item Cite

Screw Insertional Torque Measurement in Spine Surgery: Correlation With Bone Mineral Density and Hounsfield Unit.

Journal Article Neurospine · December 2023 OBJECTIVE: Achieving successful fusion during spine surgery is dependent on rigid pedicle screw fixation. To assess fixation strength, the insertional torque can be measured during intraoperative screw fixation. This study aimed to explore the technical fe ... Full text Link to item Cite

Measuring Outcomes in Spinal Deformity Surgery.

Journal Article Neurosurg Clin N Am · October 2023 Outcome assessment in adult spinal deformity has evolved from radiographic analysis of curve correction to patient-centered perception of health-related quality-of-life. Oswestry Disability Index and the Scoliosis Research Society-22 Patient Questionnaire ... Full text Open Access Link to item Cite

Surgical technique of combined minimally invasive anterior column realignment at L1-L2 with open extension of prior fusion.

Journal Article J Spine Surg · September 22, 2023 Surgical correction of fixed kyphotic deformity or severe sagittal imbalance traditionally involves three column osteotomies, which are associated with high morbidity rates. Anterior column realignment (ACR) has emerged as a minimally invasive alternative ... Full text Open Access Link to item Cite

Demographics, Mechanism of Injury, and Outcomes for Acute Upper and Lower Cervical Spinal Cord Injuries: An Analysis of 470 Patients in the Prospective, Multi-Center, North American Clinical Trials Network Registry.

Journal Article J Neurotrauma · September 2023 There is a paucity of data comparing the demographics, mechanism of injury, and outcomes of upper versus lower cervical spinal cord injuries (cSCI). The study objective was to define different clinical manifestations of cSCI. Data were collected prospectiv ... Full text Open Access Link to item Cite

Comparison of intraoperative and postoperative outcomes between open, wiltse, and percutaneous approach to traumatic thoracolumbar spine fractures without neurological injury: A systematic review and meta-analysis.

The T4-L1-Hip Axis: Sagittal Spinal Realignment Targets in Long-Construct Adult Spinal Deformity Surgery: Early Impact.

Comparing posterior cervical foraminotomy with anterior cervical discectomy and fusion in radiculopathic patients: an analysis from the Quality Outcomes Database.

Nationwide Analysis of Risk Factors Related to Opioid Weaning Following Lumbar Decompression Surgery - A Retrospective Database Study.

Commentary on "Radiological and Clinical Significance of Cervical Dynamic Magnetic Resonance Imaging for Cervical Spondylotic Myelopathy".

Journal Article Neurospine · June 2024 Full text Link to item Cite

Assessing the Accessibility, Engagement, and Value of the Virtual Global Spine Conference as an Educational Platform for Spine: A Three-Year Review.

Early Experience with Prone Lateral Interbody Fusion in Deformity Correction: A Single-Institution Experience.

What predicts the best 24-month outcomes following surgery for cervical spondylotic myelopathy? A QOD prospective registry study.

Predictors of pelvic tilt normalization: a multicenter study on the impact of regional and lower-extremity compensation on pelvic alignment after complex adult spinal deformity surgery.

Does the number of social factors affect long-term patient-reported outcomes and satisfaction in those with cervical myelopathy? A QOD study.

Does diabetes affect outcome or reoperation rate after lumbar decompression or arthrodesis? A matched analysis of the Quality Outcomes Database data set.

Advancing Prone-Transpsoas Spine Surgery: A Narrative Review and Evolution of Indications with Representative Cases.

What factors influence surgical decision-making in anterior versus posterior surgery for cervical myelopathy? A QOD analysis.

What predicts the best 24-month outcomes following surgery for cervical spondylotic myelopathy? A QOD prospective registry study

Journal Article JOURNAL OF NEUROSURGERY-SPINE · 2024 Full text Open Access Cite

Osteoimmunology: Interactions With the Immune System in Spinal Fusion.

Clinical and Radiographic Outcomes for Patients with Cervical Adjacent Segment Disease Treated with Anterior Cervical Discectomy and Fusion with Integrated Interbody Spacers.

Screw Insertional Torque Measurement in Spine Surgery: Correlation With Bone Mineral Density and Hounsfield Unit.

Measuring Outcomes in Spinal Deformity Surgery.

Surgical technique of combined minimally invasive anterior column realignment at L1-L2 with open extension of prior fusion.

Demographics, Mechanism of Injury, and Outcomes for Acute Upper and Lower Cervical Spinal Cord Injuries: An Analysis of 470 Patients in the Prospective, Multi-Center, North American Clinical Trials Network Registry.

Incremental benefits of circumferential minimally invasive surgery for increasingly frail patients with adult spinal deformity.

Journal Article J Neurosurg Spine · August 1, 2023 OBJECTIVE: Circumferential minimally invasive surgery (cMIS) may provide incremental benefits compared with open surgery for patients with increasing frailty status by decreasing peri- and postoperative complications. METHODS: Operative patients with adult ... Full text Open Access Link to item Cite

Clinical Outcomes and Cost Profiles for Cage and Allograft Anterior Cervical Discectomy and Fusion Procedures in the Adult Population: A Propensity Score-Matched Study.

Journal Article Asian Spine J · August 2023 STUDY DESIGN: Retrospective cohort study. PURPOSE: To characterize the postoperative outcomes and economic costs of anterior cervical discectomy and fusion (ACDF) procedures using synthetic biomechanical intervertebral cage (BC) and structural allograft (S ... Full text Link to item Cite

Do comorbid self-reported depression and anxiety influence outcomes following surgery for cervical spondylotic myelopathy?

Journal Article J Neurosurg Spine · July 1, 2023 OBJECTIVE: Depression and anxiety are associated with inferior outcomes following spine surgery. In this study, the authors examined whether patients with cervical spondylotic myelopathy (CSM) who have both self-reported depression (SRD) and self-reported ... Full text Open Access Link to item Cite

Natural history of adult spinal deformity: how do patients with suboptimal surgical outcomes fare relative to nonoperative counterparts?

