2023
Performance and reliability assessment of a lower dose, task-based scoliosis radiography protocol in pediatric patients
Al-Dasuqi K, Taylor E, Ehrlich L, Cooperman D, Socci A, Tuason D, Hoerner M, Staib L, Silva C. Performance and reliability assessment of a lower dose, task-based scoliosis radiography protocol in pediatric patients. Pediatric Radiology 2023, 54: 146-153. PMID: 38010426, DOI: 10.1007/s00247-023-05812-5.Peer-Reviewed Original ResearchMeSH KeywordsChildFemaleHumansImaging, Three-DimensionalMaleRadiographyReproducibility of ResultsRetrospective StudiesScoliosisConceptsDose area productPatient heightAdequate image qualityEffective doseExposure indexMedian effective doseLower radiation exposureComparison of proportionsChi-squared testIntraclass correlation coefficientBland-Altman plotsConsecutive patientsPediatric patientsIncident air kermaDose reductionLow doseSkeletal maturityRadiographsPatientsAir kermaRadiation exposureScoliosis radiographyStatistical significanceDoseSpinal curvature3D printed pedicle screw guides reduce the rate of intraoperative screw revision in adolescent idiopathic scoliosis surgery
Jeong S, Yang A, Dhodapkar M, Jabbouri S, Jonnalagadda A, Tuason D. 3D printed pedicle screw guides reduce the rate of intraoperative screw revision in adolescent idiopathic scoliosis surgery. The Spine Journal 2023, 23: 1894-1899. PMID: 37553024, DOI: 10.1016/j.spinee.2023.08.001.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentChildHumansKyphosisPedicle ScrewsPrinting, Three-DimensionalRetrospective StudiesScoliosisSpinal FusionConceptsAdolescent idiopathic scoliosisRevision rateOperative timeFreehand techniquePedicle screwsPosterior spinal instrumented fusionAdolescent idiopathic scoliosis surgeryIntraoperative screw revisionsLength of surgerySpinal instrumented fusionSingle academic centerTotal operative timeTotal revision rateIdiopathic scoliosis surgeryHigher revision rateYears of agePedicle screw fixationIntraoperative revision rateScrew placement accuracySecondary outcomesPatient demographicsPatients 10Instrumented fusionIntraoperative measuresRetrospective studyIncisional Negative Pressure Wound Therapy Does Not Affect Deep Surgical Site Infection Rates in Neuromuscular Scoliosis Surgery.
Mascarenhas D, Nasra M, Tawfik A, Ghazi J, Ishmael T, Therrien P, Bowe J, Tuason D. Incisional Negative Pressure Wound Therapy Does Not Affect Deep Surgical Site Infection Rates in Neuromuscular Scoliosis Surgery. Orthopedics 2023, 46: 373-378. PMID: 37018618, DOI: 10.3928/01477447-20230329-03.Peer-Reviewed Original ResearchMeSH KeywordsHumansNegative-Pressure Wound TherapyRetrospective StudiesScoliosisSpinal FusionSpineSurgical Wound InfectionConceptsIncisional negative pressure wound therapyPosterior spinal instrumented fusionDeep surgical site infectionSurgical site infectionNegative pressure wound therapyNeuromuscular scoliosisPressure wound therapyWound therapyDeep surgical site infection rateSurgical site infection rateAnterior spinal releaseDeep SSI ratesNeuromuscular scoliosis surgeryStandard postoperative dressingsCohort of patientsSpinal instrumented fusionLength of stayTransfusion requirementsDevastating complicationSSI ratesBlood lossConsecutive patientsInstrumented fusionSite infectionSpinal releaseImpact of insurance status on healthcare resource utilization and outcomes in adolescent patients presenting with spinal cord injuries.
