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  1. Article: Advanced techniques in complex cervical spine surgery.

    Tan, Lee A / Aleem, Ilyas S

    Journal of spine surgery (Hong Kong)

    2020  Volume 6, Issue 1, Page(s) 87–88

    Language English
    Publishing date 2020-04-13
    Publishing country China
    Document type Editorial
    ZDB-ID 2874556-5
    ISSN 2414-4630 ; 2414-469X
    ISSN (online) 2414-4630
    ISSN 2414-469X
    DOI 10.21037/jss.2019.11.14
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Intraoperative and Postoperative Management of Incidental Durotomies During Open Degenerative Lumbar Spine Surgery: A Systematic Review.

    Ahmady, Arya A / Butt, Bilal B / Muscateli, Stefano / Aleem, Ilyas S

    Clinical spine surgery

    2023  Volume 37, Issue 2, Page(s) 49–55

    Abstract: Summary of background data: Incidental durotomy is a common intraoperative complication of lumbar spine surgery. Intra and postoperative protocols in the management of this common complication vary considerably, with no consensus in the literature.: ... ...

    Abstract Summary of background data: Incidental durotomy is a common intraoperative complication of lumbar spine surgery. Intra and postoperative protocols in the management of this common complication vary considerably, with no consensus in the literature.
    Objective: To systematically review (1) lumbar dural repair techniques for open degenerative procedures; (2) review described postoperative protocols after lumbar dural repairs.
    Study design: Systematic review.
    Materials and methods: A systematic review of the literature was performed for all articles published from inception until September 2022 using Pubmed, EMBASE, Medline, and Cochrane databases to identify articles assessing the management of durotomy in open surgery for degenerative diseases of the lumbar spine. Two independent reviewers assessed the articles for inclusion criteria, and disagreements were resolved by consensus. Outcomes included persistent leaks, return to the operating room, recurrent symptoms, medical complications, or patient satisfaction.
    Results: A total of 10,227 articles were initially screened. After inclusion criteria were applied, 9 studies were included (n=1270 patients) for final review. Repair techniques included; no primary repair, suture repair in running or interrupted manner with or without adjunctive sealants, sealants alone, or patch repair with muscle, fat, epidural blood patch, or synthetic graft. Postoperative protocols included the placement of a subfascial drain with varying durations of bed rest. Notable findings included no benefit of prolonged bedrest compared with early ambulation ( P =0.4), reduced cerebrospinal fluid leakage with fat graft compared with muscle grafts ( P <0.001), and decreased rates of revision surgery in studies that used subfascial drains (1.7%-2.2% vs 4.34%-6.66%).
    Conclusions: Significant variability in intraoperative durotomy repair techniques and postoperative protocols exists. Primary repair with fat graft augmentation seems to have the highest success rate. Postoperatively, the use of a subfascial drain with early ambulation reduces the risk of pseudomenignocele formation, medical complications, and return to the operating room. Further research should focus on prospective studies with the goal to standardize repair techniques and postoperative protocols.
    MeSH term(s) Humans ; Postoperative Complications/etiology ; Postoperative Complications/surgery ; Prospective Studies ; Lumbar Vertebrae/surgery ; Orthopedic Procedures/methods ; Cerebrospinal Fluid Leak/etiology
    Language English
    Publishing date 2023-01-20
    Publishing country United States
    Document type Systematic Review ; Journal Article
    ZDB-ID 2849646-2
    ISSN 2380-0194 ; 2380-0186
    ISSN (online) 2380-0194
    ISSN 2380-0186
    DOI 10.1097/BSD.0000000000001426
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2427: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  3. Article ; Online: Cochrane in CORR

    Aleem, Ilyas S / Drew, Brian

    Clinical orthopaedics and related research

    2017  Volume 475, Issue 11, Page(s) 2632–2637

    MeSH term(s) Decompression, Surgical ; Humans ; Lumbar Vertebrae/surgery ; Spinal Stenosis/surgery ; Treatment Outcome
    Language English
    Publishing date 2017-07-28
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 80301-7
    ISSN 1528-1132 ; 0009-921X
    ISSN (online) 1528-1132
    ISSN 0009-921X
    DOI 10.1007/s11999-017-5452-0
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    In stock of ZB MED Cologne/Königswinter

    Uk I Zs.188: Show issues Location:
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  4. Article ; Online: Are resident research projects correlated to future subspecialty choice in orthopaedic surgery? A ten-year retrospective review of a single centre's experience.

