Publications by authors named "R F Heary"

Article Synopsis
  • This study analyzes the return-to-work (RTW) rates of patients who underwent surgery for cervical spondylotic myelopathy (CSM) as part of a larger clinical trial comparing different surgical methods.
  • Of the 163 patients studied, 68 were employed before surgery, with 66% successfully returning to work within 12 months; the time it took to return varied by surgical type, with laminoplasty (LP) being the quickest.
  • The analysis found that a longer hospital stay negatively impacted RTW likelihood, and patients undergoing posterior cervical decompression/fusion (PCDF) reported worse physical outcomes compared to those who had anterior cervical decompression/fusion (ACDF) and LP.
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The classification of medical devices by the Food and Drug Administration (FDA) involves rigorous scrutiny from specialized panels that designate devices as Class I, II, or III depending on their levels of relative risk to patient health. Posterior rigid pedicle screw systems were first classified by the FDA in 1984 and have since revolutionized the treatment of many spine pathologies. Despite this early classification by the FDA, posterior cervical pedicle and lateral mass screws were not reclassified from unclassified to Class III and then to Class II until 2019, nearly 35 years after their initial classification.

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Background: Within the current medical workforce, diversity is limited among surgical specialties. However, diversity allows physicians to provide culturally competent care. This paper discusses the trends in racial, ethnic, and gender representation within different surgical subspecialties with an emphasis on neurosurgery over a 20-year time frame.

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Introduction: Despite its rising popularity, little has been described about locum tenens employment (locums) in neurosurgery. This study provides the first nationwide overview of the locums neurosurgery experience.

Methods: An anonymous online survey examined practice characteristics of respondents, extent of and satisfaction with locums, motivations for pursuing locums, case volumes, agencies used, compensation, and positive/negative aspects of experiences.

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