2020
Perioperative Outcomes in 17,947 Patients Undergoing 2-Level Anterior Cervical Discectomy and Fusion Versus 1-Level Anterior Cervical Corpectomy for Treatment of Cervical Degenerative Conditions: A Propensity Score Matched National Surgical Quality Improvement Program Analysis
Galivanche AR, Gala R, Bagi PS, Boylan AJ, Dussik CM, Coutinho PD, Grauer JN, Varthi AG. Perioperative Outcomes in 17,947 Patients Undergoing 2-Level Anterior Cervical Discectomy and Fusion Versus 1-Level Anterior Cervical Corpectomy for Treatment of Cervical Degenerative Conditions: A Propensity Score Matched National Surgical Quality Improvement Program Analysis. Neurospine 2020, 17: 871-878. PMID: 33401865, PMCID: PMC7788425, DOI: 10.14245/ns.2040134.067.Peer-Reviewed Original ResearchBody mass indexCervical degenerative conditionsAnterior cervical corpectomyAnterior cervical discectomyOperative timeFunctional statusCervical corpectomyAdverse eventsCervical discectomyNational Surgical Quality Improvement Program analysisNational Surgical Quality Improvement Program databaseDegenerative conditionsQuality Improvement Program databasePropensity scoreMultivariate logistic regression analysisAnesthesiologists physical status classificationMinor adverse eventsSerious adverse eventsImprovement Program databasePhysical status classificationShorter operative timeHigher functional statusMultivariate logistic regressionLogistic regression analysisASA PS classificationPerioperative adverse events after different fusion approaches for single-level lumbar spondylosis
Gala RJ, Ottesen TD, Kahan JB, Varthi AG, Grauer JN. Perioperative adverse events after different fusion approaches for single-level lumbar spondylosis. North American Spine Society Journal (NASSJ) 2020, 1: 100005. PMID: 35141578, PMCID: PMC8820031, DOI: 10.1016/j.xnsj.2020.100005.Peer-Reviewed Original ResearchTransforaminal lumbar interbody fusionPerioperative adverse eventsPosterior spinal fusionLumbar spondylosisAdverse eventsLumbar fusionChi-squared testInterbody fusionNational Quality Improvement Program databaseQuality Improvement Program databaseSingle-level lumbar fusionPropensity scoreLong-term outcome studiesImprovement Program databaseGood surgical techniqueLong-term outcomesLow back painSingle-level fusionDifferent surgical approachesPosterior lumbar fusionLumbar interbody fusionPearson's chi-squared testDifferent fusion proceduresAP fusionPerioperative complicationsHigh, As Well As Low, Preoperative Platelet Counts Correlate With Adverse Outcomes After Elective Posterior Lumbar Surgery.
Malpani R, Gala RJ, Adrados M, Galivanche AR, Clark MG, Mercier MR, Pathak N, Mets EJ, Grauer JN. High, As Well As Low, Preoperative Platelet Counts Correlate With Adverse Outcomes After Elective Posterior Lumbar Surgery. Spine 2020, 45: 349-356. PMID: 32045405, DOI: 10.1097/brs.0000000000003248.Peer-Reviewed Original ResearchConceptsPosterior lumbar surgeryPreoperative platelet countLow platelet countPlatelet countLumbar surgeryAdverse outcomesAdverse eventsHospital lengthNational Surgical Quality Improvement Program databaseLow preoperative platelet countPreoperative low platelet countQuality Improvement Program databaseHigh platelet groupLonger hospital lengthLumbar surgery patientsPerioperative adverse outcomesMinor adverse eventsPostoperative adverse eventsImprovement Program databaseRetrospective cohort studyHigher platelet countsLarger patient populationPostoperative complicationsCohort studyPlatelet groupNavigation and Robotics in Spine Surgery
Ahmed A, Barzilai O, Bilsky M, Bono C, Boody B, Boriani S, Bronson W, Buza J, Bydon A, Colantonio D, Mica M, Dillard E, Dong J, Dowdell J, Errico T, Esfahani D, Evans J, Fan M, Fang T, Francois E, Fried T, Funao H, Gala R, Ginsberg H, Hammer C, Harrop J, Hecht A, Heller J, Holly L, Hu K, Jacobson J, Johnson A, Johnson B, Kang J, Kebaish K, Khanna A, Kocovic N, Kumar P, Laxer E, Laufer I, Lebwohl N, Liu Y, McEntee R, Mehta A, Mendoza M, Mikhail C, Milam R, Milby A, Molina C, Mombell K, Morrissey P, Mosley Y, Nathan J, Neisewander B, Neuman B, Oppenlander M, Pahlavan S, Panch T, Passias P, Paul J, Pennington Z, Pisano A, Russo G, Saadeh Y, Schär R, Schmitt A, Schuster J, Sciubba D, Seavey J, Sebastian A, Shenoy K, Silverstein M, Sullivan B, Sullivan P, Tan Z, Theodore N, Tian W, Varthi A, Votta K, Wagner S, Welch W, Wilson J, Zhao J, Ziewacz J. Navigation and Robotics in Spine Surgery. 2020 DOI: 10.1055/b-006-163747.Peer-Reviewed Original Research
