Scott Halperin, MD, MHS
Hospital ResidentAbout
Research
Publications
2025
Endoscopic lumbar decompression in patients with obesity does not correlate with inferior outcomes
Sanchez J, Smith-Voudouris J, Zehner K, Halperin S, Jabbouri S, Seddio A, R. Rubio D, Grauer J. Endoscopic lumbar decompression in patients with obesity does not correlate with inferior outcomes. European Spine Journal 2025, 1-8. PMID: 41407997, DOI: 10.1007/s00586-025-09682-3.Peer-Reviewed Original ResearchEndoscopic lumbar decompressionNon-obese patientsLumbar decompressionObese patientsReoperation-free survivalObstructive sleep apneaHealthcare utilizationAssociated with obesityWilcoxon rank sum testMultivariate logistic regressionNational administrative databaseRank sum testPatient-reported outcomesType 2 diabetesLonger-term complicationsSleep apneaLumbar proceduresSpine surgerySurgical indicationsElixhauser Comorbidity IndexInferior outcomesPerioperative riskNinety-dayFollow-upComorbidity indexFollowing posterior spinal fusion for adolescent idiopathic scoliosis, patients with asthma are at increased odds of pulmonary adverse events
Kim L, Smith-Voudouris J, Halperin S, Tuason D, Grauer J. Following posterior spinal fusion for adolescent idiopathic scoliosis, patients with asthma are at increased odds of pulmonary adverse events. North American Spine Society Journal (NASSJ) 2025, 100833. DOI: 10.1016/j.xnsj.2025.100833.Peer-Reviewed Original ResearchPosterior spinal fusionAdolescent idiopathic scoliosisPostoperative adverse eventsAdverse eventsRespiratory failureAsthma severityIdiopathic scoliosisAdolescent patientsSpinal fusionAdverse outcomesOdds of respiratory failurePulmonary adverse eventsPatients meeting study criteriaLog-rank testKaplan-Meier analysisPostoperative adverse outcomesMultivariate logistic regressionNon-asthma patientsAssociated with higher oddsSecondary multivariate analysisPostoperative pneumoniaYounger patientsKaplan-MeierLevels of asthma severityPostoperative management78. Sensitivity and specificity of multimodal neuromonitoring for the detection of neurological adverse events in lumbar spine surgery
Maloy G, Dhodapkar M, Halperin S, Ndege M, Callahan B, Doan A, Grauer J. 78. Sensitivity and specificity of multimodal neuromonitoring for the detection of neurological adverse events in lumbar spine surgery. The Spine Journal 2025, 25: s41-s42. DOI: 10.1016/j.spinee.2025.08.260.Peer-Reviewed Original ResearchExtensor hallucis longusLumbar spine surgeryPosterior tibial nerveDorsiflexion injurySpine surgerySomatosensory Evoked PotentialsPositive predictive valueHallucis longusPeroneal nerveElective lumbar fusion surgeryElectronic health recordsPrimary diagnosisChart reviewIntraoperative neuromonitoringTranscranial Motor Evoked PotentialsMotor Evoked PotentialsLumbar fusion surgeryIntraoperative neuromonitoring alertsPrimary diagnosis of infectionHealth recordsMultimodal intraoperative neuromonitoringDorsiflexionNeurological deficitsTcMEP monitoringOutcome measuresPatients With Cystic Fibrosis Undergoing Posterior Lumbar Fusion Are at an Increased Odds of Perioperative Complications
Halperin S, Dhodapkar M, Gouzoulis M, Varthi A, Rubio D, Grauer J. Patients With Cystic Fibrosis Undergoing Posterior Lumbar Fusion Are at an Increased Odds of Perioperative Complications. JAAOS Global Research And Reviews 2025, 9: e24.00304. PMID: 40749196, PMCID: PMC12309916, DOI: 10.5435/jaaosglobal-d-24-00304.Peer-Reviewed Original ResearchConceptsPosterior lumbar fusionCystic fibrosisPostoperative outcomesLumbar fusionRevision rateOdds of perioperative complicationsAcute kidney injuryPerioperative risk assessmentMultivariate logistic regressionLumbar surgeryPerioperative outcomesPerioperative complicationsSpine surgeryRespiratory failureElixhauser Comorbidity IndexPleural effusionVenous thromboembolismKidney injuryAdverse eventsNinety-dayComorbidity indexEmergency department visitsMatched ControlsPatientsSurgical preparationPredictors of Physical, Chiropractic, and Acupuncture Therapy Utilization in the Three Months Following Newly Diagnosed Low Back Pain.
