Publications by authors named "M E Shaffrey"
Objective: Cervical spondylotic myelopathy (CSM) shows varying levels of improvement after surgical treatment. While some patients improve soon after surgery, others may take months to years to show any signs of improvement. The goal of this study was to evaluate postoperative improvement, patient-reported outcomes, and patient satisfaction up to 2 years after surgical treatment for CSM, which will help optimize the current treatment strategies and effectively manage patient expectations.
View Article and Find Full Text PDFBackground And Objectives: Women represent ∼20% of the national neurosurgical resident cohort but only ∼10% of academic neurosurgeons in the United States. Recognizing that the publication of scientific literature contributes to academic advancement, we measured authorship trends of academic neurosurgeons to query publication differences as an explanation for the discrepancy of female representation in academic positions.
Methods: Physician data were obtained from program and individual physician webpages.
Incidence of revision surgery and patient-reported outcomes within 5 years of the index procedure for grade 1 spondylolisthesis: an analysis from the Quality Outcomes Database spondylolisthesis data.
J Neurosurg Spine
January 2025
Article Synopsis
- The study explores the impact of revision surgery on patient-reported outcomes (PROs) following initial surgeries for grade 1 spondylolisthesis, comparing decompression-only and decompression plus fusion (D+F) treatments.
- Data was collected from over 600 patients, revealing that 13.3% of decompression-only patients and 9.8% of D+F patients required revision surgery within 5 years, with revision patients reporting worse outcomes.
- The findings indicate that while revision surgery affects PROs adversely, patients undergoing D+F see a more significant decline in their reported outcomes compared to those who only had decompression surgery.
Objective: The aim of this study was to compare the rate of achievement of the minimal clinically important difference (MCID) in patient-reported outcomes (PROs) and satisfaction between cervical spondylotic myelopathy (CSM) patients with and without class III obesity who underwent surgery.
Methods: The authors analyzed patients from the 14 highest-enrolling sites in the prospective Quality Outcomes Database CSM cohort. Patients were dichotomized based on whether or not they were obese (class III, BMI ≥ 35 kg/m2).
Article Synopsis
- The study aimed to explore the long-term effects of body mass index (BMI) on surgical outcomes in patients with low-grade lumbar spondylolisthesis, specifically comparing obese (BMI ≥ 35) and nonobese (BMI < 35) patients.
- Among 608 patients studied, those with a BMI ≥ 35 were generally younger, reported more severe pain and disability at baseline, and had a higher likelihood of requiring fusion surgery compared to their nonobese counterparts.
- Five years after surgery, no significant differences were found in readmission rates or reoperation rates between the BMI groups, although higher BMI was linked to lower chances of achieving important clinical improvements post-surgery.