Brett Rocos

Conference Spine Journal · September 1, 2024 This abstract contains content that is significantly similar to the authors' previously published abstract in the Global Spine Journal Rapid Fire. For access to the original publication, please visit the following DOI: https://www.ncbi.nlm.nih.gov/pmc/arti ... Full text Cite

Intraoperative neuromonitoring has a poor correlation with postoperative neurological deficits in noncord level adult deformity surgery

Conference Spine Journal · September 1, 2024 BACKGROUND CONTEXT: Intraoperative neuromonitoring (IONM) is routinely used during spinal deformity surgery. While it is highly effective at detecting spinal cord level changes, the utility for surgery at a noncord level is less known. The purpose of this ... Full text Cite

Opioid Use Prior to Adult Spine Deformity Correction Surgery is Associated With Worse Pre- and Postoperative Back Pain and Prolonged Opioid Demands.

Journal Article Global Spine J · June 4, 2024 STUDY DESIGN: Prospective multicenter database post-hoc analysis. OBJECTIVES: Opioids are frequently prescribed for painful spinal conditions to provide pain relief and to allow for functional improvement, both before and after spine surgery. Amidst a curr ... Full text Open Access Link to item Cite

Gene Therapy and Spinal Fusion: Systematic Review and Meta-Analysis of the Available Data.

Journal Article World Neurosurg · June 2024 OBJECTIVE: To analyze the extant literature describing the application of gene therapy to spinal fusion. METHODS: A systematic review of the English-language literature was performed. The search query was designed to include all published studies examining ... Full text Open Access Link to item Cite

Academic Productivity at Orthopedic Spine Surgery Fellowships is Positively Correlated With Nonresearch Lifetime Industry Earnings: A Retrospective Study.

Journal Article Clin Spine Surg · May 27, 2024 STUDY DESIGN: Retrospective Analysis. OBJECTIVE: The objective of the study was to assess the impact of academic productivity at both individual and program levels on lifetime industry earnings within US orthopedic spine fellowships. SUMMARY OF BACKGROUND ... Full text Link to item Cite

Outcomes and Complications Associated With the Learning Curve for Endoscopic Cervical Foraminotomy: A Systematic Review and Meta-Analysis.

Journal Article Spine (Phila Pa 1976) · April 1, 2024 STUDY DESIGN: A systematic review and meta-analysis. OBJECTIVE: The objective of this study is to examine the impact of the learning curve for endoscopic cervical foraminotomy for clinical outcomes and patient safety. SUMMARY OF BACKGROUND DATA: Endoscopic ... Full text Open Access Link to item Cite

The Effect of Anaemia on Intra-operative Neuromonitoring Following Correction of Large Scoliosis Curves: Two Case Reports.

Journal Article Cureus · April 2024 The correction of anemia is important in reversing significant intraoperative bilateral motor-evoked potential (MEP) loss following rod placement for correction of large scoliosis curves. This article presents a retrospective review of intraoperative neuro ... Full text Open Access Link to item Cite

The Prevalence of Scoliosis after Fontan Circulation Surgery Followed-Up to Adolescence.

Journal Article Spine Surg Relat Res · March 27, 2024 INTRODUCTION: The advancement of surgical techniques and perioperative management for congenital heart disease (CHD) has increased life expectancy. The surgical creation of the Fontan circulation maintains pulmonary blood flow without relying on an effecti ... Full text Link to item Cite

Post-operative bracing following adult spine deformity surgery: Results from the AO Spine surveillance of post-operative management of patients with adult spine deformity.

Journal Article PLoS One · 2024 STUDY DESIGN: Cross-sectional international survey with a literature review. OBJECTIVES: While some surgeons favor spine bracing after surgery for adult spine deformity (ASD) to help prevent mechanical failures, there is a lack of evidence. The objective o ... Full text Open Access Link to item 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

Utility of intraoperative neurophysiological monitoring in detecting motor and sensory nerve injuries in pediatric high-grade spondylolisthesis.

Journal Article Spine J · December 2023 BACKGROUND CONTEXT: Intraoperative neuromonitoring (IONM) during surgical correction of spinal deformity has been shown to reduce iatrogenic injury in pediatric and adult populations. Although motor-evoked potentials (MEP), somatosensory-evoked potentials ... Full text Open Access Link to item Cite

The use of e-consent in surgery and application to neurosurgery: a systematic review and meta-analysis.

