2024
167 Association Between Safety-net Hospital Status and Postoperative Outcomes Following ACDF or PCDF for Cervical Spondylotic Myelopathy
Elsamadicy A, Sayeed S, Craft S, Sherman J, Reeves B, Koo A, Khalid S, Lo S, Shin J, Mendel E, Sciubba D. 167 Association Between Safety-net Hospital Status and Postoperative Outcomes Following ACDF or PCDF for Cervical Spondylotic Myelopathy. Neurosurgery 2024, 70: 40-40. DOI: 10.1227/neu.0000000000002809_167.Peer-Reviewed Original ResearchCervical spondylotic myelopathyNon-routine dischargeSafety-net hospital statusSafety-net hospitalACDF cohortSpondylotic myelopathyPostoperative outcomesAdverse eventsMultivariate analysisPosterior cervical decompressionAnterior cervical discectomyImpact postoperative outcomesProportion of patientsNational Inpatient Sample databaseRetrospective cohort studyPredictors of prolonged LOSInpatient Sample databaseNon-SNHsElective ACDFCervical decompressionCervical discectomyStudy patientsIndependent predictorsAdult patientsACDF
2023
Management of dynamic cervical kyphosis with dorsal epidural lipomatosis: a Hirayama disease variant? Illustrative case
Kundishora A, Reeves B, Moreno-De-Luca A, Hong C, Robert S, Elsamadicy A, Tuason D, DiLuna M. Management of dynamic cervical kyphosis with dorsal epidural lipomatosis: a Hirayama disease variant? Illustrative case. Journal Of Neurosurgery Case Lessons 2023, 5: case22481. PMID: 36880508, PMCID: PMC10550661, DOI: 10.3171/case22481.Peer-Reviewed Original ResearchCervical kyphosisHirayama diseaseMagnetic resonance imagingSelf-limiting natureTwo-level anterior cervical discectomySpinal magnetic resonance imagingNormal cervical lordosisAggressive surgical managementAnterior cervical discectomySpinal cord compressionPosterior spinal fusionProgressive paresthesiaCord compressionSurgical decompressionCervical discectomyCervical myelopathyEpidural lipomatosisCervical immobilizationMRI findingsCervical lordosisSurgical managementCervical collarCharacteristic findingsRare entityTreatment options
2022
Geographic 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
Ramifications of Postoperative Dysphagia on Health Care Resource Utilization Following Elective Anterior Cervical Discectomy and Interbody Fusion for Cervical Spondylotic Myelopathy
Elsamadicy AA, Koo AB, David WB, Freedman IG, Reeves BC, Ehresman J, Pennington Z, Sarkozy M, Laurans M, Kolb L, Shin JH, Sciubba DM. Ramifications of Postoperative Dysphagia on Health Care Resource Utilization Following Elective Anterior Cervical Discectomy and Interbody Fusion for Cervical Spondylotic Myelopathy. Clinical Spine Surgery A Spine Publication 2021, 35: e380-e388. PMID: 34321392, DOI: 10.1097/bsd.0000000000001241.Peer-Reviewed Original ResearchConceptsHealth care resource utilizationCervical spondylotic myelopathyElective anterior cervical discectomyPostoperative dysphagiaRetrospective cohort studyAnterior cervical discectomySpondylotic myelopathyNonroutine dischargeHospital stayCervical discectomyCohort studyRisk factorsOdds ratioHigher total costsICD-10-CM diagnosisSignificant independent risk factorsNationwide Inpatient Sample databaseMultivariate stepwise logistic regressionLonger hospital LOSLonger hospital stayIndependent risk factorPatient risk factorsStepwise logistic regressionPaucity of dataHospital LOSIndependent Association of Obesity and Nonroutine Discharge Disposition After Elective Anterior Cervical Discectomy and Fusion for Cervical Spondylotic Myelopathy
Koo AB, Elsamadicy AA, Sarkozy M, David WB, Reeves BC, Hong CS, Boylan A, Laurans M, Kolb L. Independent Association of Obesity and Nonroutine Discharge Disposition After Elective Anterior Cervical Discectomy and Fusion for Cervical Spondylotic Myelopathy. World Neurosurgery 2021, 151: e950-e960. PMID: 34020060, DOI: 10.1016/j.wneu.2021.05.022.Peer-Reviewed Original ResearchConceptsCervical spondylotic myelopathyNonroutine discharge dispositionAnterior cervical discectomyElective anterior cervical discectomyDischarge dispositionSpondylotic myelopathyCervical discectomyElective ACDFComplication rateNational Inpatient Sample databaseElective spine surgeryOverall complication ratePrevalence of obesityShort-term outcomesLength of stayHospital bed sizeMultivariate regression analysisHealth care coverageMore comorbiditiesNonroutine dischargeDischarge weightIndependent predictorsElixhauser comorbiditiesGreater proportionPrimary diagnosis