Seddio A, Dhodapkar M, Halperin S, Jabbouri S, Gouzoulis M, Joo P, Grauer J. Predictors of Physical, Chiropractic, and Acupuncture Therapy Utilization in the Three Months Following Newly Diagnosed Low Back Pain. Clinical Spine Surgery A Spine Publication 2025 PMID: 40521727, DOI: 10.1097/bsd.0000000000001859.Peer-Reviewed Original ResearchLow back painChiropractic therapyAcupuncture therapyBack painDays of low back painNonclinical factorsLow back pain patientsPredictors of CT utilizationTherapy utilizationMultivariate logistic regressionMusculoskeletal problemsPhysical therapyElixhauser Comorbidity IndexIndependent predictorsLogistic regressionCT utilizationUtilization patternsAcupunctureLevel IIIMale sexExclusion criteriaComorbidity indexTherapy typeNational levelPainPostoperative complications in patients with sickle cell disease undergoing single-level anterior cervical discectomy and fusion
Maloy G, Doshi R, Day W, Dhodapkar M, Halperin S, Jayaram R, Jain B, Grauer J, Varthi A. Postoperative complications in patients with sickle cell disease undergoing single-level anterior cervical discectomy and fusion. North American Spine Society Journal (NASSJ) 2025, 22: 100617. PMID: 40548100, PMCID: PMC12182323, DOI: 10.1016/j.xnsj.2025.100617.Peer-Reviewed Original ResearchSickle cell disease patientsSickle cell diseaseSingle-level ACDFAnterior cervical discectomyAdverse eventsCervical discectomyPostoperative complicationsPostoperative outcomesElixhauser Comorbidity IndexCell diseaseSingle-level anterior cervical discectomyEmergency departmentUrinary tract infectionMultiple postoperative complicationsOdds of adverse eventsSerious adverse eventsAcute kidney injuryPostoperative adverse eventsDeep vein thrombosisMinor adverse eventsIndividual adverse eventsDegenerative disc diseaseMultivariate logistic regressionStudent's t-testHigh-risk populationOutcomes following single level posterior lumbar fusion in patients with systemic and discoid lupus: A retrospective national database study
Dhodapkar M, Halperin S, Day W, Saifi C, Rubio D, Koumpouras F, Grauer J, Varthi A. Outcomes following single level posterior lumbar fusion in patients with systemic and discoid lupus: A retrospective national database study. North American Spine Society Journal (NASSJ) 2025, 22: 100604. PMID: 40487382, PMCID: PMC12141882, DOI: 10.1016/j.xnsj.2025.100604.Peer-Reviewed Original ResearchPosterior lumbar fusionSystemic lupus erythematosusDiscoid lupus erythematosusSingle-level posterior lumbar fusionPostoperative adverse eventsMinor adverse eventsAdverse eventsIncreased oddsLupus erythematosusLumbar fusionDiagnosis of discoid lupus erythematosusCohort of systemic lupus erythematosusLevel posterior lumbar fusionsMultivariate analysisDiagnosis of systemic lupus erythematosusDiscoid lupus erythematosus patientsUrinary tract infectionPerioperative adverse outcomesSurgical site infectionAcute kidney injuryDeep vein thrombosisNational database studyHistory of infectionSampled adult patientsMultivariate logistic regressionCefazolin Alone Versus Cefazolin With Tobramycin or Gentamicin as Intraoperative Antibiotic Prophylaxis for Total Joint Arthroplasty
Dhodapkar M, Halperin S, Radford Z, Rubin L, Grauer J, Li M. Cefazolin Alone Versus Cefazolin With Tobramycin or Gentamicin as Intraoperative Antibiotic Prophylaxis for Total Joint Arthroplasty. Arthroplasty Today 2025, 31: 101613. PMID: 39911247, PMCID: PMC11794179, DOI: 10.1016/j.artd.2024.101613.Peer-Reviewed Original ResearchFive-year implant survivalTotal knee arthroplastyElixhauser Comorbidity IndexProphylactic cefazolinImplant survivalAdverse outcomesComorbidity indexTotal hip arthroplastyAntibiotic prophylaxis regimensIntraoperative antibiotic prophylaxisStandard prophylactic antibioticsKaplan-Meier analysisLog-rank testPerioperative adverse outcomesPostoperative adverse outcomesProsthetic joint infectionMultivariate logistic regressionAntibiotic prophylaxisProphylaxis regimensTotal knee arthroplasty patientsProphylactic antibioticsSSI ratesComplication of total knee arthroplastyJoint infectionCefazolinDeclining Postoperative 90-Day Opioid Prescriptions From 2010 to 2021 Following Hip Arthroscopy for Femoroacetabular Impingement Syndrome
Day W, Halperin S, Surucu S, Jimenez A, Katsnelson B, Zhu J, Grauer J. Declining Postoperative 90-Day Opioid Prescriptions From 2010 to 2021 Following Hip Arthroscopy for Femoroacetabular Impingement Syndrome. Arthroscopy Sports Medicine And Rehabilitation 2025, 7: 101078. PMID: 40297098, PMCID: PMC12034067, DOI: 10.1016/j.asmr.2025.101078.Peer-Reviewed Original ResearchPostoperative opioid prescriptionsFemoroacetabular impingement syndromeOpioid prescriptionsPostoperative MMEElixhauser Comorbidity IndexHip arthroscopyNinety-dayHistory of chronic painImpingement syndromeAmount of narcoticsNational administrative databaseChronic painAdult patientsPatient sexPostoperative recoveryMultivariate linear regressionComorbidity indexMultivariate analysisComorbidity burdenClinical relevancePatientsExclusion criteriaSurgeryPatient variablesAdministrative databases
2024
After Anterior Cruciate Ligament Surgery, Variables Associated With Returning to the Same Surgeon If a Subsequent Antrior Cruciate Ligament Surgery Is Needed?
Halperin S, Dhodapkar M, McLaughlin W, Santos E, Medvecky M, Grauer J. After Anterior Cruciate Ligament Surgery, Variables Associated With Returning to the Same Surgeon If a Subsequent Antrior Cruciate Ligament Surgery Is Needed? JAAOS Global Research And Reviews 2024, 9: e24.00349. PMID: 39761541, PMCID: PMC11692955, DOI: 10.5435/jaaosglobal-d-24-00349.Peer-Reviewed Original ResearchConceptsCruciate ligament surgeryIndex surgeryAdverse eventsLigament surgeryAnterior cruciate ligament surgeryAssociated with adverse eventsAnterior cruciate ligament reconstructionCruciate ligament reconstructionIpsilateral revisionsRevision ACLRSame surgeonPatient agePearlDiver databaseSurgical factorsACLR patientsSurgeryPatient factorsLigament reconstructionIpsilateral kneePatientsSurgeonsAssess factorsORPearlDiverACLR