2020
Perioperative Outcomes in 17,947 Patients Undergoing 2-Level Anterior Cervical Discectomy and Fusion Versus 1-Level Anterior Cervical Corpectomy for Treatment of Cervical Degenerative Conditions: A Propensity Score Matched National Surgical Quality Improvement Program Analysis
Galivanche AR, Gala R, Bagi PS, Boylan AJ, Dussik CM, Coutinho PD, Grauer JN, Varthi AG. Perioperative Outcomes in 17,947 Patients Undergoing 2-Level Anterior Cervical Discectomy and Fusion Versus 1-Level Anterior Cervical Corpectomy for Treatment of Cervical Degenerative Conditions: A Propensity Score Matched National Surgical Quality Improvement Program Analysis. Neurospine 2020, 17: 871-878. PMID: 33401865, PMCID: PMC7788425, DOI: 10.14245/ns.2040134.067.Peer-Reviewed Original ResearchBody mass indexCervical degenerative conditionsAnterior cervical corpectomyAnterior cervical discectomyOperative timeFunctional statusCervical corpectomyAdverse eventsCervical discectomyNational Surgical Quality Improvement Program analysisNational Surgical Quality Improvement Program databaseDegenerative conditionsQuality Improvement Program databasePropensity scoreMultivariate logistic regression analysisAnesthesiologists physical status classificationMinor adverse eventsSerious adverse eventsImprovement Program databasePhysical status classificationShorter operative timeHigher functional statusMultivariate logistic regressionLogistic regression analysisASA PS classificationPediatric Supracondylar Humerus Fracture Outcomes by Pediatric and Nonpediatric Orthopedists.
Mets EJ, Grauer JN, McLynn RP, Frumberg DB. Pediatric Supracondylar Humerus Fracture Outcomes by Pediatric and Nonpediatric Orthopedists. Orthopedics 2020, 44: e203-e210. PMID: 33316820, DOI: 10.3928/01477447-20201210-03.Peer-Reviewed Original ResearchConceptsPediatric supracondylar humerus fracturesSupracondylar humerus fracturesHumerus fracturesMultivariate analysisRetrospective comparative cohort analysisLarge national databaseComparative cohort analysisComorbidity burdenHospital lengthPerioperative outcomesAdverse eventsPatient characteristicsPatient factorsFracture outcomesOperative timePatient 1Surgical interventionAdverse outcomesPediatric orthopedistsStudy groupCohort analysisOrthopaedic surgeonsOrthopedistsNational databaseSubspecialty trainingVenous thromboembolism in children undergoing surgery: incidence, risk factors and related adverse events
Mets E, McLynn R, Grauer J. Venous thromboembolism in children undergoing surgery: incidence, risk factors and related adverse events. World Journal Of Pediatric Surgery 2020, 3: e000084. PMID: 36474866, PMCID: PMC9716836, DOI: 10.1136/wjps-2019-000084.Peer-Reviewed Original ResearchPostoperative venous thromboembolismVenous thromboembolismAdverse eventsSurgical factorsRisk factorsNational Surgical Quality Improvement Project Pediatric databaseSubsequent venous thromboembolismPerioperative adverse eventsPostoperative adverse outcomesRelated adverse eventsRetrospective cohort analysisLonger operative timePediatric surgical patientsPediatric surgical populationPreventable adverse eventsNon-elective surgeryAnesthesiologists classSurgical populationVTE eventsSurgical patientsPediatric patientsTrauma patientsOperative timeAdverse outcomesCardiothoracic surgerySafety and Effectiveness of Antifibrinolytics in Posterior Scoliosis Surgery for Adolescent Idiopathic Scoliosis
