2020
Patients' and Physicians' Knowledge of Radiation Exposure Related to Spine Surgery.
Scott MC, Galivanche AR, Mets EJ, Pathak N, Kahan JB, Burroughs PJ, Varthi AG, Rubin LE, Grauer JN. Patients' and Physicians' Knowledge of Radiation Exposure Related to Spine Surgery. Spine 2020, 45: e1507-e1515. PMID: 32858741, DOI: 10.1097/brs.0000000000003650.Peer-Reviewed Original ResearchConceptsSpine surgeryMagnetic resonance imagingRadiation exposureOutpatient settingPhysicians' knowledgeLumbar radiographsO-armCT imagingIntraoperative radiation exposureCross-sectional imagingCross-sectional surveyPhysician estimatesSpine proceduresBACKGROUND DATACare settingsIntraoperative fluoroscopyLumbar imagingPatientsSurgeryResonance imagingIntraoperative CTSurgeonsAwareness/knowledgeIntraoperative imagingRobotic spine surgery
2015
Bilateral Vertebral Artery Injury in a Patient with Upper Cervical Spine Fractures Leading to Fatal Vertebrobasilar Infarction: A Case Report
Golinvaux NS, Basques BA, Bohl DD, Laurans MS, Grauer JN. Bilateral Vertebral Artery Injury in a Patient with Upper Cervical Spine Fractures Leading to Fatal Vertebrobasilar Infarction: A Case Report. Orthopaedic Surgery 2015, 7: 281-285. PMID: 26311105, PMCID: PMC6583726, DOI: 10.1111/os.12187.Peer-Reviewed Case Reports and Technical Notes
2013
Methods of evaluating lumbar and cervical fusion
Gruskay JA, Webb ML, Grauer JN. Methods of evaluating lumbar and cervical fusion. The Spine Journal 2013, 14: 531-539. PMID: 24183750, DOI: 10.1016/j.spinee.2013.07.459.Peer-Reviewed Original ResearchMeSH KeywordsCervical VertebraeDiagnostic ImagingHumansLumbar VertebraeMagnetic Resonance ImagingPseudarthrosisSpinal FusionTomography, X-Ray ComputedUltrasonographyConceptsFlexion/extension radiographsCases of pseudarthrosisDiagnosis of pseudarthrosisFocused clinical assessmentFirst postoperative yearBone graft optionsPreferred imaging modalityAssessment of motionPostoperative yearRadicular symptomsCommon complicationCervical fusionGraft optionsExtension radiographsClinical assessmentClinical failureSurgical techniqueSpinal fusionSpinal arthrodesisComputed tomographyClinical practicePseudarthrosisSignificant causeDiagnosisUse of instrumentation
2011
The Incidence of Noncontiguous Spinal Fractures and Other Traumatic Injuries Associated With Cervical Spine Fractures
Miller CP, Brubacher JW, Biswas D, Lawrence BD, Whang PG, Grauer JN. The Incidence of Noncontiguous Spinal Fractures and Other Traumatic Injuries Associated With Cervical Spine Fractures. Spine 2011, 36: 1532-1540. PMID: 21242872, DOI: 10.1097/brs.0b013e3181f550a6.Peer-Reviewed Original ResearchConceptsCervical spine fracturesSpine fracturesCervical spineCT scanSingle level 1 trauma centerRetrospective medical record reviewLevel 1 trauma centerNoncontiguous spinal fracturesCervical spine traumaMedical record reviewC7 fractureExtraspinal injuriesAcute fracturesPrompt diagnosisSpine traumaRecord reviewTrauma centerSpinal fracturesSpine injuriesInjury patternsAdditional injuriesCervical segmentsSpinal traumaMedical recordsTraumatic injuryOblique radiographs compared favorably with computed tomography images in assessing cervical foraminal area.
