2023
Performance and reliability assessment of a lower dose, task-based scoliosis radiography protocol in pediatric patients
Al-Dasuqi K, Taylor E, Ehrlich L, Cooperman D, Socci A, Tuason D, Hoerner M, Staib L, Silva C. Performance and reliability assessment of a lower dose, task-based scoliosis radiography protocol in pediatric patients. Pediatric Radiology 2023, 54: 146-153. PMID: 38010426, DOI: 10.1007/s00247-023-05812-5.Peer-Reviewed Original ResearchConceptsDose area productPatient heightAdequate image qualityEffective doseExposure indexMedian effective doseLower radiation exposureComparison of proportionsChi-squared testIntraclass correlation coefficientBland-Altman plotsConsecutive patientsPediatric patientsIncident air kermaDose reductionLow doseSkeletal maturityRadiographsPatientsAir kermaRadiation exposureScoliosis radiographyStatistical significanceDoseSpinal curvature3D printed pedicle screw guides reduce the rate of intraoperative screw revision in adolescent idiopathic scoliosis surgery
Jeong S, Yang A, Dhodapkar M, Jabbouri S, Jonnalagadda A, Tuason D. 3D printed pedicle screw guides reduce the rate of intraoperative screw revision in adolescent idiopathic scoliosis surgery. The Spine Journal 2023, 23: 1894-1899. PMID: 37553024, DOI: 10.1016/j.spinee.2023.08.001.Peer-Reviewed Original ResearchConceptsAdolescent idiopathic scoliosisRevision rateOperative timeFreehand techniquePedicle screwsPosterior spinal instrumented fusionAdolescent idiopathic scoliosis surgeryIntraoperative screw revisionsLength of surgerySpinal instrumented fusionSingle academic centerTotal operative timeTotal revision rateIdiopathic scoliosis surgeryHigher revision rateYears of agePedicle screw fixationIntraoperative revision rateScrew placement accuracySecondary outcomesPatient demographicsPatients 10Instrumented fusionIntraoperative measuresRetrospective studyEffects of delayed ambulation following posterior spinal fusion for adolescent idiopathic scoliosis: a single institutional study
Hengartner A, David W, Reeves B, Craft S, Boroumand S, Clappier M, Hansen J, Fernandez T, Koo A, Tuason D, DiLuna M, Elsamadicy A. Effects of delayed ambulation following posterior spinal fusion for adolescent idiopathic scoliosis: a single institutional study. Spine Deformity 2023, 11: 1127-1136. PMID: 37093449, DOI: 10.1007/s43390-023-00693-y.Peer-Reviewed Original ResearchConceptsPosterior spinal fusionAdolescent idiopathic scoliosisSpinal fusionPostoperative complicationsRisk factorsIdiopathic scoliosisMultivariate stepwise logistic regressionOral pain medicationTotal hospital lengthTwenty-nine patientsMethodsThe medical recordsSingle institutional studyStepwise logistic regressionMajor academic institutionHospital lengthHospital stayNine patientsPain medicationUnplanned readmissionIntraoperative variablesPatient demographicsPostoperative outcomesRBC transfusionHealthcare utilizationOperative timeIncisional Negative Pressure Wound Therapy Does Not Affect Deep Surgical Site Infection Rates in Neuromuscular Scoliosis Surgery.
Mascarenhas D, Nasra M, Tawfik A, Ghazi J, Ishmael T, Therrien P, Bowe J, Tuason D. Incisional Negative Pressure Wound Therapy Does Not Affect Deep Surgical Site Infection Rates in Neuromuscular Scoliosis Surgery. Orthopedics 2023, 46: 373-378. PMID: 37018618, DOI: 10.3928/01477447-20230329-03.Peer-Reviewed Original ResearchConceptsIncisional negative pressure wound therapyPosterior spinal instrumented fusionDeep surgical site infectionSurgical site infectionNegative pressure wound therapyNeuromuscular scoliosisPressure wound therapyWound therapyDeep surgical site infection rateSurgical site infection rateAnterior spinal releaseDeep SSI ratesNeuromuscular scoliosis surgeryStandard postoperative dressingsCohort of patientsSpinal instrumented fusionLength of stayTransfusion requirementsDevastating complicationSSI ratesBlood lossConsecutive patientsInstrumented fusionSite infectionSpinal releaseImpact of insurance status on healthcare resource utilization and outcomes in adolescent patients presenting with spinal cord injuries.
