48 results match your criteria: "Northwell Health-Long Island Jewish Medical Center[Affiliation]"
Association between modifiable and nonmodifiable risk factors with paralumbar muscle health in patients with lower back pain.
N Am Spine Soc J
December 2024
Northwell Health Long Island Jewish Medical Center, Department of Orthopedic Surgery, 270-05 76th Avenue, Queens, NY 11040, United States.
Background: Prior studies have linked sarcopenia and fat infiltration in paraspinal muscles with lumbar pain, spinal pathology, and adverse postoperative outcomes in lumbar spine surgery. A recent magnetic resonance imaging (MRI)-based method for assessing muscle health, incorporating parameters such as Goutallier Classification (GC) and the Paralumbar Muscle Cross-Sectional Area to Body Mass Index ratio (PL-CSA/BMI), has shown that higher muscle grades correlate with significant improvements in patient-reported outcomes. Despite these advancements, there is limited research on the associations between paralumbar muscle health and factors such as age, BMI, walking tolerability, and spondylolisthesis.
View Article and Find Full Text PDFEvaluating an Emergency Department Discharge Center: A Learning Organization Approach for Efficiency and Future Directions.
Cureus
November 2024
Emergency Medicine, Northwell Health Long Island Jewish Medical Center, New Hyde Park, USA.
Introduction Our pilot Emergency Department Discharge Center (EDDC) facilitates post-discharge appointments, and screens for social determinants of health (SDoH) with a long, paper-based tool. No criteria guide which patients to refer to EDDC for appointment-making. Patients screening positive for SDoH are texted or emailed a list of community-based organizations (CBOs) to contact; the screening tool doesn't assess patients' interest or ability to contact CBOs.
View Article and Find Full Text PDFBone Density Correlates With Depth of Subsidence After Expandable Interbody Cage Placement: A Biomechanical Analysis.
Clin Spine Surg
November 2024
Department of Orthopaedic Surgery, Northwell Health Long Island Jewish Medical Center, New Hyde Park, NY.
Article Synopsis
- - The study aimed to analyze how the density of bone foam affects the amount of subsidence caused by expandable interbody cages during spinal procedures.
- - Results indicated that higher bone foam densities led to reduced subsidence depths; for example, at a force of 150 N, the mean subsidence was 2.0 mm for 5 PCF and only 1.1 mm for both 15 and 20 PCF.
- - The findings suggest that surgeons should consider bone quality when using expandable interbody cages, as the relationship between bone density and subsidence can influence the effectiveness of the procedure.
A Mathematical Evaluation of the Effects of the Head and Neck Diameter on the Arc of Motion and the Implications in Total Hip Arthroplasty.
Arthroplast Today
December 2024
3D Design and Innovation, Feinstein Institutes for Medical Research, Northwell Health, Manhasset, NY, USA.
Article Synopsis
- Instability after total hip arthroplasty (THA) is a key reason for needing revision surgeries, highlighting the importance of achieving stability through different femoral systems.
- The study used Autodesk Fusion 360 software to simulate and analyze how various head and neck sizes affect the arc of motion (AOM) and jump distances (JDs) in THA and dual mobility systems.
- Results showed that while larger head sizes generally increase AOM, benefits plateau after 36 mm, and using modern polyethylene liners can enhance stability; thus, choosing between THA and dual mobility involves weighing minimal gains in head size against increased stability with larger heads.
Comparison of postoperative complications and outcomes following primary versus revision discectomy: A national database analysis.
J Craniovertebr Junction Spine
September 2024
Northwell Health Long Island Jewish Medical Center, New Hyde Park, NY, USA.
Article Synopsis
- Lumbar microdiscectomy is a common surgery for treating symptomatic lumbar herniation, and this study focused on comparing outcomes between primary and revision surgeries.
- Researchers used a large database to analyze data from over 37,000 patients who had either primary or revision surgery from 2019 to 2022, excluding patients with sepsis or cancer.
- The results showed that patients undergoing revision surgery had longer hospital stays and higher rates of complications like wound infections and bleeding events than those who had primary surgeries.
A potential conundrum in dermatopathology: molecularly confirmed superficial ossifying fibromyxoid tumors with unusual histomorphologic findings and a novel fusion.
Virchows Arch
December 2024
Department of Pathology and Laboratory Medicine, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA.
Article Synopsis
- Ossifying fibromyxoid tumor (OFMT) is a rare soft tissue tumor often found in subcutaneous tissues, characterized by bland ovoid cells and metaplastic bone.
- The tumors typically pose diagnostic challenges when they present with unusual characteristics, necessitating the detection of specific gene fusions for accurate diagnosis.
