2024
Increasing Value in Subspecialty Training: A Comparison of Variation in Surgical Complications for Pediatric Versus Other Fellowship-trained American Board of Orthopaedic Surgery Candidates in the Treatment of Supracondylar Fractures
Ottesen T, Amick M, Kirwin D, Mercier M, Brand J, Frumberg D, Grauer J, Rubin L. Increasing Value in Subspecialty Training: A Comparison of Variation in Surgical Complications for Pediatric Versus Other Fellowship-trained American Board of Orthopaedic Surgery Candidates in the Treatment of Supracondylar Fractures. JAAOS Global Research And Reviews 2024, 8: e22.00239. PMID: 38252550, PMCID: PMC10805463, DOI: 10.5435/jaaosglobal-d-22-00239.Peer-Reviewed Original ResearchConceptsSurgical complicationsTreatment of supracondylar fracturesSupracondylar fracturesCase volumeABOS candidatesPredictive factors of complicationsSubspecialty trainingFactors of complicationsSurgeon-reported complicationsBinary multivariate logistic regressionFellowship-trained surgeonsYear of procedureComplex fracture typesMultivariate logistic regressionIncreasing case volumeComplication rateAmerican BoardPredictive factorsPatient sexFracture complicationsTargeted educational effortsComplicationsFracture typeSurgery candidatesSurgical caseload
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
2015
Cervical Total Disc Replacement and Anterior Cervical Discectomy and Fusion Have Similar Short-Term Complication Rates
Basques B, Lukasiewicz A, Webb M, Samuel A, Bohl D, Grauer J. Cervical Total Disc Replacement and Anterior Cervical Discectomy and Fusion Have Similar Short-Term Complication Rates. The Spine Journal 2015, 15: s232. DOI: 10.1016/j.spinee.2015.07.341.Peer-Reviewed Original ResearchComparison of 368 Patients Undergoing Surgery for Lumbar Degenerative Spondylolisthesis From the SPORT Trial With 955 From the NSQIP Database
Golinvaux NS, Basques BA, Bohl DD, Yacob A, Grauer JN. Comparison of 368 Patients Undergoing Surgery for Lumbar Degenerative Spondylolisthesis From the SPORT Trial With 955 From the NSQIP Database. Spine 2015, 40: 342-348. PMID: 25757036, DOI: 10.1097/brs.0000000000000747.Peer-Reviewed Original ResearchConceptsSpine Patient Outcomes Research TrialPerioperative factorsPerioperative outcomesNSQIP databaseDegenerative spondylolisthesisSurgical proceduresNational Surgical Quality Improvement Program databaseQuality Improvement Program databaseAverage body mass indexImprovement Program databaseAverage operative timeLumbar degenerative spondylolisthesisBody mass indexPostoperative mortalityPostoperative transfusionComplication rateRetrospective cohortSurgical patientsNonsurgical treatmentAnalysis of demographicsMass indexOperative timeSmoking statusLumbar pathologyWound infection
2013
Obese Class III patients at significantly greater risk of multiple complications after lumbar surgery: an analysis of 10,387 patients in the ACS NSQIP database
Buerba RA, Fu MC, Gruskay JA, Long WD, Grauer JN. Obese Class III patients at significantly greater risk of multiple complications after lumbar surgery: an analysis of 10,387 patients in the ACS NSQIP database. The Spine Journal 2013, 14: 2008-2018. PMID: 24316118, DOI: 10.1016/j.spinee.2013.11.047.Peer-Reviewed Original ResearchConceptsBody mass indexTLIF/PLIFACS-NSQIP databaseObese IIObese IAnterior fusionComplication rateLumbar surgeryIII patientsMore complicationsPosterior fusionObese IIIPulmonary complicationsNSQIP databaseMultiple complicationsOperating roomSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseObese class III patientsQuality Improvement Program databaseHigher body mass indexPosterior lumbar interbody fusionObese I groupPreoperative risk factorsImprovement Program databaseAnterior and posterior cervical fusion in patients with high body mass index are not associated with greater complications
Buerba RA, Fu MC, Grauer JN. Anterior and posterior cervical fusion in patients with high body mass index are not associated with greater complications. The Spine Journal 2013, 14: 1643-1653. PMID: 24388595, DOI: 10.1016/j.spinee.2013.09.054.Peer-Reviewed Original ResearchConceptsBody mass indexPosterior cervical fusionHigher body mass indexEffect of obesityCervical fusionDeep vein thrombosisComplication rateMass indexPosterior fusionUnivariate analysisBasis of BMIExact testSurgeons National Surgical Quality Improvement ProgramMultivariate analysisNational Surgical Quality Improvement ProgramObese class III patientsSurgical Quality Improvement ProgramTotal operating room timeACS-NSQIP databaseCurrent Procedural Terminology codesRetrospective cohort analysisCervical fusion surgeryPrimary outcome measureSpinal fusion outcomesLength of stay
2007
Thoracoscopic Excision of Thoracic Herniated Disc
Shah R, Grauer J. Thoracoscopic Excision of Thoracic Herniated Disc. 2007, 73-80. DOI: 10.3109/9781420013962-9.ChaptersThoracoscopic excisionOpen thoracotomyIatrogenic neurologic deficitThoracic disc herniationDouble-lumen tubeTypes of complicationsApproach-related morbidityAdjacent disc spacesComplication rateContralateral lungNeurologic deficitsPulmonary emboliHerniated DiscSerious complicationsDisc herniationEndotracheal intubationGeneral anesthesiaPlain radiographsDegenerative statusThecal sacThoracoscopic discectomyParietal pleuraThoracic spineCoronal contourSelective ventilation