2024
Outcomes Following Two-Level Cervical Disc Arthroplasty Relative to Two-Level Anterior Cervical Discectomy
Ratnasamy P, Gouzoulis M, Jabbouri S, Varthi A, Grauer J. Outcomes Following Two-Level Cervical Disc Arthroplasty Relative to Two-Level Anterior Cervical Discectomy. Spine 2024, 50: 548-554. PMID: 39190404, DOI: 10.1097/brs.0000000000005131.Peer-Reviewed Original ResearchCervical disc arthroplasty patientsFive-year survivalCervical disc arthroplastyPostoperative adverse eventsSpine reoperationTwo-level cervical disc arthroplastyAdverse eventsACDF patientsPatient ageElixhauser Comorbidity IndexTreatment optionsMultivariate analysisDegenerative cervical spine pathologyTwo-level surgeryCervical spine pathologyTwo-level ACDFAnterior cervical discectomyNovel treatment optionsMinor adverse eventsCervical discectomyNo significant differenceSpine pathologyACDFReoperationComorbidity index167 Association Between Safety-net Hospital Status and Postoperative Outcomes Following ACDF or PCDF for Cervical Spondylotic Myelopathy
Elsamadicy A, Sayeed S, Craft S, Sherman J, Reeves B, Koo A, Khalid S, Lo S, Shin J, Mendel E, Sciubba D. 167 Association Between Safety-net Hospital Status and Postoperative Outcomes Following ACDF or PCDF for Cervical Spondylotic Myelopathy. Neurosurgery 2024, 70: 40-40. DOI: 10.1227/neu.0000000000002809_167.Peer-Reviewed Original ResearchCervical spondylotic myelopathyNon-routine dischargeSafety-net hospital statusSafety-net hospitalACDF cohortSpondylotic myelopathyPostoperative outcomesAdverse eventsMultivariate analysisPosterior cervical decompressionAnterior cervical discectomyImpact postoperative outcomesProportion of patientsNational Inpatient Sample databaseRetrospective cohort studyPredictors of prolonged LOSInpatient Sample databaseNon-SNHsElective ACDFCervical decompressionCervical discectomyStudy patientsIndependent predictorsAdult patientsACDFAnterior cervical decompression and fusion at one and two levels: trends and factors associated with structural allograft versus synthetic cages
Kim L, Grauer J. Anterior cervical decompression and fusion at one and two levels: trends and factors associated with structural allograft versus synthetic cages. North American Spine Society Journal (NASSJ) 2024, 17: 100310. PMID: 38390524, PMCID: PMC10882181, DOI: 10.1016/j.xnsj.2024.100310.Peer-Reviewed Original ResearchCage useAnterior cervical decompressionAnterior cervical discectomyStructural allograftSynthetic cageLevel ACDFCervical decompressionACDF casesCervical discectomyClinical predictorsAdult patientsClinical factorsACDFAnterior plateFemale sexImplant choiceMultivariate analysisAllograftProvider specialtyCare algorithmOlder ageDecompressionNon-clinical
2022
Cervical Disc Arthroplasty Usage Has Leveled Out From 2010 to 2021
Ratnasamy P, Rudisill K, Maloy G, Grauer J. Cervical Disc Arthroplasty Usage Has Leveled Out From 2010 to 2021. Spine 2022, 48: e342-e348. PMID: 36728785, PMCID: PMC10300227, DOI: 10.1097/brs.0000000000004560.Peer-Reviewed Original ResearchConceptsSingle-level cervical disc arthroplastyCervical disc arthroplastyKaplan-Meyer survival analysisPredictive patient factorsCervical spine pathologySingle-level ACDFAnterior cervical discectomyAnterior cervical surgeryCervical spine surgerySpine reoperationCervical surgeryCervical discectomyPatient factorsPredictive factorsSpine surgeryACDFDisc arthroplastySpine pathologyEpidemiologic studiesOrthopaedic surgeonsCommercial insuranceSurvival analysisMultivariate analysisSurgeryYounger age
2021
Octogenarians Are Independently Associated With Extended LOS and Non-Routine Discharge After Elective ACDF for CSM
Elsamadicy AA, Koo AB, Reeves BC, Freedman IG, David WB, Ehresman J, Pennington Z, Laurans M, Kolb L, Sciubba DM. Octogenarians Are Independently Associated With Extended LOS and Non-Routine Discharge After Elective ACDF for CSM. Global Spine Journal 2021, 12: 1792-1803. PMID: 33511889, PMCID: PMC9609534, DOI: 10.1177/2192568221989293.Peer-Reviewed Original ResearchCervical spondylotic myelopathyNon-routine dischargeRetrospective cohort studyExtended LOSElective ACDFCohort studyDischarge dispositionICD-10-CM diagnosisSignificant independent risk factorsNational Inpatient Sample databaseLonger hospital stayIndependent risk factorSignificant independent predictorsYear cohortYear old cohortHospital stayPerioperative complicationsPostoperative complicationsPatient demographicsSpondylotic myelopathyAdult patientsIndependent predictorsRisk factorsACDFAge 80
2019
Economic and Outcomes Analysis of Recalcitrant Cervical Radiculopathy: Is Nonsurgical Management or Surgery More Cost-Effective?