Bovonratwet P, Sheha ED, Ondeck NT, Malpani R, Smith BG, Grauer JN. Safety and Effectiveness of Antifibrinolytics in Posterior Scoliosis Surgery for Adolescent Idiopathic Scoliosis. Clinical Spine Surgery A Spine Publication 2020, 33: e26-e32. PMID: 31162181, DOI: 10.1097/bsd.0000000000000836.Peer-Reviewed Original ResearchConceptsAdolescent idiopathic scoliosisPosterior spinal fusionMultilevel posterior spinal fusionIntensive care unitAntifibrinolytic useHospital lengthCare unitTreatment groupsIdiopathic scoliosisOperating roomEffectiveness of antifibrinolyticsNSQIP-Pediatric databasePediatric deformity surgeryPerioperative transfusion ratesVolume of transfusionLonger operative timePosterior scoliosis surgeryLarge national databaseTransfusion reductionPerioperative complicationsPostoperative complicationsTransfusion ratePostoperative outcomesPediatric patientsOperative time
2019
Surgical Treatment of Septic Shoulders: A Comparison Between Arthrotomy and Arthroscopy
Bovonratwet P, Fu MC, Pathak N, Ondeck NT, Bohl DD, Nho SJ, Grauer JN. Surgical Treatment of Septic Shoulders: A Comparison Between Arthrotomy and Arthroscopy. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2019, 35: 1984-1991. PMID: 31196694, DOI: 10.1016/j.arthro.2019.02.036.Peer-Reviewed Original ResearchConceptsPatients' preoperative characteristicsRate of reoperationSeptic shoulderAdverse eventsPreoperative characteristicsPerioperative complicationsNative shoulderNational Surgical Quality Improvement Program databaseQuality Improvement Program databaseNational patient populationMinor adverse eventsSerious adverse eventsImprovement Program databaseRisk of reoperationRetrospective comparative studyLength of staySignificant differencesUnderwent irrigationPostoperative complicationsPatient characteristicsSurgical groupSurgical treatmentSeptic arthritisOperative timePatient populationPediatric obesity is associated with short-term risks after pelvic osteotomy
Basques BA, Meadows MC, Grauer JN, Kogan M. Pediatric obesity is associated with short-term risks after pelvic osteotomy. Journal Of Pediatric Orthopaedics B 2019, 28: 95-99. PMID: 30234701, DOI: 10.1097/bpb.0000000000000552.Peer-Reviewed Original ResearchConceptsPelvic osteotomyRisk factorsNational Surgical Quality Improvement Program Pediatric databasePediatric pelvic osteotomiesRetrospective cohort studyIndependent risk factorLength of stayShort-term riskNonobese patientsPerioperative morbidityAdverse eventsCohort studyBlood transfusionOperative timePediatric obesityPatient counselingFemoral osteotomySurgical correctionPediatric databaseHip dysplasiaOsteotomyReadmissionObesityPatientsTransfusion
2018
Longer Operative Time Is Associated With Increased Adverse Events After Anterior Cervical Diskectomy and Fusion: 15-Minute Intervals Matter.
Ondeck NT, Bohl DD, McLynn RP, Cui JJ, Bovonratwet P, Singh K, Grauer JN. Longer Operative Time Is Associated With Increased Adverse Events After Anterior Cervical Diskectomy and Fusion: 15-Minute Intervals Matter. Orthopedics 2018, 41: e483-e488. PMID: 29708570, DOI: 10.3928/01477447-20180424-02.Peer-Reviewed Original ResearchConceptsAnterior cervical diskectomyOperative timeAdverse eventsCervical diskectomyPerioperative outcomesSurgical durationSurgeons National Surgical Quality Improvement ProgramNational Surgical Quality Improvement ProgramSurgical Quality Improvement ProgramIndividual adverse outcomesPostoperative adverse eventsLonger operative timeGreater operative timeQuality Improvement ProgramUnplanned intubationHospital stayBaseline characteristicsVenous thromboembolismHospital readmissionAdverse outcomesPatient variablesAmerican CollegeAnesthetic effectSurgical pathologyPhysiologic stressComparison of 30-Day Complications Between Navigated and Conventional Single-level Instrumented Posterior Lumbar Fusion
