2021
Postoperative 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
2018
Adverse Events Following Posterior Lumbar Fusion: A Comparison of Spine Surgeons Perceptions and Reported Data for Rates and Risk Factors.
Ondeck NT, Bohl DD, Bovonratwet P, McLynn RP, Cui JJ, Samuel AM, Webb ML, Grauer JN. Adverse Events Following Posterior Lumbar Fusion: A Comparison of Spine Surgeons Perceptions and Reported Data for Rates and Risk Factors. The International Journal Of Spine Surgery 2018, 12: 603-610. PMID: 30364864, PMCID: PMC6198632, DOI: 10.14444/5074.Peer-Reviewed Original ResearchPosterior lumbar fusionPatient risk factorsAdverse eventsRisk factorsPatient factorsLumbar fusionDegenerative conditionsElective posterior lumbar fusionSpine surgeons’ perceptionPostoperative adverse eventsAdverse event ratesUrinary tract infectionDeep vein thrombosisInsulin-dependent diabetesPostoperative complicationsCurrent smokingTract infectionsVein thrombosisDependent diabetesNSQIP dataExpectation settingInclusion criteriaAmerican CollegeSpine surgeonsEvent rates
2017
Access of Patients With Lumbar Disc Herniations to Spine Surgeons
Anandasivam NS, Wiznia DH, Kim CY, Save AV, Grauer JN, Pelker RR. Access of Patients With Lumbar Disc Herniations to Spine Surgeons. Spine 2017, 42: 1179-1183. PMID: 27902558, DOI: 10.1097/brs.0000000000002005.Peer-Reviewed Original ResearchConceptsLumbar disc herniationMedicaid insuranceSpine surgeonsAppointment success rateDisc herniationInsurance typePatient accessPrivate insuranceMedicaid expansionProspective cohort studyDifferent insurance typesSuccess rateAccess of patientsCohort studyAffordable Care ActBACKGROUND DATAPatientsSpine careLumbar discAcceptance of insuranceReferralMedicaid eligibilitySurgeonsMedicaidCare Act
2015
Timing 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 seriesRoutine 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
2011
Neurogenic and Myopathic Deformities of the Cervical Spine
Blizzard D, Hustedt J, Grauer J. Neurogenic and Myopathic Deformities of the Cervical Spine. Seminars In Spine Surgery 2011, 23: 206-209. DOI: 10.1053/j.semss.2011.04.001.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsSurgical interventionCervical spineCommon systemic conditionsSpectrum of etiologiesUnique management challengesReversible causesReversible symptomsNeurologic deficitsSymptomatic controlSymptomatic patientsSystemic treatmentKyphotic deformityClinical presentationProgressive conditionSystemic conditionsTreatment strategiesCommon causeEffective treatmentSpine surgeonsClinical scenariosDeformityPatientsEtiologySpineIntervention
2009
Differences between neurosurgeons and orthopedic surgeons in classifying cervical dislocation injuries and making assessment and treatment decisions: a multicenter reliability study.
