2019
Association Between Preoperative Narcotic Use with Perioperative Complication Rates, Patient Reported Pain Scores, and Ambulatory Status After Complex Spinal Fusion (≥5 Levels) for Adult Deformity Correction
Elsamadicy AA, Drysdale N, Adil SM, Charalambous L, Lee M, Koo A, Freedman IG, Kundishora AJ, Camara-Quintana J, Qureshi T, Kolb L, Laurans M, Abbed K, Karikari IO. Association Between Preoperative Narcotic Use with Perioperative Complication Rates, Patient Reported Pain Scores, and Ambulatory Status After Complex Spinal Fusion (≥5 Levels) for Adult Deformity Correction. World Neurosurgery 2019, 128: e231-e237. PMID: 31009775, DOI: 10.1016/j.wneu.2019.04.107.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedBone TransplantationDepressionFemaleHumansIntraoperative Neurophysiological MonitoringLaminectomyLength of StayMaleMiddle AgedMobility LimitationNarcoticsOsteotomyPainPain MeasurementPain, PostoperativePatient ReadmissionPatient Reported Outcome MeasuresPostoperative ComplicationsPreoperative PeriodSpinal DiseasesSpinal FusionConceptsComplex spinal fusionPain scoresPerioperative complication ratePreoperative narcotic useComplication rateSpinal fusionAmbulatory statusNarcotic usePatient demographicsDeformity correctionPatient-reported pain scoresPrimary complex spinal fusionAdult deformity correctionLast pain scoreNon-user cohortsPostoperative pain scoresPostoperative complication rateHigher pain scoresPhysical therapy regimensPrevalence of depressionGreater mean ageUse of narcoticsMajor academic institutionAmbulatory dayPreoperative use
2016
Do measures of surgical effectiveness at 1 year after lumbar spine surgery accurately predict 2-year outcomes?
Adogwa O, Elsamadicy AA, Han JL, Cheng J, Karikari I, Bagley CA. Do measures of surgical effectiveness at 1 year after lumbar spine surgery accurately predict 2-year outcomes? Journal Of Neurosurgery Spine 2016, 25: 689-696. PMID: 26722957, DOI: 10.3171/2015.8.spine15476.Peer-Reviewed Original ResearchConceptsTransforaminal lumbar interbody fusionLumbar spine surgeryAnterior lumbar interbody fusionLong-term outcomesLateral interbody fusionLumbar interbody fusionSpine surgeryInterbody fusionSurgical effectivenessOutcome measuresSF-36 physical component summary scorePhysical component summary scoreLongitudinal assessmentPatient-reported outcome instrumentsAchievement of MCIDMultiinstitutional prospective studyVAS leg painComponent summary scoresClinical outcome dataPatient-centered measuresLogistic regression modelingIneffective patient careInstitutional registryOutcomes RegistrySF-36
2015
Pretreatment of Depression Before Cervical Spine Surgery Improves Patients' Perception of Postoperative Health Status: A Retrospective, Single Institutional Experience
Elsamadicy AA, Adogwa O, Cheng J, Bagley C. Pretreatment of Depression Before Cervical Spine Surgery Improves Patients' Perception of Postoperative Health Status: A Retrospective, Single Institutional Experience. World Neurosurgery 2015, 87: 214-219. PMID: 26706296, DOI: 10.1016/j.wneu.2015.11.067.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAntidepressive AgentsCervical VertebraeCohort StudiesDepressionDisability EvaluationDiskectomyFemaleHealth StatusHumansMaleMiddle AgedNeck PainPain MeasurementPatient SatisfactionPostoperative ComplicationsProspective StudiesRetrospective StudiesSpinal FusionSpineTreatment OutcomeConceptsNeck pain visual analog scalePain visual analog scaleNeck Disability IndexVisual analog scaleSF-12 mental component scoreSF-12 PCSMental component scoreSF-12 physical component scoreComponent scoresDuke University Medical CenterPatient-reported outcome measuresPostoperative health statusAnterior cervical discectomyCervical spine surgeryNerve root injurySingle institutional experiencePhysical component scoreShort Form-12Clinical outcome dataBoard-certified psychiatristHistory of depressionUniversity Medical CenterSimilar improvementsSignificant differencesDisability IndexEffects of Psoas Muscle Thickness on Outcomes of Lumbar Fusion Surgery
Verla T, Adogwa O, Elsamadicy A, Moreno JR, Farber H, Cheng J, Bagley CA. Effects of Psoas Muscle Thickness on Outcomes of Lumbar Fusion Surgery. World Neurosurgery 2015, 87: 283-289. PMID: 26619920, DOI: 10.1016/j.wneu.2015.11.022.Peer-Reviewed Original ResearchConceptsPsoas muscle thicknessLumbar fusion surgeryFusion surgeryMuscle thicknessPsoas muscleSpinal stabilizationVisual analog scale pain scoreHip flexor weaknessScale pain scoresPreoperative magnetic resonanceInterbody fusion surgeryLumbar intervertebral spaceSpecific clinical outcomesWarrants further investigationEarly ambulationPain scoresAdult patientsFlexor weaknessPostoperative rehabilitationRetrospective reviewClinical outcomesHospital recordsSurgical optionsLumbar pathologyFunctional outcomeDo obese patients have worse outcomes after direct lateral interbody fusion compared to non-obese patients?
Adogwa O, Farber SH, Fatemi P, Desai R, Elsamadicy A, Cheng J, Bagley C, Gottfried O, Isaacs RE. Do obese patients have worse outcomes after direct lateral interbody fusion compared to non-obese patients? Journal Of Clinical Neuroscience 2015, 25: 54-57. PMID: 26549673, DOI: 10.1016/j.jocn.2015.05.056.Peer-Reviewed Original ResearchConceptsDirect lateral interbody fusionNon-obese patientsOswestry Disability IndexLateral interbody fusionObese patientsLeg painPostoperative complicationsComplication rateInterbody fusionPain numerical rating scoresVisual analog scale (VAS) backLumbar spinal fusion surgeryDegenerative diseasesAnterior thigh numbnessIncidence of durotomySimilar complication profilePostoperative complication rateLong-term outcomesNumerical rating scoreCerebrospinal fluid leakSpinal fusion surgeryPsoas hematomaThigh numbnessDisability IndexNerve injuryAssessing Patient Reported Outcomes Measures via Phone Interviews Versus Patient Self-Survey in the Clinic: Are We Measuring the Same Thing?
Adogwa O, Elsamadicy AA, Cheng J, Bagley C. Assessing Patient Reported Outcomes Measures via Phone Interviews Versus Patient Self-Survey in the Clinic: Are We Measuring the Same Thing? World Neurosurgery 2015, 87: 230-234. PMID: 26548832, DOI: 10.1016/j.wneu.2015.10.092.Peer-Reviewed Original ResearchConceptsOswestry Disability IndexPatient-reported outcomesBaseline PRO dataVisual analog scalePRO dataAnalog scalePhone interviewsBaseline Oswestry Disability IndexDuke University Medical CenterCoronary artery diseaseHistory of depressionUniversity Medical CenterRepeated-measures analysisVAS-BPVAS-LPBaseline painDisability IndexLeg painAdult patientsArtery diseaseBack painFunctional disabilityProspective studyEnrollment criteriaLumbar fusion