Bovonratwet P, Nelson SJ, Ondeck NT, Geddes BJ, Grauer JN. Comparison of 30-Day Complications Between Navigated and Conventional Single-level Instrumented Posterior Lumbar Fusion. Spine 2018, 43: 447-453. PMID: 28700450, DOI: 10.1097/brs.0000000000002327.Peer-Reviewed Original ResearchConceptsPosterior lumbar fusionOperative timeLumbar fusionHospital lengthWound infectionSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseShorter mean hospital lengthQuality Improvement Program databaseScrew placementRadiation exposureContamination/infectionLower blood transfusionRetrospective cohort comparison studyMean hospital lengthMost adverse eventsImprovement Program databaseInstrumented posterior lumbar fusionInstrumented lumbar fusionSurgeon radiation exposureCohort comparison studyPotential confounding factorsPedicle screw placementPerioperative complicationsPerioperative outcomesDifferent Fusion Approaches for Single-level Lumbar Spondylolysis Have Similar Perioperative Outcomes
Gala RJ, Bovonratwet P, Webb ML, Varthi AG, Daubs MD, Grauer JN. Different Fusion Approaches for Single-level Lumbar Spondylolysis Have Similar Perioperative Outcomes. Spine 2018, 43: e111-e117. PMID: 28591074, DOI: 10.1097/brs.0000000000002262.Peer-Reviewed Original ResearchConceptsTransforaminal lumbar interbody fusionAnterior lumbar interbody fusionPosterior spinal fusionPerioperative adverse eventsAdverse eventsLong-term outcomesLumbar interbody fusionLumbar spondylolysisPerioperative outcomesOperative timeSurgical approachFusion groupInterbody fusionSurgeons National Surgical Quality Improvement databaseNational Surgical Quality Improvement databasePerioperative adverse event ratesSimilar long-term outcomesPropensity scoreMinor adverse eventsPrevious cohort studiesSerious adverse eventsSimilar perioperative outcomesAdverse event ratesIndividual adverse eventsQuality improvement databaseTotal Disc Arthroplasty Versus Anterior Interbody Fusion in the Lumbar Spine Have Relatively a Few Differences in Readmission and Short-term Adverse Events
Shultz BN, Wilson AT, Ondeck NT, Bovonratwet P, McLynn RP, Cui JJ, Grauer JN. Total Disc Arthroplasty Versus Anterior Interbody Fusion in the Lumbar Spine Have Relatively a Few Differences in Readmission and Short-term Adverse Events. Spine 2018, 43: e52-e59. PMID: 28723873, DOI: 10.1097/brs.0000000000002337.Peer-Reviewed Original ResearchConceptsAnterior lumbar interbody fusionTotal disc arthroplastyAdverse eventsBlood transfusionOperative timeInterbody fusionRisk factorsSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseShort-term adverse eventsQuality Improvement Program databaseShort-term clinical outcomesLong-term functional outcomeLumbar total disc arthroplastySerious adverse eventsImprovement Program databaseAnterior interbody fusionIndividual adverse eventsStand-alone Anterior Lumbar Interbody FusionGeneral health outcomesPotential risk factorsLumbar interbody fusionMultivariate Poisson regressionPerioperative outcomesPostoperative length
2017
After Posterior Fusions for Adult Spinal Deformity, Operative Time is More Predictive of Perioperative Morbidity, Rather Than Surgical Invasiveness
Samuel AM, Fu MC, Anandasivam NS, Webb ML, Lukasiewicz AM, Kim HJ, Grauer JN. After Posterior Fusions for Adult Spinal Deformity, Operative Time is More Predictive of Perioperative Morbidity, Rather Than Surgical Invasiveness. Spine 2017, 42: 1880-1887. PMID: 28538595, DOI: 10.1097/brs.0000000000002243.Peer-Reviewed Original ResearchConceptsAdult spinal deformityPosterior spinal fusionOperative timeSurgical invasivenessSpinal deformitySpinal fusionMultivariate analysisPerioperative outcomesPosterior fusionOperative timingNational Surgical Quality Improvement Program databaseIndependent effectsQuality Improvement Program databaseImprovement Program databaseRetrospective cohort studyLonger operative timeOverall operative timeAdult deformity surgeryInvasive surgical proceduresInpatient complicationsPerioperative complicationsPerioperative morbidityAdult patientsCohort studyDeformity surgeryOf 20,376 Lumbar Discectomies, 2.6% of Patients Readmitted Within 30 Days