Journal Article Acta Neurochir (Wien) · November 2023 INTRODUCTION: The integration of novel electronic informed consent platforms in healthcare has undergone significant growth over the last decade. Adoption of uniform, accessible, and robust electronic online consenting applications is likely to enhance the ... Full text Open Access Link to item Cite

Antibiotic Use in Adult Spine Deformity Surgery: Results From the AO Spine Surveillance of the Management of Patients With Adult Spine Deformity.

Journal Article Global Spine J · September 8, 2023 STUDY DESIGN: Cross-sectional international survey with literature review. OBJECTIVES: To evaluate the evidence for these strategies and to understand the current trends in prophylactic antibiotic use during ASD surgery through an international survey. MET ... Full text Open Access Link to item Cite

Local contamination is a major cause of early deep wound infections following open posterior lumbosacral fusions.

Journal Article Spine Deform · September 2023 PURPOSE: Postoperative surgical site infection in patients treated with lumbosacral fusion has usually been thought to be caused by perioperative contamination. With the proximity of these incisions to the perineum, this study sought to determine if contam ... Full text Open Access Link to item Cite

Costello syndrome-associated orthopaedic manifestations focussed on kyphoscoliosis: a case series describing the natural course.

Journal Article J Pediatr Orthop B · July 1, 2023 Costello syndrome (CS) is a rare genetic condition caused by a heterozygous mutation in the HRAS gene, with an estimated prevalence of 1: 300 000. Individuals with CS present with characteristic features including scoliosis, kyphosis, Chiari 1 malformation ... Full text Open Access Link to item Cite

A comparison of three-and two-rod constructs in the correction of severe pediatric scoliosis

Journal Article Journal of Children's Orthopaedics · April 1, 2023 Purpose: Managing severe scoliosis is challenging and risky with a significant complication rate regardless of treatment strategy. In this retrospective comparative study, we report our results using a three-rod compared to two-rod construct in the surgica ... Full text Open Access Cite

Prospective Randomized Control Trial to Compare the Role of Injection Cerebrolysin for 10 Days Duration Against Placebo in Operated Cases of Degenerative Cervical Myelopathy.

Journal Article Spine (Phila Pa 1976) · March 1, 2023 STUDY DESIGN: Prospective randomized control trial. OBJECTIVE: To analyze outcomes following the injection of cerebrolysin in surgically treated patients with degenerative cervical myelopathy (DCM). SUMMARY OF BACKGROUND DATA: Previous research has conclud ... Full text Open Access Link to item Cite

Surgical management of high-grade paediatric spondylolisthesis: meta-analysis and systematic review.

Journal Article Eur Spine J · February 2023 PURPOSE: There is currently no consensus on the management of high-grade spondylolisthesis (HGS) in paediatric populations. The objective of this analysis is to compare the outcomes of reduction followed by fusion (RFF) or in situ fusion (ISF) in paediatri ... Full text Open Access Link to item Cite

Canadian Spine Society: 23rd Annual Scientific Conference, Wednesday, March 1 - Saturday, March 4, Fairmont Le Château Frontenac, Québec, Que., Canada.

Journal Article Can J Surg · 2023 Full text Open Access Link to item Cite

RASopathies and spinal deformities for screening of scoliosis.

Journal Article Pediatr Int · 2023 BACKGROUND: The RASopathies (Noonan syndrome [NS] and Costello syndrome [CS]) are rare disorders. Although these have been characterized, precise delineation of the differences in the spinal deformities associated with RASopathy has not been described. Thi ... Full text Link to item Cite

Rapid response during spinal deformity surgery can successfully save spinal cord function using intraoperative monitoring.

Intraoperative neuromonitoring has a poor correlation with postoperative neurological deficits in noncord level adult deformity surgery

Opioid Use Prior to Adult Spine Deformity Correction Surgery is Associated With Worse Pre- and Postoperative Back Pain and Prolonged Opioid Demands.

Gene Therapy and Spinal Fusion: Systematic Review and Meta-Analysis of the Available Data.

Academic Productivity at Orthopedic Spine Surgery Fellowships is Positively Correlated With Nonresearch Lifetime Industry Earnings: A Retrospective Study.

Outcomes and Complications Associated With the Learning Curve for Endoscopic Cervical Foraminotomy: A Systematic Review and Meta-Analysis.

The Effect of Anaemia on Intra-operative Neuromonitoring Following Correction of Large Scoliosis Curves: Two Case Reports.

