2023
Magnetic Resonance Imaging in the Year Prior to Total Knee Arthroplasty: A Potential Overutilization of Healthcare Resources
Rudisill K, Ratnasamy P, Joo P, Rubin L, Grauer J. Magnetic Resonance Imaging in the Year Prior to Total Knee Arthroplasty: A Potential Overutilization of Healthcare Resources. JAAOS Global Research And Reviews 2023, 7: e22.00262. PMID: 37205731, PMCID: PMC10566819, DOI: 10.5435/jaaosglobal-d-22-00262.Peer-Reviewed Original ResearchMeSH KeywordsAgedArthroplasty, Replacement, KneeDelivery of Health CareFemaleHumansKnee JointMagnetic Resonance ImagingMedicareUnited StatesConceptsTotal knee arthroplastyMagnetic resonance imagingElixhauser Comorbidity IndexComorbidity indexKnee arthroplastyDegenerative changesHigher Elixhauser comorbidity indexAdvanced degenerative changesLower extremity magnetic resonance imagingExtremity magnetic resonance imagingEvidence-based medicineIs There Utility to Requiring Spine MRI Pre-authorizations? Pre-authorizations
Kebaish K, Galivanche A, Mercier M, Varthi A, Rubin L, Grauer J. Is There Utility to Requiring Spine MRI Pre-authorizations? Pre-authorizations. Clinical Spine Surgery A Spine Publication 2023, 36: 186-189. PMID: 36728293, DOI: 10.1097/bsd.0000000000001422.Peer-Reviewed Original ResearchMeSH KeywordsCervical VertebraeHumansInsuranceMagnetic Resonance ImagingPrior AuthorizationRetrospective StudiesConceptsSpine magnetic resonance imagingMagnetic resonance imagingSpine centerAcademic spine centerRetrospective cohort studySignificant increased oddsMultivariate logistic regressionPatient undergoing treatmentEventual dispositionInsurance carriersCohort studyIncreased oddsCommercial insurance carriersMRI requestsMRI ordersUndergoing treatmentBACKGROUND DATAGreater oddsPreauthorization processCommercial insuranceResonance imagingSpine scansLogistic regressionPreauthorizationScans
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 population
2016
Three-Dimensional Isotropic MRI of the Cervical Spine
Fu MC, Buerba RA, Neway WE, Brown JE, Trivedi M, Lischuk AW, Haims AH, Grauer JN. Three-Dimensional Isotropic MRI of the Cervical Spine. Clinical Spine Surgery A Spine Publication 2016, 29: 66-71. PMID: 26889989, DOI: 10.1097/bsd.0b013e3182a355e5.Peer-Reviewed Original Research
2015
Comparison of agreement of cervical spine degenerative pathology findings in magnetic resonance imaging studies
Fu MC, Webb ML, Buerba RA, Neway WE, Brown JE, Trivedi M, Lischuk AW, Haims AH, Grauer JN. Comparison of agreement of cervical spine degenerative pathology findings in magnetic resonance imaging studies. The Spine Journal 2015, 16: 42-48. PMID: 26291398, DOI: 10.1016/j.spinee.2015.08.026.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overCervical VertebraeFemaleHumansImage Interpretation, Computer-AssistedMagnetic Resonance ImagingMaleMiddle AgedSpondylolisthesisConceptsMagnetic resonance imagingCord signal changeMRI findingsIntra-rater agreementInter-rater agreementCervical spineDegenerative findingsCentral stenosisForaminal stenosisCervical spine magnetic resonance imagingCervical magnetic resonance imagingSpine magnetic resonance imagingDisc hydrationCervical MRI findingsCommon degenerative findingsStandardized grading criteriaMagnetic resonance imaging studyManagement of patientsRetrospective diagnostic studyCervical spine conditionsSignificant MRI findingsDisc space heightResonance imaging studyLeast severe gradeOrthopedic spine surgeons3D-FSE Isotropic MRI of the Lumbar Spine
Blizzard DJ, Haims AH, Lischuk AW, Arunakul R, Hustedt JW, Grauer JN. 3D-FSE Isotropic MRI of the Lumbar Spine. Clinical Spine Surgery A Spine Publication 2015, 28: 152-157. PMID: 23168390, DOI: 10.1097/bsd.0b013e31827a32ee.Peer-Reviewed Original Research
2014
Interrater and intrarater agreements of magnetic resonance imaging findings in the lumbar spine: significant variability across degenerative conditions
