2023
Evolving Trends in the Use of Sacroiliac Fusion From 2015 to 2020
Halperin S, Dhodapkar M, Jiang W, Elaydi A, Jordan Y, Whang P, Grauer J. Evolving Trends in the Use of Sacroiliac Fusion From 2015 to 2020. Spine 2023, 49: 577-582. PMID: 37075329, DOI: 10.1097/brs.0000000000004684.Peer-Reviewed Original ResearchSI fusionOpen approachAdverse eventsSacroiliac fusionHigher Elixhauser comorbidity indexRetrospective cohort analysisElixhauser Comorbidity IndexLess adverse eventsEvolution of patientsComorbidity indexAdult patientsPatient characteristicsPrimary outcomeIndependent predictorsPearlDiver databaseMultivariable analysisPatient populationOpen procedureBACKGROUND DATACohort analysisSI jointDegenerative indicationsMIS approachMIS casesOlder age
2015
Superion Interspinous Process Spacer for Intermittent Neurogenic Claudication Secondary to Moderate Lumbar Spinal Stenosis
Patel VV, Whang PG, Haley TR, Bradley WD, Nunley PD, Davis RP, Miller LE, Block JE, Geisler FH. Superion Interspinous Process Spacer for Intermittent Neurogenic Claudication Secondary to Moderate Lumbar Spinal Stenosis. Spine 2015, 40: 275-282. PMID: 25494323, DOI: 10.1097/brs.0000000000000735.Peer-Reviewed Original ResearchConceptsLumbar spinal stenosisIntermittent neurogenic claudicationInterspinous process spacerNeurogenic claudicationClinical successSpinal stenosisModerate lumbar spinal stenosisPrimary composite endpointRate of complicationsMajority of patientsInvasive treatment alternativeConservative careLeg painSurgical decompressionControl patientsMost patientsComposite endpointNonsurgical managementHigh quality comparative dataPatient complaintsNoninferiority trialBACKGROUND DATAClaudicationInterspinous spacerPatients
2013
Recovery Room Radiographs Not Found to Have Incremental Utility Above Intraoperative Images After Lumbar Fusion Procedures
Bohl DD, Gruskay JA, Miller CP, Varthi A, Ruiz FK, Whang PG, Grauer JN. Recovery Room Radiographs Not Found to Have Incremental Utility Above Intraoperative Images After Lumbar Fusion Procedures. Spine 2013, 38: 1927-1933. PMID: 23883831, DOI: 10.1097/brs.0b013e3182a527be.Peer-Reviewed Original ResearchConceptsLumbar fusion proceduresLumbar interbody fusionClinical utilityRecovery roomInterbody fusionFusion proceduresSurgical constructTransforaminal lumbar interbody fusionAnterior lumbar interbody fusionAnterior-posterior fusionRetrospective case seriesPosterolateral lumbar fusionLow clinical utilityPlain film imagesRecovery room radiographsIntraoperative imagesIncremental clinical utilityCase seriesConsecutive seriesLumbar fusionBACKGROUND DATAIntraoperative fluoroscopic imagesWound closureRadiation exposureIncremental utility
2010
The Effect of Rigid Cervical Collar Height on Full, Active, and Functional Range of Motion During Fifteen Activities of Daily Living
Miller CP, Bible JE, Jegede KA, Whang PG, Grauer JN. The Effect of Rigid Cervical Collar Height on Full, Active, and Functional Range of Motion During Fifteen Activities of Daily Living. Spine 2010, 35: e1546-e1552. PMID: 21116218, DOI: 10.1097/brs.0b013e3181cf6f73.Peer-Reviewed Original ResearchConceptsHard cervical collarFunctional ROMDaily livingCervical collarActive ROMCoronal planeFull active ROMSagittal planeSkin-related issuesDifferent collar heightsCervical ROMHard collarClinical significanceCollar heightBACKGROUND DATAActive rangeNeck extensionClinical settingNeutral positionROM measurementsFunctional rangeCorresponding decreaseFunctional positionBiomechanical experimentsROMSoft and Rigid Collars Provide Similar Restriction in Cervical Range of Motion During Fifteen Activities of Daily Living
