Search Results

You are looking at 1 - 10 of 15 items for :

  • By Author: Adogwa, Owoicho x
Clear All
Full access

Christopher I. Shaffrey and Justin S. Smith

revision lumbar surgery in elderly patients with symptomatic adjacent-segment disease, recurrent stenosis, or pseudarthrosis”) is a study that provides some interesting perspectives on the surgical management of more complex disorders of the lumbar spine in older patients. 3 This study evaluated factors affecting clinical outcomes in 69 patients undergoing revision neural decompression and instrumented fusion for adjacent-segment disease (ASD), pseudarthrosis, or same-level recurrent stenosis. 3 An important aspect of this study was the inclusion of the Zung self

Restricted access

Owoicho Adogwa, Scott L. Parker, David N. Shau, Stephen K. Mendenhall, Clinton J. Devin, Joseph S. Cheng and Matthew J. McGirt

F ailed back surgery syndrome is common, affecting 10%–40% of the patients who have previously undergone lumbosacral spine surgery. 7 , 15 A marked increase in lumbar spine surgery over the past 2 decades is well documented. 9 , 12 Adjacent-segment disease is a potential long-term complication of lumbar spine fusion. Management of patients with low-back and radicular pain secondary to ASD is costly and challenging to health care providers. 1 , 8 , 10 In this era of value-based purchasing, treatment cost is becoming an increasingly important component of

Restricted access

Owoicho Adogwa, Ricardo K. Carr, Katherine Kudyba, Isaac Karikari, Carlos A. Bagley, Ziya L. Gokaslan, Nicholas Theodore and Joseph S. Cheng

Elderly patients requiring revision decompression and fusion for various etiologies of failed–back surgery syndrome (ASD, pseudarthrosis, and same-level recurrent stenosis) are a particularly difficult cohort to treat. Revision surgery can be technically challenging, and elderly patients often present with long durations of symptoms coupled with anxiety regarding surgeries that they believe have already failed. Moreover, the prevalence of medical comorbidities in this population makes the procedure even more complicated. Hence, outcomes after revision neural

Restricted access

Owoicho Adogwa, Ryan Owens, Isaac Karikari, Vijay Agarwal, Oren N. Gottfried, Carlos A. Bagley, Robert E. Isaacs and Joseph S. Cheng

population continue to mount, governmental agencies and third-party payers are aiming to preferentially support higher value care and decrease spending on disease states with less impact on their population's health. Accordingly, there is a growing need to clearly define the treatment cost as well as the cost-effectiveness of revision decompression and extension of fusion for symptomatic pseudarthrosis, ASD, and same-level recurrent stenosis for this elderly population. Recently, funding of the Patient-Centered Outcomes Research Institute in the Patient Protection and

Restricted access

Scott L. Parker, Stephen K. Mendenhall, David Shau, Owoicho Adogwa, Joseph S. Cheng, William N. Anderson, Clinton J. Devin and Matthew J. McGirt

determined MCID values specifically for decompression and extension of fusion for symptomatic ASD. Therefore, we set out to determine the most appropriate ASD revision surgery–specific MCID values for VAS, ODI, SF-12, and EQ-5D in patients undergoing revision decompression and extension of fusion for symptomatic ASD. Methods Patient Selection Fifty consecutive patients with a diagnosis of lumbar ASD who underwent revision fusion were included in this study. The primary inclusion criteria were prior instrumented lumbar fusion for degenerative lumbar stenosis

Restricted access

Owoicho Adogwa, Jacob M. Buchowski, Lawrence G. Lenke, Maksim A. Shlykov, Mostafa El Dafrawy, Thamrong Lertudomphonwanit, Mitchel R. Obey, Jonathan Koscso, Munish C. Gupta and Keith H. Bridwell

A chieving a solid long fusion to the sacrum after adult spinal deformity (ASD) correction remains a challenge. 4 , 5 , 8 , 15 Due to the considerable biomechanical stresses in long fusion constructs, sacropelvic fixation is utilized to promote arthrodesis. 2 , 10 , 12 Despite this precaution, the lumbosacral junction remains at particular risk for pseudarthrosis. While there is widespread agreement on the use of sacropelvic fixation in long fusion constructs, there is no consensus on the optimal anterior column support technique. Anterior column fusions with

Full access

Owoicho Adogwa, Terence Verla, Paul Thompson, Anirudh Penumaka, Katherine Kudyba, Kwame Johnson, Erin Fulchiero, Timothy Miller Jr., Kimberly B. Hoang, Joseph Cheng and Carlos A. Bagley

L ow -back pain (LBP) is a leading cause of disability among elderly patients. Adjacent-segment disease (ASD), pseudarthrosis, and lumbar spinal stenosis are well-defined causes of disability in the elderly and have been increasingly recognized as causes of LBP and claudication. Although surgical treatment has been traditionally contraindicated in patients of advanced age, there is increasing debate regarding the need for surgical intervention in these patients. 6 , 11 , 15 , 16 , 29 , 33 However, surgical repair of the degenerated lumbar spine in an aging

Full access

Degeneration via XLIF Jody A. Rodgers , MD, FACS (Spine Midwest, Inc.); W.B. Rodgers , MD , and Edward J. Gerber 3 2011 30 3 A22 A22 2011 Introduction: The XLIF approach provides a minimally disruptive alternative to anterior column access that allows for large graft placement, disk height restoration, and indirect decompression, while avoiding posterior scar tissue from the previous procedure. Results of ASD treated with XLIF are presented. Methods: Of our single-site consecutive series of 932 XLIF patients, 276

Free access

between the two forms of treatment emerge. Neurosurg Focus Neurosurgical Focus FOC 1092-0684 American Association of Neurological Surgeons 2015.3.FOC-DSPNABSTRACTS 103. A Prospective, Multi-Center Assessment of the Best Versus Worst Clinical Outcomes for Adult Spinal Deformity (ASD) Surgery Justin S. Smith , MD PhD , Christopher I. Shaffrey , MD FACS , Virginie Lafage , PhD , Frank Schwab , MD, PhD , Themistocles Protopsaltis , MD , Eric Klineberg , MD , Munish

Full access

remains stable comparing 3 and 12-month results. Neurosurg Focus Neurosurgical Focus FOC 1092-0684 American Association of Neurological Surgeons 2014.3.FOC-DSPNABSTRACTS Abstract Outcomes Award 103. Two Year Prospective, Multicenter Analysis of Consecutive Adult Spinal Deformity (ASD) Patients Demonstrates Higher Fusion Grade, Lower Implant Failures and Greater Improvement in SRS-22r Scores for Patients Treated with Recombinant Human Bone Morpho Kai-Ming G. Fu , MD PhD , Eric Klineberg , MD , Shay