Fu MC, Buerba RA, Long WD, Blizzard DJ, Lischuk AW, Haims AH, Grauer JN. Interrater and intrarater agreements of magnetic resonance imaging findings in the lumbar spine: significant variability across degenerative conditions. The Spine Journal 2014, 14: 2442-2448. PMID: 24642053, DOI: 10.1016/j.spinee.2014.03.010.Peer-Reviewed Original ResearchConceptsMagnetic resonance imagingLumbar spineIntrarater agreementDegenerative conditionsMRI findingsInterrater agreementLumbar spine magnetic resonance imagingStandardized criteriaLumbar magnetic resonance imagingSpine magnetic resonance imagingLarge academic medical centerRetrospective diagnostic studyBone marrow changesDisc space heightAbsolute interrater agreementDegenerative lumbar spineLumbar vertebral levelDifferent pathologic conditionsAcademic medical centerFleiss' kappa coefficientModerate overall agreementDegenerative findingsMarrow changesSagittal MRI sequencesDegenerative changes
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
2009
Differences between neurosurgeons and orthopedic surgeons in classifying cervical dislocation injuries and making assessment and treatment decisions: a multicenter reliability study.
Arnold PM, Brodke DS, Rampersaud YR, Harrop JS, Dailey AT, Shaffrey CI, Grauer JN, Dvorak MF, Bono CM, Wilsey JT, Lee JY, Nassr A, Vaccaro AR. Differences between neurosurgeons and orthopedic surgeons in classifying cervical dislocation injuries and making assessment and treatment decisions: a multicenter reliability study. The American Journal Of Orthopedics 2009, 38: e156-61. PMID: 20011745.Peer-Reviewed Original ResearchConceptsSpinal cord injuryMagnetic resonance imagingPretreatment magnetic resonance imagingCervical dislocation injuriesDislocation injuriesSpine surgeonsIncomplete spinal cord injuryComplete spinal cord injuryCervical spinal injuryBilateral facet dislocationImmediate closed reductionMulticenter reliability studyIntact patientsCervical injuryClosed reductionFacet dislocationCord injurySpinal injuryTreatment decisionsCervical dislocationTherapeutic implicationsClinical scenariosOrthopaedic surgeonsInjuryResonance imagingThe 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 surgeons
2008
MR Findings of Exaggerated Fluid in Facet Joints Predicts Instability
Schinnerer KA, Katz LD, Grauer JN. MR Findings of Exaggerated Fluid in Facet Joints Predicts Instability. Clinical Spine Surgery A Spine Publication 2008, 21: 468-472. PMID: 18836356, DOI: 10.1097/bsd.0b013e3181585bab.Peer-Reviewed Original ResearchConceptsMagnetic resonance imagingFacet jointsPlain filmsLumbar spine magnetic resonance imagingLumbar magnetic resonance imagingSpine magnetic resonance imagingSupine magnetic resonance imagingAxial magnetic resonance imagingConsecutive magnetic resonance imagingLow back painLumbar facet jointsRetrospective radiographic reviewIncidence of spondylolisthesisRadiographic evidenceSingle surgeonBack painRadiographic reviewSagittal MRI sequencesBACKGROUND DATAMR findingsSpondylolisthesisResonance imagingCorresponding radiographsSubtle instabilityRelative incidence
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 ICC
2006
Back pain in athletes.
Lawrence JP, Greene HS, Grauer JN. Back pain in athletes. Journal Of The American Academy Of Orthopaedic Surgeons 2006, 14: 726-35. PMID: 17148620, DOI: 10.5435/00124635-200612000-00004.Peer-Reviewed Original ResearchConceptsBack painSelf-limiting symptomsChronic back painTreatment of athletesDegenerative disc diseaseHigh incidence rateSpecific spinal pathologyRecurrent symptomsSymptomatic improvementTreatment algorithmIdentifiable pathologyPhysical examinationThorough historyRisk factorsDisc diseaseImpact sportsIncidence rateLumbar injuriesClinical challengeLong-term consequencesLumbar spineAthletic activitySpinal pathologyRecreational athletesPertinent imagingMetastatic 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