Miller CP, Bible JE, Jegede KA, Whang PG, Grauer JN. Soft and Rigid Collars Provide Similar Restriction in Cervical Range of Motion During Fifteen Activities of Daily Living. Spine 2010, 35: 1271-1278. PMID: 20512025, DOI: 10.1097/brs.0b013e3181c0ddad.Peer-Reviewed Original ResearchConceptsSoft collarRigid collarActive ROMCervical spineCervical motionRigid orthosisCervical collarFunctional ROMDaily livingProspective cohort studyPaucity of dataCohort studyCervical rangePostoperative bracingInternal fixationBACKGROUND DATACertain injuriesSurgical proceduresRigid braceFlexion/extensionADLRelative efficacyFunctional tasksCervical devicesROM measurementsNormal Functional Range of Motion of the Lumbar Spine During 15 Activities of Daily Living
Bible JE, Biswas D, Miller CP, Whang PG, Grauer JN. Normal Functional Range of Motion of the Lumbar Spine During 15 Activities of Daily Living. Clinical Spine Surgery A Spine Publication 2010, 23: 106-112. PMID: 20065869, DOI: 10.1097/bsd.0b013e3181981823.Peer-Reviewed Original ResearchMeSH KeywordsActivities of Daily LivingAdultBiomechanical PhenomenaElectrodiagnosisFemaleHumansIntervertebral DiscLumbar VertebraeMaleMiddle AgedMovementOutcome Assessment, Health CareProspective StudiesRange of Motion, ArticularReference ValuesTask Performance and AnalysisYoung AdultZygapophyseal JointConceptsFull active ROMLumbar spineAsymptomatic subjectsActive ROMFunctional ROMDaily livingFlexion/extensionProspective clinical studyLateral bending radiographsDynamic flexion/extensionNormal functional rangeIntraclass correlation coefficientLumbar ROMPreoperative impairmentPostsurgical outcomesClinical studiesBACKGROUND DATALumbar rangeLumbar motionSpinal ROMConsecutive daysADLRadiographic measurementsSpineROM valuesNormal Functional Range of Motion of the Cervical Spine During 15 Activities of Daily Living
Bible JE, Biswas D, Miller CP, Whang PG, Grauer JN. Normal Functional Range of Motion of the Cervical Spine During 15 Activities of Daily Living. Clinical Spine Surgery A Spine Publication 2010, 23: 15-21. PMID: 20051924, DOI: 10.1097/bsd.0b013e3181981632.Peer-Reviewed Original ResearchMeSH KeywordsActivities of Daily LivingAdultAgedAnthropometryArthrographyArthrometry, ArticularBiomechanical PhenomenaCervical VertebraeCineradiographyFemaleHead MovementsHumansIntervertebral DiscMaleMiddle AgedMovementNeck MusclesProspective StudiesRange of Motion, ArticularReference ValuesYoung AdultZygapophyseal JointConceptsFull active ROMAsymptomatic subjectsCervical spineCervical ROMActive ROMFunctional ROMDaily livingFlexion/extensionProspective clinical studyLateral bending radiographsNormal cervical rangeDynamic flexion/extensionNormal functional rangeIntraclass correlation coefficientPreoperative impairmentCervical rangePostsurgical outcomesCervical motionClinical studiesBACKGROUND DATASpinal ROMConsecutive daysRadiographic measurementsADLGreater ROM
2009
Current Trends in Spinal Arthroplasty
Whang PG, Simpson AK, Rechtine G, Grauer JN. Current Trends in Spinal Arthroplasty. Clinical Spine Surgery A Spine Publication 2009, 22: 26-33. PMID: 19190431, DOI: 10.1097/bsd.0b013e3181659804.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsConceptsLumbar total disc arthroplastyTotal disc arthroplastyCervical total disc arthroplastySpine surgeonsNeurosurgical spine surgeonsAlternative surgical treatmentLong-term outcomesPercentage of surgeonsDegenerative spinal conditionsSpinal fusion proceduresOpinions of surgeonsSurgical treatmentDisc arthroplastyBACKGROUND DATASpinal conditionsDegenerative conditionsSurgeonsContemporary updateSpinal arthroplastyFusion proceduresArthroplastyDeleterious effectsSpineTreatmentSurvey studyThe Assessment of Cervical Foramina With Oblique Radiographs: The Effect of Film Angle on Foraminal Area
Simpson AK, Sabino J, Whang P, Emerson JW, Grauer JN. The Assessment of Cervical Foramina With Oblique Radiographs: The Effect of Film Angle on Foraminal Area. Clinical Spine Surgery A Spine Publication 2009, 22: 21-25. PMID: 19190430, DOI: 10.1097/bsd.0b013e3181639b62.Peer-Reviewed Original ResearchConceptsForaminal areaEntire cervical spineCervical spineForaminal dimensionsCervical foraminaCervical radiographsOblique radiographsCervical spine levelsHuman cadaveric cervical spinesCadaveric cervical spine specimensUpper cervical spineCadaveric cervical spinesGood interobserver reliabilityCervical spine specimensRadiographic evaluationC7-T1BACKGROUND DATASpine levelRadiographsInterobserver reliabilityRight sideSpineForamen sizeSpine specimensFreehand method