Webb ML, Nelson SJ, Save A, Cui J, Lukasiewicz AM, Samuel AM, Diaz-Collado PJ, Bohl DD, Ondeck NT, McLynn RP, Grauer JN. Of 20,376 Lumbar Discectomies, 2.6% of Patients Readmitted Within 30 Days. Spine 2017, 42: 1267-1273. PMID: 27926671, DOI: 10.1097/brs.0000000000002014.Peer-Reviewed Original ResearchConceptsSurgical site infectionLumbar discectomyThromboembolic eventsHospital readmissionSite infectionSurgical variablesCommon reasonSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseQuality Improvement Program databaseCauses of readmissionHigher American SocietyImprovement Program databaseRetrospective cohort studyDay of surgeryQuality-based reimbursementQuality improvement initiativesPearson chi-squareAnesthesiologists classPostoperative painPatient demographicsCohort studyOperative timeAffordable Care ActRisk factorsPredicting Postoperative Morbidity and Readmission for Revision Posterior Lumbar Fusion
Basques BA, Ibe I, Samuel AM, Lukasiewicz AM, Webb ML, Bohl DD, Grauer JN. Predicting Postoperative Morbidity and Readmission for Revision Posterior Lumbar Fusion. Clinical Spine Surgery A Spine Publication 2017, 30: e770-e775. PMID: 27280782, DOI: 10.1097/bsd.0000000000000391.Peer-Reviewed Original ResearchConceptsMinor adverse eventsSevere adverse eventsInsulin-dependent diabetesAdverse eventsPosterior lumbar fusionLumbar fusionRisk factorsASA classificationOperative timeSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseMultivariate analysisBody mass index 25Quality Improvement Program databaseImprovement Program databaseRetrospective cohort studySpecific risk factorsAnesthesiologists classificationBMI 30Postoperative complicationsPostoperative morbidityCohort studyPatient characteristicsSicker patientsAdverse outcomesDifferences in Short-Term Outcomes Between Primary and Revision Anterior Cervical Discectomy and Fusion
Basques BA, Ondeck NT, Geiger EJ, Samuel AM, Lukasiewicz AM, Webb ML, Bohl DD, Massel DH, Mayo BC, Singh K, Grauer JN. Differences in Short-Term Outcomes Between Primary and Revision Anterior Cervical Discectomy and Fusion. Spine 2017, 42: 253-260. PMID: 28207667, DOI: 10.1097/brs.0000000000001718.Peer-Reviewed Original ResearchConceptsRevision anterior cervical discectomyAnterior cervical discectomySurgical site infectionACDF proceduresRevision proceduresAdverse eventsPostoperative lengthThromboembolic eventsCervical discectomySite infectionBlood transfusionOperative timeNational Surgical Quality Improvement Program databaseSurgeons National Surgical Quality Improvement Program databaseQuality Improvement Program databaseOperating roomImprovement Program databaseMinor adverse eventsRetrospective cohort studySevere adverse eventsShort-term morbidityRisk of readmissionAverage operative timeShort-term outcomesMultiple adverse outcomes
2016
Primary 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
Adverse Events, Length of Stay, and Readmission After Surgery for Tibial Plateau Fractures
Basques BA, Webb ML, Bohl DD, Golinvaux NS, Grauer JN. Adverse Events, Length of Stay, and Readmission After Surgery for Tibial Plateau Fractures. Journal Of Orthopaedic Trauma 2015, 29: e121-e126. PMID: 25162975, DOI: 10.1097/bot.0000000000000231.Peer-Reviewed Original ResearchConceptsSevere adverse eventsTibial plateau fracturesASA classPlateau fracturesInfectious complicationsAdverse eventsPulmonary diseaseBicondylar fracturesExtended LOSMale sexSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseTibial plateau fracture patientsQuality Improvement Program databaseDependent functional statusPrognostic Level IIPercent of patientsImprovement Program databaseShort-term outcomesLength of stayAnesthesiologists classFracture patientsPatient characteristicsOpen reductionOperative timeComparison of 368 Patients Undergoing Surgery for Lumbar Degenerative Spondylolisthesis From the SPORT Trial With 955 From the NSQIP Database