Miller CP, Sabino J, Bible JE, Whang PG, Grauer JN. Oblique radiographs compared favorably with computed tomography images in assessing cervical foraminal area. The American Journal Of Orthopedics 2011, 40: 241-5. PMID: 21734932.Peer-Reviewed Original ResearchConceptsOblique radiographsComputed tomographyForaminal dimensionsCT scanFirst-line imaging studyCervical intervertebral foraminaNerve root compressionRoot compressionForaminal areaCervical spineIntervertebral foraminaDiagnostic utilityImaging studiesRadiographsRadiation exposureComputed tomography imagesCross-sectional areaInitial assessmentPearson correlation coefficientC2-C3Tomography imagesScansCT reconstructionPrevious studiesPatency
2009
Radiation Exposure from Musculoskeletal Computerized Tomographic Scans
Biswas D, Bible JE, Bohan M, Simpson AK, Whang PG, Grauer JN. Radiation Exposure from Musculoskeletal Computerized Tomographic Scans. Journal Of Bone And Joint Surgery 2009, 91: 1882-1889. PMID: 19651945, DOI: 10.2106/jbjs.h.01199.Peer-Reviewed Original ResearchConceptsComputerized tomographic scanTomographic scanMean effective dosesEffective dosesEffective doseRadiation exposureEffective dose valuesElevated radiation exposureMusculoskeletal conditionsSingle institutionUpper extremityDosesNational Radiological Protection BoardHip scansDoseAppendicular skeletonScansAnatomic structuresPrior groupChestAbdomenPelvisExtremitiesSpineCurrent studyThe Timing and Influence of MRI on the Management of Patients With Cervical Facet Dislocations Remains Highly Variable
Grauer JN, Vaccaro AR, Lee JY, Nassr A, Dvorak MF, Harrop JS, Dailey AT, Shaffrey CI, Arnold PM, Brodke DS, Rampersaud R. The Timing and Influence of MRI on the Management of Patients With Cervical Facet Dislocations Remains Highly Variable. Clinical Spine Surgery A Spine Publication 2009, 22: 96-99. PMID: 19342930, DOI: 10.1097/bsd.0b013e31816a9ebd.Peer-Reviewed Original ResearchMeSH KeywordsCervical VertebraeClinical ProtocolsData CollectionDecision Support TechniquesJoint DislocationsJointsMagnetic Resonance ImagingNeurosurgeryObserver VariationOrthopedicsPractice Patterns, Physicians'Professional PracticeSpinal FracturesSpinal FusionSpinal InjuriesSurveys and QuestionnairesTime FactorsTomography, X-Ray ComputedTractionConceptsTraumatic cervical facet dislocationCervical facet dislocationMagnetic resonance imagingComplete spinal cord injuryInfluence of MRIManagement of patientsFacet dislocationSpinal cord injuryOpen reductionCord injuryOrthopaedic surgeonsUtilization of MRIEvidence-based algorithmDifferent clinical scenariosDevastating injuriesNeurologic examinationDisc herniationLigamentous disruptionPlain radiographsClosed treatmentTomography scanPatient managementTreatment decisionsOpen treatmentSpine surgeonsUtility of Helical Computed Tomography in Differentiating Unilateral and Bilateral Facet Dislocations
Dailey AT, Shaffrey CI, Rampersaud R, Lee J, Brodke DS, Arnold P, Nassr A, Harrop JS, Grauer J, Bono CM, Dvorak M, Vaccaro A. Utility of Helical Computed Tomography in Differentiating Unilateral and Bilateral Facet Dislocations. Journal Of Spinal Cord Medicine 2009, 32: 43-48. PMID: 19264048, PMCID: PMC2647499, DOI: 10.1080/10790268.2009.11760751.Peer-Reviewed Original ResearchMeSH KeywordsCervical VertebraeFunctional LateralityHumansJoint DislocationsTomography, X-Ray ComputedConceptsCervical facet dislocationBilateral facet dislocationHelical computed tomographyFacet dislocationComputed tomographyRadiographic studiesUnilateral cervical facet dislocationUnilateral facet dislocationSpinal cord injuryVertebral body translationDifferent clinical scenariosTranslational injuriesNeurologic injuryNeurologic statusPlain radiographsCord injuryUnilateral dislocationClinical historySurgeon's interpretationUnilateral fracturesIntraoperative observationsIntraoperative diagnosisAxial CT slicesSagittal reconstructionsSpine surgeons
2007
A Quantitative and Reproducible Method to Assess Cord Compression and Canal Stenosis After Cervical Spine Trauma
Furlan JC, Fehlings MG, Massicotte EM, Aarabi B, Vaccaro AR, Bono CM, Madrazo I, Villanueva C, Grauer JN, Mikulis D. A Quantitative and Reproducible Method to Assess Cord Compression and Canal Stenosis After Cervical Spine Trauma. Spine 2007, 32: 2083-2091. PMID: 17762809, DOI: 10.1097/brs.0b013e318145a91c.Peer-Reviewed Original ResearchMeSH KeywordsAcute DiseaseAdultAgedCervical VertebraeFemaleHumansImage Interpretation, Computer-AssistedMagnetic Resonance ImagingMaleMiddle AgedNorth AmericaObserver VariationPrognosisReproducibility of ResultsSeverity of Illness IndexSignal Processing, Computer-AssistedSpinal Cord CompressionSpinal Cord InjuriesSpinal StenosisTomography, X-Ray ComputedConceptsMaximum spinal cord compressionTraumatic cervical spinal cord injuryCervical spinal cord injuryMaximum canal compromiseSpinal cord injuryInterclass correlation coefficientCord compressionIntrarater reliabilityAcute traumatic cervical spinal cord injuryTraumatic spinal cord injuryCervical spine traumaSpinal cord compressionT1-weighted MRIT2-weighted MR imagesCanal stenosisCanal compromiseSpine traumaPrognostic valueCord injuryRadiologic parametersCervical spineBACKGROUND DATACT scanMidsagittal MRIInterrater ICCrhBMP-2 (ACS and CRM Formulations) Overcomes Pseudarthrosis in a New Zealand White Rabbit Posterolateral Fusion Model
Lawrence JP, Waked W, Gillon TJ, White AP, Spock CR, Biswas D, Rosenberger P, Troiano N, Albert TJ, Grauer JN. rhBMP-2 (ACS and CRM Formulations) Overcomes Pseudarthrosis in a New Zealand White Rabbit Posterolateral Fusion Model. Spine 2007, 32: 1206-1213. PMID: 17495777, DOI: 10.1097/brs.0b013e318054721e.Peer-Reviewed Original ResearchAnimalsBone Morphogenetic Protein 2Bone Morphogenetic ProteinsBone SubstitutesBone TransplantationChemistry, PharmaceuticalDisease Models, AnimalDrug CarriersFemaleHumansIliumLumbar VertebraeNicotineOsseointegrationPseudarthrosisRabbitsRecombinant ProteinsSpinal FusionTime FactorsTomography, X-Ray ComputedTransforming Growth Factor betaTransplantation, Autologous
2006
Metastatic disease of the spine.