- This study discusses six cases of OFMT with atypical features and emphasizes the importance of molecular testing in confirming diagnoses, highlighting a case with a novel gene fusion (EPC1::SUZ12).
Article Synopsis
- - The study aimed to evaluate emergency medicine (EM) physicians' attitudes toward scholarly activity (SA) practices, focusing on beliefs, needs, barriers, and departmental resources for training residents.
- - A survey conducted across the U.S. found that out of 660 respondents, a majority were core faculty in either allopathic or osteopathic programs, with many reporting departmental support for various research-related tasks.
- - The findings highlighted a significant need for enhanced departmental support for SA, suggesting that the Accreditation Council for Graduate Medical Education (ACGME) should provide guidelines for best practices in EM residency programs to ensure consistency.
Multilevel posterior spinal fusion following percutaneous third generation kyphoplasty complicated by vertebral compression fracture progression.
J Surg Case Rep
March 2024
Department of Orthopaedic Spine Surgery, Northwell Health Long Island Jewish Medical Center, New Hyde Park, NY 11040, United States.
Article Synopsis
- Newer third generation percutaneous kyphoplasty (PKs) aims to reduce risks from older generation methods, including adjacent fractures and cement leakage.
- A patient experienced complications like fracture progression and kyphosis after third generation PK, which were later addressed with posterior pedicle spinal fusion (PPSF) and laminectomy.
- Follow-up evaluations over two years showed continued improvement in back pain and overall quality of life, supporting PPSF's effectiveness in treating complications from PK in patients with severe osteoporosis.
Impact of the COVID-19 Pandemic on Outcomes and Perioperative Factors Associated with Posterior Cervical Fusion.
Spine Surg Relat Res
January 2024
Department of Orthopaedic Surgery, Northwell Health Long Island Jewish Medical Center, New Hyde Park, NY, USA.
Article Synopsis
- The study analyzed differences in perioperative decision-making and outcomes for patients undergoing posterior cervical fusion (PCF) before and during the COVID-19 pandemic using national datasets.
- Key findings indicated that while readmission, reoperation, and morbidity rates remained unchanged, patients in 2020 had a higher length of stay and were less likely to be discharged home.
- There was a notable increase in outpatient surgeries during the pandemic, suggesting an adjustment in surgical practices despite an overall frailer patient population in 2020.
Influence of Placement of Lumbar Interbody Cage on Subsidence Risk: Biomechanical Study.
World Neurosurg
March 2024
Department of Orthopaedic Surgery, Northwell Health Long Island Jewish Medical Center/North Shore University Hospital, Manhasset, New York, USA.
Objective: Lumbar spinal fusion is a common surgical procedure that can be done with a variety of different instrumentation and techniques. Despite numerous research studies investigating subsidence risk factors, the impact of cage placement on subsidence is not fully elucidated. This study aims to determine whether placement of an expandable transforaminal lumbar interbody fusion cage at the center end plate or at the anterior apophyseal ring affects cage subsidence.
View Article and Find Full Text PDFPredictors of Readmission and Reoperation Following Shoulder Arthroplasty in Patients Under 45 Years of Age.
Surg Technol Int
December 2023
Department of Orthopaedic Surgery, Northwell Health Long Island Jewish Medical Center, New Hyde Park, NY.
Article Synopsis
- - The study investigates 30-day readmission and reoperation rates after shoulder arthroplasty in patients under 45, addressing a gap in existing research focused on younger populations.
- - An analysis of data from 530 patients identified factors like Black race, Hispanic ethnicity, functional dependence, hypertension, and prolonged hospital stays as significant predictors of poor outcomes like readmission and reoperation.
- - The findings aim to enhance risk assessment in younger patients during surgery, potentially lowering healthcare costs and highlighting healthcare disparities among different racial and ethnic groups.
Kinase fusion positive intra-osseous spindle cell tumors: A series of eight cases with review of the literature.
Genes Chromosomes Cancer
January 2024
Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Article Synopsis
- This text discusses mesenchymal spindle cell tumors with kinase fusions, which are rare bone tumors primarily found in younger patients, and that have different genetic markers.
- A study analyzed eight cases of these tumors alongside seven previously reported cases, finding a majority in the head and neck area of young patients with various kinase fusions.
- The tumors generally showed high-grade malignancy, especially those with NTRK3 fusions, while others exhibited low-grade traits, and some tumors in older patients presented with aggressive characteristics.
Reassessing the Bishop score in clinical practice for induction of labor leading to vaginal delivery and for evaluation of cervix ripening.