2018
Axial Lumbar and Lumbosacral Interbody Fusion for Degenerative Spine and Adult Deformity: Surgical Technique and The Evidence
Gala R, Whang P. Axial Lumbar and Lumbosacral Interbody Fusion for Degenerative Spine and Adult Deformity: Surgical Technique and The Evidence. Seminars In Spine Surgery 2018, 30: 247-251. DOI: 10.1053/j.semss.2018.07.026.Peer-Reviewed Original ResearchThromboembolic Events After Traumatic Vertebral Fractures
Samuel AM, Diaz-Collado PJ, Gala RJ, Webb ML, Lukasiewicz AM, Basques BA, Bohl DD, Kim HJ, Grauer JN. Thromboembolic Events After Traumatic Vertebral Fractures. Spine 2018, 43: 1289-1295. PMID: 29538240, DOI: 10.1097/brs.0000000000002634.Peer-Reviewed Original ResearchConceptsVenous thromboembolism eventsTraumatic vertebral fracturesVertebral fracturesSpinal cord injuryOdds ratioCord injuryRisk factorsNational Trauma Data Bank Research Data SetLonger inpatient lengthPulmonary embolism eventsDeep vein thrombosisHigh-energy injuriesVertebral fracture patientsLength of stayAdditional risk factorsMultivariate logistic regressionSuch adverse outcomesOverall rateThromboembolism eventsHospital courseThromboembolic eventsFracture patientsVein thrombosisLonger LOSTrauma patientsIncidence and considerations of 90-day readmissions following posterior lumbar fusion
Cui JJ, Gala RJ, Ondeck NT, McLynn RP, Bovonratwet P, Shultz B, Grauer JN. Incidence and considerations of 90-day readmissions following posterior lumbar fusion. The Spine Journal 2018, 19: 631-636. PMID: 30219360, DOI: 10.1016/j.spinee.2018.09.004.Peer-Reviewed Original ResearchConceptsPosterior lumbar fusionDays of dischargeReadmission ratesBaseline readmission ratesHuman Investigation CommitteeAdmission ratesDay readmissionLumbar fusionUtilization Project Nationwide Readmissions DatabaseAverage daily admission rateBaseline admission rateBundled payment plansNationwide Readmissions DatabaseHospital admission dataAverage admission rateDaily admission ratesCalendar yearCurrent quality metricsPLF patientsPatient demographicsPostoperative dayRetrospective studyPatient counselingPatient outcomesSpine surgeryLumbar Disc Herniation: A Controlled, Prospective Study with 10 Years of Observation
Gala R, Whang P. Lumbar Disc Herniation: A Controlled, Prospective Study with 10 Years of Observation. 2018, 109-112. DOI: 10.1201/9781315154053-21.Peer-Reviewed Original ResearchLumbar disc herniationGroup of patientsDisc herniationNonoperative treatmentInitial nonoperative treatmentLumbar disc prolapseLong-term outcomesTiming of treatmentObservational armConservative managementSurgical treatmentDisc prolapseProspective studyRetrospective natureCommon causeNatural historyHerniationDiagnostic imagingPatientsDefinitive indicationTreatmentSelection biasYears of observationGroupPrior studiesThe Impact of Insurance Status on the Development of Nonunion following Scaphoid Fracture
Dodds S, Fenoglio A, Bohl D, Gala R. The Impact of Insurance Status on the Development of Nonunion following Scaphoid Fracture. Journal Of Wrist Surgery 2018, 07: 288-291. PMID: 30174984, PMCID: PMC6117168, DOI: 10.1055/s-0038-1639509.Peer-Reviewed Original ResearchDevelopment of nonunionCase-control studyRisk factorsScaphoid nonunionTertiary referral centerInadequate initial managementImpact of insurance statusInsurance statusReferral centerDelayed diagnosisAcute fracturesInitial managementDisplaced fracturesScaphoid fracturesPatientsNonunionProximal locationProximal aspectRiskScaphoidCarpal instabilityUnderinsuranceFractureStatusSurgeonsDiscrepancies in the Definition of “Outpatient” Surgeries and Their Effect on Study Outcomes Related to ACDF and Lumbar Discectomy Procedures
Bovonratwet P, Webb ML, Ondeck NT, Gala RJ, Nelson SJ, McLynn RP, Cui JJ, Grauer JN. Discrepancies in the Definition of “Outpatient” Surgeries and Their Effect on Study Outcomes Related to ACDF and Lumbar Discectomy Procedures. Clinical Spine Surgery A Spine Publication 2018, 31: e152-e159. PMID: 29351096, DOI: 10.1097/bsd.0000000000000615.Peer-Reviewed Original ResearchConceptsACDF patientsLumbar discectomy patientsDiscectomy procedureDiscectomy patientsSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseQuality Improvement Program databaseACS-NSQIP databaseAnterior cervical discectomyImprovement Program databaseSame-day dischargePossibility of patientsCervical discectomyOutpatient statusRetrospective studyOutpatient surgeryAdverse outcomesOutpatient settingOutpatient procedureProgram databaseBACKGROUND DATADay dischargeAmerican CollegeACDFOutpatientsDifferent Fusion Approaches for Single-level Lumbar Spondylolysis Have Similar Perioperative Outcomes