Journal Article J Neurosurg Spine · July 1, 2023 OBJECTIVE: Management of adult spinal deformity (ASD) has increasingly favored operative intervention; however, the incidence of complications and reoperations is high, and patients may fail to achieve idealized postsurgical results. This study compared he ... Full text Link to item Cite

Enterothecal fistula as a rare cause of adult pneumocephalus and meningitis: a case report.

Journal Article J Spine Surg · June 30, 2023 BACKGROUND: Enterothecal fistulas are pathological connections between the gastrointestinal system and subarachnoid space. These rare fistulas occur mostly in pediatric patients with sacral developmental anomalies. They have yet to be characterized in an a ... Full text Link to item Cite

Treatment of L5-S1 spondyloptosis with stand-alone anterior lumbar interbody fusion in a patient with neurofibromatosis.

Journal Article Br J Neurosurg · June 2023 BACKGROUND: Neurofibromatosis type 1 (NF1) is a multisystem disorder that causes multiple tumor formations throughout the nervous system. Common spinal dysplasias seen with NF1, such as dural ectasia (DE), often undergo modulation and predispose these pati ... Full text Link to item Cite

Spinal Deformity Complexity Checklist for Minimally Invasive Surgery: Expert Consensus from the Minimally Invasive International Spine Study Group.

Journal Article World Neurosurg · May 2023 BACKGROUND: We developed a spinal deformity complexity checklist (SDCC) to assess the difficulty in performing a circumferential minimally invasive surgery (MIS) for adult spinal deformity. METHODS: A modified Delphi method of panel experts was used to con ... Full text Link to item Cite

How closely are outcome questionnaires correlated to patient satisfaction after cervical spine surgery for myelopathy?

Journal Article J Neurosurg Spine · May 1, 2023 OBJECTIVE: Patient-reported outcomes (PROs) have become the standard means to measure surgical outcomes. Insurers and policy makers are also increasingly utilizing PROs to assess the value of care and measure different aspects of a patient's condition. For ... Full text Open Access Link to item Cite

Characteristics of patients who return to work after undergoing surgery for cervical spondylotic myelopathy: a Quality Outcomes Database study.

Journal Article J Neurosurg Spine · May 1, 2023 OBJECTIVE: Return to work (RTW) is an important surgical outcome for patients who are employed, yet a significant number of patients with cervical spondylotic myelopathy (CSM) who are employed undergo cervical spine surgery and fail to RTW. In this study, ... Full text Open Access Link to item Cite

How Digital Opinion Leaders (DOLs) in Clinical Care are Changing the Medical Landscape.

Journal Article Pharmaceut Med · May 2023 Clinical experts are embracing the use of social media platforms for medical education, outreach, data sharing, and content dissemination within the medical community. In this interview, Dr. Khoi Than, a specialist in minimally invasive spinal surgery expl ... Full text Link to item Cite

A Comparison of Percutaneous Pedicle Screw Accuracy Between Robotic Navigation and Novel Fluoroscopy-Based Instrument Tracking for Patients Undergoing Instrumented Thoracolumbar Surgery.

Journal Article World Neurosurg · April 2023 BACKGROUND: The accuracy of pedicle screws placed with instrument tracking and robotic navigation are individually comparable or superior to placement using standard fluoroscopy, however head-to-head comparisons between these adjuncts in a similar surgical ... Full text Link to item Cite

Sleep Disturbances in Cervical Spondylotic Myelopathy: Prevalence and Postoperative Outcomes-an Analysis From the Quality Outcomes Database.

Journal Article Clin Spine Surg · April 1, 2023 STUDY DESIGN: Prospective observational study, level of evidence 1 for prognostic investigations. OBJECTIVES: To evaluate the prevalence of sleep impairment and predictors of improved sleep quality 24 months postoperatively in cervical spondylotic myelopat ... Full text Open Access Link to item Cite

High-Impact Chronic Pain Transition in Lumbar Surgery Recipients.

Journal Article Pain Med · March 1, 2023 OBJECTIVE: High-impact chronic pain (HICP) is a term that characterizes the presence of a severe and troubling pain-related condition. To date, the prevalence of HICP in lumbar spine surgery recipients and their HICP transitions from before to after surger ... Full text Open Access Link to item Cite

Development of new postoperative neck pain at 12 and 24 months after surgery for cervical spondylotic myelopathy: a Quality Outcomes Database study.

Journal Article J Neurosurg Spine · March 1, 2023 OBJECTIVE: Patients who undergo surgery for cervical spondylotic myelopathy (CSM) will occasionally develop postoperative neck pain that was not present preoperatively, yet the incidence of this phenomenon is unclear. The authors aimed to elucidate patient ... Full text Open Access Link to item Cite

Management of Anticoagulation/Antiplatelet Medication and Venous Thromboembolism Prophylaxis in Elective Spine Surgery: Concise Clinical Recommendations Based on a Modified Delphi Process.

Journal Article Spine (Phila Pa 1976) · March 1, 2023 STUDY DESIGN: Delphi method. OBJECTIVE: To gain consensus on the following questions: (1) When should anticoagulation/antiplatelet (AC/AP) medication be stopped before elective spine surgery?; (2) When should AC/AP medication be restarted after elective sp ... Full text Link to item Cite

Strategies for Globalizing Endoscopic Spine Surgery.

Journal Article Neurospine · March 2023 Full text Link to item Cite

Cervical spondylotic myelopathy with severe axial neck pain: is anterior or posterior approach better?

Journal Article J Neurosurg Spine · January 1, 2023 OBJECTIVE: The aim of this study was to determine whether multilevel anterior cervical discectomy and fusion (ACDF) or posterior cervical laminectomy and fusion (PCLF) is superior for patients with cervical spondylotic myelopathy (CSM) and high preoperativ ... Full text Open Access Link to item Cite

Return to work after adult spinal deformity surgery.

