2020
Local antibiotics in posterior lumbar fusion procedures for neuromuscular scoliosis: a case for their use
Ondeck NT, Ondeck MA, Bovonratwet P, Albert TJ, Grauer JN. Local antibiotics in posterior lumbar fusion procedures for neuromuscular scoliosis: a case for their use. The Spine Journal 2020, 21: 664-670. PMID: 33347970, DOI: 10.1016/j.spinee.2020.12.004.Peer-Reviewed Original ResearchConceptsSurgical site infectionPosterior spinal fusionNeuromuscular scoliosisLocal antibioticsIntraoperative antibioticsStudy populationRisk of SSIOccurrence of SSIReduced surgical site infectionsHigh-risk patient populationPosterior lumbar fusion proceduresAdverse outcome variablesIncreased overall riskHigh-risk patientsOverall study populationRisk patient populationPatient demographic factorsEntire study populationLumbar fusion proceduresIntrawound antibioticsNMS patientsRenal complicationsRisk patientsPediatric patientsRetrospective review
2018
Incidence, Risk Factors, and Impact of Clostridium difficile Colitis After Spine Surgery
Bovonratwet P, Bohl DD, Russo GS, Ondeck NT, Singh K, Grauer JN. Incidence, Risk Factors, and Impact of Clostridium difficile Colitis After Spine Surgery. Spine 2018, 43: 861-868. PMID: 28953711, DOI: 10.1097/brs.0000000000002430.Peer-Reviewed Original ResearchConceptsClostridium difficile colitisDifficile colitisIndependent risk factorSpine surgical proceduresRisk factorsSpine surgerySurgical proceduresPosterior lumbar fusion proceduresPost-hospitalization followSpine surgery patientsHigh-risk patientsLarge cohort studyLumbar fusion proceduresPre-existing infectionLarge national databasePostoperative lengthCohort studyNSQIP databasePostoperative periodSurgery patientsPrimary outcomeRetrospective studyDifficile infectionClinical impactInfection diagnosis
2016
Incidence and Risk Factors for Pneumonia After Posterior Lumbar Fusion Procedures
Bohl DD, Mayo BC, Massel DH, Iantorno SE, Ahn J, Basques BA, Grauer JN, Singh K. Incidence and Risk Factors for Pneumonia After Posterior Lumbar Fusion Procedures. Spine 2016, 41: 1058-1063. PMID: 26679873, DOI: 10.1097/brs.0000000000001389.Peer-Reviewed Original ResearchConceptsDependent diabetes mellitusPosterior lumbar fusionChronic obstructive pulmonary diseaseIndependent risk factorDevelopment of pneumoniaObstructive pulmonary diseaseRisk factorsPostoperative pneumoniaPulmonary diseaseSteroid useAmerican CollegeSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseSurgeons National Surgical Quality Improvement ProgramNational Surgical Quality Improvement ProgramQuality Improvement Program databaseSurgical Quality Improvement ProgramPosterior lumbar fusion proceduresRate of sepsisImprovement Program databaseIncidence of pneumoniaDevelopment of sepsisDiagnosis of pneumoniaLumbar fusion proceduresFusion proceduresPrimary and Revision Posterior Lumbar Fusion Have Similar Short-Term Complication Rates
Basques BA, Diaz-Collado PJ, Geddes BJ, Samuel AM, Lukasiewicz AM, Webb ML, Bohl DD, Ahn J, Singh K, Grauer JN. Primary and Revision Posterior Lumbar Fusion Have Similar Short-Term Complication Rates. Spine 2016, 41: e101-e106. PMID: 26539938, DOI: 10.1097/brs.0000000000001094.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedBlood Loss, SurgicalBlood TransfusionChi-Square DistributionDatabases, FactualFemaleHumansLength of StayLinear ModelsLogistic ModelsLumbar VertebraeMaleMiddle AgedMultivariate AnalysisOperative TimePatient ReadmissionPostoperative ComplicationsReoperationRetrospective StudiesRisk FactorsSpinal FusionTime FactorsTreatment OutcomeUnited StatesYoung AdultConceptsRevision lumbar fusionLumbar fusionPosterior lumbar fusionPostoperative complicationsBlood transfusionPostoperative lengthOperative timeOperative characteristicsRevision surgeryRevision proceduresSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseSimilar short-term complication ratesPrimary posterior lumbar fusionQuality Improvement Program databaseShort-term complication ratePosterior lumbar fusion proceduresPrimary lumbar fusionRetrospective cohort studyImprovement Program databaseShort-term morbidityRisk of complicationsRobust error varianceLumbar fusion proceduresPrimary surgery
2015
Urinary Tract Infection Following Posterior Lumbar Fusion Procedures
Bohl DD, Ahn J, Tabaraee E, Ahn J, Jain A, Grauer JN, Singh K. Urinary Tract Infection Following Posterior Lumbar Fusion Procedures. Spine 2015, 40: 1785-1791. PMID: 26020850, DOI: 10.1097/brs.0000000000001003.Peer-Reviewed Original ResearchConceptsPosterior lumbar fusion proceduresUrinary tract infectionLumbar fusion proceduresGreater riskSystemic sepsisTract infectionsRisk factorsFusion proceduresSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseQuality Improvement Program databaseDependent functional statusImprovement Program databaseIndependent risk factorImportant clinical consequencesSpinal fusion proceduresHealth care systemDiabetic statusOperative durationRetrospective reviewFemale sexFunctional statusOperative characteristicsProgram databaseInclusion criteriaTiming of Complications After Spinal Fusion Surgery
Bohl DD, Webb ML, Lukasiewicz AM, Samuel AM, Basques BA, Ahn J, Singh K, Vaccaro AR, Grauer JN. Timing of Complications After Spinal Fusion Surgery. Spine 2015, 40: 1527-1535. PMID: 26230536, DOI: 10.1097/brs.0000000000001073.Peer-Reviewed Original ResearchConceptsMyocardial Infarction 2Timing of complicationsInfection 17Pneumonia 4Median daysSpine surgeonsSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseUrinary tract infections 7Quality Improvement Program databasePosterior lumbar fusion proceduresAnterior cervical decompressionRetrospective cohort studyImprovement Program databasePostoperative time periodLumbar fusion proceduresFusion proceduresSpinal fusion surgerySpinal fusion proceduresCervical decompressionInfection 7Postoperative complicationsCohort studyMedian timeClinical awareness
2013
Recovery 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 utility