    David Piche, Joshua / Selzer, Carter J / Hake, Mark E / Caird, Michelle S / Aleem, Ilyas S

    International orthopaedics

    2022  Volume 46, Issue 7, Page(s) 1459–1463

    Abstract: Aim: To determine (1) frequency of resident research projects being in the same orthopaedic subspecialty that they ultimately choose for fellowship and practice; (2) percentage of research projects that were published.: Methods: Resident Thesis Day ... ...

    Abstract Aim: To determine (1) frequency of resident research projects being in the same orthopaedic subspecialty that they ultimately choose for fellowship and practice; (2) percentage of research projects that were published.
    Methods: Resident Thesis Day programs were independently assessed by two reviewers from 2010 to 2020. Reviewers classified projects based on orthopaedic subspecialty: Spine, Joints, Trauma, Hand, Foot and Ankle, Sports, Pediatrics, Oncology, and Shoulder Elbow. Presenting residents' fellowship subspecialty, current practice specialty, and geographic state of current practice were collected using internet searches. Correlation of residents who completed a thesis day project in the same subspecialty as their fellowship and current practice was calculated.
    Results: A total of 81 resident physicians, 11 (13.6%) female, were included. In the entire cohort, 50.6% did a thesis day project in a different field than their current or projected subspecialty. Of those who completed, or are currently completing fellowship, 33 (52.4%) did their thesis day project in the same subspecialty as their fellowship. Of the current residents who have matched into fellowship, 46.7% did a thesis day project in the same subspecialty. A total of 51 (63.0%) projects were published.
    Conclusion: The majority of resident research projects were published, and about 50% of orthopaedic residents went on to complete a fellowship and practice in the same subspecialty as their research project. As residents often spend a considerable amount of time and effort on their projects, these findings may help tailor resident education and research curriculums to focus more on research principles than specific orthopedic content.
    MeSH term(s) Child ; Fellowships and Scholarships ; Female ; Humans ; Internship and Residency ; Male ; Orthopedic Procedures ; Orthopedics/education ; Retrospective Studies
    Language English
    Publishing date 2022-05-05
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 80384-4
    ISSN 1432-5195 ; 0341-2695
    ISSN (online) 1432-5195
    ISSN 0341-2695
    DOI 10.1007/s00264-022-05417-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1324: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  5. Article: Infection prevention in cervical spine surgery.

    Aleem, Ilyas S / Tan, Lee A / Nassr, Ahmad / Riew, K Daniel

    Journal of spine surgery (Hong Kong)

    2020  Volume 6, Issue 1, Page(s) 334–339

    Abstract: Surgical site infections (SSI) following cervical spine surgery can lead to significant patient morbidity and costs. Prevention of SSIs is multifactorial and can be divided in to preoperative patient optimization and intraoperative surgical factors. We ... ...

    Abstract Surgical site infections (SSI) following cervical spine surgery can lead to significant patient morbidity and costs. Prevention of SSIs is multifactorial and can be divided in to preoperative patient optimization and intraoperative surgical factors. We performed a literature review to identify methods that can be used to prevent SSI development specifically in the cervical spine. We also present specific surgical pearls and techniques that have the potential to significantly decrease rates of cervical SSIs.
    Language English
    Publishing date 2020-04-13
    Publishing country China
    Document type Journal Article ; Review
    ZDB-ID 2874556-5
    ISSN 2414-4630 ; 2414-469X
    ISSN (online) 2414-4630
    ISSN 2414-469X
    DOI 10.21037/jss.2020.01.13
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Cochrane in CORR(®): Surgical Versus Non-surgical Treatment for Thoracolumbar Burst Fractures Without Neurological Deficit.