Journal Article Spine Deform · January 2023 PURPOSE: To determine the proportions of patients returning to work at various points after adult spinal deformity (ASD) surgery and the associations between surgical invasiveness and time to return to work. METHODS: Using a multicenter database of patient ... Full text Open Access Link to item Cite

Instrument Tracking for Prone Lateral Surgery.

Journal Article World Neurosurg · January 2023 The prone lateral transpsoas approach for lumbar interbody fusion and posterior instrumentation enables a large surface area implant without disruption of the posterior spine musculature from a single position.1,2 The addition of virtual live fluoroscopy i ... Full text Open Access Link to item Cite

How dimensions can guide surgical planning and training: a systematic review of Kambin's triangle.

Journal Article Neurosurg Focus · January 2023 OBJECTIVE: The authors sought to analyze the current literature to determine dimensional trends across the lumbar levels of Kambin's triangle, clarify the role of imaging techniques for preoperative planning, and understand the effect of inclusion of the s ... Full text Link to item Cite

Revision Surgery in the Elderly

Chapter · January 1, 2023 With improvements in health care and life expectancy, the number of elderly patients pursuing spine care is increasing. Compared to younger patients, the elderly population often presents with more comorbidities and natural physiologic changes that occur w ... Full text Cite

Beyond Placement of Pedicle Screws - New Applications for Robotics in Spine Surgery: A Multi-Surgeon, Single-Institution Experience

Conference NEUROSURGERY · 2023 Open Access Cite

Assessing Correlations Between NASS Patient Satisfaction Index and Patient-Reported Outcomes (PROs) at 3-month, 12-month, and 24-month Timepoints in Patients Undergoing Cervical Spine Surgery Using the QOD Registry

Conference NEUROSURGERY · 2023 Cite

Correlation of the Modified Japanese Orthopedic Association With Functional and Quality-of-Life Outcomes After Surgery for Degenerative Cervical Myelopathy: A Quality Outcomes Database Study.

Journal Article Neurosurgery · December 1, 2022 BACKGROUND: The modified Japanese Orthopedic Association (mJOA) score is a widely used and validated metric for assessing severity of myelopathy. Its relationship to functional and quality-of-life outcomes after surgery has not been fully described. OBJECT ... Full text Open Access Link to item Cite

Advances in the Treatment of Spinal Metastasis: Commentary on "Spinal Metastases and the Evolving Role of Molecular Targeted Therapy, Chemotherapy, and Immunotherapy".

Journal Article Neurospine · December 2022 Full text Link to item Cite

Three-Column Osteotomy in Adult Spinal Deformity: An Analysis of Temporal Trends in Usage and Outcomes.

Journal Article J Bone Joint Surg Am · November 2, 2022 BACKGROUND: Three-column osteotomies (3COs), usually in the form of pedicle subtraction or vertebral column resection, have become common in adult spinal deformity surgery. Although a powerful tool for deformity correction, 3COs can increase the risks of p ... Full text Open Access Link to item Cite

Dr. Ruth Jackson: the legacy of the first female spine surgeon.

Journal Article J Neurosurg Spine · November 1, 2022 Dr. Ruth Jackson, born in 1902, was the first female spine surgeon on record. Her story of remarkable resilience and sacrifice is even more relevant given the stark gender disparities in orthopedic surgery and neurosurgery that remain today. Dr. Jackson en ... Full text Open Access Link to item Cite

Determining the time frame of maximum clinical improvement in surgical decompression for cervical spondylotic myelopathy when stratified by preoperative myelopathy severity: a cervical Quality Outcomes Database study.

Journal Article J Neurosurg Spine · November 1, 2022 OBJECTIVE: While surgical decompression is an important treatment modality for cervical spondylotic myelopathy (CSM), it remains unclear if the severity of preoperative myelopathy status affects potential benefit from surgical intervention and when maximum ... Full text Link to item Cite

Commentary: Minimally Invasive Retropleural Thoracic Diskectomy: Step-by-Step Operative Planning, Execution, and Results.

Journal Article Oper Neurosurg (Hagerstown) · October 1, 2022 Full text Link to item Cite

Differences in postoperative quality of life in young, early elderly, and late elderly patients undergoing surgical treatment for degenerative cervical myelopathy.

Journal Article J Neurosurg Spine · September 1, 2022 OBJECTIVE: Cervical spondylotic myelopathy (CSM) is a common progressive spine disorder affecting predominantly middle-aged and elderly populations. With increasing life expectancy, the incidence of CSM is expected to rise further. The outcomes of elderly ... Full text Open Access Link to item Cite

Single-position prone transpsoas fusion for the treatment of lumbar adjacent segment disease: early experience of twenty-four cases across three tertiary medical centers.

Journal Article Eur Spine J · September 2022 PURPOSE: Prone transpsoas fusion (PTP) is a minimally invasive technique that maximizes the benefit of lateral access interbody surgery and the prone positioning for surgically significant adjacent segment disease. The authors describe the feasibility, rep ... Full text Open Access Link to item Cite

Role of obesity in less radiographic correction and worse health-related quality-of-life outcomes following minimally invasive deformity surgery.

Journal Article J Neurosurg Spine · August 1, 2022 OBJECTIVE: Minimally invasive surgery (MIS) for adult spinal deformity (ASD) can offer deformity correction with less tissue manipulation and damage. However, the impact of obesity on clinical outcomes and radiographic correction following MIS for ASD is p ... Full text Open Access Link to item Cite

Commentary: Sacral Pedicle Subtraction Osteotomy for Treatment of High-Grade Spondylolisthesis: A Technical Note and Review of the Literature.

Journal Article Oper Neurosurg (Hagerstown) · August 1, 2022 Full text Link to item Cite

Rates of Loosening, Failure, and Revision of Iliac Fixation in Adult Deformity Surgery.