Arnold PM, Brodke DS, Rampersaud YR, Harrop JS, Dailey AT, Shaffrey CI, Grauer JN, Dvorak MF, Bono CM, Wilsey JT, Lee JY, Nassr A, Vaccaro AR. Differences between neurosurgeons and orthopedic surgeons in classifying cervical dislocation injuries and making assessment and treatment decisions: a multicenter reliability study. The American Journal Of Orthopedics 2009, 38: e156-61. PMID: 20011745.Peer-Reviewed Original ResearchConceptsSpinal cord injuryMagnetic resonance imagingPretreatment magnetic resonance imagingCervical dislocation injuriesDislocation injuriesSpine surgeonsIncomplete spinal cord injuryComplete spinal cord injuryCervical spinal injuryBilateral facet dislocationImmediate closed reductionMulticenter reliability studyIntact patientsCervical injuryClosed reductionFacet dislocationCord injurySpinal injuryTreatment decisionsCervical dislocationTherapeutic implicationsClinical scenariosOrthopaedic surgeonsInjuryResonance imagingThe Timing and Influence of MRI on the Management of Patients With Cervical Facet Dislocations Remains Highly Variable
Grauer JN, Vaccaro AR, Lee JY, Nassr A, Dvorak MF, Harrop JS, Dailey AT, Shaffrey CI, Arnold PM, Brodke DS, Rampersaud R. The Timing and Influence of MRI on the Management of Patients With Cervical Facet Dislocations Remains Highly Variable. Clinical Spine Surgery A Spine Publication 2009, 22: 96-99. PMID: 19342930, DOI: 10.1097/bsd.0b013e31816a9ebd.Peer-Reviewed Original ResearchMeSH KeywordsCervical VertebraeClinical ProtocolsData CollectionDecision Support TechniquesJoint DislocationsJointsMagnetic Resonance ImagingNeurosurgeryObserver VariationOrthopedicsPractice Patterns, Physicians'Professional PracticeSpinal FracturesSpinal FusionSpinal InjuriesSurveys and QuestionnairesTime FactorsTomography, X-Ray ComputedTractionConceptsTraumatic cervical facet dislocationCervical facet dislocationMagnetic resonance imagingComplete spinal cord injuryInfluence of MRIManagement of patientsFacet dislocationSpinal cord injuryOpen reductionCord injuryOrthopaedic surgeonsUtilization of MRIEvidence-based algorithmDifferent clinical scenariosDevastating injuriesNeurologic examinationDisc herniationLigamentous disruptionPlain radiographsClosed treatmentTomography scanPatient managementTreatment decisionsOpen treatmentSpine surgeonsSurvey of spine surgeons on attitudes regarding osteoporosis and osteomalacia screening and treatment for fractures, fusion surgery, and pseudoarthrosis
Dipaola CP, Bible JE, Biswas D, Dipaola M, Grauer JN, Rechtine GR. Survey of spine surgeons on attitudes regarding osteoporosis and osteomalacia screening and treatment for fractures, fusion surgery, and pseudoarthrosis. The Spine Journal 2009, 9: 537-544. PMID: 19328744, DOI: 10.1016/j.spinee.2009.02.005.Peer-Reviewed Original ResearchConceptsDual-energy X-ray absorptiometrySpine fracturesSpine surgeonsMetabolic laboratoriesRisk factorsPractice patternsInstrumentation failureSpinal arthrodesisIndependent risk factorSignificant risk factorsLow-energy fracturesSpinal fusion operationsMetabolic bone disordersDegenerative spine conditionsX-ray absorptiometryPreoperative treatmentElderly patientsFracture careInstrumented fusionTreatment patternsOsteoporosis screeningFusion surgerySpine conditionsBone densitySpine specialistsCurrent Trends in Spinal Arthroplasty
Whang PG, Simpson AK, Rechtine G, Grauer JN. Current Trends in Spinal Arthroplasty. Clinical Spine Surgery A Spine Publication 2009, 22: 26-33. PMID: 19190431, DOI: 10.1097/bsd.0b013e3181659804.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsConceptsLumbar total disc arthroplastyTotal disc arthroplastyCervical total disc arthroplastySpine surgeonsNeurosurgical spine surgeonsAlternative surgical treatmentLong-term outcomesPercentage of surgeonsDegenerative spinal conditionsSpinal fusion proceduresOpinions of surgeonsSurgical treatmentDisc arthroplastyBACKGROUND DATASpinal conditionsDegenerative conditionsSurgeonsContemporary updateSpinal arthroplastyFusion proceduresArthroplastyDeleterious effectsSpineTreatmentSurvey studyUtility of Helical Computed Tomography in Differentiating Unilateral and Bilateral Facet Dislocations
