2024
Prediction Models for Risk Assessment of Surgical Site Infection after Spinal Surgery: A Systematic Review
Lauinger A, Blake S, Fullenkamp A, Polites G, Grauer J, Arnold P. Prediction Models for Risk Assessment of Surgical Site Infection after Spinal Surgery: A Systematic Review. North American Spine Society Journal (NASSJ) 2024, 100518. DOI: 10.1016/j.xnsj.2024.100518.Peer-Reviewed Original ResearchSurgical site infectionPreoperative risk modelSpinal surgerySite infectionAdverse eventsAssessment of surgical site infectionACS NSQIP surgical risk calculatorPostoperative surgical site infectionNSQIP surgical risk calculatorRate of adverse eventsSpine surgery patientsRisk of adverse eventsStratify patient riskSurgical risk calculatorField of spine surgeryClinical prediction toolSpine surgeryRisk modelSurgery patientsSurgeryAddressing factorsPatient riskClinical utilitySystematic reviewUnique susceptibilitySurgical site infection following isolated lumbar discectomy increases odds of revision lumbar surgery within first 6 months, but not beyond
Kim L, Halperin S, Grauer J. Surgical site infection following isolated lumbar discectomy increases odds of revision lumbar surgery within first 6 months, but not beyond. The Spine Journal 2024, 24: 1459-1466. PMID: 38570035, DOI: 10.1016/j.spinee.2024.03.017.Peer-Reviewed Original ResearchSurgical site infectionRevision lumbar surgeryLumbar discectomyLumbar surgeryElixhauser Comorbidity IndexSite infectionFactors associated with surgical site infectionPreoperative diagnosis of infectionIncidence of secondary surgeryLumbar discectomy patientsDiagnosis of infectionMultivariate logistic regressionPreoperative diagnosisDiscectomy patientsPostoperative complicationsIndex surgeryPatient ageSecondary surgerySpinal surgeryIndependent predictorsAdult patientsLumbar fusionPerforming surgeryDiscectomyI&D
2023
Rheumatoid arthritis patients are at increased risk for adverse events following lumbar discectomy
Ratnasamy P, Rudisill K, Gouzoulis M, Kammien A, Grauer J. Rheumatoid arthritis patients are at increased risk for adverse events following lumbar discectomy. The Spine Journal 2023, 23: 990-996. PMID: 36990283, DOI: 10.1016/j.spinee.2023.03.012.Peer-Reviewed Original ResearchConceptsLumbar discectomy patientsAdverse eventsRheumatoid arthritisLumbar discectomyPatient ageDiscectomy patientsMinor adverse eventsRetrospective cohort studyLumbar spinal surgeryPatient's medication regimenElixhauser Comorbidity IndexExclusion of patientsRA medicationsComorbidity indexCohort studyMedication regimenPrior diagnosisPredictive factorsAdverse outcomesSubgroup analysisSpinal surgeryInfection diagnosisAutoinflammatory diseasesHigher oddsDiscectomyIncidental Durotomy After Posterior Lumbar Decompression Surgery Associated With Increased Risk for Venous Thromboembolism
Gouzoulis M, Joo P, Caruana D, Kammien A, Rubio D, Grauer J. Incidental Durotomy After Posterior Lumbar Decompression Surgery Associated With Increased Risk for Venous Thromboembolism. Journal Of The American Academy Of Orthopaedic Surgeons 2023, 31: e445-e450. PMID: 36727948, DOI: 10.5435/jaaos-d-22-00917.Peer-Reviewed Original ResearchConceptsLumbar decompression surgeryPosterior lumbar decompression surgeryRisk of VTEVenous thromboembolismIncidental durotomyDecompression surgeryMultivariate analysisOdds of VTETiming of VTEMore VTEDecompression patientsDurotomy groupPatient demographicsPulmonary embolismAdult patientsDegenerative etiologyBed restLumbar laminectomyPatient recoveryUnivariate analysisSpinal surgeryAdministrative codingDurotomySurgeryPatients
2008
Iso-C3D Imaging System
Simpson A, Whang P, Biswas D, Grauer J. Iso-C3D Imaging System. Seminars In Spine Surgery 2008, 20: 203-208. DOI: 10.1053/j.semss.2008.06.007.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsManual registration processIntraoperative imaging techniquesIso-C3DNavigation softwarePostoperative studiesSpinal surgeryFracture reductionIntraoperative imaging modalitiesIsocentric C-armAssess alignmentSurgical anatomyRegistration processReal timeSurgical staffImage-guided proceduresImaging modalitiesAccuracy of instrumentationC-armSterility of C-arm Fluoroscopy During Spinal Surgery
Biswas D, Bible JE, Whang PG, Simpson AK, Grauer JN. Sterility of C-arm Fluoroscopy During Spinal Surgery. Spine 2008, 33: 1913-1917. PMID: 18622356, DOI: 10.1097/brs.0b013e31817bb130.Peer-Reviewed Original ResearchConceptsPostoperative infectionSurgical casesC-armSwab samplesNegative controlSterile culture swabC-arm fluoroscopyPlacement of instrumentationProspective studyPostoperative contaminationSpinal surgerySpine surgeryIntraoperative contaminationIntraoperative fluoroscopySpinal alignmentBACKGROUND DATAFluoroscopic C-armSpinal operationsSpine surgeonsCulture swabs
2004
The use of wound vacuums in the management of postoperative wound infections
Husted D, Grauer J, Hilibrand A. The use of wound vacuums in the management of postoperative wound infections. Seminars In Spine Surgery 2004, 16: 182-187. DOI: 10.1053/j.semss.2004.09.005.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsWound infectionPostoperative wound infectionAppropriate antibiotic coverageWound vacuumAntibiotic coverageDevastating complicationWound checkSpine woundsSecondary intentionPrimary closurePrimary treatmentSpinal surgeryFluid collectionComplex woundsNeural elementsSurgical fieldSoft tissueInfectionWoundsHealingComplicationsDebridementSurgery