Journal Article Spine (Phila Pa 1976) · July 15, 2022 STUDY DESIGN: Retrospective cohort review of a prospective multicenter database. OBJECTIVE: Identify rates and variations in lumbopelvic fixation failure after adult spinal deformity (ASD) correction. SUMMARY OF BACKGROUND DATA: Traditional iliac (IS) and ... Full text Open Access Link to item Cite

High-impact chronic pain transition in surgical recipients with cervical spondylotic myelopathy.

Journal Article J Neurosurg Spine · July 1, 2022 OBJECTIVE: High-impact chronic pain (HICP) is a recently proposed metric that indicates the presence of a severe and troubling pain-related condition. Surgery for cervical spondylotic myelopathy (CSM) is designed to halt disease transition independent of c ... Full text Open Access Link to item Cite

Social risk factors predicting outcomes of cervical myelopathy surgery.

Journal Article J Neurosurg Spine · July 1, 2022 OBJECTIVE: Combinations of certain social risk factors of race, sex, education, socioeconomic status (SES), insurance, education, employment, and one's housing situation have been associated with poorer pain and disability outcomes after lumbar spine surge ... Full text Open Access Link to item Cite

Commentary: The Phenotypes of Anxiety and Depression: Analysis of Combined Comorbidity and Treatment in Patients Undergoing Spinal Fusion.

Journal Article Neurosurgery · July 1, 2022 Full text Link to item Cite

Commentary: Safe Electromyography Stimulation Thresholds Within Kambin's Triangle During Endoscopic Transforaminal Lumbar Interbody Fusion.

Journal Article Neurosurgery · July 1, 2022 Full text Link to item Cite

Sacroiliac Joint Fusion Using Robotic Navigation: Technical Note and Case Series.

Conference Oper Neurosurg (Hagerstown) · July 1, 2022 BACKGROUND: Patients undergoing sacroiliac (SI) fusion can oftentimes experience significant improvements in pain and quality of life. OBJECTIVE: To describe a novel application of robotic navigation to assist with minimally invasive SI joint fusion. METHO ... Full text Link to item Cite

Utility of Virtual Spine Neurosurgery Education for Medical Students.

Journal Article World Neurosurg · July 2022 OBJECTIVE: Distance learning has become increasingly important to expand access to neurosurgical spine education. However, emerging online spine education initiatives have largely focused on residents, fellows, and surgeons in practice. We aimed to assess ... Full text Link to item Cite

Minimally invasive lateral retroperitoneal transpsoas approach for lumbar corpectomy and fusion with posterior instrumentation.

Journal Article Neurosurg Focus Video · July 2022 In this video, the authors highlight the operative treatment of a 55-year-old man with chronic osteomyelitis discitis. The operation entailed a minimally invasive lateral retroperitoneal transpsoas approach for L3 and L4 corpectomies, L2-5 interbody fusion ... Full text Open Access Link to item Cite

Perioperative Pain Management for Elective Spine Surgery: Opioid Use and Multimodal Strategies.

Journal Article World Neurosurg · June 2022 In recent years, physicians and institutions have come to recognize the increasing opioid epidemic in the United States, thus prompting a dramatic shift in opioid prescribing patterns. The lack of well-studied alternative treatment regimens has led to a su ... Full text Open Access Link to item Cite

Commentary: Machine Learning Applications of Surgical Imaging for the Diagnosis and Treatment of Spine Disorders: Current State of the Art.

Journal Article Neurosurgery · May 1, 2022 Full text Link to item Cite

Commentary: The Results of Interfacetal Fusion Using Local Bone Combined With an Atlantoaxial Instrumentation.

Journal Article Oper Neurosurg (Hagerstown) · May 1, 2022 Full text Link to item Cite

Prospective multicenter study of minimally invasive surgery for the treatment of adult spinal deformity

Journal Article Journal of Neurosurgery: Spine · May 1, 2022 OBJECTIVE Traditional surgery for adult spinal deformity (ASD) is effective but may result in exposure-related morbidity. Minimally invasive surgery (MIS) can potentially minimize this morbidity; however, high-level evidence is lacking. This study presents ... Full text Cite

An updated management algorithm for incorporating minimally invasive techniques to treat thoracolumbar trauma.

Journal Article J Neurosurg Spine · April 1, 2022 OBJECTIVE: Minimally invasive surgery (MIS) techniques can effectively stabilize and decompress many thoracolumbar injuries with decreased morbidity and tissue destruction compared with open approaches. Nonetheless, there is limited direction regarding the ... Full text Link to item Cite

Two- and three-year outcomes of minimally invasive and hybrid correction of adult spinal deformity.

Journal Article J Neurosurg Spine · April 1, 2022 OBJECTIVE: Previous studies have demonstrated the short-term radiographic and clinical benefits of circumferential minimally invasive surgery (cMIS) and hybrid (i.e., minimally invasive anterior or lateral interbody fusion with an open posterior approach) ... Full text Open Access Link to item Cite

Association of ≥ 12 months of delayed surgical treatment for cervical myelopathy with worsened postoperative outcomes: a multicenter analysis of the Quality Outcomes Database.

Journal Article J Neurosurg Spine · April 1, 2022 OBJECTIVE: Degenerative cervical myelopathy (DCM) results in significant morbidity. The duration of symptoms prior to surgical intervention may be associated with postoperative surgical outcomes and functional recovery. The authors' objective was to invest ... Full text Link to item Cite

Patient outcomes after circumferential minimally invasive surgery compared with those of open correction for adult spinal deformity: initial analysis of prospectively collected data.

Journal Article J Neurosurg Spine · February 1, 2022 OBJECTIVE: Circumferential minimally invasive spine surgery (cMIS) for adult scoliosis has become more advanced and powerful, but direct comparison with traditional open correction using prospectively collected data is limited. The authors performed a retr ... Full text Open Access Link to item Cite

Posterior Cervical Decompression and Fusion With Exoscope: 2-Dimensional Operative Video.

