2024
Utilization and timing of surgical intervention for central cord syndrome in the United States
Dhodapkar M, Halperin S, Seddio A, Dahodwala T, Rubio D, Grauer J. Utilization and timing of surgical intervention for central cord syndrome in the United States. European Spine Journal 2024, 33: 3645-3651. PMID: 39103615, DOI: 10.1007/s00586-024-08431-2.Peer-Reviewed Original ResearchCentral cord syndromeSurgical interventionAbsence of bony injuryOperative interventionCord syndromeBony injuriesPredictors of operative managementAbsence of vertebral fracturesTiming of surgical interventionTiming of operative interventionCohort of patientsProportion of patientsDays of diagnosisHigher comorbidity burdenVertebral fracturesSpinal cord injuryMethodsAdult patientsNon-operativelyNonsurgical interventionsMultivariate analysisStudy assessed utilizationComorbidity burdenIncomplete spinal cord injuryPatientsInclusion criteriaGeriatric Vertebral Compression Fracture: A Database Study Characterizing Use and Trends for Prescribed Thoracic/Lumbar Orthoses.
Halperin S, Dhodapkar M, Moran J, Jeong S, Grauer J, Varthi A. Geriatric Vertebral Compression Fracture: A Database Study Characterizing Use and Trends for Prescribed Thoracic/Lumbar Orthoses. Global Spine Journal 2024, 21925682241238672. PMID: 38546972, DOI: 10.1177/21925682241238672.Peer-Reviewed Original ResearchCompression fracturesFractures associated with osteoporosisVertebral compression fracturesMultivariate logistic regressionIndicator of infectionPearlDiver databaseIndependent predictorsTreatment algorithmInclusion criteriaFemale sexLogistic regressionT5-L5Geographic regionsFracture managementFracture levelNational databasePatientsExclusion criteriaYounger ageBraceNon-clinicalCharacterized useOrthosesDatabaseFracture
2023
Previous Isolated Medial Bucket-Handle Meniscus Repair Significantly Increases Risk of Subsequent Ipsilateral Anterior Cruciate Ligament Reconstruction
McLaughlin W, Gillinov S, Joo P, Moran J, Jimenez A, Grauer J, Gardner E. Previous Isolated Medial Bucket-Handle Meniscus Repair Significantly Increases Risk of Subsequent Ipsilateral Anterior Cruciate Ligament Reconstruction. Arthroscopy Sports Medicine And Rehabilitation 2023, 5: e671-e678. PMID: 37388885, PMCID: PMC10300536, DOI: 10.1016/j.asmr.2023.03.008.Peer-Reviewed Original ResearchAnterior cruciate ligament reconstructionBucket-handle meniscus tearsSubsequent anterior cruciate ligament reconstructionCruciate ligament reconstructionBucket-handle meniscus repairControl groupLigament reconstructionMeniscal injuryMeniscus surgeryGreater oddsMeniscus repairRetrospective cohort studyAge-matched patientsKaplan-Meier analysisCohort studyPrior surgeryRetrospective reviewInclusion criteriaMeniscus tearsHigh riskGeneral populationMeniscal tearsOperative methodPatientsLevel IIIComparison of Differences in Surgical Complications Between Fellowship-Trained Orthopedic Foot and Ankle Surgeons and All Other Orthopedic Surgeons Using the ABOS Database.