Placenta Reprod Med
January 2023
Longo Center for Perinatal Biology, Departments of Basic Sciences (Division of Physiology), Pediatrics, Gynecology and Obstetrics, Loma Linda University School of Medicine, Loma Linda 92350, CA, USA.
Navigated versus conventional pediatric spinal deformity surgery: Navigation independently predicts reoperation and infectious complications.
J Craniovertebr Junction Spine
June 2023
Department of Orthopaedic Surgery, Northwell Health Long Island Jewish Medical Center, New Hyde Park, NY, USA.
Article Synopsis
- The study investigates pediatric spinal deformity surgery outcomes, comparing navigated and conventional methods using a large national database.
- It aims to assess 30-day outcomes and perioperative factors, as well as examining data from a specific institution against national statistics.
- Results show that navigation initially predicted higher chances of complications like reoperation and infections, but this was not significant when accounting for surgery year; however, patients in the national database had longer operative times and higher transfusion rates.
Association between history of lumbar spine surgery and paralumbar muscle health: a propensity score-matched analysis.
Spine J
November 2023
Northwell Health Long Island Jewish Medical Center, 270-05 76(th) Avenue, Queens, NY 10040, USA.
Article Synopsis
- The study investigates the relationship between lumbar spine surgery history and paralumbar muscle health as assessed through MRI measurements.
- It employs a retrospective cohort design, comparing MRI-based parameters like cross-sectional area and muscle grading between patients who have undergone spine surgery and those who haven’t.
- Analysis involved 615 patients, ultimately matching 89 patients with surgery history to 89 without, showing no significant differences in demographic variables.
Response to: Comparative Analysis of 30-Day Readmission, Reoperation, and Morbidity between Posterior Cervical Decompression and Fusion Performed in Inpatient and Outpatient Settings.
Asian Spine J
June 2023
Department of Orthopaedic Surgery, Northwell Health Long Island Jewish Medical Center, New Hyde Park, NY, USA.
Comparison of Value per Operative Time between Primary and Revision Surgery for Adult Spinal Deformity: A Propensity Score-Matched Analysis.
Asian Spine J
June 2023
Department of Orthopaedic Surgery, Northwell Health Long Island Jewish Medical Center, New Hyde Park, NY, USA.
Article Synopsis
- The study aimed to compare the RVUs (relative value units) per minute of operative time between primary and revision surgeries for adult spinal deformity (ASD), emphasizing the cost implications of surgical procedures.
- Data from the American College of Surgeons National Surgical Quality Improvement Program were analyzed, focusing on patients who had surgery from 2011 to 2019, while excluding certain cases to maintain a similar patient group.
- Results showed that revision surgeries had a higher mean RVUs per minute (0.331) compared to primary surgeries (0.249), indicating that revision surgeries could result in greater reimbursement potential despite higher risks of complications.
Venous Thromboembolism Rates Have Not Decreased in Elective Lumbar Fusion Surgery from 2011 to 2020.
Global Spine J
November 2024
Northwell Health Long Island Jewish Medical Center, New Hyde Park, NY, USA.
Article Synopsis
- The study was a retrospective cohort analysis investigating trends in venous thromboembolism (VTE), deep venous thrombosis (DVT), pulmonary embolism (PE), and mortality rates from 2011 to 2020 after lumbar fusion surgery.
- It found no significant changes in VTE, DVT, PE, or mortality rates over the years, but highlighted a notable decrease in DVT rates in 2019 compared to 2011.
- Key predictors of VTE included older age, higher BMI, and longer surgery times, while factors like being female, Hispanic, or having outpatient surgery offered protective effects.
Lumbar fusion during the COVID-19 pandemic: greater rates of morbidity and longer procedures.
J Spine Surg
March 2023
Department of Orthopaedic Surgery, Northwell Health Long Island Jewish Medical Center, New Hyde Park, NY, USA.
Article Synopsis
- The study investigates the effects of the COVID-19 pandemic on the outcomes and factors related to lumbar fusion surgeries, comparing data from 2019 (before the pandemic) to 2020 (during the pandemic).
- Researchers used the ACS-NSQIP database and analyzed data from 27,446 patients to assess differences in post-surgery complications, operation time, and hospital stay.
- Findings indicated that surgeries performed in 2020 had higher rates of complications like pneumonia and longer hospital stays, but some differences became insignificant after adjusting for patient baseline characteristics.
Relationship Between Preoperative Nutritional Status and Predicting Short-Term Complications Following Revision Total Hip Arthroplasty.
