C. Kepler

Subsequent Knee Arthroplasty Does Not Influence Patient-Reported Outcomes Following Lumbar Fusion

Study Design Retrospective Cohort Study. Objectives The impact of knee arthritis and early total knee arthroplasty (TKA) on lumbar fusion recovery remains underexplored. This study aimed to identify demographic differences between lumbar fusion patients that had subsequent TKA and patients with OA without TKA, assess p...

A Shorter Surgical Interval May be Associated with Improved Patient-reported Outcomes in Hip-spine Syndrome.

STUDY DESIGN Retrospective Cohort Study. OBJECTIVE This study aimed to: (1) identify demographic differences based on the interval between surgeries; (2) compare differences in perioperative outcomes; (3) determine whether the interval between hip/spine surgery influences patient-reported outcomes (PROMs). SUMMARY...

The Impact of Hip Osteoarthritis on Patient Reported Outcomes Following Lumbar Fusion

Study Design Retrospective Cohort Study. Objectives With an aging population, the burden of concomitant joint disease continues to rise. The effects of hip OA on lumbar fusion outcomes are underexplored. Therefore, this study aimed to: (1) describe demographic differences between Osteoarthritis (OA) patients and those...

The association between direct admission to level I trauma centers and lower in-hospital mortality in operative spine trauma.

OBJECTIVE The aim of this study was to evaluate whether trauma center level is associated with in-hospital mortality among patients undergoing operative management for spine trauma and to determine whether this relationship differs according to triage pathway. METHODS A retrospective cohort study was performed using...

Predictors of surgical site infection after anterior cervical discectomy and fusion in a national administrative database.

Timing Matters: Preoperative Lumbar Epidural Steroid Injection and Long-Term Outcomes Following Single-Level Posterior Lumbar Fusion

Study Design Retrospective Cohort Analysis. Objective CESIs are a mainstay of nonoperative treatment for degenerative lumbar spine disease. As increasing numbers of patients undergo sPLF after receiving CESIs, understanding their impact on surgical outcomes is essential. The objective of the present investigation was t...

Surgical Risk and Patient-Reported Outcomes in 3- and 4-Level Anterior Cervical Discectomy and Fusion: A Comparative Study.

INTRODUCTION The existing literature on anterior cervical diskectomy and fusion (ACDF) predominantly focuses on 1- and 2-level procedures, leaving limited data comparing outcomes of 3- versus 4-level standalone ACDFs. Thus, the aim of this study was to compare surgical outcomes and patient-reported outcome measures (PR...

Comparison of Patient Reported Outcome Measures and MCID Achievement in Patients With Radiculopathy Undergoing Open Versus MIS TLIF

Study Design Retrospective Cohort Study. Objective To compare postoperative outcomes between open versus minimally invasive (MIS) transforaminal lumbar interbody fusion (TLIF) in patients with predominant radiculopathy symptoms. Methods All adult patients undergoing open and MIS single level TLIF (2017-2024) were retro...

Assessing the predictive utility of preoperative canal diameter, foraminal stenosis, and cord-lamina angle for postoperative C5 palsy: a matched cohort validation study.

In a large, well-matched validation cohort, the preoperative MRI parameters of the APD, FD, and CLA were not predictive of postoperative C5 palsy, both individually and as a three-variable model.