Publications by authors named "E Balouch"
Background: Recombinant human bone morphogenetic protein 2 (rhBMP-2, or BMP for short) is a popular biological product used in spine surgeries to promote fusion and avoid the morbidity associated with iliac crest autograft. BMP's effect on pseudarthrosis in transforaminal lumbar interbody fusion (TLIF) remains unknown.
Objective: To assess the rates of pseudarthrosis in single-level TLIF with and without concurrent use of BMP.
Objective: The objective of this study was to explore the rate of proximal junctional failure (PJF) and functional outcomes of normative alignment goals compared with alignment targets based on age-appropriate physical function.
Methods: Baseline relationships between age, pelvic incidence (PI), and a component of the T1 pelvic angle (TPA) within the fusion were analyzed in adult spinal deformity (ASD) patients and compared with those of asymptomatic patients. Linear regression modeling was used to determine alignment based on PI and age in asymptomatic patients (normative alignment), and in ASD patients, alignment corresponding to age-appropriate functional status (functional alignment).
Article Synopsis
- Complex spinal surgeries for adults can lead to high complication rates; a multidisciplinary case conference was introduced to improve patient selection and surgical outcomes.
- A study analyzed 263 patients, comparing those who underwent surgery before and after the introduction of the conference, focusing on complications and reoperations.
- Results showed that patients treated after the conference were older, had lower blood loss, and experienced significantly fewer complications during surgery compared to those treated before the conference.
Background: Identify the external applicability of the American College of Surgeons' National Surgical Quality Improvement Program (NSQIP) risk calculator in the setting of adult spinal deformity (ASD) and subsets of patients based on deformity and frailty status.
Methods: ASD patients were isolated in our single-center database and analyzed for the shared predictive variables displayed in the NSQIP calculator. Patients were stratified by frailty (not frail <0.
Article Synopsis
- This study reviews patients who underwent surgery at a single medical institution to assess a new way to detect pseudarthrosis using dynamic radiographs.* -
- A traditional method relies on measuring interspinous motion (ISM) differences, while a novel angular method utilizes angles between spinous processes, avoiding the need for complicated calibrations.* -
- The findings showed a strong correlation between the two methods, with both achieving high sensitivity and specificity for detecting pseudarthrosis confirmed by CT scans, indicating the angular method could be a reliable alternative.*