Ottesen T, Pathak N, Mercier M, Kirwin D, Lukasiewicz A, Grauer J, Rubin L. Comparison of Differences in Surgical Complications Between Fellowship-Trained Orthopedic Foot and Ankle Surgeons and All Other Orthopedic Surgeons Using the ABOS Database. Orthopedics 2023, 46: e237-e243. PMID: 36719412, DOI: 10.3928/01477447-20230125-05.Peer-Reviewed Original ResearchConceptsSurgical complicationsOrthopaedic surgeonsFellowship trainingBinary multivariate logistic regressionFellowship-trained orthopedic footFellowship-trained orthopaedic surgeonsAnkle fracture repairSpecific patient comorbiditiesSurgeon-reported complicationsTrauma fellowship trainingMultivariate logistic regressionFellowship-trained surgeonsOrthopaedic Surgery databaseComplexity of casesAmerican BoardOrthopaedic FootAdverse eventsPatient comorbiditiesComorbidity dataABOS databaseAnkle surgeryPatient complicationsSurgery DatabaseSurgical complexityInclusion criteria
2022
Postoperative spine surgical site infections: high rate of failure of one-stage irrigation and debridement
Dhodapkar M, Galivanche A, Halperin S, Elaydi A, Rubio D, Grauer J. Postoperative spine surgical site infections: high rate of failure of one-stage irrigation and debridement. The Spine Journal 2022, 23: 484-491. PMID: 36549456, DOI: 10.1016/j.spinee.2022.12.005.Peer-Reviewed Original ResearchConceptsSurgical site infectionElective spine surgerySpine surgeryInitial managementRate of SSIInfection characteristicsSpine surgical site infectionPostoperative surgical site infectionRetrospective case-control studyPresence of bacteremiaRisk stratification toolCase-control studySingle academic institutionTimes greater oddsDevastating complicationSite infectionMultivariable analysisStratification toolSurgical managementSurgical variablesIndex procedureSurgical interventionRisk factorsInclusion criteriaLarge cohortPatient Demographic and Socioeconomic Factors Associated With Physical Therapy Utilization After Uncomplicated Meniscectomy
Mercier MR, Galivanche AR, Wiggins AJ, Kahan JB, McLaughlin W, Radford ZJ, Grauer JN, Gardner EC. Patient Demographic and Socioeconomic Factors Associated With Physical Therapy Utilization After Uncomplicated Meniscectomy. JAAOS Global Research And Reviews 2022, 6: e22.00135. PMID: 35816646, PMCID: PMC9276169, DOI: 10.5435/jaaosglobal-d-22-00135.Peer-Reviewed Original ResearchConceptsMore PT visitsPT visitsPhysical therapyUse of PTPhysical therapy utilizationPatient demographicsPatient agePearlDiver databaseMale sexTherapy utilizationInsurance statusInsurance typeInclusion criteriaLower oddsPatientsMeniscectomyOlder ageLogistic regressionVisitsSocioeconomic factorsDemographic factorsAgeSexPT useTherapy
2021
Temporal Utilization of Physical Therapy Visits After Anterior Cruciate Ligament Reconstruction
Burroughs PJ, Kahan JB, Moore HG, Grauer JN, Gardner EC. Temporal Utilization of Physical Therapy Visits After Anterior Cruciate Ligament Reconstruction. Orthopaedic Journal Of Sports Medicine 2021, 9: 2325967120982293. PMID: 33681401, PMCID: PMC7900793, DOI: 10.1177/2325967120982293.Peer-Reviewed Original ResearchAnterior cruciate ligament reconstructionPT visitsCruciate ligament reconstructionPostoperative periodLigament reconstructionPhysical therapy visitsEarly postoperative periodInterquartile rangeDescriptive epidemiological studySport-specific exercisesPhysical therapy rehabilitationTherapy visitsPatient agePearlDiver databaseFemale patientsStudy cohortKnee functionMean ageNational cohortPatient recoveryInclusion criteriaStage rehabilitationTherapy rehabilitationEpidemiological studiesPatients
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 criteriaOrthopaedic Injuries Associated With Cell Phone Use Resulting in Emergency Department Visits: A 20-Year Analysis
Moore HG, Halperin SJ, Berson ER, Burroughs PJ, Paskhover B, Grauer JN. Orthopaedic Injuries Associated With Cell Phone Use Resulting in Emergency Department Visits: A 20-Year Analysis. Journal Of The American Academy Of Orthopaedic Surgeons 2020, 29: 571-579. PMID: 32947349, DOI: 10.5435/jaaos-d-20-00639.Peer-Reviewed Original ResearchConceptsOrthopedic injuriesED visitsAge groupsElectronic Injury Surveillance SystemSprains/strainsInjury Surveillance SystemStandard deviation ageProportion of injuriesEmergency Department DatabasesType of injuryPublic health educationDeviation ageEmergency departmentInjury typeDepartment databaseSuch injuriesInclusion criteriaAnatomic locationHealth educationInjuryCell phone useMarked increaseCommon typeBody partsPhone useMetric Selection, Metric Targets, and Risk Adjustment Should be Considered in the Design of Gainsharing Models for Bundled Payment Programs in Total Joint Arthroplasty