Journal Article Oper Neurosurg (Hagerstown) · February 1, 2022 Posterior cervical decompression and fusion is an effective strategy for correction of cervical spondylotic myelopathy. Here, we highlight the operative treatment of a 63-yr-old man entailing a 4-level posterior cervical laminectomy and fusion, with the us ... Full text Open Access Link to item Cite

Multi-institutional Analysis on Rate of Pseudarthrosis Following Anterior Cervical Discectomy and Fusion Using Allograft Cellular Bone Matrix (Osteocel)

Conference NEUROSURGERY · 2022 Cite

Assessing the Efficacy of the mJOA in Myelopathic Patients: A Cervical QOD Study

Conference NEUROSURGERY · 2022 Cite

Have We Made Temporal Advancements in Optimizing Surgical Outcomes and Recovery for High Risk Spinal Deformity Patients?

Conference NEUROSURGERY · 2022 Cite

Beyond Placement of Pedicle Screws - New Applications for Robotics in Spine Surgery: A Multi-Surgeon, Single-Institution Experience.

Journal Article Front Surg · 2022 Interest in robotic-assisted spine surgery has grown as surgeon comfort and technology has evolved to maximize benefits of time saving and precision. However, the Food and Drug Administration (FDA) has currently only approved robotics to assist in determin ... Full text Open Access Link to item Cite

A New Job: A Steep Learning Curve

Chapter · January 1, 2022 In this chapter, Dr. Than discusses the journey of finding a new job and ensuring that the position is the right fit for you. Do not start the job search too early. For academics, 1 year ahead of time is the sweet spot. Cast a wide net. The most common res ... Full text Cite

Determining Timeframe of Maximum Clinical Improvement in Surgical Decompression for Cervical Spondylotic Myelopathy When Stratified by Preoperative Myelopathy Severity

Conference JOURNAL OF NEUROSURGERY · 2022 Cite

Robotic navigation in spine surgery: Where are we now and where are we going?

Journal Article J Clin Neurosci · December 2021 Robotic navigation is a new and rapidly emerging niche within minimally invasive spine surgery. The robotic arms-race began in 2004 and has resulted in no less than four major robotic surgical adjuncts. Current Food and Drug Administration (FDA)-approved a ... Full text Link to item Cite

Robotic-Assisted Trajectory Into Kambin's Triangle During Percutaneous Transforaminal Lumbar Interbody Fusion-Initial Case Series Investigating Safety and Efficacy.

Journal Article Oper Neurosurg (Hagerstown) · November 15, 2021 BACKGROUND: Minimally invasive spine surgery (MISS) has the potential to further advance with the use of robot-assisted (RA) techniques. While RA pedicle screw placement has been extensively investigated, there is a lack of literature on the use of the rob ... Full text Link to item Cite

Robotic-assisted percutaneous iliac screw fixation for destructive lumbosacral metastatic lesions: an early single-institution experience.

Journal Article Acta Neurochir (Wien) · November 2021 BACKGROUND: Robotic-assisted surgery is becoming more widely applied in surgical subspecialties due to its intraoperative and postoperative advantages such as minimally invasive approach, reduced blood loss, shorter hospital stay, and decreased incidence o ... Full text Link to item Cite

ACR Appropriateness Criteria® Plexopathy: 2021 Update.

Journal Article J Am Coll Radiol · November 2021 Plexopathy may be caused by diverse pathologies, including trauma, nerve entrapment, neoplasm, inflammation, infection, autoimmune disease, hereditary disease, and idiopathic etiologies. For patients presenting with brachial or lumbosacral plexopathy, dedi ... Full text Link to item Cite

Commentary: Surgery for Degenerative Cervical Myelopathy: A Nationwide Registry-Based Observational Study With Patient-Reported Outcomes.

Journal Article Neurosurgery · September 15, 2021 Full text Link to item Cite

Two-Level Minimally Invasive Lumbar Laminectomy and Foraminotomy: 2-Dimensional Operative Video.

Journal Article Oper Neurosurg (Hagerstown) · August 16, 2021 Minimally invasive lumbar laminectomies utilize tubular retractors to minimize tissue disturbance, blood loss, and hospital length of stay compared to open operations. Here, we highlight the operative treatment of a 68-yr-old male entailing a 2-level minim ... Full text Link to item Cite

Front-Back Cervical Deformity Correction by Anterior Cervical Discectomy and Fusion With Posterior Instrumentation: 2-Dimensional Operative Video.

Journal Article Oper Neurosurg (Hagerstown) · August 16, 2021 Front-back procedures for cervical deformity permit the correction of cervical kyphosis in the setting of unfused facets. Here, we highlight the operative treatment of a 65-yr-old female entailing a 4-level anterior cervical discectomy and fusion (ACDF) at ... Full text Open Access Link to item Cite

Commentary: Outcomes of Surgical Treatment for 138 Patients With Severe Sagittal Deformity at a Minimum 2-Year Follow-up: A Case Series.

Journal Article Oper Neurosurg (Hagerstown) · August 16, 2021 Full text Link to item Cite

A Prospective Comparison of the Effects of Instrument Tracking on Time and Radiation During Minimally Invasive Lumbar Interbody Fusion.

Journal Article World Neurosurg · August 2021 BACKGROUND: Minimally invasive surgical techniques have resulted in improved patient outcomes. One drawback has been the increased reliance on fluoroscopy and subsequent exposure to ionizing radiation. We have previously shown the efficacy of a novel instr ... Full text Link to item Cite

Characterization and rate of symptomatic adjacent-segment disease after index lateral lumbar interbody fusion: a single-institution, multisurgeon case series with long-term follow-up.

