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Surgical Management of Charcot Spinal Arthropathy in the Face of Possible Infection.

Alexander Von Glinski, Sven Frieler, Christopher J Elia, Darius Ansari, Clifford Pierre, Basem Ishak, Ronen Blecher, Bilal Qutteineh, Sarah Strot, Rod J Oskouian, Jens R Chapman,

<h4>Background</h4>The design is a retrospective cohort study. Charcot spinal arthropathy (CSA) is a rare and poorly understood progressive destructive spine condition that usually affects patients with preexisting spinal cord injury. The complexity of this condition, especially when additionally burdened by superimposed infection in the CSA zone, can potentially lead to ... Read more >>

Int J Spine Surg (International journal of spine surgery)
[2021, 15(4):752-762]

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Who Needs Surgical Stabilization for Pyogenic Spondylodiscitis? Retrospective Analysis of Non-Surgically Treated Patients.

Ronen Blecher, Sven Frieler, Bilal Qutteineh, Clifford A Pierre, Emre Yilmaz, Basem Ishak, Alexander Von Glinski, Rod J Oskouian, Moti Kramer, Michael Drexler, Jens R Chapman,

<h4>Study design</h4>Retrospective case series analysis.<h4>Objective</h4>To identify relevant clinical and radiographic markers for patients presenting with infectious spondylo-discitis associated with spinal instability directly related to the infectious process.<h4>Methods</h4>We evaluated patients presenting with de-novo intervertebral discitis or vertebral osteomyelitis /discitis (VOD) who initiated non-surgical treatment. Patients who failed conservative treatment and required ... Read more >>

Global Spine J (Global spine journal)
[2021, :21925682211039498]

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Rates of early complications and mortality in patients older than 80 years of age after surgical treatment of acute traumatic spinal fractures: ankylosing spondylitis versus osteoporosis.

Basem Ishak, Sven Frieler, Tarush Rustagi, Alexander von Glinski, Ronen Blecher, Daniel C Norvell, Andreas Unterberg, Sarah Strot, Jeffrey Roh, Robert A Hart, Rod Oskouian, Jens R Chapman,

<h4>Objective</h4>The purpose of this retrospective cohort study was to analyze the early complications and mortality associated with multilevel spine surgery for unstable fractures in patients older than 80 years of age with ankylosing spondylitis and to compare the results with an age- and sex-matched cohort of patients with unstable osteoporotic ... Read more >>

Neurosurg Focus (Neurosurgical focus)
[2021, 51(4):E4]

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Influence of an on-body lifting aid (HAL® for Care Support) on kinematics during repetitive lifting in healthy men.

Alexis Brinkemper, Alexander von Glinski, Thomas Armin Schildhauer,

Work-related lower back pain (LBP) leads to socio-economic burden and demands solutions. The hybrid assistive limb (HAL) for Care Support (Cyberdyne Inc., Ibaraki, Japan) is an active on-body lifting aid to assist joint motion according to the wearer's voluntary motor drive to reduce the lumbar load. A few studies investigated ... Read more >>

J Clin Neurosci (Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia)
[2021, 93:23-30]

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Risk Factors Associated with 90-day Readmissions Following Odontoid Fractures: A Nationwide Readmissions Database Study.

Alexander von Glinski, Sven Frieler, Christopher Elia, Tye Patchana, Ariel Takayanagi, Varun Arvind, Clifford Pierre, Basem Ishak, Jens R Chapman, Rod J Oskouian,

<h4>Study design</h4>Nationwide Readmissions Database Study.<h4>Objective</h4>The aim of this study was to investigate readmission rates and factors related to readmission after surgical and nonsurgical management of odontoid fractures.<h4>Summary of background data</h4>Management of odontoid fractures, which are the most common isolated spine fracture in the elderly, continues to be debated. The choice ... Read more >>

Spine (Phila Pa 1976) (Spine)
[2021, 46(15):1039-1047]

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Fixation Strength of Modified Iliac Screw Trajectory Compared to Traditional Iliac and S2 Alar-Iliac Trajectories: A Cadaveric Study.