Keswani AH, Snyder DJ, Ahn A, Austin DC, Jayakumar P, Grauer JN, Poeran J, Bozic KJ, Moschetti WE, Jevsevar DS, Galatz LM, Bronson MJ, Chen DD, Moucha CS. Metric Selection, Metric Targets, and Risk Adjustment Should be Considered in the Design of Gainsharing Models for Bundled Payment Programs in Total Joint Arthroplasty. The Journal Of Arthroplasty 2020, 36: 801-809. PMID: 33199096, DOI: 10.1016/j.arth.2020.10.007.Peer-Reviewed Original ResearchConceptsPatient-reported outcomesTotal joint arthroplastyRisk adjustmentJoint arthroplastyLength of stayUrban health systemSurgeon performanceBundled payment programsBundled payment modelReadmission ratesPRO collectionInclusion criteriaPatientsLevel IIIHealth systemArthroplastyPayment modelsAcceptable targetsPayment programsImportant mechanismAdjustmentTarget
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 ratesIncreased complications in geriatric patients with a fracture of the hip whose postoperative weight-bearing is restricted: an analysis of 4918 patients.
Ottesen TD, McLynn RP, Galivanche AR, Bagi PS, Zogg CK, Rubin LE, Grauer JN. Increased complications in geriatric patients with a fracture of the hip whose postoperative weight-bearing is restricted: an analysis of 4918 patients. The Bone & Joint Journal 2018, 100-B: 1377-1384. PMID: 30295535, DOI: 10.1302/0301-620x.100b10.bjj-2018-0489.r1.Peer-Reviewed Original ResearchConceptsWeight-bearing restrictionsLength of stayAdverse eventsPostoperative weight-bearing restrictionsMajor adverse eventsEvidence-based guidelinesBone Joint JOperating theatreMultivariate regression analysisMultivariate oddsFrail patientsThromboembolic eventsElderly patientsHip fractureGeriatric patientsProcedural characteristicsInclusion criteriaPatientsGreater riskProcedural factorsHipReadmissionDeliriumTransfusionSurgery
2017
Incidence of and Risk Factors for Inpatient Stroke After Hip Fractures in the Elderly.
Samuel AM, Diaz-Collado PJ, Szolomayer LK, Nelson SJ, Webb ML, Lukasiewicz AM, Grauer JN. Incidence of and Risk Factors for Inpatient Stroke After Hip Fractures in the Elderly. Orthopedics 2017, 41: e27-e32. PMID: 29136256, DOI: 10.3928/01477447-20171106-04.Peer-Reviewed Original ResearchConceptsInpatient strokeSerious adverse eventsHip fractureAdverse eventsRisk factorsNational Trauma Data BankIsolated hip fractureHigh-risk patientsAssociation of strokeSystolic blood pressureCoronary artery diseaseTrauma Data BankRisk of mortalityIdentifies risk factorsInpatient complicationsPrior strokeInpatient outcomesElderly patientsArtery diseaseBlood pressureRetrospective reviewInclusion criteriaPatientsMultivariate analysisVigilant care
2016
Do we really know our patient population in database research? A comparison of the femoral shaft fracture patient populations in three commonly used national databases.
Samuel AM, Lukasiewicz AM, Webb ML, Bohl DD, Basques BA, Varthi AG, Leslie MP, Grauer JN. Do we really know our patient population in database research? A comparison of the femoral shaft fracture patient populations in three commonly used national databases. The Bone & Joint Journal 2016, 98-B: 425-32. PMID: 26920971, DOI: 10.1302/0301-620x.98b3.36285.Peer-Reviewed Original ResearchConceptsNational Surgical Quality Improvement ProgramCharleston Comorbidity IndexNational Trauma Data BankNationwide Inpatient SampleOrthopaedic trauma researchPatient populationNational databaseLarge national clinical databaseSurgical Quality Improvement ProgramOrthopaedic trauma populationPopulation of patientsFemoral shaft fracturesNational Clinical DatabaseTrauma Data BankQuality Improvement ProgramTrauma researchMore comorbiditiesComorbidity indexShaft fracturesTrauma populationDistribution of ageInpatient SampleInclusion criteriaSD 1.9SD 2.3
2015
Urinary 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 criteriaGeneral versus spinal anaesthesia for patients aged 70 years and older with a fracture of the hip.