Sandhu M, David W, Reeves B, Sherman J, Craft S, Jayaraj C, Boroumand S, Clappier M, Gutierrez A, Sarkozy M, Koo A, Tuason D, DiLuna M, Elsamadicy A. Impact of insurance status on healthcare resource utilization and outcomes in adolescent patients presenting with spinal cord injuries. Journal Of Neurosurgery Pediatrics 2023, 32: 294-301. PMID: 37021755, DOI: 10.3171/2023.2.peds22506.Peer-Reviewed Original ResearchConceptsSpinal cord injuryHospital adverse eventsHealthcare resource utilizationAdverse eventsInsurance statusAdolescent patientsGovernmental insuranceInsurance cohortCord injuryNon-Hispanic white patientsNational Trauma Data BankPrivate insuranceThoracic spinal cord injuryPrivate insurance cohortAdministrative database studyTrauma Data BankClinical Modification codingMultivariate regression analysisPI cohortMedian LOSAdult patientsDischarge dispositionPatient demographicsSCI patientsWhite patients
2022
Prospective analysis of home narcotic consumption and management of excess narcotic prescription following adolescent idiopathic scoliosis surgery
Garcia-Muñoz J, Elblein C, David W, Elaydi A, Tuason D. Prospective analysis of home narcotic consumption and management of excess narcotic prescription following adolescent idiopathic scoliosis surgery. Spine Deformity 2022, 11: 651-656. PMID: 36583832, DOI: 10.1007/s43390-022-00637-y.Peer-Reviewed Original ResearchConceptsPosterior spinal fusionAdolescent idiopathic scoliosisNarcotic useSpinal fusionIdiopathic scoliosisLow-use groupAdolescent idiopathic scoliosis surgeryMethodsFollowing institutional review board approvalIntraoperative blood lossPostoperative clinic visitsLength of surgeryInstitutional review board approvalLength of hospitalizationIdiopathic scoliosis surgeryPatient demographic dataReview board approvalHigh-use groupNarcotic dosesNarcotic intakeUnused narcoticsNarcotic usagePain scoresNarcotic prescriptionsBlood lossChart review
2021
Racial Disparities in Health Care Resource Utilization After Pediatric Cervical and/or Thoracic Spinal Injuries
Elsamadicy AA, Sandhu MR, Freedman IG, Koo AB, Hengartner AC, Reeves BC, Havlik J, Sarkozy M, Hong CS, Kundishora AJ, Tuason DA, DiLuna M. Racial Disparities in Health Care Resource Utilization After Pediatric Cervical and/or Thoracic Spinal Injuries. World Neurosurgery 2021, 156: e307-e318. PMID: 34560297, DOI: 10.1016/j.wneu.2021.09.047.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAsianBlack or African AmericanCervical VertebraeChildChild, PreschoolCohort StudiesFemaleHealth Status DisparitiesHealthcare DisparitiesHispanic or LatinoHumansInfantLength of StayMalePostoperative ComplicationsRetrospective StudiesSocioeconomic FactorsSpinal InjuriesThoracic VertebraeUnited StatesWhite PeopleConceptsHealth care resource utilizationNon-Hispanic blacksNon-Hispanic AsiansHospital complicationsPediatric patientsMultivariate regression analysisNon-Hispanic whitesHospital LOSComplication rateGreater prevalenceICD-10-CM diagnosisLogistic multivariate regression analysisNational Trauma Data BankLonger hospital LOSOverall complication rateThoracic spine injuriesTrauma Data BankRegression analysisThoracic spinal injuryNHB patientsHospital lengthRetrospective cohortSpine injuriesThoracic injuriesRisk ratioA Two-Surgeon Approach Improves Performance for Young Surgeons in Adolescent Idiopathic Scoliosis.
Bassett W, Caruso C, Adolfsen S, McPartland T, Bowe JA, Tuason D. A Two-Surgeon Approach Improves Performance for Young Surgeons in Adolescent Idiopathic Scoliosis. Orthopedics 2021, 44: e347-e352. PMID: 34039196, DOI: 10.3928/01477447-20210414-05.Peer-Reviewed Original ResearchConceptsAdolescent idiopathic scoliosisPercent curve correctionBlood lossCurve correctionPrimary surgeonSurgeon groupIdiopathic scoliosisExperienced surgeon groupLength of surgerySurgical blood lossLength of staySignificant shorter lengthSignificant differencesTwo-surgeon approachOperative timePrimary diagnosisSurgeon experienceIS groupExperienced surgeonsSurgeryInexperienced surgeonsLenke classificationSurgeonsSurgical metricsStay
2020
Letter to the Editor: Structured-mentorship Program for Periacetabular Osteotomy Resulted in Few Complications for a Low-volume Pelvic Surgeon.