Golinvaux NS, Basques BA, Bohl DD, Yacob A, Grauer JN. Comparison of 368 Patients Undergoing Surgery for Lumbar Degenerative Spondylolisthesis From the SPORT Trial With 955 From the NSQIP Database. Spine 2015, 40: 342-348. PMID: 25757036, DOI: 10.1097/brs.0000000000000747.Peer-Reviewed Original ResearchConceptsSpine Patient Outcomes Research TrialPerioperative factorsPerioperative outcomesNSQIP databaseDegenerative spondylolisthesisSurgical proceduresNational Surgical Quality Improvement Program databaseQuality Improvement Program databaseAverage body mass indexImprovement Program databaseAverage operative timeLumbar degenerative spondylolisthesisBody mass indexPostoperative mortalityPostoperative transfusionComplication rateRetrospective cohortSurgical patientsNonsurgical treatmentAnalysis of demographicsMass indexOperative timeSmoking statusLumbar pathologyWound infection
2014
Use of an Operating Microscope During Spine Surgery Is Associated With Minor Increases in Operating Room Times and No Increased Risk of Infection
Basques BA, Golinvaux NS, Bohl DD, Yacob A, Toy JO, Varthi AG, Grauer JN. Use of an Operating Microscope During Spine Surgery Is Associated With Minor Increases in Operating Room Times and No Increased Risk of Infection. Spine 2014, 39: 1910-1916. PMID: 25188600, PMCID: PMC4192002, DOI: 10.1097/brs.0000000000000558.Peer-Reviewed Original ResearchConceptsOperating room timeRisk of infectionDay of surgerySurgical site infectionRoom timeSpine proceduresSite infectionOperative timeSpine surgeryNational Surgical Quality Improvement Program databaseSurgeons National Surgical Quality Improvement Program databaseMicroscope useMultivariate analysisDeep surgical site infectionSepsis/septic shockQuality Improvement Program databaseSuperficial surgical site infectionElective spinal proceduresElective spine proceduresOrgan space infectionAverage patient ageImprovement Program databaseAverage operative timeRetrospective database reviewMultivariate logistic regressionPatient Factors Are Associated With Poor Short-term Outcomes After Posterior Fusion for Adolescent Idiopathic Scoliosis
Basques BA, Bohl DD, Golinvaux NS, Smith BG, Grauer JN. Patient Factors Are Associated With Poor Short-term Outcomes After Posterior Fusion for Adolescent Idiopathic Scoliosis. Clinical Orthopaedics And Related Research® 2014, 473: 286-294. PMID: 25201091, PMCID: PMC4390920, DOI: 10.1007/s11999-014-3911-4.Peer-Reviewed Original ResearchConceptsSevere adverse eventsLength of stayAdolescent idiopathic scoliosisAdverse eventsSurgical site infectionPerioperative morbiditySite infectionIdiopathic scoliosisSurgeons National Surgical Quality Improvement ProgramNational Surgical Quality Improvement ProgramExtended LOSPoor short-term outcomeSurgical Quality Improvement ProgramInitial hospital stayResultsTwenty-seven patientsManagement of obesityIndividual adverse eventsShort-term outcomesTotal hospital costsMultivariate logistic regressionQuality Improvement ProgramHospital stayHospital readmissionNinety-fifth percentileOperative timeShort-Term Adverse Events, Length of Stay, and Readmission After Iliac Crest Bone Graft for Spinal Fusion
Gruskay JA, Basques BA, Bohl DD, Webb ML, Grauer JN. Short-Term Adverse Events, Length of Stay, and Readmission After Iliac Crest Bone Graft for Spinal Fusion. Spine 2014, 39: 1718-1724. PMID: 24979140, DOI: 10.1097/brs.0000000000000476.Peer-Reviewed Original ResearchConceptsIliac crest bone graftLength of stayPostoperative blood transfusionAdverse eventsCrest bone graftReadmission ratesBlood transfusionOperative timeSpinal fusionMultivariate analysisICBG cohortBone graftRetrospective cohort studyShort-term morbidityTerm adverse eventsShort-term outcomesBone graft harvestBivariate logistic regressionDonor site morbidityDatabase cohortCohort studySurgical dataSurgical timeGraft harvestBACKGROUND DATA