2020
Portending Influence Racial Disparities has on Extended Length of Stay after Elective Anterior Cervical Discectomy and Interbody Fusion for Cervical Spondylotic Myelopathy
Elsamadicy A, Koo A, David W, Sarkozy M, Freedman I, Reeves B, Laurans M, Kolb L, Sciubba D. Portending Influence Racial Disparities has on Extended Length of Stay after Elective Anterior Cervical Discectomy and Interbody Fusion for Cervical Spondylotic Myelopathy. Neurosurgery 2020, 67 DOI: 10.1093/neuros/nyaa447_194.Peer-Reviewed Original ResearchPortending Influence of Racial Disparities on Extended Length of Stay after Elective Anterior Cervical Discectomy and Interbody Fusion for Cervical Spondylotic Myelopathy
Elsamadicy AA, Koo AB, David WB, Sarkozy M, Freedman IG, Reeves BC, Laurans M, Kolb L, Sciubba DM. Portending Influence of Racial Disparities on Extended Length of Stay after Elective Anterior Cervical Discectomy and Interbody Fusion for Cervical Spondylotic Myelopathy. World Neurosurgery 2020, 142: e173-e182. PMID: 32599203, DOI: 10.1016/j.wneu.2020.06.155.Peer-Reviewed Original ResearchMeSH KeywordsAgedBlack or African AmericanCerebrospinal Fluid LeakCervical VertebraeCohort StudiesComorbidityDiskectomyElective Surgical ProceduresFemaleHealthcare DisparitiesHumansIntraoperative ComplicationsLength of StayMaleMiddle AgedPostoperative ComplicationsPrevalenceRetrospective StudiesSpinal Cord CompressionSpinal FusionSpondylosisUnited StatesWhite PeopleConceptsCervical spondylotic myelopathyElective anterior cervical discectomyAnterior cervical discectomyAA cohortSpondylotic myelopathyCervical discectomyExtended LOSC cohortSignificant independent risk factorsNational Inpatient Sample databaseLonger hospital stayPrevalence of comorbiditiesRetrospective cohort studyIndependent risk factorNumber of complicationsAfrican AmericansElective ACDFNonroutine dischargeAA raceC patientsHospital stayAdult patientsCohort studyIndependent predictorsAA patientsPatient Risk Factors Associated With 30- and 90-Day Readmission After Cervical Discectomy
Elsamadicy AA, Koo AB, Lee M, Freedman IG, David WB, Kundishora AJ, Gorrepati R, Kuzmik GA, Camara-Quintana J, Qureshi T, Kolb L, Laurans M, Abbed K. Patient Risk Factors Associated With 30- and 90-Day Readmission After Cervical Discectomy. Clinical Spine Surgery A Spine Publication 2020, 33: e434-e441. PMID: 32568863, DOI: 10.1097/bsd.0000000000001030.Peer-Reviewed Original ResearchConceptsCervical disc arthroplastyLarge hospital bed sizeRetrospective cohort studyHospital bed sizeRisk factorsIndex admissionUnplanned readmissionCohort studyReadmission ratesAnterior cervical spine proceduresPatient-related risk factorsPatient-level risk factorsAnterior cervical decompressionCervical disc pathologyNationwide Readmissions DatabaseRate of readmissionCervical spine proceduresPatient risk factorsMultivariate regression analysisBed sizeCervical decompressionInitial hospitalizationCervical discectomyGenitourinary complicationsNinth RevisionAssociated risk factors for extended length of stay following anterior cervical discectomy and fusion for cervical spondylotic myelopathy
Elsamadicy AA, Koo AB, Lee M, David WB, Kundishora AJ, Robert SM, Kuzmik GA, Coutinho PO, Kolb L, Laurans M, Abbed K. Associated risk factors for extended length of stay following anterior cervical discectomy and fusion for cervical spondylotic myelopathy. Clinical Neurology And Neurosurgery 2020, 195: 105883. PMID: 32428797, DOI: 10.1016/j.clineuro.2020.105883.Peer-Reviewed Original ResearchConceptsCervical spondylotic myelopathyHospital-level factorsLOS cohortAnterior cervical discectomyExtended LOSMultivariate logistic regressionSpondylotic myelopathyPostoperative complicationsCervical discectomyBlood transfusionOdds ratioNational Inpatient Sample databaseLogistic regressionFurther investigational studiesOverall complication rateNon-routine dischargeAssociated risk factorsNational cohort studyNumber of complicationsRisk-adjusted LOSGreater overall costsLow socioeconomic statusPaucity of literatureHospital LOSHospital stay
2018
The use of subfascial drains after multi-level anterior cervical discectomy and fusion: does the data support its use?