Tuason DA, Moore HG, Grauer JN. Letter to the Editor: Structured-mentorship Program for Periacetabular Osteotomy Resulted in Few Complications for a Low-volume Pelvic Surgeon. Clinical Orthopaedics And Related Research® 2020, 479: 424-425. PMID: 33278084, PMCID: PMC7899496, DOI: 10.1097/corr.0000000000001601.Commentaries, Editorials and LettersUse of intraoperative navigation for posterior spinal fusion in adolescent idiopathic scoliosis surgery is safe to consider
Moore HG, Samuel AM, Burroughs PJ, Pathak N, Tuason DA, Grauer JN. Use of intraoperative navigation for posterior spinal fusion in adolescent idiopathic scoliosis surgery is safe to consider. Spine Deformity 2020, 9: 403-410. PMID: 33025389, DOI: 10.1007/s43390-020-00218-x.Peer-Reviewed Original ResearchConceptsAdolescent idiopathic scoliosisNon-navigated patientsPerioperative adverse outcomesPosterior spinal fusionUse of navigationPosterior fusionAdverse outcomesSpinal fusionShort-term adverse eventsPost-operative hospital stayAdolescent idiopathic scoliosis surgeryStereotactic navigationNon-navigated casesNSQIP-Pediatric databaseThirty-day outcomesYear of procedureLonger operative timeIdiopathic scoliosis surgeryLength of stayIntraoperative navigationNational pediatric databaseHospital stayPerioperative outcomesAdverse eventsPediatric patients
2014
Surgical Site Infections After Posterior Spinal Fusion for Neuromuscular Scoliosis
Ramo BA, Roberts DW, Tuason D, McClung A, Paraison LE, Moore HG, Sucato DJ. Surgical Site Infections After Posterior Spinal Fusion for Neuromuscular Scoliosis. Journal Of Bone And Joint Surgery 2014, 96: 2038-2048. PMID: 25520337, DOI: 10.2106/jbjs.n.00277.Peer-Reviewed Original ResearchConceptsSurgical site infectionPosterior spinal fusionSite infectionBody mass indexNeuromuscular scoliosisSpinal fusionSpina bifidaAntibiotic dosingRisk factorsDeep surgical site infectionTreatment-related risk factorsSingle institution experienceLower hemoglobin levelsMean Cobb angleSignificant risk factorsLength of fusionHospital stayDeep infectionDrain usePatient factorsSerious complicationsHemoglobin levelsMass indexRetrospective reviewModifiable factorsClinical and Laboratory Parameters Associated With Multiple Surgeries in Children With Acute Hematogenous Osteomyelitis
Tuason DA, Gheen T, Sun D, Huang R, Copley L. Clinical and Laboratory Parameters Associated With Multiple Surgeries in Children With Acute Hematogenous Osteomyelitis. Journal Of Pediatric Orthopaedics 2014, 34: 565-570. PMID: 24915036, DOI: 10.1097/bpo.0000000000000136.Peer-Reviewed Original ResearchConceptsAcute hematogenous osteomyelitisSurgical interventionLaboratory parametersInitial surgeryHematogenous osteomyelitisLogistic regressionCRP valuesPediatric Acute Hematogenous OsteomyelitisC-reactive protein valuesOccurrence of surgeryAdditional surgical treatmentLength of hospitalizationMethicillin-resistant Staphylococcus aureusRetrospective comparative studyMultivariate logistic regressionMultiple logistic regressionBreaths/minFebrile daysSurgical treatmentAcute phaseMultiple surgeriesSingle institutionMarked elevationOrdinal logistic regressionUnivariate analysis
2011
Diagnosis and treatment of chronic ankle pain.
Wukich DK, Tuason DA. Diagnosis and treatment of chronic ankle pain. Instructional Course Lectures 2011, 60: 335-50. PMID: 21553785.Peer-Reviewed Original ResearchConceptsChronic ankle painAnkle painOrthopaedic surgeonsSoft tissue disordersDetailed patient historyExtra-articular pathologyHistory of traumaAppropriate imaging modalityElderly patientsChronic symptomsAnkle sprainAnkle injuriesPhysical examinationDifferential diagnosisPatient historyEffective treatmentPainPatientsAccurate diagnosisAge groupsYoung athletesImaging modalitiesBest treatmentDiagnosisSprains
2009
Urban Pediatric Orthopaedic Surgical Practice Audit
Tuason D, Hohl JB, Levicoff E, Ward WT. Urban Pediatric Orthopaedic Surgical Practice Audit. Journal Of Bone And Joint Surgery 2009, 91: 2992-2998. PMID: 19952265, DOI: 10.2106/jbjs.h.01708.Peer-Reviewed Original Research