    Aleem, Ilyas S / Nassr, Ahmad

    Clinical orthopaedics and related research

    2016  Volume 474, Issue 3, Page(s) 619–624

    MeSH term(s) Fracture Fixation/methods ; Humans ; Lumbar Vertebrae/injuries ; Spinal Fractures/therapy ; Thoracic Vertebrae/injuries
    Language English
    Publishing date 2016-03
    Publishing country United States
    Document type Comment ; Journal Article
    ZDB-ID 80301-7
    ISSN 1528-1132 ; 0009-921X
    ISSN (online) 1528-1132
    ISSN 0009-921X
    DOI 10.1007/s11999-015-4305-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Uk I Zs.188: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

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  7. Article ; Online: Cochrane in CORR (®): Ultrasound and Shockwave Therapy for Acute Fractures in Adults (Review).

    Aleem, Ilyas S / Bhandari, Mohit

    Clinical orthopaedics and related research

    2016  Volume 474, Issue 7, Page(s) 1553–1559

    MeSH term(s) Adult ; Fracture Healing ; Fractures, Bone/diagnosis ; Fractures, Bone/physiopathology ; Fractures, Bone/therapy ; High-Energy Shock Waves/adverse effects ; High-Energy Shock Waves/therapeutic use ; Humans ; Treatment Outcome ; Ultrasonic Therapy/adverse effects ; Ultrasonic Therapy/methods ; Ultrasonic Waves/adverse effects
    Language English
    Publishing date 2016-07
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 80301-7
    ISSN 1528-1132 ; 0009-921X
    ISSN (online) 1528-1132
    ISSN 0009-921X
    DOI 10.1007/s11999-016-4816-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Uk I Zs.188: Show issues Location:
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    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
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  8. Article: Surgical Site Infection Prevention Following Spine Surgery.

    Aleem, Ilyas S / Tan, Lee A / Nassr, Ahmad / Riew, K Daniel

    Global spine journal

    2020  Volume 10, Issue 1 Suppl, Page(s) 92S–98S

    Abstract: Study design: Literature review.: Objectives: Surgical site infection (SSI) following spine surgery leads to significant patient morbidity, mortality, and increased health care costs. The purpose of this article is to identify risk factors and ... ...

    Abstract Study design: Literature review.
    Objectives: Surgical site infection (SSI) following spine surgery leads to significant patient morbidity, mortality, and increased health care costs. The purpose of this article is to identify risk factors and strategies to prevent SSIs following spine surgery, with particular focus on avoiding infections in posterior cervical surgery.
    Methods: We performed a literature review and synthesis to identify methods that can be used to prevent the development of SSI following spine surgery. Specific pearls for preventing infection in posterior cervical spine surgery are also presented.
    Results: SSI prevention can be divided into patient and surgeon factors. Preoperative patient factors include smoking cessation, tight glycemic control, weight loss, and nutrition optimization. Surgeon factors include screening and treatment for pathologic microorganisms, skin preparation using chlorhexidine and alcohol, antimicrobial prophylaxis, hand hygiene, meticulous surgical technique, frequent irrigation, intrawound vancomycin powder, meticulous multilayered closure, and use of closed suction drains.
    Conclusion: Prevention of SSI following spine surgery is multifactorial and begins with careful patient selection, preoperative optimization, and meticulous attention to numerous surgical factors. With careful attention to various patient and surgeon factors, it is possible to significantly reduce SSI rates following spine surgery.
    Language English
    Publishing date 2020-01-06
    Publishing country England
    Document type Journal Article
    ZDB-ID 2648287-3
    ISSN 2192-5690 ; 2192-5682
    ISSN (online) 2192-5690
    ISSN 2192-5682
    DOI 10.1177/2192568219844228
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: 3D-printed Patient-specific Spine Implants: A Systematic Review.

    Wallace, Nicholas / Schaffer, Nathaniel E / Aleem, Ilyas S / Patel, Rakesh

    Clinical spine surgery

    2020  Volume 33, Issue 10, Page(s) 400–407

    Abstract: ... describing the use of 3DP spinal implants in humans were included. Two independent reviewers (N.W. and N.E.S ...

