Publications by authors named "Juan Silva-Aponte"
Article Synopsis
- Expandable lumbar interbody cages (ELICs) are used in spine surgeries for interbody fusion and correcting spinal alignment, but they can have various complications.
- An analysis of the FDA's MAUDE Database from 2013 to 2023 revealed 821 complication reports, with cage breakage during insertion and postoperative migration being the most common issues.
- Significant differences in complication types among manufacturers were noted, highlighting the need for ongoing awareness and understanding of potential risks with new ELIC systems to ensure patient safety.
Article Synopsis
- This study conducted a systematic review to examine how often spinal surgery randomized control trials (RCTs) reported sociodemographic data and social determinants of health (SDOH), particularly focusing on variables like race and ethnicity.
- Out of 421 analyzed studies, only 22.8% included discussions on race, ethnicity, or SDOH, indicating a significant underreporting issue.
- Factors such as larger study size, public or private funding, and the study's geographical location were found to influence the likelihood of reporting these important demographic variables.
Study Design: Case control.
Objective: Traumatic cervical spine injuries are associated with a substantial risk of mortality. The aim of this study is to develop a novel mortality prediction model for patients with cervical trauma who require operative treatment.
Purpose: This study aims to evaluate the cost-utility of intraoperative tranexamic acid (TXA) in adult spinal deformity (ASD) patients undergoing long posterior (≥ 5 vertebral levels) spinal fusion.
Methods: A decision-analysis model was built for a hypothetical 60-year-old adult patient with spinal deformity undergoing long posterior spinal fusion. A comprehensive review of the literature was performed to obtain event probabilities, costs and health utilities at each node.
Purpose: Physician fees for orthopaedic surgeons by the Centers for Medicare and Medicaid Services (CMS) are increasingly scrutinized. The present retrospective review aims to assess whether adult spinal deformity (ASD) surgeries are properly valued for Medicare reimbursement.
Methods: Current Procedural Terminology (CPT) codes related to posterior fusion of spinal deformity of ≤ 6, 7-12, and ≥ 13 vertebral levels, as well as additional arthrodesis and osteotomy levels, were assessed for (1) Compound annual growth rate (CAGR) from 2002 to 2020, calculated using physician fee data from the CMS Physician Fee Schedule Look-Up Tool; and (2) work relative value units (RVUs) per operative minute, using data from the National Surgical Quality Improvement Program.