Publications by authors named "Colin D Lamb"
Study Design: Case report and narrative review.
Objective: To explore the therapeutic role of surgical and nonsurgical treatment of diaphragmatic paralysis secondary to spinal cord and nerve root compression.
Summary Of Background Data: Phrenic nerve dysfunction due to central or neuroforaminal stenosis is a rare yet unappreciated etiology of diaphragmatic paralysis and chronic dyspnea.
Background: Thoracic spinal deformities may reduce chest wall compliance, leading to respiratory complications. The first SARS-CoV-2 (L-variant) strain caused critical respiratory illness, especially in vulnerable patients. This study investigates the association between scoliosis and SARS-CoV-2 (COVID-19) disease course severity.
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- Adolescent participation in sports is increasing, leading to more cases of sports-related concussions (SRC), with prior concussions linked to higher symptom severity.
- The study analyzed data from over 25,000 student-athletes to compare symptom profiles between those with one prior concussion and those with two or more.
- Results showed that athletes with multiple prior concussions reported less severe headaches but more emotional and cognitive symptoms compared to those with a single prior concussion, indicating differences in recovery profiles.
Although many etiologies have been proposed for Chiari malformation type I (CM-I), there currently is no singular known cause of CM-I pathogenesis. Advances in imaging have greatly progressed the study of CM-I. This study reviews the literature to determine if an anatomical cause for CM-I could be proposed from morphometric studies in adult CM-I patients.
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- This study analyzed clinical data from a single institution to see if the timing of microdiscectomy surgeries (before or after 2 PM) affects patient outcomes, length of hospital stay, and costs.* -
- Researchers compared data from 1,261 patients who had nonemergent surgeries between 2008 and 2016, dividing them into early and late surgery groups, but found no significant differences in demographics, length of stay, or costs between the two groups.* -
- No notable differences were seen in complications, discharge status, or readmission rates, suggesting that the timing of the surgery may not influence overall surgical outcomes.*
Introduction: Surgery is commonly indicated for adult spinal deformity. Annual rates and costs of spinal deformity surgery have both increased over the past two decades. However, the impact of non-elective status on total cost of hospitalization and patient outcomes has not been quantified.
View Article and Find Full Text PDFStudy Design: Retrospective cohort study.
Objectives: To conduct the first comprehensive national-level study examining specific risks, outcomes, and costs surrounding surgical treatment of lumar spinal stenosis (LSS) in patients with and without neurogenic claudication (NC).
Methods: Data for patients with or without NC who underwent decompression with a lumbar interbody fusion approached anteriorly (ALIF), posteriorly (PLIF), or laterally (LLIF) for LSS was collected from the 2013-2014 National Inpatient Sample using International Classification of Disease codes.
Background: Existing research about surgical start time is equivocal about associations between outcomes and late start times, and there is only one published report investigating start time in spine surgery. Therefore, the objective of this study was to assess associations between surgical start time, length of stay (LOS), and cost in lumbar spine surgery.
Methods: Patients at a single institution undergoing posterior lumbar fusion (PLF) were grouped based on whether they received their surgery before or after 2 pm, with those receiving their surgery between 12 am and 6 am and receiving surgery for tumors, trauma, or infections being excluded.
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- The article had an error regarding the author's name.
- The author's first name was incorrectly listed as "Sam."
- The correct name should be "Samuel Z. Maron."
Article Synopsis
- - This study examines how the timing of spinal deformity surgeries (before or after 2 PM) affects patient outcomes, recovery time, and costs.
- - The research analyzed data from surgeries over an 8-year period, finding similar recovery times and costs between the two groups but noting that surgeries starting later were linked to more delayed extubation and non-home discharges.
- - The results suggest that while surgery start times do not impact overall length of stay or costs, later surgeries may lead to increased complications which could affect expenses in bundled payment models, providing insights for better operating room scheduling.
Study Design: Retrospective study of a surgical cohort from a single, large academic institution.
Objective: The aim of this study was to investigate associations between surgical start time, length of stay, cost, perioperative outcomes, and readmission.
Summary Of Background Data: One retrospective study with a smaller cohort investigated associations between surgical start time and outcomes in spine surgery and found that early start times were correlated with shorter length of stay.
Objective: This is the first large retrospective analysis of patients undergoing anterior lumbar interbody fusion (ALIF) with concern for clinical determinants leading to reoperation for adjacent segment disease (ASD). The objective of this study is to examine the specific perioperative and clinical determinants that affect need for adjacent segment reoperation in patients who underwent 1-level and 2-level ALIF procedures for degenerative disc disorders.
Methods: All cases at our institution between 2008 and 2016 involving an ALIF performed for degenerative disc disorders at 1 or 2 levels were examined.
Article Synopsis
- This study investigates how well the Elixhauser Comorbidity Index (ECI) and Charlson Comorbidity Index (CCI) predict complications after posterior cervical decompression and fusion (PCDF).
- Using data from the National Inpatient Sample for 2013-2014, the researchers evaluated complications and compared predictive accuracy between ECI, CCI, and a baseline model considering age, sex, race, and insurance.
- The results indicated that ECI outperformed CCI in predicting multiple complications, showing higher predictive ability for conditions like airway issues, cardiac arrest, and septic shock, while neither index was superior for certain complications like acute kidney injury and pneumonia.