Publications by authors named "Nachiket Deshpande"
Article Synopsis
- * Methods: Researchers analyzed data from patients in the Michigan Spine Surgery Improvement Collaborative (MSSIC) registry, categorizing them based on their mental health history and measuring various surgical and satisfaction outcomes post-surgery.
- * Results: Out of 45,565 patients, those with both anxiety and depression reported significantly worse satisfaction and poorer health outcomes after surgery compared to those without either condition.
Objective: Since FDA approval of deep brain stimulation (DBS) for essential tremor over 2 decades ago, indications and utilization of this modality have rapidly expanded worldwide. However, certain patient populations are known to be underrepresented among those undergoing DBS for various indications.
Methods: A systematic search was conducted using PubMed and Embase for disparities related to DBS care.
Objective: There is a scarcity of large multicenter data on how preoperative lumbar symptom duration relates to postoperative patient-reported outcomes (PROs). The objective of this study was to determine the effect of preoperative and baseline symptom duration on PROs at 90 days, 1 year, and 2 years after lumbar spine surgery.
Methods: The Michigan Spine Surgery Improvement Collaborative registry was queried for all lumbar spine operations between January 1, 2017, to December 31, 2021, with a follow-up of 2 years.
Objective: Osteoporosis has significant implications in spine fusion surgery, for which reduced spinal bone mineral density (BMD) can result in complications and poorer outcomes. Currently, dual-energy x-ray absorptiometry (DEXA) is the gold standard for radiographic diagnosis of osteoporosis, although DEXA accuracy may be limited by the presence of degenerative spinal pathology. In recent years, there has been an evolving interest in using alternative imaging, including CT and MRI, to assess BMD.
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- Postoperative C5 palsy (C5P) is a common complication after cervical spine surgery, with most patients recovering within 6 months, although severe cases have poor outcomes.
- This systematic review investigates how C5P severity is classified and defines recovery, aiming to create a scale that can aid in clinical decision-making.
- Out of 272 articles, 43 were included, indicating that C5P is typically defined by a decline in deltoid strength, and severe cases are recognized as having muscle strength at grade 2 or lower, with recovery defined by improvement back to grade 5.
Evaluation of DBS Timeline in Movement Disorders: A Comparison Between Genders.
World Neurosurg
August 2022
Background: Deep brain stimulation (DBS) is a pivotal surgical treatment for movement disorders. However, men and women have had differing opinions and referral experiences related to DBS, leading us to assess whether a gender disparity exists in the interval from a movement disorder diagnosis to DBS usage.
Methods: We performed a single-center, retrospective cohort study of 105 patients who had undergone DBS surgery for either Parkinson disease (PD) or essential tremor (ET).
Emerging Trends in Neuromodulation for Treatment of Drug-Resistant Epilepsy.
Front Pain Res (Lausanne)
March 2022
Epilepsy is a neurological disorder that affects more than 70 million people globally. A considerable proportion of epilepsy is resistant to anti-epileptic drugs (AED). For patients with drug-resistant epilepsy (DRE), who are not eligible for resective or ablative surgery, neuromodulation has been a palliative option.
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