Gala RJ, Bovonratwet P, Webb ML, Varthi AG, Daubs MD, Grauer JN. Different Fusion Approaches for Single-level Lumbar Spondylolysis Have Similar Perioperative Outcomes. Spine 2018, 43: e111-e117. PMID: 28591074, DOI: 10.1097/brs.0000000000002262.Peer-Reviewed Original ResearchConceptsTransforaminal lumbar interbody fusionAnterior lumbar interbody fusionPosterior spinal fusionPerioperative adverse eventsAdverse eventsLong-term outcomesLumbar interbody fusionLumbar spondylolysisPerioperative outcomesOperative timeSurgical approachFusion groupInterbody fusionSurgeons National Surgical Quality Improvement databaseNational Surgical Quality Improvement databasePerioperative adverse event ratesSimilar long-term outcomesPropensity scoreMinor adverse eventsPrevious cohort studiesSerious adverse eventsSimilar perioperative outcomesAdverse event ratesIndividual adverse eventsQuality improvement database
2017
Outpatient elective posterior lumbar fusions appear to be safely considered for appropriately selected patients
Bovonratwet P, Ottesen TD, Gala RJ, Rubio DR, Ondeck NT, McLynn RP, Grauer JN. Outpatient elective posterior lumbar fusions appear to be safely considered for appropriately selected patients. The Spine Journal 2017, 18: 1188-1196. PMID: 29155341, DOI: 10.1016/j.spinee.2017.11.011.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAmbulatory Surgical ProceduresBlood TransfusionCohort StudiesDatabases, FactualElective Surgical ProceduresFemaleHumansInpatientsLumbar VertebraeMaleMiddle AgedPatient ReadmissionPatient SelectionPostoperative ComplicationsPropensity ScoreQuality ImprovementRetrospective StudiesSpinal FusionYoung AdultConceptsPosterior lumbar fusionPerioperative complicationsPostoperative complicationsNSQIP databaseInterbody fusionLumbar fusionNational Surgical Quality Improvement Program databaseSurgeons National Surgical Quality Improvement Program databaseElective posterior lumbar fusionQuality Improvement Program databasePropensity score-matched comparisonLower blood transfusionMost perioperative complicationsPostoperative adverse eventsRetrospective cohort comparison studyImprovement Program databaseRate of readmissionCareful patient selectionCohort comparison studyPotential confounding factorsInpatient cohortPLF casesHospital lengthPerioperative courseSelect patientsLeg and Femoral Neck Length Evaluation Using an Anterior Capsule Preservation Technique in Primary Direct Anterior Approach Total Hip Arthroplasty
Nelson S, Adrados M, Gala R, Geiger E, Webb M, Rubin L, Keggi K. Leg and Femoral Neck Length Evaluation Using an Anterior Capsule Preservation Technique in Primary Direct Anterior Approach Total Hip Arthroplasty. Reconstructive Review 2017, 7 DOI: 10.15438/rr.7.1.153.Peer-Reviewed Original ResearchTotal hip arthroplastyFemoral neck lengthNonoperative legOperative legHip arthroplastyDirect anterior approach (DAA) THADirect anterior approach total hip arthroplastyAnterior approach total hip arthroplastyDAA total hip arthroplastyConsecutive primary total hip arthroplastiesPrimary total hip arthroplastyNeck lengthAnterior capsule tissueAnterior hip capsuleHip joint capsuleLeg lengthSupine positioningIntraoperative evaluationJoint capsuleLongitudinal incisionHip capsuleCapsular insertionIntertrochanteric lineJoint replacementTrial componentsInterspinous implants to treat spinal stenosis
Gala RJ, Russo GS, Whang PG. Interspinous implants to treat spinal stenosis. Current Reviews In Musculoskeletal Medicine 2017, 10: 182-188. PMID: 28324328, PMCID: PMC5435644, DOI: 10.1007/s12178-017-9413-8.Peer-Reviewed Original ResearchSpinal stenosisInterspinous spacerModerate spinal stenosisOpen decompressive surgeryLumbar spinal stenosisPedicle screw instrumentationFormal decompressionSuperion deviceDecompressive surgerySignificant morbidityPatient selectionInvasive optionInvasive strategyImproved outcomesInterspinous implantStenosisDecompressionInterspinous spaceSpinal anatomyCoflex deviceOutcomesImplantsMorbidityComplicationsPatientsValue of Upright X-Rays in Diagnosis ofACJoint Injuries in Polytrauma Patients.