Alexander Von Glinski, Clifford Pierre, Sven Frieler, Jonathan M Mahoney, Jonathan A Harris, Dhara B Amin, May Allall, Brandon S Bucklen, Thomas A Schildhauer, Rod J Oskouian, Jens R Chapman,

<h4>Objective</h4>Traditional iliac (TI) screws require extensive dissection, involve offset-connectors, and have prominent screw heads that may cause patient discomfort. S2 alar-iliac (S2AI) screws require less dissection, do not need offset connectors, and are less prominent. However, the biomechanical consequences of S2AI screws crossing the alar-iliac joint is unknown. The present ... Read more >>

World Neurosurg (World neurosurgery)
[2021, 154:e481-e487]

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Iliac Screw Fixation Revisited: Improved Clinical and Radiologic Outcomes Using a Modified Iliac Screw Fixation Technique.

Alexander von Glinski, Christopher J Elia, James G Wiginton, Darius Ansari, Clifford Pierre, Basem Ishak, Emre Yilmaz, Ronen Blecher, Joseph R Dettori, Erik Hayman, Thomas A Schildhauer, Rod J Oskouian, Jens R Chapman,

<h4>Study design</h4>A retrospective study.<h4>Objective</h4>To describe the modified iliac screw (mILS) technique and compare it to other spinopelvic fixation techniques in terms of wound healing complications, hardware prominence, and failure.<h4>Summary of background data</h4>The traditional entry point of an iliac screw often causes postoperative gluteal pain from the prominent screw head. The ... Read more >>

Clin Spine Surg (Clinical spine surgery)
[2021, :]

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Comparing Combined Anterior and Posterior to Posterior-Only Decompression and Fusion Crossing the Cervico-Thoracic Junction in Octogenarians.

Basem Ishak, Amir Abdul-Jabbar, Alexander von Glinski, Emre Yilmaz, Andreas W Unterberg, Sarah Hopkins, Jeffrey Roh, Rod Oskouian, Robert Hart, Jens R Chapman,

<h4>Study design</h4>Retrospective cohort study.<h4>Objective</h4>The purpose of the study was to compare early complication, morbidity and mortality risks associated with fusion surgery crossing the cervico-thoracic junction in patients aged over 80 years undergoing combined anterior and posterior approach versus a posterior-only approach.<h4>Methods</h4>We retrospectively identified octogenarian patients with myelopathy who underwent fusion ... Read more >>

Global Spine J (Global spine journal)
[2021, :2192568221994793]

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Risk Factors Associated with 90-Day Readmissions Following Occipitocervical Fusion-A Nationwide Readmissions Database Study.

Christopher Elia, Ariel Takayanagi, Varun Arvind, Ryan Goodmanson, Alexander von Glinski, Clifford Pierre, Jeanju Sung, Bilal Qutteineh, Edward Jung, Jens Chapman, Rod Oskouian,

<h4>Background</h4>Occipitocervical fusion (OCF) procedures are increasing due to an aging population and the prevalence of trauma, rheumatoid arthritis, and tumors. Reoperation rates and readmission risk factors for cervical fusions have been established, but in relation to OCF they have not been explored. This study investigates the patterns of readmissions and ... Read more >>

World Neurosurg (World neurosurgery)
[2021, 147:e247-e254]

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De novo methicillin-resistant Staphylococcus aureus vs. methicillin-sensitive Staphylococcus aureus infections of the spine, similar clinical outcome, despite more severe presentation in surgical patients.

Basem Ishak, Amir Abdul-Jabbar, Gregory B Moss, Emre Yilmaz, Alexander von Glinski, Sven Frieler, Andreas W Unterberg, Ronan Blecher, Juan Altafulla, Jeffrey Roh, Robert A Hart, Rod J Oskouian, Jens R Chapman,

Vertebral osteomyelitis (VO) is a severe infection of the vertebral body and the adjacent disc space, where Staphylococcus aureus is most commonly isolated. The objective of this retrospective study was to determine risk factors for and compare outcome differences between de novo methicillin-resistant Staphylococcus aureus (MRSA) VO and methicillin-sensitive Staphylococcus ... Read more >>

Neurosurg Rev (Neurosurgical review)
[2021, 44(4):2111-2118]

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Prevention of Wrong-level Surgery in the Thoracic Spine: Preoperative Computer Tomography Fluoroscopy-guided Percutaneous Gold Fiducial Marker Placement in 57 Patients.