Journal Article J Neurosurg Spine · August 1, 2021 OBJECTIVE: The rate of symptomatic adjacent-segment disease (ASD) after newer minimally invasive techniques, such as lateral lumbar interbody fusion (LLIF), is not known. This study aimed to assess the incidence of surgically significant ASD in adult patie ... Full text Link to item Cite

Commentary: Patterns and Impact of Electronic Health Records-Defined Depression Phenotypes in Spine Surgery.

Journal Article Neurosurgery · June 15, 2021 Full text Link to item Cite

Emerging Technologies in Spinal Surgery.

Journal Article Oper Neurosurg (Hagerstown) · June 15, 2021 Full text Link to item Cite

Commentary: Expandable Cage Technology-Transforaminal, Anterior, and Lateral Lumbar Interbody Fusion.

Journal Article Oper Neurosurg (Hagerstown) · June 15, 2021 Full text Link to item Cite

The Impact of Instrumentation and Implant Surface Technology on Cervical and Thoracolumbar Fusion.

Journal Article Oper Neurosurg (Hagerstown) · June 15, 2021 Spinal fusion has undergone significant evolution and improvement over the past 50 yr. Historically, spine fusion was noninstrumented and arthrodesis was based entirely on autograft. Improved understanding of spinal anatomy and materials science ushered in ... Full text Open Access Link to item Cite

Commentary: Osteobiologics.

Journal Article Oper Neurosurg (Hagerstown) · June 15, 2021 Full text Link to item Cite

Commentary: Optimizing Visualization in Endoscopic Spine Surgery.

Journal Article Oper Neurosurg (Hagerstown) · June 15, 2021 Full text Link to item Cite

Patient-related and radiographic predictors of inferior health-related quality-of-life measures in adult patients with nonoperative spinal deformity.

Journal Article J Neurosurg Spine · June 1, 2021 OBJECTIVE: Patients with nonoperative (N-Op) adult spinal deformity (ASD) have inferior long-term spinopelvic alignment and clinical outcomes. Predictors of lower quality-of-life measures in N-Op populations have yet to be sufficiently investigated. The ai ... Full text Open Access Link to item Cite

Pseudarthrosis rate following anterior cervical discectomy with fusion using an allograft cellular bone matrix: a multi-institutional analysis.

Journal Article Neurosurg Focus · June 2021 OBJECTIVE: The use of osteobiologics, engineered materials designed to promote bone healing by enhancing bone growth, is becoming increasingly common for spinal fusion procedures, but the efficacy of some of these products is unclear. The authors performed ... Full text Open Access Link to item Cite

The minimally invasive interbody selection algorithm for spinal deformity.

Journal Article J Neurosurg Spine · May 1, 2021 OBJECTIVE: Minimally invasive surgery (MIS) for spinal deformity uses interbody techniques for correction, indirect decompression, and arthrodesis. Selection criteria for choosing a particular interbody approach are lacking. The authors created the minimal ... Full text Open Access Link to item Cite

Interhospital transfer status for spinal metastasis patients in the United States is associated with more severe clinical presentations and higher rates of inpatient complications.

Journal Article Neurosurg Focus · May 2021 OBJECTIVE: In patients with metastatic spinal disease (MSD), interhospital transfer can potentially impact clinical outcomes as the possible benefits of transferring a patient to a higher level of care must be weighed against the negative effects associate ... Full text Open Access Link to item Cite

Revision Surgery Rates After Minimally Invasive Adult Spinal Deformity Surgery: Correlation with Roussouly Spine Type at 2-Year Follow-Up?

Journal Article World Neurosurg · April 2021 BACKGROUND: Spinopelvic parameters have hitherto dictated much of adult spinal deformity (ASD) correction. The Roussouly classification is used for the normal adult spine. We evaluated whether a correlation would be found between the Roussouly type and the ... Full text Link to item Cite

Commentary: Multilevel Pedicle Subtraction Osteotomy for Correction of Severe Rigid Adult Spinal Deformities: A Case Series, Indications, Considerations, and Literature Review.

Journal Article Oper Neurosurg (Hagerstown) · March 15, 2021 Full text Link to item Cite

Preoperative optimization for patients undergoing elective spine surgery.

Journal Article Clin Neurol Neurosurg · March 2021 Full text Open Access Link to item Cite

Hematocrit as a predictor of preoperative transfusion-associated complications in spine surgery: A NSQIP study.

Journal Article Clin Neurol Neurosurg · January 2021 BACKGROUND CONTEXT: Preoperative optimization of medical comorbidities prior to spinal surgery is becoming an increasingly important intervention in decreasing postoperative complications and ensuring a satisfactory postoperative course. The treatment of p ... Full text Open Access Link to item Cite

Biomechanics, evaluation, and management of subaxial cervical spine injuries: A comprehensive review of the literature.

Journal Article J Clin Neurosci · January 2021 STUDY DESIGN: Literature review. OBJECTIVES: It has been reported that 2.4-3.7% of all blunt trauma victims suffer some element of cervical spine fracture, with the majority of these patients suffering from C3-7 (subaxial) involvement. With the improvement ... Full text Open Access Link to item Cite

Novel Applications of Spinal Navigation in Deformity and Oncology Surgery-Beyond Screw Placement COMMENT

Journal Article OPERATIVE NEUROSURGERY · 2021 Cite

Management of Acute Traumatic Spinal Cord Injury: A Review of the Literature.

Journal Article Front Surg · 2021 Traumatic spinal cord injury (TSCI) is a debilitating disease that poses significant functional and economic burden on both the individual and societal levels. Prognosis is dependent on the extent of the spinal injury and the severity of neurological dysfu ... Full text Open Access Link to item Cite

Factors affecting approach selection for minimally invasive versus open surgery in the treatment of adult spinal deformity: analysis of a prospective, nonrandomized multicenter study.

