Publications by authors named "Rubery P"
Background: Several assessment tools have been developed to estimate a patient's likelihood risk of falling. None of these measures estimate the contributions of the visual, vestibular, and somatosensory systems to fall risk, especially in patients with degenerative lumbar spine disease.
Methods: Degenerative lumbar spine patients with radiculopathy (LD) and healthy subjects who were 35-70 years old without spine complaints were recruited.
Study Design: Retrospective review of a single institution cohort.
Objective: To determine whether area deprivation index (ADI) or social vulnerability index (SVI) is more suitable for evaluating minimum clinically important difference (MCID) achievement following elective lumbar fusion as captured by the Patient-Reported Outcomes Measurement Information System (PROMIS).
Summary Of Background Data: A total of 182 patients who underwent elective one-level to two-level posterior lumbar fusion between January 2015 and September 2021.
Objective To explore how socioeconomic status and patient characteristics may be associated with initial self-reports of pain and determine if there was an increased association with undergoing spine surgery. Methods Patients at an academic center between 2015 and 2021 who completed the Patient-Reported Outcomes Measurement Information System-Pain Interference (PROMIS-PI) questionnaire were included. Multivariable linear regression models were used to determine the association between insurance type and patient factors with initial reports of pain.
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- The study aimed to evaluate how different states of depression affect postoperative outcomes measured by PROMIS scores in patients undergoing lumbar fusion surgery.
- Using a sample of 200 patients, researchers categorized them into nondepressed, clinically depressed, and situationally depressed based on their depression scores and diagnoses.
- While all patient groups showed improvement post-surgery, situationally depressed individuals had worse preoperative physical function and were more likely to meet the minimum clinically important difference (MCID) for physical function improvement, although there was no significant difference for pain interference outcomes.
Article Synopsis
- The study examines the effectiveness of the Medicare MIPS in measuring clinician performance by looking at the rates of unplanned hospital visits after outpatient orthopaedic surgeries among Medicare beneficiaries.
- The research analyzes data from 37,735 surgeries performed between 2018 and 2019 in New York State to determine how many patients experienced unplanned visits to the hospital within 7, 30, and 90 days post-surgery.
- The study also investigates if there is a correlation between MIPS quality scores and the likelihood of these unplanned hospital visits, aiming to understand if the quality scores accurately reflect clinician performance.
Background: There has been an increase in posterior-based interbody fusions over the past two decades. Our objective was to evaluate trends in interbody fusion use among the American Board of Orthopedic Surgery (ABOS) Part II candidates.
Methods: The ABOS database from 2003 to 2012 was queried for common procedural terminology (CPT) codes indicating lumbar interbody fusion (22,558 anterior lumbar interbody fusion [ALIF] and 22,630 and 22,633 posterior lumbar interbody fusion [PLIF] or transforaminal lumbar interbody fusion [TLIF]).
Background Context: The extent to which use of spine surgeries for patients with cervical and lumbar disorders varies by their race/ethnicity and income is currently unknown.
Purpose: To assess racial/ethnic and income-based differences in use of spine surgery in New York State (NYS) from 2016 to 2019.
Study Design: Retrospective observational analysis using 2016 to 2019 New York Statewide Planning and Research Cooperative System (SPARCS) data, direct standardization, and multivariable mixed-effects linear regression models.
Purpose: (1) Identification of musculoskeletal risk factors for healthcare providers suffering low back pain (LBP) and the creation of risk profiles for those individuals and (2) analyze the impact of a workplace wellness program on healthcare providers who suffer from low back pain.
Methods: A total of 3040 employees at an academic healthcare center underwent a computer-adaptive survey of health-related quality of life (HRQOL), biometric tests, and a disability and functional movement assessment as part of the workplace wellness program (WWP). Clinical interventions with a rehabilitation specialist were offered to employees identified as at risk for low back pain.
Objective: To assess complications and to compare preoperative and postoperative radiographic measures in patients who underwent cervical laminoplasty.
Methods: We evaluated patients undergoing cervical laminoplasty between 2011 and 2022 at an academic medical center. Patient demographics, intraoperative and postoperative complications, and preoperative and postoperative radiographic parameters were recorded.
Background Context: Socioeconomic status (SES) has been associated with differential healthcare outcomes and may be proxied using the area-deprivation index (ADI). Few studies to date have investigated the role of ADI on patient-reported outcomes and clinically meaningful improvement following lumbar spine fusion surgery.
Purpose: The purpose of this study is to investigate the role of SES on lumbar fusion outcomes using Patient-Reported Outcomes Measurement Information System (PROMIS) surveys.
Study Design: Retrospective review of a single institution cohort.
Objective: The goal of this study is to identify features that predict delayed achievement of minimum clinically important difference (MCID) following elective lumbar spine fusion using Patient-Reported Outcomes Measurement Information System (PROMIS) surveys.
Summary Of Background Data: Preoperative prediction of delayed recovery following lumbar spine fusion surgery is challenging.