Basem Ishak, Amir Abdul-Jabbar, Tamir Tawfik, Emre Yilmaz, Alexander von Glinski, Andreas Unterberg, Rod Oskouian, Jens R Chapman,

<h4>Study design</h4>Retrospective review.<h4>Objective</h4>The aim of this study was to evaluate the feasibility, safety,s and complications of computer tomography (CT) fluoroscopy-guided percutaneous transpedicular gold fiducial marker insertion to reduce incidence of wrong-level surgery in the thoracic spine.<h4>Summary of background data</h4>Intraoperative localization of the correct thoracic level can be challenging and time-consuming, ... Read more >>

Spine (Phila Pa 1976) (Spine)
[2020, 45(24):1720-1724]

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The use of exoskeletons in the occupational context for primary, secondary, and tertiary prevention of work-related musculoskeletal complaints.

Benjamin Steinhilber, Tessy Luger, Peter Schwenkreis, Stefan Middeldorf, Hartmut Bork, Bernhard Mann, Alexander von Glinski, Thomas A Schildhauer, Stephan Weiler, Martin Schmauder, Kai Heinrich, Gabriele Winter, Gerhard Schnalke, Peter Frener, Ralf Schick, Sascha Wischniewski, Matthias Jäger,

OCCUPATIONAL APPLICATIONS This guideline includes 20 recommendations and four key statements that achieved consensus or strong consensus regarding the application of exoskeletons in the workplace for the prevention of musculoskeletal complaints and diseases, the general use and implementation of exoskeletons, and recommendations for risk assessment. The guideline is intended for ... Read more >>

IISE Trans Occup Ergon Hum Factors (IISE transactions on occupational ergonomics and human factors)
[2020, 8(3):132-144]

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90-day Readmission Rates for Single Level Anterior Lumbosacral Interbody Fusion: A Nationwide Readmissions Database Analysis.

Christopher J Elia, Varun Arvind, James Brazdzionis, Alexander von Glinski, Benjamin A Schell, Clifford A Pierre, John Ogunlade, Jens R Chapman, Rod J Oskouian,

<h4>Study design</h4>Nationwide Readmissions Database Study.<h4>Objective</h4>To investigate the patterns of readmissions and complications following hospitalization for elective single level anterior lumbobsacral interbody fusion.<h4>Summary of background data</h4>Lumbar interbody spine fusions for degenerative disease have increased annually in the United States, including associated hospital costs. Anterior lumbar interbody fusions (ALIFs) have become popularized ... Read more >>

Spine (Phila Pa 1976) (Spine)
[2020, 45(14):E864-E870]

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Update on the Biomechanics of the Craniocervical Junction, Part II: Alar Ligament.

Basem Ishak, Alexander von Glinski, Graham Dupont, Stefan Lachkar, Emre Yilmaz, Joe Iwanaga, Andreas Unterberg, Rod Oskouian, R Shane Tubbs, Jens R Chapman,

<h4>Study design</h4>In vitro biomechanical study.<h4>Objective</h4>The strength of the alar ligament has been described inconsistently, possibly because of the nonphysiological biomechanical testing models, and the inability to test the ligament with both attachments simultaneously. The purpose of this biomechanical model was to reevaluate the alar ligament's tensile strength with both bony ... Read more >>

Global Spine J (Global spine journal)
[2021, 11(7):1064-1069]

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Osteology of the ilium revised: illuminating the clinical relevance.

