Publications by authors named "Peter Georgakas"

Article Synopsis
  • Subscapularis insufficiency can lead to complications after total shoulder arthroplasty (TSA), but using biological techniques may improve outcomes.
  • The text describes a method for repairing the subscapularis muscle after TSA, involving a technique called "peel-tenotomy" and the use of bone marrow aspirate concentrate (BMAC) to enhance healing.
  • This approach includes drilling holes for sutures and applying BMAC during the repair, which is thought to strengthen the repair and reduce complications, though more research is necessary to confirm its effectiveness.
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Background: Laminoplasty (LP) and laminectomy and fusion (LF) are utilized to achieve decompression in patients with symptomatic degenerative cervical myelopathy (DCM). Comparative analyses aimed at determining outcomes and clarifying indications between these procedures represent an area of active research. Accordingly, we sought to compare inpatient opioid use between LP and LF patients and to determine if opioid use correlated with length of stay.

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Background Content: Cervical laminoplasty (LP) and laminectomy and fusion (LF) are commonly used surgical techniques for cervical spondylotic myelopathy (CSM). Several recent studies have demonstrated superior perioperative metrics and decreased overall costs with LP, yet LF is performed far more often in the United States.

Purpose: To determine the percentage of patients with CSM who are radiographically candidates for LP.

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Background Context: Laminectomy with fusion (LF) and laminoplasty (LP) are commonly used to treat cervical spondylotic myelopathy (CSM). The decision regarding which procedure to perform is largely a matter of surgeon's preference, while financial implications are rarely considered.

Purpose: We aimed to better understand the financial considerations of LF compared to LP in the treatment of CSM.

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