The Prevalence of Scoliosis after Fontan Circulation Surgery Followed-Up to Adolescence.

Post-operative bracing following adult spine deformity surgery: Results from the AO Spine surveillance of post-operative management of patients with adult spine deformity.

Osteoimmunology: Interactions With the Immune System in Spinal Fusion.

Utility of intraoperative neurophysiological monitoring in detecting motor and sensory nerve injuries in pediatric high-grade spondylolisthesis.

The use of e-consent in surgery and application to neurosurgery: a systematic review and meta-analysis.

Antibiotic Use in Adult Spine Deformity Surgery: Results From the AO Spine Surveillance of the Management of Patients With Adult Spine Deformity.

Local contamination is a major cause of early deep wound infections following open posterior lumbosacral fusions.

Costello syndrome-associated orthopaedic manifestations focussed on kyphoscoliosis: a case series describing the natural course.

A comparison of three-and two-rod constructs in the correction of severe pediatric scoliosis

Prospective Randomized Control Trial to Compare the Role of Injection Cerebrolysin for 10 Days Duration Against Placebo in Operated Cases of Degenerative Cervical Myelopathy.

Surgical management of high-grade paediatric spondylolisthesis: meta-analysis and systematic review.

Canadian Spine Society: 23rd Annual Scientific Conference, Wednesday, March 1 - Saturday, March 4, Fairmont Le Château Frontenac, Québec, Que., Canada.

Journal Article Can J Surg · 2023 Full text Open Access Link to item Cite

RASopathies and spinal deformities for screening of scoliosis.

Assessment of cervical alignment and deformity

Chapter · January 1, 2023 The successful management of cervical deformity relies on proper assessment. The symptoms and signs are as essential a part of the assessment as the radiological parameters. In this chapter, the details of the patient history and examination are considered ... Full text Cite

Fusion Extension Leads to Spontaneous Resolution of Symptomatic Disc Herniations Associated With Proximal Junctional Kyphosis: A Report of 3 Cases.

Journal Article JBJS Case Connect · October 1, 2022 CASES: A retrospective chart and radiographic review was performed of 3 patients presenting with neurological deficits secondary to soft thoracic disc herniation associated with proximal junctional kyphosis. The patients were treated with proximal extensio ... Full text Open Access Link to item Cite

A comparison of the reliability and vulnerability of 3D sterEOS and 2D EOS when measuring the sagittal spinal alignment of patients with adolescent idiopathic scoliosis.

Journal Article Spine Deform · September 2022 PURPOSE: An essential component of making the diagnosis of adolescent idiopathic scoliosis (AIS) is standing anteroposterior and lateral radiographs. Two-dimensional (2D) radiographs inevitably fail to reflect every plane of the three-dimensional (3D) defo ... Full text Open Access Link to item Cite

Increased proximal vertebral rotation is associated with shoulder imbalance after posterior spinal fusion for severe adolescent idiopathic scoliosis.

Journal Article Spine Deform · September 2022 PURPOSE: Residual shoulder imbalance is associated with suboptimal outcomes following the surgical correction of adolescent idiopathic scoliosis (AIS) including poor patient satisfaction. In this retrospective study, we evaluate the radiographic parameters ... Full text Open Access Link to item Cite

Prospective Randomized Control Pilot Study to Compare the Role of Injection Cerebrolysin in Operated cases of Degenerative Cervical Myelopathy.

Journal Article Spine (Phila Pa 1976) · January 15, 2022 STUDY DESIGN: Prospective randomized control trial. OBJECTIVE: The aim of this study was to analyze role of cerebrolysin in patients of degenerative cervical myelopathy (DCM) managed by surgical modalities. SUMMARY OF BACKGROUND DATA: Cerebrolysin has been ... Full text Open Access Link to item Cite

Controversies in cervical spine trauma: The role of timing of surgical decompression and the use of methylprednisolone sodium succinate in spinal cord injury. A narrative and updated systematic review

Journal Article Indian Spine Journal · January 1, 2022 Traumatic spinal cord injuries (SCIs) have devastating physical, social, and financial consequences for both patients and their families. SCIs most frequently occur at the cervical spine level, and these injuries are particularly prone to causing debilitat ... Full text Open Access Cite

Cervical Spine Pedicle Screw Accuracy in Fluoroscopic, Navigated and Template Guided Systems-A Systematic Review.

