2024
Surgical site infection following isolated lumbar discectomy increases odds of revision lumbar surgery within first 6 months, but not beyond
Kim L, Halperin S, Grauer J. Surgical site infection following isolated lumbar discectomy increases odds of revision lumbar surgery within first 6 months, but not beyond. The Spine Journal 2024, 24: 1459-1466. PMID: 38570035, DOI: 10.1016/j.spinee.2024.03.017.Peer-Reviewed Original ResearchSurgical site infectionRevision lumbar surgeryLumbar discectomyLumbar surgeryElixhauser Comorbidity IndexSite infectionFactors associated with surgical site infectionPreoperative diagnosis of infectionIncidence of secondary surgeryLumbar discectomy patientsDiagnosis of infectionMultivariate logistic regressionPreoperative diagnosisDiscectomy patientsPostoperative complicationsIndex surgeryPatient ageSecondary surgerySpinal surgeryIndependent predictorsAdult patientsLumbar fusionPerforming surgeryDiscectomyI&D
2021
Long-term Corticosteroid Use Independently Correlates With Complications After Posterior Lumbar Spine Surgery.
Kebaish KJ, Galivanche AR, Varthi AG, Ottesen TD, Rubin LE, Grauer JN. Long-term Corticosteroid Use Independently Correlates With Complications After Posterior Lumbar Spine Surgery. Orthopedics 2021, 44: 172-179. PMID: 34039214, DOI: 10.3928/01477447-20210416-01.Peer-Reviewed Original ResearchConceptsLong-term corticosteroid usePosterior lumbar spine surgeryPosterior lumbar surgeryLumbar spine surgeryPerioperative adverse outcomesCorticosteroid useAdverse eventsLumbar surgerySpine surgeryPropensity matchingAdverse outcomesNational Surgical Quality Improvement Program databaseQuality Improvement Program databaseMinor adverse eventsEffect of immunosuppressionImprovement Program databaseLong-term corticosteroidsSerious adverse eventsBody mass indexMultiple surgical specialtiesAnesthesiologists classComparable patientsPerioperative outcomesSurgical factorsMore patientsPostoperative bracing practices after elective lumbar spine surgery: A questionnaire study of U.S. spine surgeons
Pathak N, Scott MC, Galivanche AR, Burroughs PJ, Moore HG, Hilibrand AS, Malpani R, Justen M, Varthi AG, Grauer JN. Postoperative bracing practices after elective lumbar spine surgery: A questionnaire study of U.S. spine surgeons. North American Spine Society Journal (NASSJ) 2021, 5: 100055. PMID: 35141620, PMCID: PMC8820027, DOI: 10.1016/j.xnsj.2021.100055.Peer-Reviewed Original ResearchElective lumbar surgeryLumbar surgerySpine surgerySpine surgeonsElective lumbar spine surgeryMajority of respondentsElective spine surgeryUse of orthosesLumbar spine surgeryLateral interbody fusionNon-fusion surgeryDuration of useChi-square testType of braceEvidence-based practiceInterbody fusionLumbar fusionSurgeon respondentsSurgeryMost surgeonsSacral orthosisSurgeonsOrthosesOne-way analysisDemographic information
2020
High, 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 group
2013
Obese Class III patients at significantly greater risk of multiple complications after lumbar surgery: an analysis of 10,387 patients in the ACS NSQIP database
Buerba RA, Fu MC, Gruskay JA, Long WD, Grauer JN. Obese Class III patients at significantly greater risk of multiple complications after lumbar surgery: an analysis of 10,387 patients in the ACS NSQIP database. The Spine Journal 2013, 14: 2008-2018. PMID: 24316118, DOI: 10.1016/j.spinee.2013.11.047.Peer-Reviewed Original ResearchConceptsBody mass indexTLIF/PLIFACS-NSQIP databaseObese IIObese IAnterior fusionComplication rateLumbar surgeryIII patientsMore complicationsPosterior fusionObese IIIPulmonary complicationsNSQIP databaseMultiple complicationsOperating roomSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseObese class III patientsQuality Improvement Program databaseHigher body mass indexPosterior lumbar interbody fusionObese I groupPreoperative risk factorsImprovement Program databaseObese Class III Patients at Significantly Greater Risk of Multiple Complications After Lumbar Surgery: An Analysis of 10,387 Patients in the ACS-NSQIP Database
Buerba R, Fu M, Gruskay J, Grauer J. Obese Class III Patients at Significantly Greater Risk of Multiple Complications After Lumbar Surgery: An Analysis of 10,387 Patients in the ACS-NSQIP Database. The Spine Journal 2013, 13: s79-s80. DOI: 10.1016/j.spinee.2013.07.220.Peer-Reviewed Original Research
2003
Postoperative wound infections of the spine.
Beiner JM, Grauer J, Kwon BK, Vaccaro AR. Postoperative wound infections of the spine. Neurosurgical FOCUS 2003, 15: e14. PMID: 15347232, DOI: 10.3171/foc.2003.15.3.14.BooksMeSH KeywordsAnti-Bacterial AgentsAntibiotic ProphylaxisBlood SedimentationBone TransplantationCombined Modality TherapyComorbidityC-Reactive ProteinDebridementDiagnostic ImagingDisease SusceptibilityDiskectomyDrug Therapy, CombinationEquipment ContaminationHumansInternal FixatorsMalnutritionNutritional SupportReoperationRisk FactorsSpineSurgical Wound InfectionTherapeutic IrrigationConceptsRate of infectionLumbar surgeryWound infectionNutritional statusPostoperative spinal wound infectionsAntibiotic prophylactic therapySpinal wound infectionsPostoperative wound infectionUncomplicated postoperative courseErythrocyte sedimentation rateC-reactive proteinPossibility of infectionMajority of casesSubfascial layerProphylactic therapyAggressive treatmentPostoperative coursePatient factorsWound swellingClinical symptomsSuperficial infectionRisk factorsBone graftInfectionComplete eradication