2023
Anterior Cervical Discectomy and Fusion Outcomes in Patients With and Without Bariatric Surgery—Weight Loss Does Make a Difference
Joo P, Zhu J, Wilhelm C, Tang K, Day W, Moran J, Grauer J. Anterior Cervical Discectomy and Fusion Outcomes in Patients With and Without Bariatric Surgery—Weight Loss Does Make a Difference. Spine 2023, 48: 400-406. PMID: 36735637, DOI: 10.1097/brs.0000000000004580.Peer-Reviewed Original ResearchConceptsAnterior cervical discectomyBariatric surgeryMorbid obesityAdverse eventsCervical discectomyReoperation rateBS proceduresFive-Year Reoperation RatesRetrospective comparative cohort studyHistory of BSMinor adverse eventsNon-obese patientsAdverse event ratesComparative cohort studyElixhauser Comorbidity IndexKaplan-Meier analysisRisk of complicationsNon-obese controlsLength of stayACDF patientsElective ACDFComorbidity indexFusion patientsPulmonary embolismCohort study
2022
A comparison of in-hospital outcomes after elective anterior cervical discectomy and fusion in cases with and without Parkinson's Disease
Galivanche AR, Schneble CA, David WB, Mercier MR, Kammien AJ, Ottesen TD, Saifi C, Whang PG, Grauer JN, Varthi AG. A comparison of in-hospital outcomes after elective anterior cervical discectomy and fusion in cases with and without Parkinson's Disease. North American Spine Society Journal (NASSJ) 2022, 12: 100164. PMID: 36304443, PMCID: PMC9594612, DOI: 10.1016/j.xnsj.2022.100164.Peer-Reviewed Original ResearchMinor adverse eventsSerious adverse eventsAnterior cervical discectomyAdverse eventsParkinson's diseaseElective ACDFComorbidity burdenCervical discectomyMedical complicationsPD casesElective anterior cervical discectomyNational Inpatient Sample databaseGreater riskAssociation of PDCervical degenerative pathologyPostoperative medical complicationsLogistic regression modelsHospital complicationsHospital outcomesComplication rateSurgical complicationsUnmatched populationACDF casesSurgical interventionComorbidity variables
2021
Clinical outcomes following one-, two-, three-, and four-level anterior cervical discectomy and fusion: a national database study
Joo PY, Zhu JR, Kammien AJ, Gouzoulis MJ, Arnold PM, Grauer JN. Clinical outcomes following one-, two-, three-, and four-level anterior cervical discectomy and fusion: a national database study. The Spine Journal 2021, 22: 542-548. PMID: 34774751, DOI: 10.1016/j.spinee.2021.11.002.Peer-Reviewed Original ResearchConceptsOne-level casesAnterior cervical discectomyAdverse eventsReoperation rateACDF casesCervical discectomyProlonged lengthFour-level anterior cervical discectomyMultivariate analysisMinor adverse event rateFour-level ACDFNational database studyAdverse event ratesGreater odds ratioCommon surgical procedureLarge national databaseDysphagia ratesElective ACDFLarge comparative studiesComplication ratePatient characteristicsReadmission ratesClinical outcomesPearlDiver databasePosterior procedures
2017
General Health Adverse Events Within 30 Days Following Anterior Cervical Discectomy and Fusion in US Patients: A Comparison of Spine Surgeons’ Perceptions and Reported Data for Rates and Risk Factors
Ondeck NT, Bohl DD, Bovonratwet P, Geddes BJ, Cui JJ, McLynn RP, Samuel AM, Grauer JN. General Health Adverse Events Within 30 Days Following Anterior Cervical Discectomy and Fusion in US Patients: A Comparison of Spine Surgeons’ Perceptions and Reported Data for Rates and Risk Factors. Global Spine Journal 2017, 8: 345-353. PMID: 29977718, PMCID: PMC6022956, DOI: 10.1177/2192568217723017.Peer-Reviewed Original ResearchPostoperative adverse eventsNational Surgical Quality Improvement ProgramAnterior cervical discectomyPatient risk factorsAdverse eventsRisk factorsCervical discectomyPatient factorsSurgical Quality Improvement ProgramSpine surgeons’ perceptionOccurrence of complicationsSurgeons' perceptionsNational dataQuality improvement initiativesQuality Improvement ProgramElective ACDFAccuracy of surgeonsACDF proceduresPerioperative complicationsRetrospective reviewUS patientsNSQIP dataProspective dataSurgeon's assessmentSuch complications