Journal Article Tomography · October 22, 2021 Background: Pedicle screws provide excellent fixation for a wide range of indications. However, their adoption in the cervical spine has been slower than in the thoracic and lumbar spine, which is largely due to the smaller pedicle sizes and the proximity ... Full text Open Access Link to item Cite

Magnetically Controlled Growing Rods Graduation: Deformity Control with High Complication Rate.

Journal Article Spine (Phila Pa 1976) · October 15, 2021 STUDY DESIGN: A multicenter retrospective review of consecutive series of patients. OBJECTIVE: Long-term experience with using the magnetically controlled growing rods (MCGR) to treat patients with deformity in the growing spine to the conclusion of treatm ... Full text Open Access Link to item Cite

Spinal cord signal change on magnetic resonance imaging may predict worse clinical in-and outpatient outcomes in patients with spinal cord injury: A prospective multicenter study in 459 patients

Journal Article Journal of Clinical Medicine · October 1, 2021 Prognostic factors for clinical outcome after spinal cord (SC) injury (SCI) are limited but important in patient management and education. There is a lack of evidence regarding magnetic resonance imaging (MRI) and clinical outcomes in SCI patients. Therefo ... Full text Open Access Cite

Utility of bedside leucocyte esterase testing to rule out septic arthritis.

Journal Article Emerg Med J · September 2021 INTRODUCTION: Suspected septic arthritis is a common presentation to EDs. The underlying diagnosis is often non-infective pathology. Differentiating between aetiologies is difficult. A bedside test with high negative predictive value (NPV) may allow safe d ... Full text Open Access Link to item Cite

The Use of Halo Gravity Traction in Severe, Stiff Scoliosis.

Journal Article J Pediatr Orthop · July 1, 2021 PURPOSE: The correction of severe, stiff scoliosis in children is challenging. One method used to reduce the risk is preoperative halo gravity traction (HGT). In this study, the authors sought to define the efficiency and safety of HGT and characterize the ... Full text Open Access Link to item Cite

The use of three rods in correcting severe scoliosis.

Journal Article Spine Deform · July 2021 PURPOSE: The three-rod technique, utilising a short apical concavity rod is an option to achieve controlled correction in severe scoliosis. We describe this technique, the complications encountered, and the long-term outcomes. METHOD: All paediatric patien ... Full text Open Access Link to item Cite

Lordosis restoration with midline minimally invasive cortical trajectory screws (midlf) and transforaminal interbody fusion: A safe technique with a short stay

Journal Article International Journal of Spine Surgery · June 1, 2021 Background: The minimally invasive cortical trajectory screw (MidLF) technique has been described accompanied with posterolateral interbody fusion (PLIF). We present our 2-year results of a hybrid technique to show that using transforaminal interbody fusio ... Full text Open Access Cite

A bony Chance fracture through L1 following posterior spinal fusion for adolescent idiopathic scoliosis: a case report.

Journal Article Spine Deform · May 2021 STUDY DESIGN: Case report. INTRODUCTION: Instrumented posterior fusion using pedicle screws has been the mainstay of the surgical correction of adolescent idiopathic scoliosis since it was popularised by Roy-Camille in the 1970s. The aim of this case repor ... Full text Open Access Link to item Cite

Congenital Kyphosis: Progressive Correction With an Instrumented Posterior Epiphysiodesis: A Preliminary Report.

Journal Article J Pediatr Orthop · March 1, 2021 PURPOSE: Congenital kyphosis is a rare condition. In this case series we sought to identify the outcomes and complications of posterior instrumented fusion and the resultant epiphysiodesis effect in uniplanar congenital kyphosis in pediatric patients. METH ... Full text Open Access Link to item Cite

What is the Optimal Surgical Method for Achieving Correction and Avoiding Neurological Complications in Pediatric High-grade Spondylolisthesis?

Journal Article J Pediatr Orthop · March 1, 2021 BACKGROUND: Controversy persists in the treatment of high-grade spondylolisthesis (HGS). Surgery is recommended in patients with intrusive symptoms and evidence debates the competing strategies. This study compares the radiologic outcomes and postoperative ... Full text Open Access Link to item Cite

Utility of the spinal instability neoplastic score to identify patients with Gorham-Stout disease requiring spine surgery

Journal Article Surgical Neurology International · January 1, 2021 Background: Gorham-Stout disease (GSD) is a rare syndrome presenting with progressive osteolysis which in the spine can lead to cord injury, instability, and deformity. Here, the early spine surgery may prevent catastrophic outcomes. Case Description: A 25 ... Full text Open Access Cite

The normal appearance of CT myelograms.