Adogwa O, Khalid SI, Elsamadicy AA, Voung VD, Lilly DT, Desai SA, Sergesketter AR, Cheng J, Karikari IO. The use of subfascial drains after multi-level anterior cervical discectomy and fusion: does the data support its use? Journal Of Spine Surgery 2018, 4: 227-232. PMID: 30069511, PMCID: PMC6046311, DOI: 10.21037/jss.2018.05.10.Peer-Reviewed Original ResearchSurgical site infectionMulti-level anterior cervical discectomyAnterior cervical discectomySubfascial drainsDrain useHematoma formationACDF proceduresHospital stayCervical discectomyComparison cohortBlood transfusionDecreased incidenceDirect medical record reviewPost-operative blood transfusionDegenerative cervical stenosisMulti-level ACDFAllogenic blood transfusionPercent of patientsConsecutive adult patientsMedical record reviewPost-operative hematomaTime of surgeryCervical stenosisMultilevel ACDFAdult patients
2017
Immediate Postoperative Pain Scores Predict Neck Pain Profile up to 1 Year Following Anterior Cervical Discectomy and Fusion
Adogwa O, Elsamadicy AA, Vuong VD, Mehta AI, Vasquez RA, Cheng J, Bagley CA, Karikari IO. Immediate Postoperative Pain Scores Predict Neck Pain Profile up to 1 Year Following Anterior Cervical Discectomy and Fusion. Global Spine Journal 2017, 8: 231-236. PMID: 29796370, PMCID: PMC5958477, DOI: 10.1177/2192568217706700.Peer-Reviewed Original ResearchImmediate postoperative pain scoresNeck pain scoresPostoperative pain scoresPain scoresAnterior cervical discectomyBody mass indexCervical discectomyPain 12 monthsRetrospective cohort reviewFirst postoperative dayMajor academic medical centerImmediate postoperative patientsAcademic medical centerACDF proceduresIndex surgeryPain ProfileACDF surgeryCohort reviewPostoperative dayIndependent predictorsPain outcomesPostoperative patientsMass indexRetrospective studyMean age
2016
Race as an Independent Predictor of Temporal Delay in Time to Diagnosis and Treatment in Patients with Cervical Stenosis: A Study of 133 Patients with Anterior Cervical Discectomy and Fusion
Elsamadicy AA, Adogwa O, Fialkoff J, Mehta AI, Vasquez RA, Cheng J, Bagley CA, Karikari IO. Race as an Independent Predictor of Temporal Delay in Time to Diagnosis and Treatment in Patients with Cervical Stenosis: A Study of 133 Patients with Anterior Cervical Discectomy and Fusion. World Neurosurgery 2016, 96: 107-110. PMID: 27567581, DOI: 10.1016/j.wneu.2016.08.070.Peer-Reviewed Original ResearchMeSH KeywordsAdultAge FactorsAgedAnxietyBlack or African AmericanCervical VertebraeDecompression, SurgicalDelayed DiagnosisDepressionDiskectomyEthnicityFemaleHumansLogistic ModelsMaleMiddle AgedMultivariate AnalysisRetrospective StudiesRisk FactorsSex FactorsSpinal FusionSpinal StenosisTime-to-TreatmentWhite PeopleConceptsAnterior cervical discectomyVisual analog scaleCervical stenosisIndependent predictorsCervical discectomyPatient demographicsMultivariate analysisElective anterior cervical discectomyVAS neck pain scoresPatient-reported outcome measuresSignificant cervical stenosisSymptomatic cervical stenosisVAS neck painIndependent risk factorPostoperative complication rateWorse postoperative outcomesBody mass indexStandard deviation ageMajor academic medical centerHistory of depressionAcademic medical centerPreoperative painNeurological sequelaePain scoresPostoperative outcomesComparison of surgical outcomes after anterior cervical discectomy and fusion: does the intra-operative use of a microscope improve surgical outcomes
Adogwa O, Elsamadicy A, Reiser E, Ziegler C, Freischlag K, Cheng J, Bagley CA. Comparison of surgical outcomes after anterior cervical discectomy and fusion: does the intra-operative use of a microscope improve surgical outcomes. Journal Of Spine Surgery 2016, 2: 25-30. PMID: 27683692, PMCID: PMC5039832, DOI: 10.21037/jss.2016.01.04.Peer-Reviewed Original ResearchNeck Disability IndexVisual analog pain scaleSF-12 PCSSF-12 MCSAnterior cervical discectomyIntra-operative useCervical discectomyClinical outcomesSurgical outcomesVAS neck pain scoresLong-term clinical outcomesSuperior long-term outcomesPatient-reported outcome measuresStandard deviation durationSurgery-related outcomesVAS neck painAnalog pain scaleNeck pain scoresNerve root injuryLong-term outcomesClinical outcome dataMajor academic medical centerSimilar improvementsAcademic medical centerDisability Index