Background: Harrington instrumentation for adolescent idiopathic scoliosis (AIS) was revolutionary and allowed patients to mobilize faster as compared with patients treated with uninstrumented fusion. However, Harrington instrumentation provided correction of the deformity in 1 plane, resulting in limited sagittal plane control. Patients who received these 2 surgeries are aging, and to date, ultralong follow-up of these patients has not been reported.
View Article and Find Full Text PDFBackground: Despite its importance for clinical decisions, the long-term consequences of posterior spinal instrumentation and fusion (PSIF) for adolescent idiopathic scoliosis (AIS), particularly in the lower lumbar spine, remain unclear. This study evaluates the long-term health-related quality of life and the need for a further surgical procedure in patients treated with Harrington instrumentation from 1961 to 1977 according to the lowest instrumented vertebra (LIV) and in comparison with age-matched norms.
Methods: A search was performed to identify and contact the 314 identified patients with AIS treated with PSIF by Dr.
Purpose: Workplace wellness (WP) programs are an employer strategy to improve employee health and satisfaction. Their impact on productivity and benefit expense remains unclear. This study examines the association of a voluntary WP at an academic health center with both employee metrics and employer costs.
View Article and Find Full Text PDFStudy Design: Retrospective review.
Objective: Assess measures of spinal-pelvic balance in predicting functional outcome in patients who underwent posterior spinal fusion for adolescent idiopathic scoliosis (AIS) at minimum 40-year follow-up.
Summary Of Background Data: Back pain and long-term function are considered when choosing levels for surgery in AIS patients.
Background: Orthopaedic surgery is ever changing and depends on diverse technical and intellectual skill sets. The purpose of the current study was to evaluate the percentage of academic orthopaedic surgeons with additional graduate degrees in the United States.
Methods: Data including advanced degree(s) (eg, PhD, MS, MBA, MPH, JD, and DVM), academic rank, leadership position, subspecialty, years since training completion, and sex were collected from websites for all academic orthopaedic surgery departments in the United States.
Study Design: Retrospective case control study.
Objective: To review current transfusion practise following Adolescent Idiopathic Scoliosis (AIS) surgery and assess risks of complication from transfusion in this cohort.
Summary Of Background Data: No study to date has investigated variation in blood transfusion practices across surgeons and hospitals following AIS surgery.
Article Synopsis
- Structural bone allograft transplantation is a common method for repairing large bone defects but suffers from slow healing due to the loss of the periosteum, which is essential for effective integration.
- The study presents a new technique using polymer-mediated electrospray deposition to create a periosteum-like coating on allografts, allowing for precise control over the coating’s composition and thickness, as well as tailored drug release profiles.
- Experimental results show that this coating significantly improves healing in bone allografts, leading to less fibrous tissue, more bone formation, and better integration, potentially providing an advanced solution for bone repair and enhancing other medical implants as well.
Study Design: Retrospective, observational study.
Objective: To determine the association of patient socioeconomic disadvantage, insurance type, and other characteristics on presenting symptom severity in patients with isolated lumbar disc herniation.
Summary Of Background Data: Little is known of the impact of socioeconomic disadvantage and other patient characteristics on the level of self-reported symptom severity when patients first seek care for lumbar disc herniation.
Spinal fusion is a commonly performed orthopedic surgery. Autologous bone graft obtained from the iliac crest is frequently employed to perform spinal fusion. Osteogenic bone marrow stromal (a.
View Article and Find Full Text PDFStudy Design: Retrospective study.
Objective: To evaluate outcomes and complications following operative and nonoperative management of hyperostotic spine fractures.
Methods: Patients presenting between 2008 and 2017 to a single level 1 trauma center with hyperostotic spine fractures had their information and fracture characteristics reviewed.
We sought to better understand the relationship between Patient-Reported Outcomes Measurement Information System (PROMIS) mobility, pain interference (PI) and depressive symptoms scores, as well as determine what patient factors and PROMIS domains were associated with worse pain coping (PROMIS PI), in a pediatric orthopaedic population. Between 27 August 2015 and 30 April 2019, new pediatric orthopaedic patients 18 years or younger (or their guardians as a proxy) were asked to complete PROMIS mobility, PI and depressive symptoms domains at an academic medical center pediatric orthopaedic clinic. Pearson correlation coefficients (r) were calculated between each PROMIS domain.
View Article and Find Full Text PDFBackground: There is a paucity of literature examining surgical trends and outcomes in both child and adult cerebral palsy (CP) patients. We aimed to evaluate surgical trends, complications, length of stay, and charges for spinal deformity surgery in CP patients.
Methods: Using the Nationwide Inpatient Sample (NIS) from 2001 to 2013, patients with CP scoliosis who underwent spinal fusion surgery were identified.
Background: Myocardial injury after noncardiac surgery (MINS) is common and of prognostic importance. Little is known about MINS in orthopaedic surgery. The diagnostic criterion for MINS was a level of ≥0.
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