2020
Underweight patients are an often under looked “At risk” population after undergoing posterior cervical spine surgery
Ottesen TD, Bagi PS, Malpani R, Galivanche AR, Varthi AG, Grauer JN. Underweight patients are an often under looked “At risk” population after undergoing posterior cervical spine surgery. North American Spine Society Journal (NASSJ) 2020, 5: 100041. PMID: 35141608, PMCID: PMC8820029, DOI: 10.1016/j.xnsj.2020.100041.Peer-Reviewed Original ResearchBody mass indexPosterior cervical spine surgeryCervical spine surgeryAdverse eventsBMI categoriesBMI spectrumSpine surgeryNational Surgical Quality Improvement Program databaseRisk-adjusted multivariate regressionsQuality Improvement Program databaseHigher body mass indexLower body mass indexOutcomes of patientsImprovement Program databaseNormal-weight subjectsCategory of patientsSpine surgery outcomesUnderweight patientsPatient demographicsBMI groupsMass indexAdverse outcomesSurgery outcomesProgram databaseInclusion criteriaUnderweight patients are at just as much risk as super morbidly obese patients when undergoing anterior cervical spine surgery
Ottesen TD, Malpani R, Galivanche AR, Zogg CK, Varthi AG, Grauer JN. Underweight patients are at just as much risk as super morbidly obese patients when undergoing anterior cervical spine surgery. The Spine Journal 2020, 20: 1085-1095. PMID: 32194246, PMCID: PMC7380546, DOI: 10.1016/j.spinee.2020.03.007.Peer-Reviewed Original ResearchConceptsAnterior cervical spine surgeryBody mass indexCervical spine surgeryNational Surgical Quality Improvement Program databaseSuper morbidly obese patientsQuality Improvement Program databaseWorld Health Organization categoriesMorbidly obese patientsImprovement Program databaseObese patientsAdverse eventsAdverse outcomesSpine surgeryUnderweight patientsPostoperative infectionProgram databaseSurgeons National Surgical Quality Improvement Program databaseMultivariate analysisAnterior cervical spine proceduresOverweight/obese categoriesThirty-day adverse eventsHigher body mass indexLower body mass indexAdverse outcome categoriesNormal BMI patients
2015
Risk Factors for Thromboembolic Events After Surgery for Ankle Fractures.
Basques BA, Miller CP, Golinvaux NS, Bohl DD, Grauer JN. Risk Factors for Thromboembolic Events After Surgery for Ankle Fractures. The American Journal Of Orthopedics 2015, 44: e220-4. PMID: 26161767.Peer-Reviewed Original ResearchConceptsVenous thromboembolic eventsBody mass indexDependent functional statusAnkle fracturesThromboembolic eventsFunctional statusHeart diseaseRisk factorsSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseOccurrence of VTEsQuality Improvement Program databaseRetrospective national cohort studyHigher body mass indexAnkle fracture ORIFImprovement Program databaseIndependent risk factorAnkle fracture patientsDeep vein thrombosisNational cohort studyVTE prophylaxisFracture patientsPostoperative dayPulmonary embolismVein thrombosis
2014
Comparison of the lumbar disc herniation patients randomized in SPORT to 6,846 discectomy patients from NSQIP: demographics, perioperative variables, and complications correlate well
Golinvaux NS, Bohl DD, Basques BA, Yacob A, Grauer JN. Comparison of the lumbar disc herniation patients randomized in SPORT to 6,846 discectomy patients from NSQIP: demographics, perioperative variables, and complications correlate well. The Spine Journal 2014, 15: 685-691. PMID: 25499208, DOI: 10.1016/j.spinee.2014.12.008.Peer-Reviewed Original ResearchConceptsSpine Patient Outcomes Research TrialElective lumbar discectomyDiscectomy patientsPerioperative factorsLumbar discectomyClinical trialsNational Surgical Quality Improvement Program databaseSuperficial wound infection rateQuality Improvement Program databaseLumbar disc herniation patientsHigher body mass indexTotal wound complicationsRetrospective cohort studyDeep wound infectionImprovement Program databaseStatistical differenceWound infection rateAverage operative timeDisc herniation patientsBody mass indexNational patient sampleNinth Revision codesRandomized clinical trialsLength of stayResearch trials
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 databaseAnterior and posterior cervical fusion in patients with high body mass index are not associated with greater complications
Buerba RA, Fu MC, Grauer JN. Anterior and posterior cervical fusion in patients with high body mass index are not associated with greater complications. The Spine Journal 2013, 14: 1643-1653. PMID: 24388595, DOI: 10.1016/j.spinee.2013.09.054.Peer-Reviewed Original ResearchConceptsBody mass indexPosterior cervical fusionHigher body mass indexEffect of obesityCervical fusionDeep vein thrombosisComplication rateMass indexPosterior fusionUnivariate analysisBasis of BMIExact testSurgeons National Surgical Quality Improvement ProgramMultivariate analysisNational Surgical Quality Improvement ProgramObese class III patientsSurgical Quality Improvement ProgramTotal operating room timeACS-NSQIP databaseCurrent Procedural Terminology codesRetrospective cohort analysisCervical fusion surgeryPrimary outcome measureSpinal fusion outcomesLength of stayAnterior and Posterior Cervical Fusion in Patients with High Body Mass Index Appear Safe Overall: An Analysis of 4,071 Patients in the ACS-NSQIP Database
Buerba R, Fu M, Gruskay J, Grauer J. Anterior and Posterior Cervical Fusion in Patients with High Body Mass Index Appear Safe Overall: An Analysis of 4,071 Patients in the ACS-NSQIP Database. The Spine Journal 2013, 13: s150. DOI: 10.1016/j.spinee.2013.07.382.Peer-Reviewed Original Research
2012
Effect of age on partial weight-bearing training.
Hustedt JW, Blizzard DJ, Baumgaertner MR, Leslie MP, Grauer JN. Effect of age on partial weight-bearing training. Orthopedics 2012, 35: e1061-7. PMID: 22784901, DOI: 10.3928/01477447-20120621-23.Peer-Reviewed Original ResearchConceptsPartial weight-bearing instructionsWeight-bearing instructionsWeight-bearing trainingWeight bearingOrthopedic patientsEffect of ageBathroom scaleHigher body mass indexBody mass indexBiofeedback devicePostoperative extremityWorse complianceMale sexMass indexAdvanced ageAsymptomatic participantsMixed model analysisAge groupsPatientsVerbal instructionsHeavy weight bearingBiofeedback trainingSignificant predictorsSuperior complianceAge