Dailey AT, Shaffrey CI, Rampersaud R, Lee J, Brodke DS, Arnold P, Nassr A, Harrop JS, Grauer J, Bono CM, Dvorak M, Vaccaro A. Utility of Helical Computed Tomography in Differentiating Unilateral and Bilateral Facet Dislocations. Journal Of Spinal Cord Medicine 2009, 32: 43-48. PMID: 19264048, PMCID: PMC2647499, DOI: 10.1080/10790268.2009.11760751.Peer-Reviewed Original ResearchConceptsCervical facet dislocationBilateral facet dislocationHelical computed tomographyFacet dislocationComputed tomographyRadiographic studiesUnilateral cervical facet dislocationUnilateral facet dislocationSpinal cord injuryVertebral body translationDifferent clinical scenariosTranslational injuriesNeurologic injuryNeurologic statusPlain radiographsCord injuryUnilateral dislocationClinical historySurgeon's interpretationUnilateral fracturesIntraoperative observationsIntraoperative diagnosisAxial CT slicesSagittal reconstructionsSpine surgeons
2008
Postoperative bracing after spine surgery for degenerative conditions: a questionnaire study
Bible JE, Biswas D, Whang PG, Simpson AK, Rechtine GR, Grauer JN. Postoperative bracing after spine surgery for degenerative conditions: a questionnaire study. The Spine Journal 2008, 9: 309-316. PMID: 18790685, DOI: 10.1016/j.spinee.2008.06.453.Peer-Reviewed Original ResearchConceptsSpine surgeonsPostoperative bracingSpinal proceduresSpecific spinal proceduresVariety of orthosesCervical spine proceduresAnterior cervical spineInstrumented lumbar fusionSingle-page questionnaireDuration of treatmentType of orthosisSpecific surgical proceduresQuestionnaire studyInternal fixationLumbar fusionCervical spineSpine surgeryClinical studiesSpine proceduresBracing protocolSurgical proceduresLumbar spineCommon reasonProper indicationsClinical experienceSterility of C-arm Fluoroscopy During Spinal Surgery
Biswas D, Bible JE, Whang PG, Simpson AK, Grauer JN. Sterility of C-arm Fluoroscopy During Spinal Surgery. Spine 2008, 33: 1913-1917. PMID: 18622356, DOI: 10.1097/brs.0b013e31817bb130.Peer-Reviewed Original ResearchConceptsPostoperative infectionSurgical casesC-armSwab samplesNegative controlSterile culture swabC-arm fluoroscopyPlacement of instrumentationProspective studyPostoperative contaminationSpinal surgerySpine surgeryIntraoperative contaminationIntraoperative fluoroscopySpinal alignmentBACKGROUND DATAFluoroscopic C-armSpinal operationsSpine surgeonsCulture swabs
2007
Questionnaire Study of Neuromonitoring Availability and Usage for Spine Surgery
Magit DP, Hilibrand AS, Kirk J, Rechtine G, Albert TJ, Vaccaro AR, Simpson AK, Grauer JN. Questionnaire Study of Neuromonitoring Availability and Usage for Spine Surgery. Clinical Spine Surgery A Spine Publication 2007, 20: 282-289. PMID: 17538352, DOI: 10.1097/01.bsd.0000211286.98895.ea.Peer-Reviewed Original ResearchConceptsNeuromonitoring modalitiesSpine surgeonsThoracolumbar casesSpine surgerySurgeon preferenceIatrogenic neurologic injuryMotor-evoked potentialsPosterior cervical surgeryFellowship-trained surgeonsQuestionnaire studyOrthopedic spine surgeonsNeurosurgeon's preferenceCervical surgeryNeurologic statusNeurologic injuryCervical casesSurgeon satisfactionBACKGROUND DATASpinal proceduresSurgical proceduresSpecific indicationsSpine meetingsPreferred modalityDemographic dataNeuromonitoringTHE USE OF RIGID INTERNAL FIXATION IN THE SURGICAL MANAGEMENT OF CERVICAL SPONDYLOSIS
Kwon BK, Vaccaro AR, Grauer JN, Beiner JM. THE USE OF RIGID INTERNAL FIXATION IN THE SURGICAL MANAGEMENT OF CERVICAL SPONDYLOSIS. Neurosurgery 2007, 60: s1-118. PMID: 17204872, DOI: 10.1227/01.neu.0000249222.57709.59.Peer-Reviewed Original ResearchConceptsRigid internal fixationCervical spineInternal fixationLateral mass screwsCervical spondylosisSurgical managementPedicle screwsAnterior cervical plating systemsAnterior cervical reconstructionRegional anatomyPosterior cervical spineSubaxial cervical spineAdditional posterior fixationInternal fixation techniquesCervical reconstructionAnterior fixationInternal fixation systemPosterior fixationPosterior columnMultilevel fusionSpine surgeonsImmediate stabilityRigid fixationDegenerative disordersFixation techniques
2006
Metastatic disease of the spine.
