Andrew Megas

Lumbar Decompression is Associated With Changes in Functional Transition Biomechanics and Neuromuscular Control During Sit-to-Stand in Degenerative Lumbar Stenosis

Ye Shu, Prasanth Romiyo, Andrew Gansas, Paul T. Rubery et autres

Study Design Prospective cohort study. Objectives To compare sit-to-stand (STS) movement patterns and characterize neuromuscular activation and compensatory strategies in patients with degenerative lumbar stenosis (DLS) before and after lumbar decompression, relative to healthy controls. Methods Thirty-five DLS patients undergoing central decompression …

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Radiographic and clinical findings associated with Klippel–Feil Syndrome: a case series

Gabrielle Santangelo, Andrew Megas, Aniruddh Mandalapu, Ram Haddas et autres

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Reevaluating Informed Consent: Integrating Shared Decision-Making into Spinal Surgery for Better Patient Outcomes

Mohamed Elhakeem, Matthew J. Mesimer, Paul G. Mastrokostas, Salman Shafeeque Ahmad et autres

Study DesignNarrative review.ObjectivesThe objectives of this study were to answer the following questions: (1) What is the quality of informed consent in spine surgery, including both neurosurgery and orthopaedic spine surgery? (2) What limitations impede the ability of surgeons to engage in …

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Alignment in motion: Fall risk in spine patients and the effect of vision, support surface, and adaptation on the cone of economy

Ram Haddas, Manjot Singh, Paul T. Rubery, Ashely Rogerson et autres

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 …

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Management of Grade 1 Open Distal Radius Fractures: A Survey of Practicing Surgeons

Andrew Megas, Christopher A. Healy, Nicholas Frane, John M. Tarazi et autres

Introduction Standard of care management for open fractures historically mandates emergent systemic antibiotic administration, followed by urgent irrigation and debridement in the operating room, regardless of injury severity. However, significant controversy exists regarding the specific implementation and importance of these commonly accepted …

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Cement Augmentation of Pedicle Screw Instrumentation: A Literature Review

Peter Boucas, Tania Mamdouhi, Sarah E. Rizzo, Andrew Megas

This literature review aimed to review the current understanding, indications, and limitations of pedicle screw instrumentation cement augmentation. Since they were first reported in the 1980s, pedicle screw cement augmentation rates have been increasing. Several studies have been published to date that …

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Radiation Exposure in Orthopaedics

Nicholas Frane, Andrew Megas, Erik Stapleton, Maximillian P. Ganz et autres

» The damaging effects to human tissue caused by radiation exposure have been documented since the first reports regarding use of radiographs in the late nineteenth century. » Orthopaedic surgeons and residents often are undereducated about the risks associated with radiation exposure …