2024
Decompression Alone Versus Interspinous/Interlaminar Device Placement for Degenerative Lumbar Pathologies: Systematic Review and Meta-Analysis
Pennington Z, Lakomkin N, Mikula A, Elsamadicy A, Astudillo Potes M, Fogelson J, Grossbach A, Elder B. Decompression Alone Versus Interspinous/Interlaminar Device Placement for Degenerative Lumbar Pathologies: Systematic Review and Meta-Analysis. World Neurosurgery 2024, 185: 417-434.e3. PMID: 38508384, DOI: 10.1016/j.wneu.2024.03.054.Peer-Reviewed Original ResearchPatient-reported outcomesDecompression-aloneDegenerative lumbar pathologyPain improvementInterlaminar deviceLumbar pathologySF-36 physical component scoreLeg pain improvementDisease-specific patient-reported outcomeBack pain improvementPhysical component scorePhysical function scoresTotal care costsEQ-5D scoresTotal treatment costsSymptom severity scoresReoperation ratePerioperative complicationsConventional surgerySF-36Care costsFollow-upComponent scoresSeverity scoreDevice placement
2023
Associated Risk Factors for Extended Length of Stay Following Cranial Vault Remodeling for Craniosynostosis: Analysis of the 2012 to 2021 NSQIP-Pediatric Database
Hengartner A, Serrato P, Sayeed S, Prassinos A, Alperovich M, DiLuna M, Elsamadicy A. Associated Risk Factors for Extended Length of Stay Following Cranial Vault Remodeling for Craniosynostosis: Analysis of the 2012 to 2021 NSQIP-Pediatric Database. Journal Of Craniofacial Surgery 2023, 35: 384-387. PMID: 37943085, DOI: 10.1097/scs.0000000000009847.Peer-Reviewed Original ResearchCranial vault remodelingLOS cohortExtended LOSAdverse eventsPediatric patientsRisk factorsNational Surgical Quality Improvement Program Pediatric databaseVault remodelingSurgeons National Surgical Quality Improvement Program Pediatric databaseNon-Hispanic white patientsHealth care resource utilizationMultivariate logistic regression analysisDiseases 9/10 codesNSQIP-Pediatric databasePostoperative hospital LOSStructural pulmonary abnormalityPostoperative adverse eventsRetrospective cohort studyAssociated risk factorsMultivariate logistic regressionLogistic regression analysisCurrent Procedural TerminologyHospital LOSAnesthesiologists classificationPerioperative complications
2022
307 The Hospital Frailty Risk Score Independently Predicts Increased Complication Rates and Healthcare Resource Utilization After Endovascular Treatment of Ruptured Aneurysms
Koo A, Elsamadicy A, Sarkozy M, Sherman J, Reeves B, Freedman I, Antonios J, Sujijantarat N, Renado D, Hebert R, Malhotra A, Matouk C. 307 The Hospital Frailty Risk Score Independently Predicts Increased Complication Rates and Healthcare Resource Utilization After Endovascular Treatment of Ruptured Aneurysms. Neurosurgery 2022, 68: 67-68. DOI: 10.1227/neu.0000000000001880_307.Peer-Reviewed Original ResearchHospital Frailty Risk ScoreNon-routine dischargeFrailty Risk ScoreEndovascular treatmentIntracranial aneurysmsPerioperative complicationsLower frailtyHospital costsRisk scoreNational Inpatient Sample databaseMean total hospital costMultivariate logistic regression analysisICD-10 diagnostic codesImpact of frailtyRetrospective cohort studyHealthcare resource utilizationEvaluation of patientsTotal hospital costsAdverse healthcare outcomesAdministrative hospital dataRuptured intracranial aneurysmLogistic regression analysisRegression analysisMultivariate regression analysisAdult patientsHospital Frailty Risk Score and Healthcare Resource Utilization After Surgery for Primary Spinal Intradural/Cord Tumors
Elsamadicy AA, Koo AB, Reeves BC, Pennington Z, Sarkozy M, Hersh A, Havlik J, Sherman JJZ, Goodwin CR, Kolb L, Laurans M, Lo S, Shin JH, Sciubba DM. Hospital Frailty Risk Score and Healthcare Resource Utilization After Surgery for Primary Spinal Intradural/Cord Tumors. Global Spine Journal 2022, 13: 2074-2084. PMID: 35016582, PMCID: PMC10556884, DOI: 10.1177/21925682211069937.Peer-Reviewed Original ResearchHospital Frailty Risk ScoreNon-routine dischargeFrailty Risk ScoreImpact of frailtyCost of admissionDischarge dispositionFrail cohortPrimary tumorSpinal cordRisk scoreNationwide Inpatient Sample databaseRetrospective cohort studyHealthcare resource utilizationLength of stayPrimary spinal tumorsGreater mean costICD-10 codesICD-10-CM codesLarge national datasetPerioperative complicationsPostoperative complicationsAdult patientsCohort studyLonger LOSPatient characteristicsGeographic variations in health care resource utilization following elective ACDF for cervical spondylotic myelopathy: A national trend analysis