White AP, Kwon BK, Lindskog DM, Friedlaender GE, Grauer JN. Metastatic disease of the spine. Journal Of The American Academy Of Orthopaedic Surgeons 2006, 14: 587-98. PMID: 17030592, DOI: 10.5435/00124635-200610000-00001.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsConceptsTomography-guided biopsyIndividual patient factorsMetastatic spine diseaseLimitation of motionNew cancer diagnosesMagnetic resonance imagingAxial painCord compressionSurgical decompressionLocal tendernessMetastatic diseaseAnterior approachBone scanPatient factorsNeurologic compromiseNerve rootsPlain radiographsFrequent presentationPainful lesionsSpinal lesionsSpine diseaseRadionuclide studiesSpinal instabilitySpinal examinationSpine surgeons
2004
Similarities and Differences in the Treatment of Spine Trauma Between Surgical Specialties and Location of Practice
Grauer JN, Vaccaro AR, Beiner JM, Kwon BK, Hilibrand AS, Harrop JS, Anderson G, Hurlbert J, Fehlings MG, Ludwig SC, Hedlund R, Arnold PM, Bono CM, Brodke DS, Dvorak MF, Fischer CG, Sledge JB, Shaffrey CI, Schwartz DG, Sears WR, Dickman C, Sharan A, Albert TJ, Rechtine GR. Similarities and Differences in the Treatment of Spine Trauma Between Surgical Specialties and Location of Practice. Spine 2004, 29: 685-696. PMID: 15014280, DOI: 10.1097/01.brs.0000115137.11276.0e.Peer-Reviewed Original ResearchConceptsSpinal traumaNeurosurgical spine surgeonsTiming of surgerySole graft materialExperienced spinal surgeonsLocation of practiceSpine traumaAnterior approachLumbar injuriesSuch injuriesBACKGROUND DATASpinal surgeonsSpine surgeonsClinical scenariosClinical decisionLevel of agreementGraft materialSurgeonsSurgical specialtiesTraumaCharacteristics of respondentsSurgeryInjurySPSS softwareOrthopedists
2003
Indications, techniques, and outcomes of posterior surgery for chronic low back pain
Kwon B, Vaccaro AR, Grauer JN, Beiner J. Indications, techniques, and outcomes of posterior surgery for chronic low back pain. Orthopedic Clinics Of North America 2003, 34: 297-308. PMID: 12914269, DOI: 10.1016/s0030-5898(03)00014-2.ChaptersConceptsChronic low back painLow back painBack painPosterior lumbar spine surgeryLow back pain sufferersRole of surgeryLumbar spine surgerySatisfactory clinical outcomesBack pain sufferersDegenerative disc diseaseHigh fusion rateInterbody fusion proceduresNonoperative therapyPosterior surgeryClinical outcomesSurgical interventionLumbar fusionDisc diseaseSpine surgeryDiagnostic modalitiesPain sufferersSpinal fusionArthrodesis techniquePainSpine surgeons