Journal Article Eur Spine J · May 2020 PURPOSE: CT myelography has been used since 1976 to diagnose neural compression in the axial skeleton. With the advent of routine MRI, its role in accurately diagnosing neural compression has been questioned as its normal appearances are not defined in the ... Full text Open Access Link to item Cite

Resuscitation in hip fractures: The practicality and clinical effectiveness of pre-operative resuscitation of patients with hip fracture using blood products

Journal Article Journal of Orthopaedics · May 1, 2020 Introduction: This study aimed to determine the practicality and estimate the effect of administering pre-operative blood product resuscitation to a consecutive, prospectively recruited cohort of 100 patients admitted to a single centre with a hip fracture ... Full text Open Access Cite

Patient Safety Incidents Caused by Poor Quality Surgical Instruments.

Journal Article Cureus · June 10, 2019 OBJECTIVES: Surgeons require high-quality surgical instruments to carry out successful procedures. Poor quality instruments may break intraoperatively leading to a failed procedure or causing harm to the patient. By examining the National Reporting and Lea ... Full text Open Access Link to item Cite

A Case Series and Discussion on Surgical Treatment Strategy for Atypical Proximal Femoral Fractures Associated with Bisphosphonate Use.

Journal Article Cureus · December 2, 2018 The aim of this study was to determine the incidence of atypical femoral fractures in our local population, study their current outcomes and present a novel surgical strategy based on these data. Patients who received surgical fixation of an atypical patte ... Full text Open Access Link to item Cite

Resuscitation in hip fractures: a systematic review.

Journal Article BMJ Open · May 4, 2017 UNLABELLED: To evaluate the evidence for the resuscitation of patients with hip fracture in the preoperative or perioperative phase of their treatment and its impact on mortality. DESIGN: We searched MEDLINE, EMBASE, CENTRAL and PROSPERO databases using a ... Full text Open Access Link to item Cite

Gluteal compartment syndrome with sciatic nerve palsy caused by traumatic rupture of the inferior gluteal artery: a successful surgical treatment.

Journal Article BMJ Case Rep · January 25, 2017 Gluteal compartment syndrome is a rare entity, usually caused by direct trauma. This occurrence with sciatic nerve palsy caused by inferior gluteal artery laceration and compressive haematoma has not been reported in the literature. We describe such a case ... Full text Open Access Link to item Cite

Injuries in jumpers-are there any patterns?

Journal Article World Journal of Orthopedics · January 1, 2016 Suicide as a cause of death, affects every health system, and is a particular problem in heavily urbanised states and low and middle income countries (which account for 75% of suicide deaths). The World Health Organisation records that 800000 commit suicid ... Full text Open Access Cite

Leadership development for early career doctors.

Journal Article Lancet · May 12, 2012 Full text Open Access Link to item Cite

Alcohol skin preparation causes surgical fires.

Journal Article Ann R Coll Surg Engl · March 2012 INTRODUCTION: Surgical fires are a rare but serious preventable safety risk in modern hospitals. Data from the US show that up to 650 surgical fires occur each year, with up to 5% causing death or serious harm. This study used the National Reporting and Le ... Full text Open Access Link to item Cite

Waiting times for cancer treatment: The impact of multi-disciplinary team meetings

Journal Article Behaviour and Information Technology · July 1, 2011 In the UK, treatment recommendations for patients with cancer are all made within multi-disciplinary team (MDT) meetings. This has benefits, but it may delay treatment starting if MDT decisions require revision before implementation. This study examined wh ... Full text Open Access Cite

Cyanoacrylate dressings: are they microbiologically impermeable?

Journal Article J Hosp Infect · June 2010 Full text Open Access Link to item Cite

Patterns of mortality and causes of death in polytrauma patients--has anything changed?

Journal Article Injury · September 2009 INTRODUCTION: Numerous articles have examined the pattern of traumatic deaths. Most of these studies have aimed to improve trauma care and raise awareness of avoidable complications. The aim of the present review is to evaluate whether the distribution of ... Full text Link to item Cite

Osteoimmunology: Interactions With the Immune System in Spinal Fusion

Journal Article Full text Open Access Cite