2020
Patients' and Physicians' Knowledge of Radiation Exposure Related to Spine Surgery.
Scott MC, Galivanche AR, Mets EJ, Pathak N, Kahan JB, Burroughs PJ, Varthi AG, Rubin LE, Grauer JN. Patients' and Physicians' Knowledge of Radiation Exposure Related to Spine Surgery. Spine 2020, 45: e1507-e1515. PMID: 32858741, DOI: 10.1097/brs.0000000000003650.Peer-Reviewed Original ResearchConceptsSpine surgeryMagnetic resonance imagingRadiation exposureOutpatient settingPhysicians' knowledgeLumbar radiographsO-armCT imagingIntraoperative radiation exposureCross-sectional imagingCross-sectional surveyPhysician estimatesSpine proceduresBACKGROUND DATACare settingsIntraoperative fluoroscopyLumbar imagingPatientsSurgeryResonance imagingIntraoperative CTSurgeonsAwareness/knowledgeIntraoperative imagingRobotic spine surgery
2018
Comparison of 30-Day Complications Between Navigated and Conventional Single-level Instrumented Posterior Lumbar Fusion
Bovonratwet P, Nelson SJ, Ondeck NT, Geddes BJ, Grauer JN. Comparison of 30-Day Complications Between Navigated and Conventional Single-level Instrumented Posterior Lumbar Fusion. Spine 2018, 43: 447-453. PMID: 28700450, DOI: 10.1097/brs.0000000000002327.Peer-Reviewed Original ResearchConceptsPosterior lumbar fusionOperative timeLumbar fusionHospital lengthWound infectionSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseShorter mean hospital lengthQuality Improvement Program databaseScrew placementRadiation exposureContamination/infectionLower blood transfusionRetrospective cohort comparison studyMean hospital lengthMost adverse eventsImprovement Program databaseInstrumented posterior lumbar fusionInstrumented lumbar fusionSurgeon radiation exposureCohort comparison studyPotential confounding factorsPedicle screw placementPerioperative complicationsPerioperative outcomes
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
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 seriesPostanesthesia 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 imagesImagingPlacement
2011
Oblique radiographs compared favorably with computed tomography images in assessing cervical foraminal area.
Miller CP, Sabino J, Bible JE, Whang PG, Grauer JN. Oblique radiographs compared favorably with computed tomography images in assessing cervical foraminal area. The American Journal Of Orthopedics 2011, 40: 241-5. PMID: 21734932.Peer-Reviewed Original ResearchConceptsOblique radiographsComputed tomographyForaminal dimensionsCT scanFirst-line imaging studyCervical intervertebral foraminaNerve root compressionRoot compressionForaminal areaCervical spineIntervertebral foraminaDiagnostic utilityImaging studiesRadiographsRadiation exposureComputed tomography imagesCross-sectional areaInitial assessmentPearson correlation coefficientC2-C3Tomography imagesScansCT reconstructionPrevious studiesPatency
2009
Radiation Exposure from Musculoskeletal Computerized Tomographic Scans
Biswas D, Bible JE, Bohan M, Simpson AK, Whang PG, Grauer JN. Radiation Exposure from Musculoskeletal Computerized Tomographic Scans. Journal Of Bone And Joint Surgery 2009, 91: 1882-1889. PMID: 19651945, DOI: 10.2106/jbjs.h.01199.Peer-Reviewed Original ResearchConceptsComputerized tomographic scanTomographic scanMean effective dosesEffective dosesEffective doseRadiation exposureEffective dose valuesElevated radiation exposureMusculoskeletal conditionsSingle institutionUpper extremityDosesNational Radiological Protection BoardHip scansDoseAppendicular skeletonScansAnatomic structuresPrior groupChestAbdomenPelvisExtremitiesSpineCurrent study
2008
The Radiation Exposure Associated With Cervical and Lumbar Spine Radiographs
Simpson AK, Whang PG, Jonisch A, Haims A, Grauer JN. The Radiation Exposure Associated With Cervical and Lumbar Spine Radiographs. Clinical Spine Surgery A Spine Publication 2008, 21: 409-412. PMID: 18679095, DOI: 10.1097/bsd.0b013e3181568656.Peer-Reviewed Original ResearchConceptsEffective radiation dosesLumbar spine radiographsSpine radiographsRadiation dosesRadiation doseLumbar spineLateral radiographsChest X-ray resultsLateral lumbar filmsRadiation exposureEvaluation of patientsAmount of radiationCervical spine filmsInitial imaging modalityChest X-rayX-ray resultsCross-sectional studyGreater radiation exposureLateral cervical radiographsEffective radiation doseOrders of magnitudeX-rayEmitted radiation doseSpinal complaintsPlain radiographsPregnancy and low back pain
Sabino J, Grauer JN. Pregnancy and low back pain. Current Reviews In Musculoskeletal Medicine 2008, 1: 137-141. PMID: 19468887, PMCID: PMC2684210, DOI: 10.1007/s12178-008-9021-8.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus Statements