J Arthroplasty
July 2023
Department of Orthopaedic Surgery, Northwell Health Long Island Jewish Medical Center/North Shore University Hospital, New Hyde Park, New York.
Article Synopsis
- Malnutrition is associated with complications following revision total hip arthroplasty (THA), but its specific relationship hasn't been thoroughly studied until now.
- A review of 12,249 patients from 2006 to 2019 found that underweight individuals and those with insulin-dependent diabetes are more likely to be malnourished, which increases the risk of postoperative complications.
- Malnourished patients faced significantly higher rates of issues such as infections and worse overall recovery, highlighting the importance of nutritional screening for these patients before surgery.
Comparison of value per operative time between anterior lumbar interbody fusion and lumbar disc arthroplasty: A propensity score-matched analysis.
J Craniovertebr Junction Spine
December 2022
Department of Orthopaedic Surgery, Northwell Health Long Island Jewish Medical Center, New Hyde Park, New York, USA.
Article Synopsis
- Lumbar disc arthroplasty (LDA) rates have not significantly increased, likely due to insurance concerns about complications and costs, and no prior studies compared reimbursement rates between LDA and lumbar fusion.
- This study aimed to analyze the relative value units (RVUs) and complications like 30-day readmissions and reoperations between anterior lumbar interbody fusion (ALIF) and LDA using data from a surgical quality improvement database.
- The results showed that ALIF had higher RVUs per minute and morbidity rates compared to LDA, but both had similar readmission and reoperation rates; ALIF also had increased instances of deep vein thrombosis and blood transfusions.
Retrospective evaluation of management guidelines for extracorporeal treatment of metformin poisoning.
Clin Toxicol (Phila)
April 2023
Division of Medical Toxicology, Ronald O. Perelman Department of Emergency Medicine, NYU Grossman School of Medicine, New York, NY, USA.
Article Synopsis
- The EXTRIP Workgroup established criteria for extracorporeal toxin removal in cases of metformin poisoning, aiming to assess the effectiveness of this treatment.
- A retrospective study analyzed 201 patients with suspected metformin poisoning, focusing on those meeting the EXTRIP criteria, their treatment, and survival rates.
- Results showed no survival advantage from extracorporeal toxin removal among patients meeting the EXTRIP criteria; however, those not meeting the criteria had a 100% survival rate, indicating the need for further investigation on treatment benefits.
Wellens syndrome: An important consideration in patients with chest pain.
JAAPA
February 2023
Joshua Alexander practices in internal medicine and emergency medicine at Northwell Health-Long Island Jewish Medical Center in New Hyde Park, N.Y. Denise Rizzolo is practicum coordinator for the master's of public health program at Fairleigh Dickinson University of New Jersey. The authors have disclosed no potential conflicts of interest, financial or otherwise.
Article Synopsis
- Coronary artery disease (CAD) is the top reason people die in the U.S., with a heart attack happening every 40 seconds.
- Acute coronary syndrome (ACS) is a serious issue for people with chronic CAD, and Wellens syndrome is a special type of ACS that can be very dangerous.
- Wellens syndrome can be recognized by unique patterns on an ECG, but some doctors might not know what to look for.
Duration of Back Pain Symptoms and Its Relationship to Paralumbar Muscle Volume.
World Neurosurg
April 2023
Department of Orthopedic Surgery, Northwell Health Long Island Jewish Medical Center, Queens, New York, USA.
Article Synopsis
- The study aimed to explore the relationship between the duration of back pain symptoms (more than or less than 12 weeks) and the volume of paralumbar muscles in patients.
- Using data from 551 patients and various imaging techniques, researchers assessed paralumbar muscle volume and found no significant differences between patients with short-term vs. long-term symptoms.
- The conclusions suggest that the length of back pain symptoms may not accurately indicate lumbar muscle volume, which could lead to reevaluation of treatment options for patients with chronic pain.
Reducing Unnecessary 'Admission' Chest X-rays: An Initiative to Minimize Low-Value Care.
Cureus
October 2022
Emergency Department, Northwell Health Long Island Jewish Medical Center, New York, USA.
Article Synopsis
- Many internal medicine admission services request chest X-rays (CXRs) for patients already in the emergency department, which often do not provide any real clinical benefit and can lead to negative outcomes like unnecessary radiation exposure and increased costs.
- In 2016, guidelines were implemented by the ED and internal medicine teams to reduce these unnecessary CXRs, guiding healthcare providers on when they are truly needed.
- The study aimed to analyze changes in the rate of CXRs before and after these guidelines were introduced and to identify patient characteristics that might predict the likelihood of receiving a CXR.