Journal ArticleNeurosurgery · March 1, 2025
Minimally invasive surgery (MIS) has significantly revolutionized spine surgery by reducing morbidity, minimizing tissue damage, and improving postoperative outcomes compared with traditional open surgeries. Although MIS is well-documented for degenerative ...
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Journal ArticleWorld Neurosurg · October 2024
OBJECTIVE: The goal of this study was to analyze our initial experience using a novel porous fusion/fixation screw (PFFS) for pelvic fixation and determine our rate of screw malposition requiring intraoperative repositioning. METHODS: We reviewed 83 consec ...
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ConferenceSpine 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 ...
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ConferenceSpine 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 ...
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Journal ArticleJOR Spine · September 2024
BACKGROUND: Degeneration of both intervertebral discs (IVDs) and facet joints in the lumbar spine has been associated with low back pain, but whether and how IVD/joint degeneration contributes to pain remains an open question. Joint degeneration can be ide ...
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ConferenceSpine Journal · September 1, 2024
BACKGROUND CONTEXT: Pelvic incidence (PI) is a measurement used to evaluate patient specific spinal alignment. PI was thought to be fixed. Recent studies suggest that PI does change after lumbopelvic fixation in adult spinal deformity (ASD) surgery, likely ...
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Journal ArticleJ Neurosurg Case Lessons · August 19, 2024
BACKGROUND: A novel pelvic fixation screw fusion device (iFuse Bedrock Granite implant) was designed to promote bony fusion through self-harvesting fenestrations throughout the outer screw shank. Bone on-growth and in-growth using this design have been dem ...
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Journal ArticleClin Orthop Relat Res · June 1, 2024
BACKGROUND: Osteotomies allow the restoration of appropriate sagittal alignment; however, closure of osteotomies can be challenging. Typical closure involves compressing pedicle screw heads across the rods, potentially causing screw loosening and failure. ...
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Journal ArticleSpine Deform · May 2024
INTRODUCTION: Spinal measurements play an integral role in surgical planning for a variety of spine procedures. Full-length imaging eliminates distortions that can occur with stitched images. However, these images take radiologists significantly longer to ...
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Journal ArticleJ Am Acad Orthop Surg Glob Res Rev · March 1, 2024
Scheuermann kyphosis can be treated surgically to restore proper sagittal alignment. Thoracic curves >70° are typically indicated for surgical intervention. However, patients who have reached their natural limit of compensatory lumbar hyperlordosis are at ...
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Journal ArticlePLoS 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 ...
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Journal ArticleJournal of Neurosurgery: Spine · January 1, 2024
OBJECTIVE The American Association of Neurological Surgeons (AANS)/Congress of Neurological Surgeons (CNS) Joint Spine Section awards highlight outstanding abstracts submitted to the AANS/CNS Section on Disorders of the Spine and Peripheral Nerves by train ...
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Journal ArticleNeurosurg Clin N Am · October 2023
The Meyerding classification grades the degree of slippage in the sagittal plane on lateral standing neutral imaging: 0% to 25% Grade I, 25% to 50% Grade II, 50% to 75% Grade III, 75% to 100% Grade IV, and greater than 100% Grade V (Spondyloptosis). Grades ...
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Journal ArticleJ Am Acad Orthop Surg Glob Res Rev · August 1, 2023
INTRODUCTION: We present a case series of proximal junctional failure due to a Chance-type fracture. METHODS: This is a retrospective review of patients who developed proximal junctional kyphosis because of Chance-type proximal junctional failure after spi ...
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Journal ArticleGlobal Spine J · April 2023
STUDY DESIGN: Retrospective study. OBJECTIVE: Proximal junctional failure (PJF) commonly occurs as a recognized potential outcome of fusion surgery. Here we describe a unique series of patients with multilevel spine fusion including the cervical spine, who ...
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Journal ArticleNeurosurg Focus · January 2023
OBJECTIVE: Sacroiliac joint (SIJ) fusion utilizing intraoperative navigation requires a standard reference frame, which is often placed using a percutaneous pin. Proper placement ensures the correct positioning of SIJ fusion implants. There is currently no ...
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Journal ArticleJournal of neurosurgery. Spine · January 2023
ObjectiveThere are few prior reports of acute pelvic instrumentation failure in spinal deformity surgery. The objective of this study was to determine if a previously identified mechanism and rate of pelvic fixation failure were present across mul ...
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Journal ArticleWorld Neurosurg · January 2023
The purpose of this report is to demonstrate the creation of a 4-rod lumbosacral construct, when "stacked" sacral-2-alar-iliac (S2AI) screws are not possible due to a concurrent treatment of sacroiliitis with a posterior approach sacroiliac joint fusion de ...
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Chapter · January 1, 2023
Neurosurgical patients often receive antibiotic therapy in the setting of procedural prophylaxis, empirical treatment of a presumed infection, or treatment of a confirmed infection. In all three situations, it is important to carefully consider both the be ...
