2022
Effects of anode position on pedicle screw testing during lumbosacral spinal fusion surgery
Amick M, Ottesen TD, O'Marr J, Frenkel MY, Callahan B, Grauer JN. Effects of anode position on pedicle screw testing during lumbosacral spinal fusion surgery. The Spine Journal 2022, 22: 2000-2005. PMID: 35843532, DOI: 10.1016/j.spinee.2022.07.090.Peer-Reviewed Original ResearchConceptsPedicle screwsLumbosacral fusionPedicle screw stimulationProspective cohort studySpinal fusion surgeryLumbosacral pedicle screwsSafe screw placementCohort studyFusion surgeryOutcome measuresBACKGROUND DATAScrew stimulationClinical practiceClinical thresholdGluteal musclesScrew placementSurgical fieldSafe placementPatientsScrewsStimulationSuch implantsCurrent studyPlacementFormal evaluation
2019
Changes in Discharge to Rehabilitation: Potential Unintended Consequences of Medicare Total Hip Arthroplasty/Total Knee Arthroplasty Bundled Payments, Should They Be Implemented on a Nationwide Scale?
Zogg CK, Falvey JR, Dimick JB, Haider AH, Davis KA, Grauer JN. Changes in Discharge to Rehabilitation: Potential Unintended Consequences of Medicare Total Hip Arthroplasty/Total Knee Arthroplasty Bundled Payments, Should They Be Implemented on a Nationwide Scale? The Journal Of Arthroplasty 2019, 34: 1058-1065.e4. PMID: 30878508, PMCID: PMC6884960, DOI: 10.1016/j.arth.2019.01.068.Peer-Reviewed Original ResearchMeSH KeywordsAgedArthroplasty, Replacement, HipArthroplasty, Replacement, KneeComputer SimulationDecision TreesElective Surgical ProceduresHumansMedicareMiddle AgedMonte Carlo MethodPatient DischargePatient Protection and Affordable Care ActPatient ReadmissionQuality of LifeRehabilitationReimbursement MechanismsSkilled Nursing FacilitiesUnited StatesConceptsExtent of therapyHealth-related qualityType of rehabilitationFunctional recoveryPatients' health-related qualitySkilled nursing facility useElective total hipPrimary TKA patientsOutcomes of patientsPatient-centered outcomesPatients' functional recoveryInpatient rehabilitation facilityNursing facility useEpisode of careAverage functional outcomeBundled payment programsDischarge dispositionTKA patientsUnplanned readmissionTotal hipFunctional outcomeAffordable Care ActOutcome measuresRehabilitation facilityBundled Payments
2018
Choice of Quality Metrics for Assessment of the Spine Patient
Ottesen T, Kebaish K, Grauer J. Choice of Quality Metrics for Assessment of the Spine Patient. 2018, 53-68. DOI: 10.1007/978-3-319-97990-8_4.Peer-Reviewed Original ResearchQuality of careOutcome measuresPatient-reported outcome measuresDifferent surgical indicationsPatient-reported satisfactionHospital Consumer AssessmentSpine patientsSurgical indicationsSurgical outcomesMedical attentionCommon reasonSpine careHealthcare providersRate hospitalsPatientsConsumer AssessmentHospitalOwn unique benefitsProcess measuresCareSpinal issuesHealthcare system
2016
Is Outpatient Total Hip Arthroplasty Safe?
Nelson SJ, Webb ML, Lukasiewicz AM, Varthi AG, Samuel AM, Grauer JN. Is Outpatient Total Hip Arthroplasty Safe? The Journal Of Arthroplasty 2016, 32: 1439-1442. PMID: 28065622, DOI: 10.1016/j.arth.2016.11.053.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedArthroplasty, Replacement, HipBlood TransfusionDatabases, FactualFemaleHumansInpatientsLength of StayLogistic ModelsMaleMiddle AgedMultivariate AnalysisOutpatientsPatient DischargePatient ReadmissionPatient SafetyPoisson DistributionPostoperative ComplicationsPropensity ScoreQuality ImprovementRegression AnalysisRetrospective StudiesYoung AdultConceptsOutpatient total hip arthroplastyTotal hip arthroplastyAdverse eventsPropensity scoreSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseQuality Improvement Program databaseGeneral health outcome measuresDays adverse eventsImprovement Program databaseMultivariate Poisson regressionHealth outcome measuresHospital dischargePostoperative dayBlood transfusionExtended LOSTHA patientsPotential confoundersInpatient proceduresProgram databaseRelative riskHip arthroplastyOutcome measuresSafety dataStudy group
2013
Oswestry Disability Index is a better indicator of lumbar motion than the Visual Analogue Scale
Ruiz FK, Bohl DD, Webb ML, Russo GS, Grauer JN. Oswestry Disability Index is a better indicator of lumbar motion than the Visual Analogue Scale. The Spine Journal 2013, 14: 1860-1865. PMID: 24216395, DOI: 10.1016/j.spinee.2013.10.027.Peer-Reviewed Original ResearchConceptsOswestry Disability IndexVisual analog scaleRange of motionVAS scoresLumbar motionDisability IndexDisability scoresAnalog scaleLower extremitiesOutcome measuresFunctional ROMClinical cohort studyLumbar ROMLumbar interventionsAxial painCohort studyNeurologic complaintsLumbar pathologyLumbar complaintsSuch painDaily livingAverage ageClinical practicePainLinear regression analysisOnly prolonged time from abstraction found to affect viable nucleated cell concentrations in vertebral body bone marrow aspirate
Badrinath R, Bohl DD, Hustedt JW, Webb ML, Grauer JN. Only prolonged time from abstraction found to affect viable nucleated cell concentrations in vertebral body bone marrow aspirate. The Spine Journal 2013, 14: 990-995. PMID: 24184640, DOI: 10.1016/j.spinee.2013.10.021.Peer-Reviewed Original ResearchConceptsBone marrow aspirateVertebral levelCell countMarrow aspiratesNucleated cell countNucleated cell concentrationFusion surgerySecond pedicleTraditional iliac crest bone graftLumbar instrumented fusion surgeryIliac crest bone graftInstrumented fusion surgeryStudy-specific conflictsCell viabilitySame vertebral levelCrest bone graftSpinal fusion surgeryEffect of lateralityRegular clinical useCortical graftsPerioperative conditionsOutcome measuresBone graftSpinal instrumentationAspirates