White AP, Kwon BK, Lindskog DM, Friedlaender GE, Grauer JN. Metastatic disease of the spine. Journal Of The American Academy Of Orthopaedic Surgeons 2006, 14: 587-98. PMID: 17030592, DOI: 10.5435/00124635-200610000-00001.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsMeSH KeywordsDecompression, SurgicalHumansMagnetic Resonance ImagingOrthopedicsSpinal Cord CompressionSpinal NeoplasmsSpineTomography, X-Ray ComputedConceptsTomography-guided biopsyIndividual patient factorsMetastatic spine diseaseLimitation of motionNew cancer diagnosesMagnetic resonance imagingAxial painCord compressionSurgical decompressionLocal tendernessMetastatic diseaseAnterior approachBone scanPatient factorsNeurologic compromiseNerve rootsPlain radiographsFrequent presentationPainful lesionsSpinal lesionsSpine diseaseRadionuclide studiesSpinal instabilitySpinal examinationSpine surgeonsAn Aneurysmal Bone Cyst in the Cervical Spine of a 10-Year-Old Girl: A Case Report
Beiner JM, Sastry A, Berchuck M, Grauer JN, Kwon BK, Ratliff JK, Stock GH, Brown AK, Vaccaro AR. An Aneurysmal Bone Cyst in the Cervical Spine of a 10-Year-Old Girl: A Case Report. Spine 2006, 31: e475-e479. PMID: 16778679, DOI: 10.1097/01.brs.0000222126.91514.cb.Peer-Reviewed Original ResearchMeSH KeywordsBone Cysts, AneurysmalBone PlatesBone ScrewsCervical VertebraeChildFemaleHumansKyphosisLaminectomyMagnetic Resonance ImagingSpinal DiseasesSpinal FusionTomography, X-Ray ComputedConceptsAneurysmal bone cystBone cystCervical spineFourth cervical vertebraSurgical excisionPostlaminectomy kyphosisCervical vertebraeExpansile lytic lesionHigh cervical levelImmature cervical spineInstrumented posterior fusionPediatric age populationGood clinical resultsNeck painPostoperative irradiationCommon complicationLytic lesionsPediatric patientsRadiologic evaluationSurgical treatmentCervical levelPediatric populationPosterior fusionCase reportExcisional biopsySubaxial cervical spine trauma.
Kwon BK, Vaccaro AR, Grauer JN, Fisher CG, Dvorak MF. Subaxial cervical spine trauma. Journal Of The American Academy Of Orthopaedic Surgeons 2006, 14: 78-89. PMID: 16467183, DOI: 10.5435/00124635-200602000-00003.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsMeSH KeywordsBiomechanical PhenomenaCervical VertebraeHumansImmobilizationJoint InstabilityMagnetic Resonance ImagingMethylprednisoloneSpinal FracturesSpinal InjuriesTomography, X-Ray ComputedConceptsSubaxial cervical spine injuriesCervical spine injurySpinal cord injurySpine injuriesCord injuryAcute spinal cord injurySevere spinal cord injuryCertain injury patternsAdministration of methylprednisoloneSpinous process fractureSubaxial cervical injuriesAccurate clinical historyCareful physical examinationNeurologic statusDefinitive managementNonsurgical managementPatient factorsCervical injuryClosed reductionNeurologic impairmentProcess fracturesEmergent managementInjury patternsPhysical examinationRadiographic evaluation
2004
Morphologic Evaluation of Cervical Spine Anatomy with Computed Tomography
Kwon BK, Song F, Morrison WB, Grauer JN, Beiner JM, Vaccaro AR, Hilibrand AS, Albert TJ. Morphologic Evaluation of Cervical Spine Anatomy with Computed Tomography. Clinical Spine Surgery A Spine Publication 2004, 17: 102-107. PMID: 15260091, DOI: 10.1097/00024720-200404000-00004.Peer-Reviewed Original ResearchMeSH KeywordsAdultBone PlatesBone ScrewsCervical VertebraeFemaleHumansMaleMiddle AgedSpinal FusionTomography, X-Ray ComputedConceptsAP diameterVertebral bodyLongus coli muscleSmaller AP diameterCervical spine anatomyComputed tomography studyVertebral body widthCervical reconstructionCervical disordersCervical spineAnteroposterior diameterComputed tomographyMedial borderMorphologic evaluationCT scanningAnatomic parametersTomography studyAdjacent endplatesSpine anatomyOsseous detailMalesFemalesAnterior marginPatientsWidespread use