Koo AB, Elsamadicy AA, Sarkozy M, Pathak N, David WB, Freedman IG, Reeves BC, Sciubba DM, Laurans M, Kolb L. Geographic variations in health care resource utilization following elective ACDF for cervical spondylotic myelopathy: A national trend analysis. North American Spine Society Journal (NASSJ) 2022, 9: 100099. PMID: 35141663, PMCID: PMC8819911, DOI: 10.1016/j.xnsj.2022.100099.Peer-Reviewed Original ResearchCervical spondylotic myelopathyLength of stayElective ACDFSpondylotic myelopathyAdult patientsPatient demographicsComplication rateRegional cohortElective anterior cervical discectomyHealth care resource utilizationNational Inpatient Sample databaseAnterior cervical discectomyMean total costHousehold income quartileHealth care deliveryHealth care expendituresNonroutine dischargePerioperative complicationsCervical discectomyDischarge dispositionFemale patientsElixhauser comorbiditiesSurgery variesPrimary diagnosisHospital costs
2021
Effects of preoperative nutritional status on complications and readmissions after posterior lumbar decompression and fusion for spondylolisthesis: A propensity-score analysis
Elsamadicy AA, Havlik J, Reeves BC, Koo AB, Sherman J, Lo SL, Shin JH, Sciubba DM. Effects of preoperative nutritional status on complications and readmissions after posterior lumbar decompression and fusion for spondylolisthesis: A propensity-score analysis. Clinical Neurology And Neurosurgery 2021, 211: 107017. PMID: 34781222, DOI: 10.1016/j.clineuro.2021.107017.Peer-Reviewed Original ResearchConceptsUnplanned readmissionAdverse eventsSpine surgerySurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseOccurrence of AEsPreoperative serum albumin levelQuality Improvement Program databaseMultivariate logistic regression analysisPosterior lumbar decompressionPreoperative nutritional statusHigh rateImprovement Program databaseRetrospective cohort studySerum albumin levelSignificant independent predictorsEffects of malnutritionLogistic regression analysisPropensity score analysisPropensity-score matchingMalnourished cohortMalnourished patientsPerioperative complicationsPostoperative complicationsLumbar decompressionCost and Health Care Resource Utilization Differences After Spine Surgery for Bony Spine versus Primary Intradural Spine Tumors
Elsamadicy AA, Koo AB, Reeves BC, Freedman IG, Pennington Z, David WB, Ehresman J, Hengartner A, Laurans M, Kolb L, Shin JH, Sciubba DM. Cost and Health Care Resource Utilization Differences After Spine Surgery for Bony Spine versus Primary Intradural Spine Tumors. World Neurosurgery 2021, 151: e286-e298. PMID: 33866030, DOI: 10.1016/j.wneu.2021.04.015.Peer-Reviewed Original ResearchConceptsLength of stayPrimary intradural spinal tumorsIntradural spinal tumorsSpine tumorsSpine surgeryPerioperative complicationsSpinal tumorsNational Inpatient Sample databaseMultivariable logistic regression analysisStepwise multivariable logistic regression analysisBackward stepwise multivariable logistic regression analysisIntradural spinal neoplasmsIntradural spine tumorsRetrospective cohort studyLogistic regression analysisHealth care resourcesMore comorbiditiesAdult patientsCohort studyDischarge dispositionIntraoperative variablesPatient demographicsComplication rateHospital admissionIndependent predictorsOctogenarians Are Independently Associated With Extended LOS and Non-Routine Discharge After Elective ACDF for CSM
Elsamadicy AA, Koo AB, Reeves BC, Freedman IG, David WB, Ehresman J, Pennington Z, Laurans M, Kolb L, Sciubba DM. Octogenarians Are Independently Associated With Extended LOS and Non-Routine Discharge After Elective ACDF for CSM. Global Spine Journal 2021, 12: 1792-1803. PMID: 33511889, PMCID: PMC9609534, DOI: 10.1177/2192568221989293.Peer-Reviewed Original ResearchCervical spondylotic myelopathyNon-routine dischargeRetrospective cohort studyExtended LOSElective ACDFCohort studyDischarge dispositionICD-10-CM diagnosisSignificant independent risk factorsNational Inpatient Sample databaseLonger hospital stayIndependent risk factorSignificant independent predictorsYear cohortYear old cohortHospital stayPerioperative complicationsPostoperative complicationsPatient demographicsSpondylotic myelopathyAdult patientsIndependent predictorsRisk factorsACDFAge 80
2018
Socioeconomic Factors, Perioperative Complications, and 30-Day Readmission Rates Associated With Delayed Cranial Vault Reconstruction for Craniosynostosis
