2014
C7 pars fracture subadjacent to C7 pedicle screw instrumentation at the caudal end of a posterior cervical instrumentation construct.
Halim A, Grauer J. C7 pars fracture subadjacent to C7 pedicle screw instrumentation at the caudal end of a posterior cervical instrumentation construct. The American Journal Of Orthopedics 2014, 43: e137-9. PMID: 25046189.Peer-Reviewed Case Reports and Technical NotesConceptsPars fracturesPedicle screw instrumentationScrew instrumentationInstrumentation constructsInitial clinical symptomsCervical spine injuryCommon surgical practiceExcessive bone resectionCaudal endPosterior cervical instrumentationLevel of T2Mechanical fallInstrumented fusionPosterior fusionClinical symptomsSpine injuriesLabel indicationsBone resectionPosterior instrumentationCervical instrumentationUS FoodDrug AdministrationSurgical practiceDistal extensionComplications
2011
The Incidence of Noncontiguous Spinal Fractures and Other Traumatic Injuries Associated With Cervical Spine Fractures
Miller CP, Brubacher JW, Biswas D, Lawrence BD, Whang PG, Grauer JN. The Incidence of Noncontiguous Spinal Fractures and Other Traumatic Injuries Associated With Cervical Spine Fractures. Spine 2011, 36: 1532-1540. PMID: 21242872, DOI: 10.1097/brs.0b013e3181f550a6.Peer-Reviewed Original ResearchConceptsCervical spine fracturesSpine fracturesCervical spineCT scanSingle level 1 trauma centerRetrospective medical record reviewLevel 1 trauma centerNoncontiguous spinal fracturesCervical spine traumaMedical record reviewC7 fractureExtraspinal injuriesAcute fracturesPrompt diagnosisSpine traumaRecord reviewTrauma centerSpinal fracturesSpine injuriesInjury patternsAdditional injuriesCervical segmentsSpinal traumaMedical recordsTraumatic injuryReproducibility of Radiographic Measurements for Subaxial Cervical Spine Trauma
Bono CM, Schoenfeld A, Rampersaud R, Levi A, Grauer J, Arnold P, Fehlings M, Dvorak M, Vaccaro AR. Reproducibility of Radiographic Measurements for Subaxial Cervical Spine Trauma. Spine 2011, 36: 1374-1379. PMID: 21587104, DOI: 10.1097/brs.0b013e318221e169.Peer-Reviewed Original ResearchConceptsSubaxial cervical spine traumaVertebral body height lossCervical spine traumaSpine traumaPlain radiographsComputed tomographyHeight lossRadiographic measurementsAnterior vertebral body height lossSubaxial cervical spine injuriesSpine Trauma Study GroupCervical plain radiographsCervical spine injurySubaxial cervical injuriesImportance of imagingVertebral body translationPlain radiographic measurementsCT imagesCervical injuryPosterior tangent methodSpine injuriesRadiographic evaluationBACKGROUND DATAStudy groupKyphosis measurement
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 surgeons
2008
Variations in Surgical Treatment of Cervical Facet Dislocations
Nassr A, Lee JY, Dvorak MF, Harrop JS, Dailey AT, Shaffrey CI, Arnold PM, Brodke DS, Rampersaud R, Grauer JN, Winegar C, Vaccaro AR. Variations in Surgical Treatment of Cervical Facet Dislocations. Spine 2008, 33: e188-e193. PMID: 18379387, DOI: 10.1097/brs.0b013e3181696118.Peer-Reviewed Original ResearchConceptsCervical facet dislocationSurgical approachDisc herniationFacet dislocationNeurologic statusAnterior approachBilateral injuryCervical dislocationTraumatic cervical facet dislocationComplete spinal cord injurySpine Trauma Study GroupOnly slight agreementBilateral facet dislocationSpinal cord injuryRetrospective survey analysisSurgical treatmentCord injuryPosterior approachSurgeon preferenceInter-rater reliabilitySurgeon's interpretationTreatment decisionsBACKGROUND DATAStudy groupHerniation
2006
Confusion Regarding Mechanisms of Injury in the Setting of Thoracolumbar Spinal Trauma: A Survey of the Spine Trauma Study Group (STSG)
Schweitzer KM, Vaccaro AR, Lee JY, Grauer JN. Confusion Regarding Mechanisms of Injury in the Setting of Thoracolumbar Spinal Trauma: A Survey of the Spine Trauma Study Group (STSG). Clinical Spine Surgery A Spine Publication 2006, 19: 528-530. PMID: 17021418, DOI: 10.1097/01.bsd.0000211219.28566.d0.Peer-Reviewed Original ResearchConceptsSpine Trauma Study GroupInjury mechanismStudy groupThoracolumbar Injury Severity ScoreInjury Severity ScoreMechanism of injuryThoracolumbar Injury Classification SystemPosterior ligamentous complex disruptionThoracolumbar spinal traumaComplex injury patternsFlexion-compression injuriesPercent of physiciansThoracolumbar spine injuriesInjury classification systemPosterior ligamentous complexFisher's exact testNeurologic statusSpine injuriesInjury patternsSeverity scoreClinical examinationSpinal traumaObjective findingsThoracolumbar injuriesLigamentous complexThe Contemporary Treatment of Odontoid Injuries
Maak TG, Grauer JN. The Contemporary Treatment of Odontoid Injuries. Spine 2006, 31: s53-s60. PMID: 16685237, DOI: 10.1097/01.brs.0000217941.55817.52.Peer-Reviewed Original ResearchConceptsType II fracturesOdontoid fracturesTreatment optionsOptimal treatmentAnterior odontoid fixationNonoperative treatment optionsII fracturesCervical spine fracturesOperative treatment optionsNoncontiguous fracturesOdontoid fixationNeurologic injurySpine fracturesAppropriate imagingCervical spineClinical studiesExternal immobilizationBACKGROUND DATAClinical problemContemporary treatmentInjuryCurrent conceptsPertinent literatureTreatmentType ISubaxial cervical spine trauma.
Kwon BK, Vaccaro AR, Grauer JN, Fisher CG, Dvorak MF. Subaxial cervical spine trauma. Journal Of The American Academy Of Orthopaedic Surgeons 2006, 14: 78-89. PMID: 16467183, DOI: 10.5435/00124635-200602000-00003.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsConceptsSubaxial cervical spine injuriesCervical spine injurySpinal cord injurySpine injuriesCord injuryAcute spinal cord injurySevere spinal cord injuryCertain injury patternsAdministration of methylprednisoloneSpinous process fractureSubaxial cervical injuriesAccurate clinical historyCareful physical examinationNeurologic statusDefinitive managementNonsurgical managementPatient factorsCervical injuryClosed reductionNeurologic impairmentProcess fracturesEmergent managementInjury patternsPhysical examinationRadiographic evaluation
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