Alexander von Glinski, Sven Frieler, Emre Yilmaz, Basem Ishak, Ryan Goodmanson, Joe Iwanaga, Thomas A Schildhauer, Jens R Chapman, Rod J Oskouian, Keith Mayo, R Shane Tubbs,

<h4>Background</h4>Several studies on anterior and posterior pelvic ring fixation have identified a fragile monocortical area located at the iliac wing. However, there are no current studies regarding this structure's dimensions and relation to known anatomic structures.<h4>Methods</h4>Eleven human ilia were dissected from 6 specimens. After debulking soft tissue, photoluminescence was used ... Read more >>

Eur J Trauma Emerg Surg (European journal of trauma and emergency surgery : official publication of the European Trauma Society)
[2020, :]

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The iliac pillar - Definition of an osseous fixation pathway for internal and external fixation.

Alexander von Glinski, Sven Frieler, Ronen Blecher, Kajsa Mayo, Cara Beth Lee, Emre Yilmaz, Jens R Chapman, Rod J Oskouian, Shane Tubbs, Thomas A Schildhauer,

<h4>Background</h4>Increasing numbers of unstable pelvic ring fractures, due to the ongoing demographic change and improvements in the rescue of high-energy traumatic events, are challenging trauma and orthopedic surgeons. While initial installation of an external fixation device is often necessary, placement of iliac crest pins can be difficult due to the ... Read more >>

Orthop Traumatol Surg Res (Orthopaedics & traumatology, surgery & research : OTSR)
[2020, 106(5):869-875]

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Space-Occupying Lesions of the Retropharyngeal Space: An Anatomical Study With Application to Postoperative Retropharyngeal Hematomas.

Alexander von Glinski, Christopher Elia, Emre Yilmaz, Sven Frieler, Basem Ishak, Mahindra Kumar Anand, Joe Iwanaga, Amir Abdul-Jabbar, Rod J Oskouian, R Shane Tubbs, Jens R Chapman,

<h4>Study design</h4>Cadaver study.<h4>Objective</h4>The retropharyngeal space's (RPS's) clinical relevance is apparent in anterior cervical spine surgery with respect to postoperative hematoma, which can cause life-threatening airway obstruction. This cadaver study aims to establish guidance toward a better understanding of the tolerance of the RPS to accommodate fluid accumulation.<h4>Methods</h4>Five fresh-frozen cadavers were ... Read more >>

Global Spine J (Global spine journal)
[2021, 11(5):704-708]

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Extreme Lateral Interbody Fusion for Thoracic and Thoracolumbar Disease: The Diaphragm Dilemma.

Alexander Von Glinski, Christopher J Elia, Ariel Takayanagi, Emre Yilmaz, Basem Ishak, Joe Dettori, Benjamin A Schell, Erik Hayman, Clifford Pierre, Jens R Chapman, Rod J Oskouian,

<h4>Study design</h4>Retrospective cohort study.<h4>Objective</h4>Complication profiles for lateral approaches to the spine are well established. However, the influence of level of surgery on complication rates and subtypes are less well established. To determine risk factors for complications as determined by level and surgery type in patients undergoing a lateral (retroperitoneal or ... Read more >>

Global Spine J (Global spine journal)
[2021, 11(4):515-524]

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Emerging Insight in the Use of an Active Post Discharge Surveillance Program in Spine Surgery: A Retrospective Pilot Study.

Alexander von Glinski, Basem Ishak, Christopher J Elia, Ryan Goodmanson, Clifford Pierre, Daniel C Norvell, Darius Ansari, Polly Brune, Rod J Oskouian, Jens R Chapman,

BACKGROUND:With smartphones being present in everyday life, we have witnessed an increasing use of applications designed for mobile communication devices that are aimed at facilitating patient engagement in different medical arenas. Such applications are meant to improve communications with patients and ultimately improve patient care. The aim of this study ... Read more >>

World Neurosurg (World neurosurgery)
[2020, 139:e237-e244]

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Uptrend of cervical and sacral fractures underlie increase in spinal fractures in the elderly, 2003-2017: analysis of a state-wide population database.

