2023
Longitudinal Comparative Analysis of Complications and Subsequent Interventions Following Stand-Alone Interspinous Spacers, Open Decompression, or Fusion for Lumbar Stenosis
Whang P, Tran O, Rosner H. Longitudinal Comparative Analysis of Complications and Subsequent Interventions Following Stand-Alone Interspinous Spacers, Open Decompression, or Fusion for Lumbar Stenosis. Advances In Therapy 2023, 40: 3512-3524. PMID: 37289411, PMCID: PMC10329952, DOI: 10.1007/s12325-023-02562-6.Peer-Reviewed Original ResearchConceptsLong-term complicationsLumbar spinal stenosisLumbar spine surgeryFirst surgical interventionLife-threatening eventsSurgical interventionISD patientsSurgery cohortOpen decompressionOpen surgerySpine surgerySubsequent interventionsComplication-related costsOpen surgery cohortSubsequent surgical interventionInterspinous spacer devicesFusion cohortLSS patientsConservative therapyBaseline characteristicsPatient agePostoperative outcomesLumbar stenosisSpinal stenosisMedicare database
2020
Evidence-Based Recommendations for Spine Surgery.
Fisher CG, Vaccaro AR, Patel AA, Whang PG, Thomas KC, Chi J, Mulpuri K, Prasad SK. Evidence-Based Recommendations for Spine Surgery. Spine 2020, 45: 851-859. PMID: 32355150, DOI: 10.1097/brs.0000000000003512.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedDecompression, SurgicalFemaleHumansLumbar VertebraeLumbosacral RegionMaleMiddle AgedSpinal FusionConceptsSpine surgeryDecompression surgeryLumbar decompression surgerySpinal decompression surgeryPost-operative MRISagittal spinopelvic alignmentEvidence-based recommendationsLumbar disc arthroplastyLumbar surgeryPrognostic factorsTranexamic acidOsteoporotic patientsDisc arthroplastySpinopelvic alignmentSurgeryClinical practiceComparative effectivenessPatientsArthroplastyRecommendationsFusion supportMRI
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
2014
Evidence-Based Recommendations for Spine Surgery
Vaccaro AR, Fisher CG, Whang PG, Patel AA, Thomas KC, Mulpuri K, Chi J, Prasad SK. Evidence-Based Recommendations for Spine Surgery. Spine 2014, 39: e1183-e1189. PMID: 25166476, DOI: 10.1097/brs.0000000000000492.Peer-Reviewed Original ResearchTwo-year clinical outcomes of a multicenter randomized controlled trial comparing two interspinous spacers for treatment of moderate lumbar spinal stenosis
Patel VV, Whang PG, Haley TR, Bradley WD, Nunley PD, Miller LE, Block JE, Geisler FH. Two-year clinical outcomes of a multicenter randomized controlled trial comparing two interspinous spacers for treatment of moderate lumbar spinal stenosis. BMC Musculoskeletal Disorders 2014, 15: 221. PMID: 24996648, PMCID: PMC4109165, DOI: 10.1186/1471-2474-15-221.Peer-Reviewed Original ResearchMeSH KeywordsAgedBack PainDisability EvaluationEquipment DesignFemaleHumansLumbar VertebraeMaleOrthopedic ProceduresPain MeasurementPain, PostoperativePatient SatisfactionPredictive Value of TestsProspective StudiesRadiographyRecovery of FunctionSpinal StenosisSurveys and QuestionnairesTime FactorsTreatment OutcomeUnited StatesConceptsModerate lumbar spinal stenosisLumbar spinal stenosisConservative careInterspinous spacerClinical outcomesSpinal stenosisBack functionTwo-year clinical outcomesOswestry Disability IndexPhysical function scoresPatient-reported outcomesInvasive surgical alternativePatient satisfaction scoresExtremity painAxial painDisability IndexComplication dataFunction scoresSurgical alternativePatientsSatisfaction scoresSymptom severityPainIndex levelMulticenter
2013
Comparison of Axial and Anterior Interbody Fusions of the L5–S1 Segment
