2024
Anterior 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
2016
Perioperative Outcomes After Cervical Laminoplasty Versus Posterior Decompression and Fusion
Varthi AG, Basques BA, Bohl DD, Golinvaux NS, Grauer JN. Perioperative Outcomes After Cervical Laminoplasty Versus Posterior Decompression and Fusion. Clinical Spine Surgery A Spine Publication 2016, 29: e226-e232. PMID: 25310393, DOI: 10.1097/bsd.0000000000000183.Peer-Reviewed Original ResearchConceptsMultilevel cervical pathologyBaseline patient characteristicsCervical laminoplastyShort-term outcomesPosterior decompressionLaminoplasty patientsFusion patientsCervical decompressionAdverse eventsPatient characteristicsCervical pathologySurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databasePropensity-adjusted multivariate analysisQuality Improvement Program databaseWorse short-term outcomesCharlson Comorbidity IndexPosterior cervical decompressionRetrospective cohort studyImprovement Program databaseLength of stayBivariate logistic regressionAnesthesiologists (ASA) scoreComorbidity indexPerioperative outcomes
2015
Incidence and risk factors for pneumonia following anterior cervical decompression and fusion procedures: an ACS-NSQIP study
Bohl DD, Ahn J, Rossi VJ, Tabaraee E, Grauer JN, Singh K. Incidence and risk factors for pneumonia following anterior cervical decompression and fusion procedures: an ACS-NSQIP study. The Spine Journal 2015, 16: 335-342. PMID: 26616171, DOI: 10.1016/j.spinee.2015.11.021.Peer-Reviewed Original ResearchMeSH KeywordsActivities of Daily LivingAdolescentAdultAge FactorsAgedCervical VertebraeComorbidityDecompression, SurgicalFemaleHumansIncidenceMaleMiddle AgedMultivariate AnalysisPneumoniaPostoperative ComplicationsPulmonary Disease, Chronic ObstructiveQuality ImprovementRegression AnalysisRetrospective StudiesRisk FactorsSpinal FusionYoung AdultConceptsIndependent risk factorDevelopment of pneumoniaChronic obstructive pulmonary diseaseAnterior cervical decompressionGreater operative durationObstructive pulmonary diseaseACDF proceduresRisk factorsReadmission ratesCervical decompressionOperative durationPulmonary diseaseSurgeons National Surgical Quality Improvement ProgramNational Surgical Quality Improvement ProgramSurgical Quality Improvement ProgramACS-NSQIP studyDependent functional statusRetrospective cohort studyIncidence of pneumoniaHigher readmission ratesDiagnosis of pneumoniaFusion proceduresImportant clinical consequencesMultivariate regressionQuality Improvement ProgramTiming of Complications After Spinal Fusion Surgery
Bohl DD, Webb ML, Lukasiewicz AM, Samuel AM, Basques BA, Ahn J, Singh K, Vaccaro AR, Grauer JN. Timing of Complications After Spinal Fusion Surgery. Spine 2015, 40: 1527-1535. PMID: 26230536, DOI: 10.1097/brs.0000000000001073.Peer-Reviewed Original ResearchConceptsMyocardial Infarction 2Timing of complicationsInfection 17Pneumonia 4Median daysSpine surgeonsSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseUrinary tract infections 7Quality Improvement Program databasePosterior lumbar fusion proceduresAnterior cervical decompressionRetrospective cohort studyImprovement Program databasePostoperative time periodLumbar fusion proceduresFusion proceduresSpinal fusion surgerySpinal fusion proceduresCervical decompressionInfection 7Postoperative complicationsCohort studyMedian timeClinical awareness
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 seriesPostanesthesia Care Unit Imaging Is Unnecessary When Intraoperative Imaging Is Used During Anterior Cervical Decompression and Fusion Procedures
Bohl DD, Telles CJ, Hustedt JW, Blizzard DJ, Carlson EJ, Grauer JN. Postanesthesia Care Unit Imaging Is Unnecessary When Intraoperative Imaging Is Used During Anterior Cervical Decompression and Fusion Procedures. Clinical Spine Surgery A Spine Publication 2012, 25: e174-e177. PMID: 22622479, DOI: 10.1097/bsd.0b013e31825d99f6.Peer-Reviewed Original ResearchConceptsPostanesthesia care unitAnterior cervical decompressionACDF proceduresClinical utilityCervical decompressionSurgical constructRetrospective case seriesLow clinical utilityFusion proceduresPlate/screw constructsOperative levelIncremental clinical utilityCare unitCase seriesBACKGROUND DATAScrew constructsIntraoperative imagingRadiation exposureSet of imagingAdequacy of imagesLateral viewDecompressionIntraoperative imagesImagingPlacementRoutine imaging for anterior cervical decompression and fusion procedures: a survey study establishing current practice patterns.
Bohl DD, Hustedt JW, Blizzard DJ, Badrinath R, Grauer JN. Routine imaging for anterior cervical decompression and fusion procedures: a survey study establishing current practice patterns. Orthopedics 2012, 35: e1068-72. PMID: 22784902, DOI: 10.3928/01477447-20120621-24.Peer-Reviewed Original ResearchConceptsAnterior cervical decompressionCervical decompressionFusion proceduresCurrent practice patternsStandard of careComputed tomography scanFlexion-extension radiographsSpine surgery fellowshipsHealth care costsMedian annual numberRecovery roomPlain radiographsPractice patternsTomography scanRadiology suiteRoutine imagingSpine surgeonsAnteroposterior viewCare costsVertebral bodySurgery fellowshipOperating roomPractice typeSurgeonsPractice duration