Publications by authors named "Joseph Spinelli"
Article Synopsis
- The opioid epidemic is worsening, prompting the Department of Defense and Veterans Health Agency to recommend the elimination of long-acting opioids and benzodiazepines in pain management, leading to changes in postoperative care.
- A study was conducted on single-level TLIF patients to compare outcomes between those receiving benzodiazepines and long-acting opioids versus those receiving non-benzodiazepine, opioid-sparing medications.
- Results showed that removing benzodiazepines and long-acting opioids did not change inpatient pain scores but led to reduced opioid use, fewer trigger medications, and shorter hospital stays for patients.
Traumatic brain injury has been called the "signature injury" of the wars in Iraq and Afghanistan, and the management of severe and penetrating brain injury has evolved considerably based on the experiences of military neurosurgeons. Current guidelines recommend that decompressive hemicraniectomy be performed with large, frontotemporoparietal bone flaps, but practice patterns vary markedly. The following case is illustrative of potential clinical courses, complications, and efforts to salvage inadequately-sized decompressive craniectomies performed for combat-related severe and penetrating brain injury.
View Article and Find Full Text PDFObjective: To present a conversion from an anterior cervical discectomy and fusion (ACDF) to cervical arthroplasty in a 40-year-old, active duty member and perform a review of the literature.
Methods: A helicopter pilot in the U.S.