Sandhu M, David W, Reeves B, Sherman J, Craft S, Jayaraj C, Boroumand S, Clappier M, Gutierrez A, Sarkozy M, Koo A, Tuason D, DiLuna M, Elsamadicy A. Impact of insurance status on healthcare resource utilization and outcomes in adolescent patients presenting with spinal cord injuries. Journal Of Neurosurgery Pediatrics 2023, 32: 294-301. PMID: 37021755, DOI: 10.3171/2023.2.peds22506.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultChildHospitalizationHumansInsurance CoverageLength of StayPatient Acceptance of Health CareRetrospective StudiesSpinal Cord InjuriesConceptsSpinal cord injuryHospital adverse eventsHealthcare resource utilizationAdverse eventsInsurance statusAdolescent patientsGovernmental insuranceInsurance cohortCord injuryNon-Hispanic white patientsNational Trauma Data BankPrivate insuranceThoracic spinal cord injuryPrivate insurance cohortAdministrative database studyTrauma Data BankClinical Modification codingMultivariate regression analysisPI cohortMedian LOSAdult patientsDischarge dispositionPatient demographicsSCI patientsWhite patients
2021
Racial Disparities in Health Care Resource Utilization After Pediatric Cervical and/or Thoracic Spinal Injuries
Elsamadicy AA, Sandhu MR, Freedman IG, Koo AB, Hengartner AC, Reeves BC, Havlik J, Sarkozy M, Hong CS, Kundishora AJ, Tuason DA, DiLuna M. Racial Disparities in Health Care Resource Utilization After Pediatric Cervical and/or Thoracic Spinal Injuries. World Neurosurgery 2021, 156: e307-e318. PMID: 34560297, DOI: 10.1016/j.wneu.2021.09.047.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAsianBlack or African AmericanCervical VertebraeChildChild, PreschoolCohort StudiesFemaleHealth Status DisparitiesHealthcare DisparitiesHispanic or LatinoHumansInfantLength of StayMalePostoperative ComplicationsRetrospective StudiesSocioeconomic FactorsSpinal InjuriesThoracic VertebraeUnited StatesWhite PeopleConceptsHealth care resource utilizationNon-Hispanic blacksNon-Hispanic AsiansHospital complicationsPediatric patientsMultivariate regression analysisNon-Hispanic whitesHospital LOSComplication rateGreater prevalenceICD-10-CM diagnosisLogistic multivariate regression analysisNational Trauma Data BankLonger hospital LOSOverall complication rateThoracic spine injuriesTrauma Data BankRegression analysisThoracic spinal injuryNHB patientsHospital lengthRetrospective cohortSpine injuriesThoracic injuriesRisk ratio
2014
Surgical Site Infections After Posterior Spinal Fusion for Neuromuscular Scoliosis
Ramo BA, Roberts DW, Tuason D, McClung A, Paraison LE, Moore HG, Sucato DJ. Surgical Site Infections After Posterior Spinal Fusion for Neuromuscular Scoliosis. Journal Of Bone And Joint Surgery 2014, 96: 2038-2048. PMID: 25520337, DOI: 10.2106/jbjs.n.00277.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentChildChild, PreschoolFemaleHumansMalePrevalenceRetrospective StudiesRisk FactorsScoliosisSpinal FusionSurgical Wound InfectionYoung AdultConceptsSurgical site infectionPosterior spinal fusionSite infectionBody mass indexNeuromuscular scoliosisSpinal fusionSpina bifidaAntibiotic dosingRisk factorsDeep surgical site infectionTreatment-related risk factorsSingle institution experienceLower hemoglobin levelsMean Cobb angleSignificant risk factorsLength of fusionHospital stayDeep infectionDrain usePatient factorsSerious complicationsHemoglobin levelsMass indexRetrospective reviewModifiable factorsClinical and Laboratory Parameters Associated With Multiple Surgeries in Children With Acute Hematogenous Osteomyelitis
Tuason DA, Gheen T, Sun D, Huang R, Copley L. Clinical and Laboratory Parameters Associated With Multiple Surgeries in Children With Acute Hematogenous Osteomyelitis. Journal Of Pediatric Orthopaedics 2014, 34: 565-570. PMID: 24915036, DOI: 10.1097/bpo.0000000000000136.Peer-Reviewed Original ResearchMeSH KeywordsAcute DiseaseAnti-Bacterial AgentsC-Reactive ProteinChildFemaleFeverHumansMaleOsteomyelitisReoperationRetrospective StudiesSepsisConceptsAcute hematogenous osteomyelitisSurgical interventionLaboratory parametersInitial surgeryHematogenous osteomyelitisLogistic regressionCRP valuesPediatric Acute Hematogenous OsteomyelitisC-reactive protein valuesOccurrence of surgeryAdditional surgical treatmentLength of hospitalizationMethicillin-resistant Staphylococcus aureusRetrospective comparative studyMultivariate logistic regressionMultiple logistic regressionBreaths/minFebrile daysSurgical treatmentAcute phaseMultiple surgeriesSingle institutionMarked elevationOrdinal logistic regressionUnivariate analysis