2024
Goldenhar syndrome associated with increased risk of respiratory failure and reoperations following spinal deformity surgery
Gouzoulis M, Jabbouri S, Seddio A, Grauer J, Tuason D. Goldenhar syndrome associated with increased risk of respiratory failure and reoperations following spinal deformity surgery. Spine Deformity 2024, 1-6. PMID: 39249241, DOI: 10.1007/s43390-024-00963-3.Peer-Reviewed Original ResearchAdolescent idiopathic scoliosisPosterior spinal fusionGoldenhar syndromeAdverse eventsRespiratory failureSpinal fusionDeformity surgeryIncreasing odds of respiratory failureOdds ratioRisk of respiratory failureOdds of respiratory failureIncidence of adverse eventsIncidence of reoperationSpinal deformity surgeryRisk of adverse eventsSevere adverse eventsPostoperative adverse eventsMultivariate logistic regressionAssociated with scoliosisNational sample of patientsSample of patientsBackgroundGoldenhar syndromeSpinal manifestationsElixhauser Comorbidity IndexPearlDiver databasePre-contoured patient-specific rods result in superior immediate sagittal plane alignment than surgeon contoured rods in adolescent idiopathic scoliosis
Jabbouri S, Joo P, David W, Jeong S, Moran J, Jonnalagadda A, Tuason D. Pre-contoured patient-specific rods result in superior immediate sagittal plane alignment than surgeon contoured rods in adolescent idiopathic scoliosis. Journal Of Spine Surgery 2024, 0: 0-0. PMID: 38974495, PMCID: PMC11224791, DOI: 10.21037/jss-24-1.Peer-Reviewed Original ResearchPatient-specific rodsAdolescent idiopathic scoliosisSagittal plane alignmentIdiopathic scoliosisPlane alignmentScoliosisSurgeonsImpact of a quality improvement initiative and monthly multidisciplinary meetings on outcomes after posterior spinal fusion for adolescent idiopathic scoliosis
Hengartner A, Elsamadicy A, Jonnalagadda A, Craft S, Sherman J, Reeves B, Fernandez T, Hobbs J, Koo A, DiLuna M, Tuason D. Impact of a quality improvement initiative and monthly multidisciplinary meetings on outcomes after posterior spinal fusion for adolescent idiopathic scoliosis. Spine Deformity 2024, 12: 1043-1051. PMID: 38493442, DOI: 10.1007/s43390-024-00859-2.Peer-Reviewed Original ResearchPosterior spinal instrumented fusionPre-QI cohortAdolescent idiopathic scoliosisMultidisciplinary team meetingsProportion of patientsLength of stayPre-QITeam meetingsPost-QIPostoperative complicationsIdiopathic scoliosisQuality improvementQuality improvement initiativesPostoperative ambulationBenefits of enhanced recoveryMethodsThe medical recordsPain control protocolIntraoperative drain placementPosterior spinal fusionSpinal instrumented fusionQI implementationImprovement initiativesPatient careAmbulation statusDrain placementTotal spine MRI for the preoperative evaluation of adolescent idiopathic scoliosis: Part 2 – spinal cord tumors, dysraphisms, diastematomyelia, and vertebral anomalies
Lee H, Janjua F, Ragab A, Moran J, Haims A, Rubio D, Tuason D, Porrino J. Total spine MRI for the preoperative evaluation of adolescent idiopathic scoliosis: Part 2 – spinal cord tumors, dysraphisms, diastematomyelia, and vertebral anomalies. Current Problems In Diagnostic Radiology 2024, 53: 415-421. PMID: 38262798, DOI: 10.1067/j.cpradiol.2024.01.017.Peer-Reviewed Original ResearchTotal spine MRISpinal cord tumorsAdolescent idiopathic scoliosisCord tumorsSpine MRIIdiopathic scoliosisEvaluation of adolescent idiopathic scoliosisVertebral anomaliesNeural axis abnormalitiesArnold-Chiari malformationTime of diagnosisTethered cordAxis abnormalitiesChiari malformationPreoperative evaluationScreening examinationDiastematomyeliaDysraphismTumorScoliosisAbnormalitiesMRIMalformationsSyringomyeliaCordTotal spine MRI for the preoperative evaluation of adolescent idiopathic scoliosis: part 1
Lee H, Janjua F, Ragab A, Moran J, Haims A, Rubio D, Tuason D, Porrino J. Total spine MRI for the preoperative evaluation of adolescent idiopathic scoliosis: part 1. Current Problems In Diagnostic Radiology 2024, 53: 405-414. PMID: 38246795, DOI: 10.1067/j.cpradiol.2024.01.016.Peer-Reviewed Original ResearchTotal spine MRIAdolescent idiopathic scoliosisSpine MRIIdiopathic scoliosisEvaluation of adolescent idiopathic scoliosisNeural axis abnormalitiesSpinal cord tumorsTime of diagnosisArnold-Chiari malformationCord tumorsTethered cordAxis abnormalitiesChiari malformationPreoperative evaluationScreening examinationVertebral anomaliesScoliosisAbnormalitiesMRIDiastematomyeliaDysraphismSyringomyeliaMalformationsTumor
2023
3D 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 timeAssociation Between Intravenous to Oral Opioid Transition Time and Length of Hospital Stay After Posterior Spinal Fusion for Adolescent Idiopathic Scoliosis.
Hengartner A, Havlik J, David W, Reeves B, Freedman I, Sarkozy M, Maloy G, Fernandez T, Craft S, Koo A, Tuason D, DiLuna M, Elsamadicy A. Association Between Intravenous to Oral Opioid Transition Time and Length of Hospital Stay After Posterior Spinal Fusion for Adolescent Idiopathic Scoliosis. The International Journal Of Spine Surgery 2023, 17: 468-476. PMID: 37076256, PMCID: PMC10312154, DOI: 10.14444/8448.Peer-Reviewed Original ResearchPosterior spinal fusionAdolescent idiopathic scoliosisExtended LOSSpinal fusionIdiopathic scoliosisMultivariate analysisMultilevel posterior spinal fusionLength of hospitalPostoperative complication rateMajor academic institutionOral opioidsHospital LOSStudy patientsDischarge dispositionHospital lengthPostoperative complicationsPostoperative courseComplication rateIntraoperative variablesLonger LOSPatient demographicsReadmission ratesMedical recordsUnivariate analysisOdds ratio
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 reviewThree-dimensional printing versus freehand surgical techniques in the surgical management of adolescent idiopathic spinal deformity
McLaughlin WM, Donnelley CA, Yu K, Gillinov SM, Tuason DA. Three-dimensional printing versus freehand surgical techniques in the surgical management of adolescent idiopathic spinal deformity. Journal Of Spine Surgery 2022, 0: 0-0. PMID: 35875617, PMCID: PMC9263733, DOI: 10.21037/jss-22-28.Peer-Reviewed Original ResearchScrew placement timeIntraoperative blood lossAdolescent idiopathic scoliosisBlood lossMultivariate analysisFreehand techniqueScrew placementImplant costsPlacement timeSagittal curve correctionRetrospective cohort studyLength of surgeryHigher implant costsSurgical residentsSignificant differencesPedicle screw placementTotal implant costsHospital stayIdiopathic spinal deformityPostoperative hospitalizationPerioperative dataCohort studyPatient ageSurgical treatmentSurgical management
2021
A 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
Use 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