Basques BA, Bohl DD, Golinvaux NS, Samuel AM, Grauer JG. General versus spinal anaesthesia for patients aged 70 years and older with a fracture of the hip. The Bone & Joint Journal 2015, 97-B: 689-95. PMID: 25922465, DOI: 10.1302/0301-620x.97b5.35042.Peer-Reviewed Original ResearchConceptsLength of stayGeneral anesthesiaSpinal anesthesiaAdverse eventsSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databasePropensity-adjusted multivariate analysisQuality Improvement Program databaseShorter LOSMinor adverse eventsImprovement Program databaseUrinary tract infectionType of anesthesiaPost-operative timeThromboembolic eventsElderly patientsTract infectionsBlood transfusionProgram databaseInclusion criteriaAmerican CollegeAnesthesiaMultivariate analysisPatientsOperating room
2014
Effectiveness of Providence nighttime bracing in patients with adolescent idiopathic scoliosis.
Bohl DD, Telles CJ, Golinvaux NS, Basques BA, DeLuca PA, Grauer JN. Effectiveness of Providence nighttime bracing in patients with adolescent idiopathic scoliosis. Orthopedics 2014, 37: e1085-90. PMID: 25437083, DOI: 10.3928/01477447-20141124-56.Peer-Reviewed Original ResearchConceptsSRS criteriaProvidence braceFusion surgeryRate of progressionNatural history studiesAdolescent idiopathic scoliosisHigh rateOnly part timeSurgical fusionNatural courseBracing protocolInclusion criteriaIdiopathic scoliosisPatientsProgressionAdditional studiesSurgeryHistory studiesScoliosis bracesBraceLimited literatureSecond studySuch bracesPart timeRelative effectiveness“July Effect” in Elective Spine Surgery
Bohl DD, Fu MC, Gruskay JA, Basques BA, Golinvaux NS, Grauer JN. “July Effect” in Elective Spine Surgery. Spine 2014, 39: 603-611. PMID: 24384663, DOI: 10.1097/brs.0000000000000196.Peer-Reviewed Original ResearchConceptsSerious adverse eventsElective spine surgeryAdverse eventsJuly effectSpine surgeryResident involvementNational Surgical Quality Improvement Program databaseSurgeons National Surgical Quality Improvement Program databaseQuality Improvement Program databaseImprovement Program databaseMultivariate logistic regressionFirst academic quarterRetrospective cohortProgram databaseInclusion criteriaStudy populationBACKGROUND DATAAmerican CollegeLogistic regressionPatient safetySurgeryConflicting resultsRisky populationTraining periodInvolvement
2007
The Utility of Dynamic Flexion-Extension Radiographs in the Initial Evaluation of the Degenerative Lumbar Spine
Hammouri QM, Haims AH, Simpson AK, Alqaqa A, Grauer JN. The Utility of Dynamic Flexion-Extension Radiographs in the Initial Evaluation of the Degenerative Lumbar Spine. Spine 2007, 32: 2361-2364. PMID: 17906579, DOI: 10.1097/brs.0b013e318155796e.Peer-Reviewed Original ResearchConceptsDynamic flexion-extension radiographsFlexion-extension radiographsDegenerative lumbar spineInitial evaluationRadiographic seriesLumbar spineLateral radiographsRetrospective radiographic reviewDynamic radiographsRadiographic reviewStanding anteroposteriorRadiograph seriesClinical managementLumbar complaintsBACKGROUND DATAInclusion criteriaInitial courseMost surgeonsDynamic filmsRadiographsLateral filmsAnteroposteriorPotential roleSpineLumbar images