Journal Article J Neurosurg Spine · November 1, 2020 OBJECTIVE: Surgical decision-making and planning is a key factor in optimizing outcomes in adult spinal deformity (ASD). Minimally invasive spinal (MIS) strategies for ASD have been increasingly used as an option to decrease postoperative morbidity. This s ... Full text Open Access Link to item Cite

The medicolegal impact of misplaced pedicle and lateral mass screws on spine surgery in the United States.

Journal Article Neurosurg Focus · November 2020 Spine surgery has been disproportionately impacted by medical liability and malpractice litigation, with the majority of claims and payouts related to procedural error. One common area for the potential avoidance of malpractice claims and subsequent payout ... Full text Open Access Link to item Cite

Virtual Spine: A Novel, International Teleconferencing Program Developed to Increase the Accessibility of Spine Education During the COVID-19 Pandemic.

Journal Article World Neurosurg · August 2020 BACKGROUND: The coronavirus identified in 2019 (COVID-19) pandemic effectively ended all major spine educational conferences in the first half of 2020. In response, the authors formed a "virtual" case-based conference series directed at delivering spine ed ... Full text Link to item Cite

Klippel-Feil Syndrome with Cervical Diastematomyelia in an Adult with Extensive Cervicothoracic Fusions: Case Report and Review of the Literature.

Journal Article World Neurosurg · July 2020 Split cord malformation (SCM) is a developmental disorder that is usually symptomatic and diagnosed in childhood. The majority of these lesions are in the thoracic and lumbar spine, with only 1%-3% of cases found in the cervical spine. This is a case repor ... Full text Link to item Cite

Neuroanesthesia Guidelines for Optimizing Transcranial Motor Evoked Potential Neuromonitoring During Deformity and Complex Spinal Surgery: A Delphi Consensus Study.

Journal Article Spine (Phila Pa 1976) · July 1, 2020 STUDY DESIGN: Expert opinion-modified Delphi study. OBJECTIVE: We used a modified Delphi approach to obtain consensus among leading spinal deformity surgeons and their neuroanesthesiology teams regarding optimal practices for obtaining reliable motor evoke ... Full text Open Access Link to item Cite

Awake percutaneous transforaminal lumbar interbody fusion with expandable cage and robotic-assisted navigation and instrumentation: Case report and review of literature

Journal Article Interdisciplinary Neurosurgery: Advanced Techniques and Case Management · June 1, 2020 Awake surgeries are commonly performed in many specialties through the use of local or regional anesthesia. These methods avoid the risks associated with general endotracheal anesthesia and allow faster recovery times. In neurosurgery, awake surgeries are ... Full text Cite

Book Review: Navigation and Robotics in Spine Surgery

Journal Article Neurosurgery · June 2020 Full text Cite

PEEK interbody devices for multilevel anterior cervical discectomy and fusion: association with more than 6-fold higher rates of pseudarthrosis compared to structural allograft.

Journal Article J Neurosurg Spine · May 1, 2020 OBJECTIVE: Common interbody graft options for anterior cervical discectomy and fusion (ACDF) include allograft and polyetheretherketone (PEEK). PEEK has gained popularity due to its radiolucent properties and a modulus of elasticity similar to that of bone ... Full text Link to item Cite

ACR Appropriateness Criteria® Primary Bone Tumors.

Journal Article J Am Coll Radiol · May 2020 Although primary bone tumors are relatively uncommon, appropriate imaging evaluation is essential when they are suspected or incidentally detected. In almost all cases, radiographs are the most appropriate initial imaging study for screening and characteri ... Full text Link to item Cite

Combined magnetic field results in higher fusion rates than pulsed electromagnetic field bone stimulation after thoracolumbar fusion surgery.

Journal Article J Clin Neurosci · April 2020 BACKGROUND: Bone growth stimulators have been used as an adjunct to spinal fusion surgery in efforts to increase fusion rates. METHODS: The authors retrospectively reviewed the medical records of patients who underwent thoracolumbar fusion surgeries by a s ... Full text Link to item Cite

The MISDEF2 algorithm: an updated algorithm for patient selection in minimally invasive deformity surgery.

Journal Article J Neurosurg Spine · February 1, 2020 OBJECTIVE: Minimally invasive surgery (MIS) can be used as an alternative or adjunct to traditional open techniques for the treatment of patients with adult spinal deformity. Recent advances in MIS techniques, including advanced anterior approaches, have i ... Full text Open Access Link to item Cite

Intraoperative neuromonitoring for one-level lumbar discectomies is low yield and cost-ineffective.

Journal Article J Clin Neurosci · January 2020 BACKGROUND: Intraoperative neuromonitoring is a common, well-established modality used in spine surgery to prevent intraoperative neural injury. Neuromonitoring use in lumbar discectomy, however, is based on surgeon preference, without evidence-based data. ... Full text Link to item Cite

Minimally Invasive Advances in Deformity.

Journal Article Neurosurg Clin N Am · January 2020 Adult spinal deformity is a major contributor to pain and disability. It is a degenerative disease with a rigid spine. Spinopelvic parameters have been identified that outline goals of operative intervention, as they have shown to significantly improve pat ... Full text Link to item Cite

Impact of Dominant Symptom on 12-Month Patient-Reported Outcomes for Patients Undergoing Lumbar Spine Surgery COMMENT

Journal Article NEUROSURGERY · 2020 Cite

A Novel, Virtual, Multi-Institutional, Multi-Disciplinary Spine Education Program in Response to the COVID19 Pandemic

Conference NEUROSURGERY · 2020 Cite

Less invasive spinal deformity surgery: the impact of the learning curve at tertiary spine care centers.

Journal Article J Neurosurg Spine · December 1, 2019 OBJECTIVE: The past decade has seen major advances in techniques for treating more complex spinal disorders using minimally invasive surgery (MIS). While appealing from the standpoint of patient perioperative outcomes, a major impediment to adoption has be ... Full text Open Access Link to item Cite

IgG4-related disease presenting as intradural extramedullary lesion: a case report and review of the literature.