Ronen Blecher, Emre Yilmaz, Basem Ishak, Alexander von Glinski, Marc Moisi, Rod J Oskouian, Joseph Dettori, Motti Kramer, Michael Drexler, Jens R Chapman,

<h4>Background</h4>Traumatic spinal injuries can be life-threatening conditions. Despite numerous epidemiological studies, reports on specific spinal regions affected are lacking.<h4>Hypothesis</h4>We hypothesized that fractures at specific regions, such as the cervical spine (including the axis segment), have been affected to a greater degree. We also hypothesized that advanced age may be a ... Read more >>

Eur Spine J (European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society)
[2020, 29(10):2543-2549]

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Surgical Treatment of Ossifications of the Cervical Anterior Longitudinal Ligament: A Retrospective Cohort Study.

Alexander von Glinski, Ariel Takayanagi, Christopher Elia, Basem Ishak, Mishan Listmann, Clifford A Pierre, Ronen Blecher, Erik Hayman, Jens R Chapman, Rod J Oskouian,

<h4>Study design</h4>Retrospective cohort study.<h4>Objectives</h4>The study aims to evaluate anterior cervical discectomy and fusion (ACDF) in the treatment of patients with ossification of the anterior longitudinal ligament (OALL).<h4>Methods</h4>We retrospectively reviewed cases performed at our institution between January 2015 and December 2018; adult (age ≥18 years) patients who underwent anterior cervical decompression ... Read more >>

Global Spine J (Global spine journal)
[2021, 11(5):709-715]

Cited: 1 time

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Tulip-Screw Head Disjunction from Posterior C2 Fracture Fixation Instrumentation.

Halle E K Burley, Darius S Ansari, Alexander von Glinski, Ryan Goodmanson, Benjamin Schell, Jens R Chapman, Rod J Oskouian,

This report presents an unusual case of instrumentation failure after posterior fixation of a C2 fracture and reviews currently available treatment alternatives. The patient, a 53-year-old female, initially presented to the emergency department at an outside facility with acute alcohol intoxication and acute neck pain following a fall from a ... Read more >>

Case Rep Orthop (Case reports in orthopedics)
[2020, 2020:5824383]

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Antibiotic-impregnated polymethylmethacrylate strut graft as a treatment of spinal osteomyelitis: case series and description of novel technique.

Wyatt L Ramey, Alexander von Glinski, Andrew Jack, Ronen Blecher, Rod J Oskouian, Jens R Chapman,

OBJECTIVE:The surgical treatment of osteomyelitis and discitis of the spine often represents a challenging clinical entity for a multitude of reasons, including progression of infection despite debridement, development of spinal deformity and instability, bony destruction, and seeding of hardware. Despite advancement in spinal hardware and implantation techniques, these aforementioned challenges ... Read more >>

J Neurosurg Spine (Journal of neurosurgery. Spine)
[2020, :1-6]

Cited: 1 time

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Update on the Biomechanics of the Craniocervical Junction-Part I: Transverse Atlantal Ligament in the Elderly.

Basem Ishak, Graham Dupont, Stefan Lachkar, Emre Yilmaz, Alexander Von Glinski, Juan Altafulla, Shogo Kikuta, Joe Iwanaga, Jens R Chapman, Rod Oskouian, R Shane Tubbs,

<h4>Study design</h4>In vitro biomechanical study.<h4>Objective</h4>The transverse ligament is the strongest ligament of the craniocervical junction and plays a critical role in atlanto-axial stability. The goal of this cadaveric study, and the subsequent study (part II), was to reevaluate the force required for the transverse ligament and alar ligament to fail ... Read more >>

Global Spine J (Global spine journal)
[2021, 11(2):180-186]

Cited: 1 time

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The impact of the 30 most cited articles on hip arthroscopy: what is the subject matter?

Alexander von Glinski, Emre Yilmaz, Ryan Goodmanson, Clifford Pierre, Sven Frieler, Andre Shaffer, Basem Ishak, Cara Beth Lee, Keith Mayo,

The purpose of this study was to identify the 30 most cited articles on hip arthroscopy and discuss their influence on recent surgical treatment. Due to advancements in hip arthroscopy, there is a widening spectrum of diagnostic and treatment indications. The purpose of this study was to identify the 30 ... Read more >>

J Hip Preserv Surg (Journal of hip preservation surgery)
[2020, 7(1):14-21]

Cited: 2 times

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