Sergesketter AR, Elsamadicy AA, Lubkin DT, Kemeny H, Harward SC, Krucoff KB, Krucoff MO, Fuchs H, Thompson EM, Allori AC, Marcus JR, Muh CR. Socioeconomic Factors, Perioperative Complications, and 30-Day Readmission Rates Associated With Delayed Cranial Vault Reconstruction for Craniosynostosis. Journal Of Craniofacial Surgery 2018, 29: 1767-1771. PMID: 30059426, DOI: 10.1097/scs.0000000000004787.Peer-Reviewed Original ResearchMeSH KeywordsChild, PreschoolCraniosynostosesDevelopmental DisabilitiesFemaleHealthcare DisparitiesHumansIncidenceInfantIntracranial HypertensionLanguageMalePatient ReadmissionPlastic Surgery ProceduresPostoperative ComplicationsRacial GroupsRetrospective StudiesRisk FactorsSkullSocioeconomic FactorsTime-to-TreatmentConceptsCranial vault reconstructionNon-English primary languageReadmission ratesMonths of ageMedicaid insurancePrimary cranial vault reconstructionCraniosynostosis patientsPerioperative complication ratePerioperative complicationsPrimary surgeryPatient demographicsComplication ratePatient barriersMedical recordsFirst consultIntracranial pressureSurgeryPatientsEsthetic consequencesPrimary languagePremature fusionDevelopmental disabilitiesSocioeconomic factorsComplicationsChildren
2017
Posterolateral thoracic decompression with anterior column cage reconstruction versus decompression alone for spinal metastases with cord compression: analysis of perioperative complications and outcomes
Elsamadicy AA, Adogwa O, Sergesketter A, Lydon E, Bagley CA, Karikari IO. Posterolateral thoracic decompression with anterior column cage reconstruction versus decompression alone for spinal metastases with cord compression: analysis of perioperative complications and outcomes. Journal Of Spine Surgery 2017, 3: 609-619. PMID: 29354739, PMCID: PMC5760408, DOI: 10.21037/jss.2017.11.08.Peer-Reviewed Original ResearchAnterior column reconstructionPerioperative complicationsTP groupCT groupSpinal metastasesPosterolateral approachAmerican Spinal Injury Association Impairment Scale (AIS) gradeOptimal surgical strategyCostotransversectomy approachASIA gradeIntraoperative deathsCord compressionMedian survivalAdult patientsRetrospective reviewSurgical strategyTranspedicular approachFunctional outcomeMean ageStudy criteriaCage reconstructionThoracic decompressionComplicationsPatientsScale gradeThe Impact of Chronic Kidney Disease on Postoperative Outcomes in Patients Undergoing Lumbar Decompression and Fusion
Adogwa O, Elsamadicy AA, Sergesketter A, Oyeyemi D, Galan D, Vuong VD, Khalid S, Cheng J, Bagley CA, Karikari IO. The Impact of Chronic Kidney Disease on Postoperative Outcomes in Patients Undergoing Lumbar Decompression and Fusion. World Neurosurgery 2017, 110: e266-e270. PMID: 29109065, DOI: 10.1016/j.wneu.2017.10.147.Peer-Reviewed Original ResearchConceptsChronic kidney diseaseCKD groupPatient demographicsKidney diseaseLumbar arthrodesisPreoperative chronic kidney diseaseInferior perioperative outcomesLumbar spine decompressionPostoperative complication profileLength of surgeryPostoperative complication rateEpisode of deliriumUrinary tract infectionDeep vein thrombosisBody mass indexIntensive care unitMajor academic institutionPerioperative complicationsPerioperative outcomesPostoperative complicationsPrimary endpointAdult patientsComplication rateLumbar decompressionPostoperative outcomesDecompression in Adult Lumbar Deformity Surgery Is Associated With Increased Perioperative Complications but Favorable Long-Term Outcomes
Karikari IO, Bridwell KH, Elsamadicy AA, Lenke LG, Sugrue P, Bumpass D, Ahmad A, Gum J. Decompression in Adult Lumbar Deformity Surgery Is Associated With Increased Perioperative Complications but Favorable Long-Term Outcomes. Global Spine Journal 2017, 8: 110-113. PMID: 29662739, PMCID: PMC5898680, DOI: 10.1177/2192568217735509.Peer-Reviewed Original ResearchSymptomatic spinal stenosisLong-term outcomesPerioperative complicationsDecompression groupFormal decompressionClinical outcomesSpinal stenosisFavorable long-term clinical outcomesFavorable long-term outcomeLong-term clinical outcomesNRS back painNRS leg painRetrospective cohort studyDecompression patientsAdult patientsCohort studyComplication rateDeformity surgeryIncidental durotomyMean improvementLevels of fusionIliac fixationPatientsSRS domainsComplicationsGeriatric comanagement reduces perioperative complications and shortens duration of hospital stay after lumbar spine surgery: a prospective single-institution experience.
