2023
Magnetic Resonance Imaging in the Year Prior to Total Knee Arthroplasty: A Potential Overutilization of Healthcare Resources
Rudisill K, Ratnasamy P, Joo P, Rubin L, Grauer J. Magnetic Resonance Imaging in the Year Prior to Total Knee Arthroplasty: A Potential Overutilization of Healthcare Resources. JAAOS Global Research And Reviews 2023, 7: e22.00262. PMID: 37205731, PMCID: PMC10566819, DOI: 10.5435/jaaosglobal-d-22-00262.Peer-Reviewed Original ResearchConceptsTotal knee arthroplastyMagnetic resonance imagingElixhauser Comorbidity IndexComorbidity indexKnee arthroplastyDegenerative changesHigher Elixhauser comorbidity indexAdvanced degenerative changesLower extremity magnetic resonance imagingExtremity magnetic resonance imagingEvidence-based medicineIs There Utility to Requiring Spine MRI Pre-authorizations? Pre-authorizations
Kebaish K, Galivanche A, Mercier M, Varthi A, Rubin L, Grauer J. Is There Utility to Requiring Spine MRI Pre-authorizations? Pre-authorizations. Clinical Spine Surgery A Spine Publication 2023, 36: 186-189. PMID: 36728293, DOI: 10.1097/bsd.0000000000001422.Peer-Reviewed Original ResearchConceptsSpine magnetic resonance imagingMagnetic resonance imagingSpine centerAcademic spine centerRetrospective cohort studySignificant increased oddsMultivariate logistic regressionPatient undergoing treatmentEventual dispositionInsurance carriersCohort studyIncreased oddsCommercial insurance carriersMRI requestsMRI ordersUndergoing treatmentBACKGROUND DATAGreater oddsPreauthorization processCommercial insuranceResonance imagingSpine scansLogistic regressionPreauthorizationScans
2020
Patients' and Physicians' Knowledge of Radiation Exposure Related to Spine Surgery.
Scott MC, Galivanche AR, Mets EJ, Pathak N, Kahan JB, Burroughs PJ, Varthi AG, Rubin LE, Grauer JN. Patients' and Physicians' Knowledge of Radiation Exposure Related to Spine Surgery. Spine 2020, 45: e1507-e1515. PMID: 32858741, DOI: 10.1097/brs.0000000000003650.Peer-Reviewed Original ResearchConceptsSpine surgeryMagnetic resonance imagingRadiation exposureOutpatient settingPhysicians' knowledgeLumbar radiographsO-armCT imagingIntraoperative radiation exposureCross-sectional imagingCross-sectional surveyPhysician estimatesSpine proceduresBACKGROUND DATACare settingsIntraoperative fluoroscopyLumbar imagingPatientsSurgeryResonance imagingIntraoperative CTSurgeonsAwareness/knowledgeIntraoperative imagingRobotic spine surgery
2015
Comparison of agreement of cervical spine degenerative pathology findings in magnetic resonance imaging studies
Fu MC, Webb ML, Buerba RA, Neway WE, Brown JE, Trivedi M, Lischuk AW, Haims AH, Grauer JN. Comparison of agreement of cervical spine degenerative pathology findings in magnetic resonance imaging studies. The Spine Journal 2015, 16: 42-48. PMID: 26291398, DOI: 10.1016/j.spinee.2015.08.026.Peer-Reviewed Original ResearchConceptsMagnetic resonance imagingCord signal changeMRI findingsIntra-rater agreementInter-rater agreementCervical spineDegenerative findingsCentral stenosisForaminal stenosisCervical spine magnetic resonance imagingCervical magnetic resonance imagingSpine magnetic resonance imagingDisc hydrationCervical MRI findingsCommon degenerative findingsStandardized grading criteriaMagnetic resonance imaging studyManagement of patientsRetrospective diagnostic studyCervical spine conditionsSignificant MRI findingsDisc space heightResonance imaging studyLeast severe gradeOrthopedic spine surgeons
2014
Interrater and intrarater agreements of magnetic resonance imaging findings in the lumbar spine: significant variability across degenerative conditions
Fu MC, Buerba RA, Long WD, Blizzard DJ, Lischuk AW, Haims AH, Grauer JN. Interrater and intrarater agreements of magnetic resonance imaging findings in the lumbar spine: significant variability across degenerative conditions. The Spine Journal 2014, 14: 2442-2448. PMID: 24642053, DOI: 10.1016/j.spinee.2014.03.010.Peer-Reviewed Original ResearchConceptsMagnetic resonance imagingLumbar spineIntrarater agreementDegenerative conditionsMRI findingsInterrater agreementLumbar spine magnetic resonance imagingStandardized criteriaLumbar magnetic resonance imagingSpine magnetic resonance imagingLarge academic medical centerRetrospective diagnostic studyBone marrow changesDisc space heightAbsolute interrater agreementDegenerative lumbar spineLumbar vertebral levelDifferent pathologic conditionsAcademic medical centerFleiss' kappa coefficientModerate overall agreementDegenerative findingsMarrow changesSagittal MRI sequencesDegenerative changes
2010
Contemporary Management of Symptomatic Lumbar Disc Herniations
Jegede KA, Ndu A, Grauer JN. Contemporary Management of Symptomatic Lumbar Disc Herniations. Orthopedic Clinics Of North America 2010, 41: 217-224. PMID: 20399360, DOI: 10.1016/j.ocl.2010.01.003.Peer-Reviewed Original ResearchConceptsLumbar disc herniationSymptomatic disc herniationDisc herniationClinical presentationSurgical interventionSymptomatic lumbar disc herniationMainstay of treatmentCommon clinical entityPatient's clinical presentationMagnetic resonance imagingClinical entityAsymptomatic individualsLumbar discectomyTreatment optionsConservative measuresSignificant symptomsPhysical therapyHerniationMajor abnormalitiesResonance imagingContemporary managementSymptomsPatientsInterventionDiscectomy
2009
Differences between neurosurgeons and orthopedic surgeons in classifying cervical dislocation injuries and making assessment and treatment decisions: a multicenter reliability study.