Rihn JA, Bhat S, Grauer J, Harrop J, Ghogawala Z, Vaccaro AR, Hilibrand AS. Economic and Outcomes Analysis of Recalcitrant Cervical Radiculopathy: Is Nonsurgical Management or Surgery More Cost-Effective? Journal Of The American Academy Of Orthopaedic Surgeons 2019, 27: 533-540. PMID: 30407977, DOI: 10.5435/jaaos-d-17-00379.Peer-Reviewed Original ResearchConceptsCervical epidural injectionsIncremental cost-effectiveness ratioEpidural injectionQuality-adjusted life yearsCervical radiculopathyCost-effectiveness ratioConservative managementPhysical therapyLife yearsAverage incremental cost-effectiveness ratioAnterior cervical diskectomyCervical injectionCervical diskectomyNonsurgical managementSurgical managementClinical effectivenessOutcome analysisTheoretical cohortAvoidance rateRadiculopathyCost-effective strategySuch injectionsSuccess rateACDFInjection
2018
Discrepancies 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 CollegeACDFOutpatients
2014
Preoperative Factors Affecting Length of Stay After Elective Anterior Cervical Discectomy and Fusion With and Without Corpectomy
Basques BA, Bohl DD, Golinvaux NS, Gruskay JA, Grauer JN. Preoperative Factors Affecting Length of Stay After Elective Anterior Cervical Discectomy and Fusion With and Without Corpectomy. Spine 2014, 39: 939-946. PMID: 24718069, PMCID: PMC4024365, DOI: 10.1097/brs.0000000000000307.Peer-Reviewed Original ResearchMeSH KeywordsAcademic Medical CentersAdultAgedCardiovascular DiseasesCervical VertebraeComorbidityConfounding Factors, EpidemiologicConnecticutDiskectomyElective Surgical ProceduresFemaleHospitals, UniversityHumansLength of StayLung DiseasesMaleMiddle AgedMultivariate AnalysisNeoplasmsRetrospective StudiesRisk FactorsSpinal FusionConceptsElective anterior cervical discectomyAnterior cervical discectomyExtended LOSPreoperative factorsCervical discectomyPulmonary diseaseRetrospective cohort studyCervical spine pathologyProlonged hospital lengthFactors Affecting LengthCommon treatment modalityMultivariate logistic regressionSingle academic institutionElective ACDFHospital lengthCohort studyPatient demographicsAverage LOSSingle institutionTreatment modalitiesOperative characteristicsSpine pathologyACDFBACKGROUND DATAPatientsFactors Predictive of Increased Surgical Drain Output After Anterior Cervical Discectomy and Fusion
Basques BA, Bohl DD, Golinvaux NS, Yacob A, Varthi AG, Grauer JN. Factors Predictive of Increased Surgical Drain Output After Anterior Cervical Discectomy and Fusion. Spine 2014, 39: 728-735. PMID: 24480948, PMCID: PMC3991728, DOI: 10.1097/brs.0000000000000237.Peer-Reviewed Original ResearchConceptsTotal drain outputDrain outputSurgical drain placementSurgical drain outputNeck hematomaDrain placementSurgical drainsRetrospective cohort studyAnterior cervical discectomyHistory of smokingRisk of complicationsPostoperative neck hematomaAge 50 yearsMultivariate logistic regressionSingle academic institutionAverage drain outputElective ACDFCervical discectomyCohort studyConsecutive patientsDrain useIndependent predictorsFactors PredictiveMedical recordsACDF
2012
Routine Anteroposterior Radiographs Have Limited Utility for Patients After Anterior Cervical Decompression and Fusion
Blizzard DJ, Hustedt JW, Bohl DD, Telles CJ, Grauer JN. Routine Anteroposterior Radiographs Have Limited Utility for Patients After Anterior Cervical Decompression and Fusion. Spine 2012, 37: 1904-1908. PMID: 22565385, DOI: 10.1097/brs.0b013e31825bcce3.Peer-Reviewed Original ResearchConceptsAnterior cervical decompressionLateral filmsCervical decompressionAP filmsInstrumented vertebral bodyRetrospective case seriesLast followSerial followCase seriesFirst followBACKGROUND DATAClinical valueAnteroposterior radiographsPatientsSpine surgeonsDiagnostic utilityInstrumented levelsVertebral bodyAP viewACDFImplant relativeRadiation exposureAnteroposteriorFollowImaging series
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