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Chapter · January 1, 2023
Successful spine fusion demands careful consideration of bone graft options and meticulous techniques for harvest and arthrodesis. To select the appropriate graft material, spine surgeons must have a working understanding of the factors affecting bone graf ...
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Journal ArticleRadiology Case Reports · July 1, 2022
Wrong-level spinal surgery (WLSS) can lead to increased morbidity, cost, and worse long-term outcomes. Current intraoperative localization methods rely on counting spinal levels from a known reference location using fluoroscopy. Miscounting from a referenc ...
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Journal ArticleJBJS Essent Surg Tech · 2022
UNLABELLED: Sacropelvic fixation is a continually evolving technique in the treatment of adult spinal deformity. The 2 most widely utilized techniques are iliac screw fixation and S2-alar-iliac (S2AI) screw fixation1-3. The use of these techniques at the b ...
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Journal ArticleJ Neurosurg Spine · January 1, 2022
OBJECTIVE: Pelvic fixation enhances long constructs during deformity surgery. Subsequent loosening of iliac screws and pain at the pelvis occur in as many as 29% of patients. Concomitant sacroiliac (SI) fusion may prevent potential pain and failure. The ob ...
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Journal ArticleJ Neurosurg Spine · January 1, 2022
OBJECTIVE: Pelvic fixation with S2-alar-iliac (S2AI) screws is an established technique in adult deformity surgery. The authors' objective was to report the incidence and risk factors for an underreported acute failure mechanism of S2AI screws. METHODS: Th ...
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Journal ArticleJBJS Case Connect · October 14, 2021
CASE: We describe a case of lymphatic injury that occurred during a 2-level vertebral column resection for spinal deformity correction from a posterior-only approach. Large surgical drain volume output with laboratory findings of high levels of triglycerid ...
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Journal ArticleWorld Neurosurg · June 2021
Obtaining intraoperative images of the spine in the obese patient and at the cervicothoracic junction have historically been technically difficult due to variable penetration and x-ray scatter. This is particularly true for spinal deformity cases, where cl ...
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Journal ArticleJ Neurosurg Spine · September 4, 2020
OBJECTIVE: Residency work-hour restrictions necessitate efficient, reproducible training. Simulation training for spinal instrumentation placement shows significant benefit to learners' subjective and objective proficiency. Cadaveric laboratories are most ...
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Journal ArticleOper Neurosurg (Hagerstown) · November 1, 2019
BACKGROUND AND IMPORTANCE: Pedicle subtraction osteotomy (PSO) is a 3-column osteotomy used to correct rigid, large magnitude sagittal spinal deformity. PSO is an inherently destabilizing procedure intraoperatively, with high risk of neurological deficits ...
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Journal ArticleNeurosurgery clinics of North America · July 2019
Surgery for degenerative lumbar spondylolisthesis is significantly more cost-effective than nonsurgical management in patients who have failed to improve with a 6-week trial of nonsurgical management. Decompression plus fusion becomes more cost-effective c ...
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Journal ArticleIowa Orthop J · 2019
BACKGROUND: Increasing emphasis has been placed on segmental lordosis correction, even in short segment constructs. However, the majority of reports on TLIF indicate that lordosis correction is modest at best. TLIF with bilateral facetecomy has been descri ...
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Journal ArticleJ Neurosurg Spine · December 2017
Congenital scoliosis due to a hemivertebra requires surgical stabilization prior to skeletal maturity if rapidly progressive curve growth occurs. Here the authors present the unique case of a man who, at the age of 12 years, had undergone Harrington rod pl ...
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Journal ArticleInternational journal of spine surgery · January 2017
BackgroundMultilevel posterior spine fusion is associated with significant intraoperative blood loss. Tranexamic acid is an antifibrinolytic agent that reduces intraoperative blood loss. The goal of this study was to compare the percent of total b ...
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Journal ArticleJ Neurosurg · August 2013
OBJECT: The definition and determination of quality health care is an important topic. The purpose of this study was to develop a longitudinal method to define a quality procedure by creating a formal approach to pre- and postoperative outcomes documentati ...
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Journal ArticleBiomaterials · January 2013
Biologic scaffolds composed of extracellular matrix (ECM) are commonly used repair devices in preclinical and clinical settings; however the use of these scaffolds for peripheral and central nervous system (CNS) repair has been limited. Biologic scaffolds ...
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Journal ArticleBiomaterials · May 2012
Acellular biologic scaffolds are commonly used to facilitate the constructive remodeling of three of the four traditional tissue types: connective, epithelial, and muscle tissues. However, the application of extracellular matrix (ECM) scaffolds to neural t ...
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Journal ArticleNeurosurg Focus · October 2008
OBJECT: Current standard of care for patients with severe traumatic brain injury (TBI) is prophylactic treatment with phenytoin for 7 days to decrease the risk of early posttraumatic seizures. Phenytoin alters drug metabolism, induces fever, and requires t ...
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