Publications by authors named "Ikechukwu C Amakiri"
Article Synopsis
- - The study investigates if expandable transforaminal lumbar interbody fusion (TLIF) cages can effectively increase disc height and segmental lordosis after surgery compared to static cages, while also assessing complication rates associated with both types of cages.
- - A retrospective cohort study was conducted with 417 adult patients who underwent single-level TLIF from 2021 to 2023, with outcomes measured at 2 weeks, 6 months, and 1 year post-surgery.
- - Results indicated that patients with expandable cages showed a significant increase in disc height at both 2 weeks and 6 months compared to those with static cages, suggesting potential benefits of using expandable cages in spinal surgeries.
Article Synopsis
- The article focuses on the lack of racial and ethnic diversity in spine surgery and its implications.
- It suggests strategies like early education, mentorship, and addressing biases in hiring to improve representation.
- A supportive culture and ongoing assessment of diversity efforts are emphasized as keys to enhancing patient care in this field.
Article Synopsis
- Revision total knee (TKR) and hip (THR) surgeries face challenges like low reimbursement and high complication rates, leading to fewer surgeries being performed.
- The study analyzed data from 1,625 patients who underwent these surgeries to examine the rate of subsequent procedures performed by the same or different surgeons within the practice.
- Findings revealed that about 40% of patients had at least one additional procedure, with many being planned follow-ups or primary replacements on different joints, indicating these surgeries contribute to future case volumes for surgeons and practices.
Article Synopsis
- Spinal epidural abscesses (SEAs) pose significant health risks, with high rates of complications and mortality, prompting this study to investigate the relationship between Hounsfield units (HUs) on CT scans and patient outcomes.
- The retrospective cohort study analyzed 399 adults diagnosed with SEAs between 2006 and 2021, focusing on complications within 90 days post-diagnosis and assessing HUs from nearby vertebral bodies.
- Findings revealed that while 61.2% of patients experienced complications and 7.8% faced mortality, HUs did not correlate with these outcomes, suggesting they may not be useful prognostic indicators in SEA cases. *
Article Synopsis
- Patient-reported outcome measures (PROMs) are important for understanding healthcare value, and this study looks at how insurance type affects these measures in patients with adult spinal deformity (ASD).
- Data from 207 ASD patients was analyzed, revealing that Medicaid patients reported worse pain and disability compared to those with commercial or Medicare insurance.
- The findings suggest that disparities based on insurance could influence treatment outcomes and emphasize the need for equitable care in spinal health management.
Predictors and Sequelae of Postoperative Delirium in a Geriatric Patient Population With Hip Fracture.
J Am Acad Orthop Surg Glob Res Rev
May 2021
Article Synopsis
- Postoperative delirium is a common issue in older patients with hip fractures, affecting 18.8% of those studied, and is strongly linked to pre-existing dementia, which was present in 30.2% of the cases.
- Several independent risk factors for delirium were identified, including older age, male sex, and preoperative conditions such as diabetes and functional dependency.
- The presence of both preoperative dementia and postoperative delirium significantly increased the risk of 30-day mortality, suggesting that delirium plays a critical role in worsening outcomes post-surgery.
Article Synopsis
- * A study analyzed data from 15,284 PCI cases between 2003 and 2016, revealing significant decreases in bleeding and vascular complications for both men and women, with the improvements being more pronounced in women.
- * While the overall rates of complications have improved and the gender gap has narrowed, women still experience higher bleeding rates than men post-PCI as of 2016.