Gala RJ, Varthi AG, Medvecky MJ. Value of Upright X-Rays in Diagnosis ofACJoint Injuries in Polytrauma Patients. Connecticut Medicine 2017, 81: 111-115. PMID: 29738157.Peer-Reviewed Original ResearchConceptsPolytrauma patientsUpright radiographsAC jointAC joint injuriesCommon orthopedic problemAC joint separationsUpright x-rayOperative interventionClinical courseMultiple injuriesTreatment recommendationsJoint injuryFurther managementSupine positionOrthopedic problemsPatientsInjuryHigh-degree injuriesJoint separationStandard protocolRadiographsX-rayAmount of displacementAcromioclavicularDiagnosis
2016
Ceramic-on-Ceramic Total Hip Arthroplasty in a Twelve-Year-Old Patient: Case Report with a 27-Year Follow-Up.
Save AV, Varthi A, Talusan PG, Gala R, Nelson S, Keggi KJ. Ceramic-on-Ceramic Total Hip Arthroplasty in a Twelve-Year-Old Patient: Case Report with a 27-Year Follow-Up. Connecticut Medicine 2016, 80: 341-5. PMID: 27509640.Peer-Reviewed Original ResearchConceptsTotal hip arthroplastyCeramic total hip arthroplastyHip arthroplastyJuvenile patientsCase reportTwelve-year-old patientLong-term pain reliefJuvenile rheumatoid arthritisFemoral component looseningPain reliefRheumatoid arthritisExcellent outcomesRevision surgeryComponent looseningPatientsArthroplastyAge 12Hip prosthesisReportArthritisSurgeryYearsHip
2015
Is Insurance Status a Predictor for the Development of Nonunion Following Scaphoid Fracture?
Fenoglio A, Bohl D, Gala R, Dodds S. Is Insurance Status a Predictor for the Development of Nonunion Following Scaphoid Fracture? Journal Of Wrist Surgery 2015, 04 DOI: 10.1055/s-0035-1567915.Peer-Reviewed Original ResearchThromboembolic Events after Traumatic Lumbar Vertebral Fractures: An Analysis of 80,558 Patients
Samuel A, Diaz-Collado P, Gala R, Webb M, Lukasiewicz A, Basques B, Bohl D, Grauer J. Thromboembolic Events after Traumatic Lumbar Vertebral Fractures: An Analysis of 80,558 Patients. The Spine Journal 2015, 15: s266-s267. DOI: 10.1016/j.spinee.2015.07.418.Peer-Reviewed Original ResearchBlount's disease and bilateral medial femoral condyle osteochondritis dissecans in a 12 year-old-boy
Terhune E, Gala R, Bozzio A, Frickman A, Rhodes J. Blount's disease and bilateral medial femoral condyle osteochondritis dissecans in a 12 year-old-boy. American Medical Student Research Journal 2015, 1 DOI: 10.15422/amsrj.2015.03.006.Peer-Reviewed Original Research
2013
Orthopedic trauma surgery in the morbidly obese patient
Bozzio A, Gala R, Villasenor M, Hao J, Mauffrey C. Orthopedic trauma surgery in the morbidly obese patient. European Journal Of Orthopaedic Surgery & Traumatology 2013, 24: 421-425. PMID: 23608970, DOI: 10.1007/s00590-013-1220-3.Peer-Reviewed Original Research