Journal Article Br J Neurosurg · October 2019 Object: IgG4-related disease (IgG4-RD) is a fibro-inflammatory disorder affecting various anatomical sites, and only recently was identified to affect the dura of the spine. The authors present the second reported case of an intradural extramedullary lesio ... Full text Link to item Cite

Gastrostomy tube placement increases the risk of ventriculoperitoneal shunt infection: a multiinstitutional study.

Journal Article J Neurosurg · October 1, 2019 OBJECTIVE: Gastrostomy tube placement can temporarily seed the peritoneal cavity with bacteria and thus theoretically increases the risk of shunt infection when the two procedures are performed contemporaneously. The authors hypothesized that gastrostomy t ... Full text Link to item Cite

PEEK interbody device and pseudarthrosis Response

Journal Article JOURNAL OF NEUROSURGERY-SPINE · October 1, 2019 Full text Link to item Cite

Metastatic spine disease in lung cancer patients: national patterns of radiation and surgical care.

Journal Article J Spine Surg · September 2019 BACKGROUND: Lung cancer is the most common source of spinal metastases. As our treatment of spinal metastases evolves, national trends in radiation therapy (RT), including spinal stereotactic neurosurgery, have yet to been established. METHODS: We performe ... Full text Link to item Cite

Spine.

Journal Article Oper Neurosurg (Hagerstown) · August 1, 2019 Full text Link to item Cite

Use of Polyetheretherketone Interbody Devices for Multi-Level Anterior Cervical Discectomy and Fusion Results in a Three-Fold Higher Rate of Pseudarthrosis Compared to Structural Allograft

Conference JOURNAL OF NEUROSURGERY · July 1, 2019 Link to item Cite

Is achieving optimal spinopelvic parameters necessary to obtain substantial clinical benefit? An analysis of patients who underwent circumferential minimally invasive surgery or hybrid surgery with open posterior instrumentation.

Journal Article J Neurosurg Spine · June 1, 2019 OBJECTIVE: It is now well accepted that spinopelvic parameters are correlated with clinical outcomes in adult spinal deformity (ASD). The purpose of this study was to determine whether obtaining optimal spinopelvic alignment was absolutely necessary to ach ... Full text Link to item Cite

Analysis of Complications with Staged Surgery for Less Invasive Treatment of Adult Spinal Deformity.

Journal Article World Neurosurg · June 2019 BACKGROUND: Spinal deformity surgery is often invasive and lengthy. Staging surgery over separate operative days may reduce complications. Staging is often used in minimally invasive treatment of adult spinal deformity (ASD). OBJECTIVE: To investigate the ... Full text Link to item Cite

ACR Appropriateness Criteria® Suspected Spine Trauma.

Journal Article J Am Coll Radiol · May 2019 Injuries to the cervical and thoracolumbar spine are commonly encountered in trauma patients presenting for treatment. Cervical spine injuries occur in 3% to 4% and thoracolumbar fractures in 4% to 7% of blunt trauma patients presenting to the emergency de ... Full text Link to item Cite

An 11-year analysis of peripheral nerve injuries in high school sports.

Journal Article Phys Sportsmed · May 2019 INTRODUCTION: Sports surveillance databases provide valuable information regarding common ailments, yet fewer studies have focused on more rare peripheral nerve injuries. Our objective was to characterize peripheral nerve injuries in high school athletics ... Full text Link to item Cite

Young Neurosurgeons Committee of the American Association of Neurological Surgeons: Training Ground for Future Leaders in Organized Neurosurgery in the United States of America.

Journal Article World Neurosurg · March 2019 The Young Neurosurgeons Committee, founded in 1991 by Dr. Roberto C. Heros, has been a vital component of the American Association of Neurological Surgeons. It has grown from an opportunity for young neurosurgeons to network with senior neurosurgeons to be ... Full text Link to item Cite

Effect of Resident and Fellow Involvement in Adult Spinal Deformity Surgery.

Journal Article World Neurosurg · February 2019 BACKGROUND: Adult spinal deformity (ASD) operations are complex and often require a multisurgeon team. Simultaneously, it is the responsibility of academic spine surgeons to train future complex spine surgeons. Our objective was to assess the effect of res ... Full text Open Access Link to item Cite

Two-level reverse Bohlman transsoseous approach for treatment of symptomatic pseudarthrosis.

Journal Article Br J Neurosurg · February 2019 Surgical treatment for high-grade spondylolisthesis with high sacral slope remains controversial and no definitive gold standard procedure has been identified. The Bohlman technique, in which a fibular strut is reamed posteriorly across the L5-S1 disc spac ... Full text Link to item Cite

Development of Proximal Junctional Kyphosis After Minimally Invasive Lateral Anterior Column Realignment for Adult Spinal Deformity COMMENT

Journal Article NEUROSURGERY · February 1, 2019 Link to item Cite

Fivefold higher rate of pseudarthrosis with polyetheretherketone interbody device than with structural allograft used for 1-level anterior cervical discectomy and fusion.

Journal Article J Neurosurg Spine · January 1, 2019 In BriefThe authors examined fusion rates after single-level anterior cervical discectomy and fusion, comparing use of a structural allograft with use of polyetheretherketone (PEEK) interbody devices packed with bone graft. The results demonstrate superior ... Full text Link to item Cite

Global spinal deformity from the upper cervical perspective. What is "Abnormal" in the upper cervical spine?

Journal Article J Craniovertebr Junction Spine · 2019 HYPOTHESIS: Reciprocal changes in the upper cervical spine correlate with adult TL deformity modifiers. DESIGN: This was a retrospective review. INTRODUCTION: The upper cervical spine has remarkable adaptability to wide ranges of thoracolumbar (TL) deformi ... Full text Open Access Link to item Cite