2016
Most 30-day Readmissions After Anterior Cervical Discectomy and Fusion Are Not Due to Surgical Site-Related Issues
Samuel AM, Fu MC, Toy JO, Lukasiewicz AM, Webb ML, Bohl DD, Basques BA, Albert TJ, Grauer JN. Most 30-day Readmissions After Anterior Cervical Discectomy and Fusion Are Not Due to Surgical Site-Related Issues. Spine 2016, 41: 1801-1807. PMID: 27398892, DOI: 10.1097/brs.0000000000001775.Peer-Reviewed Original ResearchConceptsAnterior cervical discectomyCommon reasonElective ACDFCervical discectomyNational Surgical Quality Improvement Program databaseQuality Improvement Program databaseAdequate postoperative managementHemorrhage/hematomaPreoperative medical optimizationCauses of readmissionCervical spine pathologyDays of dischargeHigher American SocietyImprovement Program databaseSurgical site infectionCareful patient selectionQuality-based reimbursementAnesthesiologists classMedical optimizationMost readmissionsNSQIP databasePostoperative daySite infectionPatient selectionPostoperative management
2014
Preoperative Factors Affecting Length of Stay After Elective Anterior Cervical Discectomy and Fusion With and Without Corpectomy
Basques BA, Bohl DD, Golinvaux NS, Gruskay JA, Grauer JN. Preoperative Factors Affecting Length of Stay After Elective Anterior Cervical Discectomy and Fusion With and Without Corpectomy. Spine 2014, 39: 939-946. PMID: 24718069, PMCID: PMC4024365, DOI: 10.1097/brs.0000000000000307.Peer-Reviewed Original ResearchMeSH KeywordsAcademic Medical CentersAdultAgedCardiovascular DiseasesCervical VertebraeComorbidityConfounding Factors, EpidemiologicConnecticutDiskectomyElective Surgical ProceduresFemaleHospitals, UniversityHumansLength of StayLung DiseasesMaleMiddle AgedMultivariate AnalysisNeoplasmsRetrospective StudiesRisk FactorsSpinal FusionConceptsElective anterior cervical discectomyAnterior cervical discectomyExtended LOSPreoperative factorsCervical discectomyPulmonary diseaseRetrospective cohort studyCervical spine pathologyProlonged hospital lengthFactors Affecting LengthCommon treatment modalityMultivariate logistic regressionSingle academic institutionElective ACDFHospital lengthCohort studyPatient demographicsAverage LOSSingle institutionTreatment modalitiesOperative characteristicsSpine pathologyACDFBACKGROUND DATAPatientsFactors Predictive of Increased Surgical Drain Output After Anterior Cervical Discectomy and Fusion
Basques BA, Bohl DD, Golinvaux NS, Yacob A, Varthi AG, Grauer JN. Factors Predictive of Increased Surgical Drain Output After Anterior Cervical Discectomy and Fusion. Spine 2014, 39: 728-735. PMID: 24480948, PMCID: PMC3991728, DOI: 10.1097/brs.0000000000000237.Peer-Reviewed Original ResearchConceptsTotal drain outputDrain outputSurgical drain placementSurgical drain outputNeck hematomaDrain placementSurgical drainsRetrospective cohort studyAnterior cervical discectomyHistory of smokingRisk of complicationsPostoperative neck hematomaAge 50 yearsMultivariate logistic regressionSingle academic institutionAverage drain outputElective ACDFCervical discectomyCohort studyConsecutive patientsDrain useIndependent predictorsFactors PredictiveMedical recordsACDF