Adogwa O, Elsamadicy AA, Vuong VD, Moreno J, Cheng J, Karikari IO, Bagley CA. Geriatric comanagement reduces perioperative complications and shortens duration of hospital stay after lumbar spine surgery: a prospective single-institution experience. Journal Of Neurosurgery Spine 2017, 27: 670-675. PMID: 28960161, DOI: 10.3171/2017.5.spine17199.Peer-Reviewed Original ResearchConceptsLumbar spine surgeryHospital stayPOSH cohortElderly patientsSpine surgeryGeriatric comanagementPerioperative complicationsComplex lumbar spine surgeryElective lumbar spine surgeryMedical comorbid conditionsSenior Health (POSH) programDays of dischargeElective spinal surgerySingle institution experienceMajority of patientsNursing home admissionLumbar fusion surgeryResults One hundred twentyMajor academic medical centerAdult degenerative scoliosisAcademic medical centerHospital complicationsSurgical screeningPostoperative complicationsBaseline characteristicsEarly Ambulation Decreases Length of Hospital Stay, Perioperative Complications and Improves Functional Outcomes in Elderly Patients Undergoing Surgery for Correction of Adult Degenerative Scoliosis
Adogwa O, Elsamadicy AA, Fialkoff J, Cheng J, Karikari IO, Bagley C. Early Ambulation Decreases Length of Hospital Stay, Perioperative Complications and Improves Functional Outcomes in Elderly Patients Undergoing Surgery for Correction of Adult Degenerative Scoliosis. Spine 2017, 42: 1420-1425. PMID: 28902101, DOI: 10.1097/brs.0000000000002189.Peer-Reviewed Original ResearchConceptsAdult degenerative scoliosisElderly patientsPerioperative complicationsHospital stayUnplanned readmissionReadmission ratesComplication rateInhospital stayDegenerative scoliosisFunctional outcomeDays of immobilityHospital-associated complicationsDays of dischargeElective spinal surgeryHours of surgeryInferior functional outcomesMajority of patientsHigh complication rateEarly ambulationNonsurgical complicationsAmbispective studyBaseline characteristicsCohort reviewDecrease lengthEarly mobilizationAssessing the effectiveness of routine use of post-operative in-patient physical therapy services
Adogwa O, Elsamadicy AA, Fialkoff J, Vuong VD, Mehta AI, Vasquez RA, Cheng J, Karikari IO, Bagley CA. Assessing the effectiveness of routine use of post-operative in-patient physical therapy services. Journal Of Spine Surgery 2017, 3: 149-154. PMID: 28744494, PMCID: PMC5506300, DOI: 10.21037/jss.2017.04.03.Peer-Reviewed Original ResearchHospital stayPhysical therapy servicesComplication ratePT cohortTherapy servicesPeri-operative complication ratesPost-operative complication rateRoutine useElective spine surgeryPost-operative ambulationPeri-operative complicationsMajor academic medical centerProlonged bed restAcademic medical centerPT servicesImproved ambulationPerioperative complicationsBaseline characteristicsHospital dischargePatient demographicsReadmission ratesBlood lossAmbulation statusOperative timeRisk stratification