Arnold PM, Brodke DS, Rampersaud YR, Harrop JS, Dailey AT, Shaffrey CI, Grauer JN, Dvorak MF, Bono CM, Wilsey JT, Lee JY, Nassr A, Vaccaro AR. Differences between neurosurgeons and orthopedic surgeons in classifying cervical dislocation injuries and making assessment and treatment decisions: a multicenter reliability study. The American Journal Of Orthopedics 2009, 38: e156-61. PMID: 20011745.Peer-Reviewed Original ResearchConceptsSpinal cord injuryMagnetic resonance imagingPretreatment magnetic resonance imagingCervical dislocation injuriesDislocation injuriesSpine surgeonsIncomplete spinal cord injuryComplete spinal cord injuryCervical spinal injuryBilateral facet dislocationImmediate closed reductionMulticenter reliability studyIntact patientsCervical injuryClosed reductionFacet dislocationCord injurySpinal injuryTreatment decisionsCervical dislocationTherapeutic implicationsClinical scenariosOrthopaedic surgeonsInjuryResonance imagingThe Timing and Influence of MRI on the Management of Patients With Cervical Facet Dislocations Remains Highly Variable
Grauer JN, Vaccaro AR, Lee JY, Nassr A, Dvorak MF, Harrop JS, Dailey AT, Shaffrey CI, Arnold PM, Brodke DS, Rampersaud R. The Timing and Influence of MRI on the Management of Patients With Cervical Facet Dislocations Remains Highly Variable. Clinical Spine Surgery A Spine Publication 2009, 22: 96-99. PMID: 19342930, DOI: 10.1097/bsd.0b013e31816a9ebd.Peer-Reviewed Original ResearchMeSH KeywordsCervical VertebraeClinical ProtocolsData CollectionDecision Support TechniquesJoint DislocationsJointsMagnetic Resonance ImagingNeurosurgeryObserver VariationOrthopedicsPractice Patterns, Physicians'Professional PracticeSpinal FracturesSpinal FusionSpinal InjuriesSurveys and QuestionnairesTime FactorsTomography, X-Ray ComputedTractionConceptsTraumatic cervical facet dislocationCervical facet dislocationMagnetic resonance imagingComplete spinal cord injuryInfluence of MRIManagement of patientsFacet dislocationSpinal cord injuryOpen reductionCord injuryOrthopaedic surgeonsUtilization of MRIEvidence-based algorithmDifferent clinical scenariosDevastating injuriesNeurologic examinationDisc herniationLigamentous disruptionPlain radiographsClosed treatmentTomography scanPatient managementTreatment decisionsOpen treatmentSpine surgeons
2008
MR Findings of Exaggerated Fluid in Facet Joints Predicts Instability
Schinnerer KA, Katz LD, Grauer JN. MR Findings of Exaggerated Fluid in Facet Joints Predicts Instability. Clinical Spine Surgery A Spine Publication 2008, 21: 468-472. PMID: 18836356, DOI: 10.1097/bsd.0b013e3181585bab.Peer-Reviewed Original ResearchConceptsMagnetic resonance imagingFacet jointsPlain filmsLumbar spine magnetic resonance imagingLumbar magnetic resonance imagingSpine magnetic resonance imagingSupine magnetic resonance imagingAxial magnetic resonance imagingConsecutive magnetic resonance imagingLow back painLumbar facet jointsRetrospective radiographic reviewIncidence of spondylolisthesisRadiographic evidenceSingle surgeonBack painRadiographic reviewSagittal MRI sequencesBACKGROUND DATAMR findingsSpondylolisthesisResonance imagingCorresponding radiographsSubtle instabilityRelative incidence
2006
Metastatic disease of the spine.
White AP, Kwon BK, Lindskog DM, Friedlaender GE, Grauer JN. Metastatic disease of the spine. Journal Of The American Academy Of Orthopaedic Surgeons 2006, 14: 587-98. PMID: 17030592, DOI: 10.5435/00124635-200610000-00001.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsConceptsTomography-guided biopsyIndividual patient factorsMetastatic spine diseaseLimitation of motionNew cancer diagnosesMagnetic resonance imagingAxial painCord compressionSurgical decompressionLocal tendernessMetastatic diseaseAnterior approachBone scanPatient factorsNeurologic compromiseNerve rootsPlain radiographsFrequent presentationPainful lesionsSpinal lesionsSpine diseaseRadionuclide studiesSpinal instabilitySpinal examinationSpine surgeons