2018
Missing data treatments matter: an analysis of multiple imputation for anterior cervical discectomy and fusion procedures
Ondeck NT, Fu MC, Skrip LA, McLynn RP, Cui JJ, Basques BA, Albert TJ, Grauer JN. Missing data treatments matter: an analysis of multiple imputation for anterior cervical discectomy and fusion procedures. The Spine Journal 2018, 18: 2009-2017. PMID: 29649614, DOI: 10.1016/j.spinee.2018.04.001.Peer-Reviewed Original ResearchConceptsSevere adverse eventsNational Surgical Quality Improvement ProgramAnterior cervical discectomyAdverse eventsPreoperative anemiaPreoperative hypoalbuminemiaPreoperative albuminCervical discectomyHospital readmissionAdverse outcomesComplete case analysisSurgical Quality Improvement ProgramAdverse outcome variablesOne-level ACDFPreoperative laboratory valuesBody mass indexFusion proceduresMultiple imputationLogistic regression analysisQuality Improvement ProgramPreoperative hematocritPostoperative outcomesRetrospective reviewMass indexLaboratory values
2016
Incidence and Risk Factors for Pneumonia After Posterior Lumbar Fusion Procedures
Bohl DD, Mayo BC, Massel DH, Iantorno SE, Ahn J, Basques BA, Grauer JN, Singh K. Incidence and Risk Factors for Pneumonia After Posterior Lumbar Fusion Procedures. Spine 2016, 41: 1058-1063. PMID: 26679873, DOI: 10.1097/brs.0000000000001389.Peer-Reviewed Original ResearchConceptsDependent diabetes mellitusPosterior lumbar fusionChronic obstructive pulmonary diseaseIndependent risk factorDevelopment of pneumoniaObstructive pulmonary diseaseRisk factorsPostoperative pneumoniaPulmonary diseaseSteroid useAmerican CollegeSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseSurgeons National Surgical Quality Improvement ProgramNational Surgical Quality Improvement ProgramQuality Improvement Program databaseSurgical Quality Improvement ProgramPosterior lumbar fusion proceduresRate of sepsisImprovement Program databaseIncidence of pneumoniaDevelopment of sepsisDiagnosis of pneumoniaLumbar fusion proceduresFusion procedures
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 ProgramUrinary Tract Infection Following Posterior Lumbar Fusion Procedures
Bohl DD, Ahn J, Tabaraee E, Ahn J, Jain A, Grauer JN, Singh K. Urinary Tract Infection Following Posterior Lumbar Fusion Procedures. Spine 2015, 40: 1785-1791. PMID: 26020850, DOI: 10.1097/brs.0000000000001003.Peer-Reviewed Original ResearchConceptsPosterior lumbar fusion proceduresUrinary tract infectionLumbar fusion proceduresGreater riskSystemic sepsisTract infectionsRisk factorsFusion proceduresSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseQuality Improvement Program databaseDependent functional statusImprovement Program databaseIndependent risk factorImportant clinical consequencesSpinal fusion proceduresHealth care systemDiabetic statusOperative durationRetrospective reviewFemale sexFunctional statusOperative characteristicsProgram databaseInclusion criteriaTiming 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
2013
Recovery Room Radiographs Not Found to Have Incremental Utility Above Intraoperative Images After Lumbar Fusion Procedures
Bohl DD, Gruskay JA, Miller CP, Varthi A, Ruiz FK, Whang PG, Grauer JN. Recovery Room Radiographs Not Found to Have Incremental Utility Above Intraoperative Images After Lumbar Fusion Procedures. Spine 2013, 38: 1927-1933. PMID: 23883831, DOI: 10.1097/brs.0b013e3182a527be.Peer-Reviewed Original ResearchConceptsLumbar fusion proceduresLumbar interbody fusionClinical utilityRecovery roomInterbody fusionFusion proceduresSurgical constructTransforaminal lumbar interbody fusionAnterior lumbar interbody fusionAnterior-posterior fusionRetrospective case seriesPosterolateral lumbar fusionLow clinical utilityPlain film imagesRecovery room radiographsIntraoperative imagesIncremental clinical utilityCase seriesConsecutive seriesLumbar fusionBACKGROUND DATAIntraoperative fluoroscopic imagesWound closureRadiation exposureIncremental utility
2012
Postanesthesia 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
2009
Current 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 study