2008
Sterility of C-arm Fluoroscopy During Spinal Surgery
Biswas D, Bible JE, Whang PG, Simpson AK, Grauer JN. Sterility of C-arm Fluoroscopy During Spinal Surgery. Spine 2008, 33: 1913-1917. PMID: 18622356, DOI: 10.1097/brs.0b013e31817bb130.Peer-Reviewed Original ResearchConceptsPostoperative infectionSurgical casesC-armSwab samplesNegative controlSterile culture swabC-arm fluoroscopyPlacement of instrumentationProspective studyPostoperative contaminationSpinal surgerySpine surgeryIntraoperative contaminationIntraoperative fluoroscopySpinal alignmentBACKGROUND DATAFluoroscopic C-armSpinal operationsSpine surgeonsCulture swabsFinancial Incentives for Lumbar Surgery: A Critical Analysis of Physician Reimbursement for Decompression and Fusion Procedures
Whang PG, Lim MR, Sasso RC, Skelton A, Brown ZB, Anderson D, Albert TJ, Hilibrand AS, Vaccaro AR. Financial Incentives for Lumbar Surgery: A Critical Analysis of Physician Reimbursement for Decompression and Fusion Procedures. Clinical Spine Surgery A Spine Publication 2008, 21: 381-386. PMID: 18679090, DOI: 10.1097/bsd.0b013e31814d4e1b.Peer-Reviewed Original ResearchConceptsInstrumented fusion proceduresFusion proceduresIsolated decompressionAutogenous iliac crest boneSingle-level decompressionIliac crest boneLumbar degenerative conditionsLumbar decompressionLumbar surgeryPostoperative visitDecompression groupSingle surgeonConsecutive seriesOffice chartsOperative reportsPosterolateral fusionSurgical timeTotal clinical timeCrest boneLumbar degenerationSpinal fusionBACKGROUND DATALumbar arthrodesisType of operationSpine surgeons
2007
The Influence of Fracture Mechanism and Morphology on the Reliability and Validity of Two Novel Thoracolumbar Injury Classification Systems
Whang PG, Vaccaro AR, Poelstra KA, Patel AA, Anderson DG, Albert TJ, Hilibrand AS, Harrop JS, Sharan AD, Ratliff JK, Hurlbert RJ, Anderson P, Aarabi B, Sekhon LH, Gahr R, Carrino JA. The Influence of Fracture Mechanism and Morphology on the Reliability and Validity of Two Novel Thoracolumbar Injury Classification Systems. Spine 2007, 32: 791-795. PMID: 17414915, DOI: 10.1097/01.brs.0000258882.96011.47.Peer-Reviewed Original ResearchConceptsThoracolumbar Injury Severity ScoreThoracolumbar fracturesSeverity scoreThoracolumbar injuriesInjury mechanismSubstantial reproducibilityInjury Severity ScoreMechanism of traumaThoracolumbar Injury Classification SystemThoracolumbar Injury ClassificationInjury classification systemGroup of surgeonsTLISS systemInjury characteristicsRadiographic findingsInjury classificationSpinal traumaBACKGROUND DATAInjury morphologySpinal stabilityPosterior ligamentsPatientsInjuryRespective kappa valuesKappa statisticsThe Adoption of a New Classification System
Patel AA, Vaccaro AR, Albert TJ, Hilibrand AS, Harrop JS, Anderson DG, Sharan A, Whang PG, Poelstra KA, Arnold P, Dimar J, Madrazo I, Hegde S. The Adoption of a New Classification System. Spine 2007, 32: e105-e110. PMID: 17268253, DOI: 10.1097/01.brs.0000254107.57551.8a.Peer-Reviewed Original ResearchConceptsThoracolumbar Injury ClassificationTLISS systemConsecutive patientsInjury classificationMagnetic resonance imagingThoracolumbar injuriesInterobserver reliabilityPlain radiographsSeverity scoreResonance imagingUnweighted Cohen kappa coefficientSingle training institutionProspective clinical assessmentSpearman correlation valuesInjury classification systemAssessment timeTime-dependent changesClassification systemClinical assessmentCohen's kappa coefficientBACKGROUND DATANew classification systemPatientsSecond assessmentInjury