Whang PG, Sasso RC, Patel VV, Ali RM, Fischgrund JS. Comparison of Axial and Anterior Interbody Fusions of the L5–S1 Segment. Clinical Spine Surgery A Spine Publication 2013, 26: 437-443. PMID: 24196923, DOI: 10.1097/bsd.0b013e318292aad7.Peer-Reviewed Original ResearchConceptsAnterior lumbar interbody fusionAdverse eventsInterbody fusionPosterior fixationDevice-related adverse eventsL5-S1 interbody fusionL5-S1 disc spaceAnterior interbody fusionAnterior retroperitoneal approachSerious intraoperative complicationsAnterior column supportDifferent surgical approachesLumbar interbody fusionRadiographic fusion rateL5-S1 segmentSupplemental posterior fixationAxiaLIF techniqueHospital chartsIntraoperative complicationsMulticenter reviewRadiographic successRetroperitoneal approachArthrodesis ratesPresacral spaceProcedural dataRecovery 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 utilityComplications Associated With the Use of the Recombinant Human Bone Morphogenetic Proteins for Posterior Interbody Fusions of the Lumbar Spine
Chrastil J, Low JB, Whang PG, Patel AA. Complications Associated With the Use of the Recombinant Human Bone Morphogenetic Proteins for Posterior Interbody Fusions of the Lumbar Spine. Spine 2013, 38: e1020-e1027. PMID: 23629484, DOI: 10.1097/brs.0b013e3182982f8e.Peer-Reviewed Original ResearchLumbar spinal stenosis.
Lee JY, Whang PG, Lee JY, Phillips FM, Patel AA. Lumbar spinal stenosis. Instructional Course Lectures 2013, 62: 383-96. PMID: 23395043.Peer-Reviewed Original ResearchConceptsLumbar spinal stenosisSpinal stenosisNonsurgical treatment optionsOptimal treatment approachEvidence-based outcomesTreatment optionsDiagnostic workupPatient presentationSpinal surgeryCommon reasonElderly populationTreatment approachesSurgical innovationStenosisPatientsSurgeryPathophysiologyWorkupDiseaseDiagnosis
2012
Evidence-Based Recommendations for Spine Surgery
Vaccaro AR, Fisher CG, Angevine PD, Patel AA, Mulpuri K, Thomas KC, Whang PG, Prasad SK. Evidence-Based Recommendations for Spine Surgery. Spine 2012, 37: e875-e882. PMID: 22751143, DOI: 10.1097/brs.0b013e3182454ef0.Peer-Reviewed Original ResearchThe Efficacies of 2 Ceramic Bone Graft Extenders for Promoting Spinal Fusion in a Rabbit Bone Paucity Model
Miller CP, Jegede K, Essig D, Garg H, Bible JE, Biswas D, Whang PG, Grauer JN. The Efficacies of 2 Ceramic Bone Graft Extenders for Promoting Spinal Fusion in a Rabbit Bone Paucity Model. Spine 2012, 37: 642-647. PMID: 21857402, DOI: 10.1097/brs.0b013e31822e604e.Peer-Reviewed Original Research
2011
The Effects of Three Different Types of Orthoses on the Range of Motion of the Lumbar Spine During 15 Activities of Daily Living
Jegede KA, Miller CP, Bible JE, Whang PG, Grauer JN. The Effects of Three Different Types of Orthoses on the Range of Motion of the Lumbar Spine During 15 Activities of Daily Living. Spine 2011, 36: 2346-2353. PMID: 21358469, DOI: 10.1097/brs.0b013e31820921a5.Peer-Reviewed Original ResearchThe Incidence of Noncontiguous Spinal Fractures and Other Traumatic Injuries Associated With Cervical Spine Fractures
Miller CP, Brubacher JW, Biswas D, Lawrence BD, Whang PG, Grauer JN. The Incidence of Noncontiguous Spinal Fractures and Other Traumatic Injuries Associated With Cervical Spine Fractures. Spine 2011, 36: 1532-1540. PMID: 21242872, DOI: 10.1097/brs.0b013e3181f550a6.Peer-Reviewed Original ResearchConceptsCervical spine fracturesSpine fracturesCervical spineCT scanSingle level 1 trauma centerRetrospective medical record reviewLevel 1 trauma centerNoncontiguous spinal fracturesCervical spine traumaMedical record reviewC7 fractureExtraspinal injuriesAcute fracturesPrompt diagnosisSpine traumaRecord reviewTrauma centerSpinal fracturesSpine injuriesInjury patternsAdditional injuriesCervical segmentsSpinal traumaMedical recordsTraumatic injuryA novel technique for preparing an allograft fibula for use as a transsacral graft as treatment for high-grade spondylolisthesis.