    Abstract Study design: Systematic review.
    Objective: To review the current clinical use of 3-dimensional printed (3DP) patient-specific implants in the spine.
    Summary of background data: Additive manufacturing is a transformative manufacturing method now being applied to spinal implants. Recent innovations in technology have allowed the production of medical-grade implants with unprecedented structure and customization, and the complex anatomy of the spine is ideally suited for patient-specific devices. Improvement in implant design through the process of 3DP may lead to improved osseointegration, lower subsidence rates, and faster operative times.
    Methods: A comprehensive search of the literature was conducted using Ovid MEDLINE, EMBASE, Scopus, and other sources that resulted in 1842 unique articles. All manuscripts describing the use of 3DP spinal implants in humans were included. Two independent reviewers (N.W. and N.E.S.) assessed eligibility for inclusion. The following outcomes were collected: pain score, Japanese Orthopedic Association (JOA) score, subsidence, fusion, Cobb angle, vertebral height, and complications. No conflicts of interest existed. No funding was received for this work.
    Results: A total of 17 studies met inclusion criteria with a total of 35 patients. Only case series and case reports were identified. Follow-up times ranged from 3 to 36 months. Implant types included vertebral body replacement cages, interbody cages, sacral reconstruction prostheses, iliolumbar rods, and a posterior cervical plate. All studies reported improvement in both clinical and radiographic outcomes. 11 of 35 cases showed subsidence >3 mm, but only 1 case required a revision procedure. No migration, loosening, or pseudarthrosis occurred in any patient on the basis of computed tomography or flexion-extension radiographs.
    Conclusions: Results of the systematic review indicate that 3DP technology is a viable means to fabricate patient-matched spinal implants. The effects on clinical and radiographic outcome measures are still in question, but these devices may produce favorable subsidence and pseudoarthrosis rates. Currently, the technology is ideally suited for complex tumor pathology and atypical bone defects. Future randomized controlled trials and cost analyses are still needed.
    Level of evidence: IV-systematic review.
    MeSH term(s) Cervical Vertebrae ; Humans ; Osseointegration ; Printing, Three-Dimensional ; Prostheses and Implants ; Radiography ; Spinal Fusion
    Language English
    Publishing date 2020-06-18
    Publishing country United States
    Document type Journal Article ; Systematic Review
    ZDB-ID 2849646-2
    ISSN 2380-0194 ; 2380-0186
    ISSN (online) 2380-0194
    ISSN 2380-0186
    DOI 10.1097/BSD.0000000000001026
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2427: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  10. Article: Robotic navigation system utilization for percutaneous sacroiliac screw placement: surgical setup and technique.

    Piche, Joshua David / Muscatelli, Stefano R / Waheed, Muhammad Abdul-Aziz / Patel, Rakesh D / Aleem, Ilyas S

    Journal of spine surgery (Hong Kong)

    2021  Volume 7, Issue 2, Page(s) 197–203

    Abstract: Sacroiliac joint (SIJ) pathology is a common cause of significant pain and disability, and operative treatment consisting of SIJ fusion can be performed in cases where non-operative measures fail to provide sustained relief. Through the years, SIJ fusion ...

    Abstract Sacroiliac joint (SIJ) pathology is a common cause of significant pain and disability, and operative treatment consisting of SIJ fusion can be performed in cases where non-operative measures fail to provide sustained relief. Through the years, SIJ fusion has evolved from an open invasive procedure, to more recently, being performed through minimally invasive techniques. Intraoperative navigation systems and robotic guidance are becoming popularized for SIJ fusion, as well as other routine and complex spinal cases. The utility of navigation and robotics is the enhanced ability of the surgeon to place instrumentation more accurately, with less dissection, blood less, and overall operative time. We present a technique guide for robotic instrumented SIJ fusion with intraoperative navigation that we have put into practice at our institution and found to be very beneficial to patients for the above reasons. We describe the setup and utilization of these technologies intraoperatively, and provide specific case examples to highlight our technique. The described methods have been found to be effective and reproducible, allowing for minimally invasive SIJ screw placement with high accuracy and safety. We emphasize that utilizing intraoperative navigation and robotics is not meant to substitute for surgeon knowledge of case steps or anatomy, but rather to enhance safety and efficacy. To our knowledge, robotic SIJ fusion has not been previously described in the literature.
    Language English
    Publishing date 2021-07-10
    Publishing country China
    Document type Journal Article ; Review
    ZDB-ID 2874556-5
    ISSN 2414-4630 ; 2414-469X
    ISSN (online) 2414-4630
    ISSN 2414-469X
    DOI 10.21037/jss-20-681
    Database MEDical Literature Analysis and Retrieval System OnLINE

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