2024
A 10-year perspective on the question of whether surgeries for adolescent idiopathic scoliosis are “one and done”?
Gouzoulis M, Joo P, Jeong S, Jabbouri S, Moran J, Zhu J, Grauer J. A 10-year perspective on the question of whether surgeries for adolescent idiopathic scoliosis are “one and done”? Spine Deformity 2024, 12: 903-908. PMID: 38555557, DOI: 10.1007/s43390-024-00858-3.Peer-Reviewed Original ResearchConceptsAdolescent idiopathic scoliosisIdiopathic scoliosisRisk factorsAssociated with male sexTime of surgeryLong-term outcomesYear follow-upMultivariate regressionMonths to 2Reoperation incidenceReoperation ratePSF patientsExcellent outcomesPediatric surgeonsReoperationMale sexFollow-upStudy cohortPatient characteristicsPatient counselingSurgeryConclusionsThe current studyInterquartile rangeScoliosis fusionResultsIn total
2022
Marfan syndrome and adolescent idiopathic scoliosis patients have similar 90-day postoperative outcomes and 5-year reoperation rates after spinal deformity surgery
Joo PY, Caruana DL, Gouzoulis MJ, Moore HG, Zhu JR, Ameri B, Grauer JN. Marfan syndrome and adolescent idiopathic scoliosis patients have similar 90-day postoperative outcomes and 5-year reoperation rates after spinal deformity surgery. Spine Deformity 2022, 10: 1169-1174. PMID: 35362940, DOI: 10.1007/s43390-022-00501-z.Peer-Reviewed Original ResearchConceptsAdolescent idiopathic scoliosisMarfan syndromeReoperation rateAIS patientsOdds ratioMFS patientsFive-Year Reoperation RatesNinety-day outcomesMinor adverse eventsMultivariate odds ratiosPosterior spinal fusionSpinal deformity surgeryComorbidity indexAdverse eventsDeformity surgeryAdministrative databasesRelative riskSpinal fusionIdiopathic scoliosisPatientsRepresentative sampleAgeOutcomesSexReadmission
2020
Safety and Effectiveness of Antifibrinolytics in Posterior Scoliosis Surgery for Adolescent Idiopathic Scoliosis
Bovonratwet P, Sheha ED, Ondeck NT, Malpani R, Smith BG, Grauer JN. Safety and Effectiveness of Antifibrinolytics in Posterior Scoliosis Surgery for Adolescent Idiopathic Scoliosis. Clinical Spine Surgery A Spine Publication 2020, 33: e26-e32. PMID: 31162181, DOI: 10.1097/bsd.0000000000000836.Peer-Reviewed Original ResearchConceptsAdolescent idiopathic scoliosisPosterior spinal fusionMultilevel posterior spinal fusionIntensive care unitAntifibrinolytic useHospital lengthCare unitTreatment groupsIdiopathic scoliosisOperating roomEffectiveness of antifibrinolyticsNSQIP-Pediatric databasePediatric deformity surgeryPerioperative transfusion ratesVolume of transfusionLonger operative timePosterior scoliosis surgeryLarge national databaseTransfusion reductionPerioperative complicationsPostoperative complicationsTransfusion ratePostoperative outcomesPediatric patientsOperative time
2016
A Genetic Test Predicts Providence Brace Success for Adolescent Idiopathic Scoliosis When Failure Is Defined as Progression to >45 Degrees
Bohl DD, Telles CJ, Ruiz FK, Badrinath R, DeLuca PA, Grauer JN. A Genetic Test Predicts Providence Brace Success for Adolescent Idiopathic Scoliosis When Failure Is Defined as Progression to >45 Degrees. Clinical Spine Surgery A Spine Publication 2016, 29: e146-e150. PMID: 27007790, DOI: 10.1097/bsd.0b013e3182aa4ce1.Peer-Reviewed Original ResearchConceptsAdolescent idiopathic scoliosisPotential confoundingIdiopathic scoliosisGenetic testsRetrospective cohort studyMainstay of treatmentRisk of progressionCohort studyEligible subjectsRetrospective cohortAIS patientsPotential confoundersClinical managementAvailable genetic testsBACKGROUND DATAGenetic predispositionPatientsClinical practiceSaliva samplesScoliScoreProvidence braceGenetic factorsPolygenic fashionScoliosisProgression
2015
Poor visualization limits diagnosis of proximal junctional kyphosis in adolescent idiopathic scoliosis
Basques BA, Long WD, Golinvaux NS, Bohl DD, Samuel AM, Lukasiewicz AM, Webb ML, Grauer JN. Poor visualization limits diagnosis of proximal junctional kyphosis in adolescent idiopathic scoliosis. The Spine Journal 2015, 17: 784-789. PMID: 26523958, DOI: 10.1016/j.spinee.2015.10.040.Peer-Reviewed Original ResearchConceptsProximal junctional kyphosisProximal junctional angleAdolescent idiopathic scoliosisUpper instrumented vertebraIntra-class correlation coefficientJunctional kyphosisInter-rater reliabilityIdiopathic scoliosisRetrospective cohort studyPosterior instrumented fusionExclusion of patientsSagittal Cobb anglePosterior spinal fusionIntra-rater reliabilityCohort studyInstrumented fusionAIS patientsSingle institutionPostoperative filmsSpinal fusionCobb angleUpright filmsPoor visualizationPatientsDiagnosis
2014
Effectiveness of Providence nighttime bracing in patients with adolescent idiopathic scoliosis.
Bohl DD, Telles CJ, Golinvaux NS, Basques BA, DeLuca PA, Grauer JN. Effectiveness of Providence nighttime bracing in patients with adolescent idiopathic scoliosis. Orthopedics 2014, 37: e1085-90. PMID: 25437083, DOI: 10.3928/01477447-20141124-56.Peer-Reviewed Original ResearchConceptsSRS criteriaProvidence braceFusion surgeryRate of progressionNatural history studiesAdolescent idiopathic scoliosisHigh rateOnly part timeSurgical fusionNatural courseBracing protocolInclusion criteriaIdiopathic scoliosisPatientsProgressionAdditional studiesSurgeryHistory studiesScoliosis bracesBraceLimited literatureSecond studySuch bracesPart timeRelative effectivenessPatient Factors Are Associated With Poor Short-term Outcomes After Posterior Fusion for Adolescent Idiopathic Scoliosis
Basques BA, Bohl DD, Golinvaux NS, Smith BG, Grauer JN. Patient Factors Are Associated With Poor Short-term Outcomes After Posterior Fusion for Adolescent Idiopathic Scoliosis. Clinical Orthopaedics And Related Research® 2014, 473: 286-294. PMID: 25201091, PMCID: PMC4390920, DOI: 10.1007/s11999-014-3911-4.Peer-Reviewed Original ResearchConceptsSevere adverse eventsLength of stayAdolescent idiopathic scoliosisAdverse eventsSurgical site infectionPerioperative morbiditySite infectionIdiopathic scoliosisSurgeons National Surgical Quality Improvement ProgramNational Surgical Quality Improvement ProgramExtended LOSPoor short-term outcomeSurgical Quality Improvement ProgramInitial hospital stayResultsTwenty-seven patientsManagement of obesityIndividual adverse eventsShort-term outcomesTotal hospital costsMultivariate logistic regressionQuality Improvement ProgramHospital stayHospital readmissionNinety-fifth percentileOperative time