2024
Anterior cervical decompression and fusion at one and two levels: trends and factors associated with structural allograft versus synthetic cages
Kim L, Grauer J. Anterior cervical decompression and fusion at one and two levels: trends and factors associated with structural allograft versus synthetic cages. North American Spine Society Journal (NASSJ) 2024, 17: 100310. PMID: 38390524, PMCID: PMC10882181, DOI: 10.1016/j.xnsj.2024.100310.Peer-Reviewed Original ResearchCage useAnterior cervical decompressionAnterior cervical discectomyStructural allograftSynthetic cageLevel ACDFCervical decompressionACDF casesCervical discectomyClinical predictorsAdult patientsClinical factorsACDFAnterior plateFemale sexImplant choiceMultivariate analysisAllograftProvider specialtyCare algorithmOlder ageDecompressionNon-clinical
2022
A comparison of in-hospital outcomes after elective anterior cervical discectomy and fusion in cases with and without Parkinson's Disease
Galivanche AR, Schneble CA, David WB, Mercier MR, Kammien AJ, Ottesen TD, Saifi C, Whang PG, Grauer JN, Varthi AG. A comparison of in-hospital outcomes after elective anterior cervical discectomy and fusion in cases with and without Parkinson's Disease. North American Spine Society Journal (NASSJ) 2022, 12: 100164. PMID: 36304443, PMCID: PMC9594612, DOI: 10.1016/j.xnsj.2022.100164.Peer-Reviewed Original ResearchMinor adverse eventsSerious adverse eventsAnterior cervical discectomyAdverse eventsParkinson's diseaseElective ACDFComorbidity burdenCervical discectomyMedical complicationsPD casesElective anterior cervical discectomyNational Inpatient Sample databaseGreater riskAssociation of PDCervical degenerative pathologyPostoperative medical complicationsLogistic regression modelsHospital complicationsHospital outcomesComplication rateSurgical complicationsUnmatched populationACDF casesSurgical interventionComorbidity variablesFour-level anterior versus posterior cervical fusions: Perioperative outcomes and five-year reoperation rates Outcomes after four-level anterior versus posterior cervical procedures
Joo PY, Jayaram RH, McLaughlin WM, Ameri B, Kammien AJ, Arnold PM, Grauer JN. Four-level anterior versus posterior cervical fusions: Perioperative outcomes and five-year reoperation rates Outcomes after four-level anterior versus posterior cervical procedures. North American Spine Society Journal (NASSJ) 2022, 10: 100115. PMID: 35392022, PMCID: PMC8980614, DOI: 10.1016/j.xnsj.2022.100115.Peer-Reviewed Original ResearchPosterior cervical fusionFour-level ACDFAdverse eventsReoperation rateCervical fusionOdds ratioMinor adverse eventsMultilevel cervical pathologyPosterior cervical proceduresRate of dysphagiaFive-year incidencePerioperative adverse eventsAnterior cervical discectomyHigher reoperation rateLength of stayGreater odds ratioRisk/benefit considerationsPosterior approach proceduresTimes lower oddsCervical reoperationCervical proceduresCervical discectomyPerioperative outcomesPosterior proceduresACDF cases
2021
Clinical outcomes following one-, two-, three-, and four-level anterior cervical discectomy and fusion: a national database study
Joo PY, Zhu JR, Kammien AJ, Gouzoulis MJ, Arnold PM, Grauer JN. Clinical outcomes following one-, two-, three-, and four-level anterior cervical discectomy and fusion: a national database study. The Spine Journal 2021, 22: 542-548. PMID: 34774751, DOI: 10.1016/j.spinee.2021.11.002.Peer-Reviewed Original ResearchConceptsOne-level casesAnterior cervical discectomyAdverse eventsReoperation rateACDF casesCervical discectomyProlonged lengthFour-level anterior cervical discectomyMultivariate analysisMinor adverse event rateFour-level ACDFNational database studyAdverse event ratesGreater odds ratioCommon surgical procedureLarge national databaseDysphagia ratesElective ACDFLarge comparative studiesComplication ratePatient characteristicsReadmission ratesClinical outcomesPearlDiver databasePosterior procedures
2017
Outpatient Anterior Cervical Discectomy and Fusion is Associated With Fewer Short-term Complications in One- and Two-level Cases
Fu MC, Gruskay JA, Samuel AM, Sheha ED, Derman PB, Iyer S, Grauer JN, Albert TJ. Outpatient Anterior Cervical Discectomy and Fusion is Associated With Fewer Short-term Complications in One- and Two-level Cases. Spine 2017, 42: 1044-1049. PMID: 28697092, DOI: 10.1097/brs.0000000000001988.Peer-Reviewed Original ResearchConceptsOutpatient anterior cervical discectomyAnterior cervical discectomyTwo-level ACDFPostdischarge complicationsPostoperative complicationsPostoperative morbidityRisk factorsCervical discectomyACDF casesOutpatient procedureOutpatient casesInpatient casesNational Surgical Quality Improvement Program databasePropensity-adjusted multivariable logistic regressionsQuality Improvement Program databaseCharlson Comorbidity IndexChronic steroid useOne-level ACDFOverall unadjusted rateGreater comorbidity burdenHigher American SocietyImprovement Program databaseIndependent risk factorRetrospective cohort studyShort-term complications
2016
Preoperative Nutritional Status as an Adjunct Predictor of Major Postoperative Complications Following Anterior Cervical Discectomy and Fusion
Fu MC, Buerba RA, Grauer JN. Preoperative Nutritional Status as an Adjunct Predictor of Major Postoperative Complications Following Anterior Cervical Discectomy and Fusion. Clinical Spine Surgery A Spine Publication 2016, 29: 167-172. PMID: 25310390, DOI: 10.1097/bsd.0000000000000181.Peer-Reviewed Original ResearchConceptsNational Surgical Quality Improvement ProgramMajor postoperative complicationsPreoperative nutritional statusAnterior cervical discectomySurgical outcomes databaseSerum albumin concentrationPreoperative hypoalbuminemiaPostoperative complicationsNutritional statusAdjunct predictorCervical discectomyACDF casesOutcomes DatabaseAlbumin concentrationAlbumin measurementSurgical Quality Improvement ProgramMultivariable logistic regression modelHigher ASA classPreoperative albumin measurementsHigh-risk patientsPreoperative serum albuminMultiple medical comorbiditiesPreoperative risk assessmentAdjusted odds ratioStrong independent predictor