Milewski MD, Whang PG, Grauer JN. A novel technique for preparing an allograft fibula for use as a transsacral graft as treatment for high-grade spondylolisthesis. The American Journal Of Orthopedics 2011, 40: 130-3, 138. PMID: 21738906.Peer-Reviewed Original ResearchConceptsAnterior cruciate ligamentInstrumented posterolateral fusionFibular allograftPosterolateral fusionHigh-grade spondylolisthesisAllograft fibulaIndex surgerySixth patientAdverse eventsIntraoperative complicationsProminent hardwareCruciate ligamentAllograftsPatientsS1 segmentPosterior implantationDeformityReamerL5ComplicationsSpondylolisthesisSurgeryGraftIleumYears
2010
Normal 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 values
2009
Effects of recombinant human bone morphogenetic protein 2 on surgical infections in a rabbit posterolateral lumbar fusion model.
Miller CP, Simpson AK, Whang PG, Erickson BP, Waked WR, Lawrence JP, Grauer JN. Effects of recombinant human bone morphogenetic protein 2 on surgical infections in a rabbit posterolateral lumbar fusion model. The American Journal Of Orthopedics 2009, 38: 578-84. PMID: 20049353.Peer-Reviewed Original ResearchConceptsLocal infectionRecombinant human bone morphogenetic proteinEarly deathRabbit posterolateral lumbar fusion modelPosterolateral lumbar fusion modelRhBMP-2Postoperative infectionSurgical infectionsSpine surgeryAutograft groupSpinal arthrodesisSterile salineFusion rateAutograftRecombinant human bone morphogenetic protein-2InfectionHuman bone morphogenetic proteinHuman bone morphogenetic protein-2Bone formationProtein 2Staphylococcus aureusRabbitsBone morphogenetic protein-2Bone morphogenetic proteinMorphogenetic protein-2Thoracolumbar spine trauma classification: the Thoracolumbar Injury Classification and Severity Score system and case examples.
Patel AA, Dailey A, Brodke DS, Daubs M, Harrop J, Whang PG, Vaccaro AR, _ _. Thoracolumbar spine trauma classification: the Thoracolumbar Injury Classification and Severity Score system and case examples. Journal Of Neurosurgery Spine 2009, 10: 201-6. PMID: 19320578, DOI: 10.3171/2008.12.spine08388.Peer-Reviewed Original ResearchCurrent 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 study
2008
Postoperative bracing after spine surgery for degenerative conditions: a questionnaire study
Bible JE, Biswas D, Whang PG, Simpson AK, Rechtine GR, Grauer JN. Postoperative bracing after spine surgery for degenerative conditions: a questionnaire study. The Spine Journal 2008, 9: 309-316. PMID: 18790685, DOI: 10.1016/j.spinee.2008.06.453.Peer-Reviewed Original ResearchConceptsSpine surgeonsPostoperative bracingSpinal proceduresSpecific spinal proceduresVariety of orthosesCervical spine proceduresAnterior cervical spineInstrumented lumbar fusionSingle-page questionnaireDuration of treatmentType of orthosisSpecific surgical proceduresQuestionnaire studyInternal fixationLumbar fusionCervical spineSpine surgeryClinical studiesSpine proceduresBracing protocolSurgical proceduresLumbar spineCommon reasonProper indicationsClinical experienceFinancial 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