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  1. Article: Editorial: Optimization of spine surgery outcomes in the pre-, peri-, and postoperative settings.

    Rasouli, Jonathan J / Steinberger, Jeremy

    Frontiers in surgery

    2023  Volume 10, Page(s) 1235095

    Language English
    Publishing date 2023-08-21
    Publishing country Switzerland
    Document type Editorial
    ZDB-ID 2773823-1
    ISSN 2296-875X
    ISSN 2296-875X
    DOI 10.3389/fsurg.2023.1235095
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Commentary: Susceptibility Sensitive Magnetic Resonance Imaging Displays Pallidofugal and Striatonigral Fiber Tracts.

    Kopell, Brian Harris / Rasouli, Jonathan J

    Operative neurosurgery (Hagerstown, Md.)

    2019  Volume 12, Issue 4, Page(s) 339

    Language English
    Publishing date 2019-12-20
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2767575-0
    ISSN 2332-4260 ; 2332-4252
    ISSN (online) 2332-4260
    ISSN 2332-4252
    DOI 10.1227/NEU.0000000000001250
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1424 -ON-: Show issues Location:
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  3. Article ; Online: Reply-to-Letter: Disparities in Outcomes by Insurance Payer Groups for Patients Undergoing Anterior Cervical Discectomy and Fusion.

    Neifert, Sean N / Rasouli, Jonathan J / Caridi, John M

    Spine

    2020  Volume 45, Issue 15, Page(s) E974

    MeSH term(s) Cervical Vertebrae/surgery ; Diskectomy ; Humans ; Insurance
    Language English
    Publishing date 2020-05-18
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 752024-4
    ISSN 1528-1159 ; 0362-2436
    ISSN (online) 1528-1159
    ISSN 0362-2436
    DOI 10.1097/BRS.0000000000003564
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    In stock of ZB MED Cologne/Königswinter

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  4. Article ; Online: In Reply to "Optimal Strategy to Control Surgical Site Infection Following Deep Brain Stimulation Surgery: Adequate Management of Risk Factors, Topical Application of Vancomycin Powder in the Surgical Wound, and Preoperative Antibiotic Prophylaxis".

    Kopell, Brian H / Rasouli, Jonathan J

    World neurosurgery

    2017  Volume 101, Page(s) 791

    MeSH term(s) Anti-Bacterial Agents ; Antibiotic Prophylaxis ; Deep Brain Stimulation ; Humans ; Risk Factors ; Surgical Wound ; Surgical Wound Infection ; Vancomycin
    Chemical Substances Anti-Bacterial Agents ; Vancomycin (6Q205EH1VU)
    Language English
    Publishing date 2017
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 2534351-8
    ISSN 1878-8769 ; 1878-8750
    ISSN (online) 1878-8769
    ISSN 1878-8750
    DOI 10.1016/j.wneu.2017.02.069
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  5. Article: Surgical Site Infection Prophylaxis and Wound Management in Spine Surgery.

    White, Alexandra J / Fiani, Brian / Jarrah, Ryan / Momin, Arbaz A / Rasouli, Jonathan

    Asian spine journal

    2021  Volume 16, Issue 3, Page(s) 451–461

    Abstract: Surgical site infection (SSI) is a potentially devastating complication of spinal surgery that increases patient morbidity and healthcare costs. SSIs have complex and multifactorial etiologies; therefore, there are numerous opportunities for prevention ... ...

    Abstract Surgical site infection (SSI) is a potentially devastating complication of spinal surgery that increases patient morbidity and healthcare costs. SSIs have complex and multifactorial etiologies; therefore, there are numerous opportunities for prevention and risk mitigation. The aim of this narrative review was to describe the incidence, risk factors, and outcomes of SSIs in spine surgery with an emphasis on postoperative wound care. We list and describe the preoperative, intraoperative, and postoperative evidence-based interventions that can be applied to potentially prevent SSI after spinal surgery.
    Language English
    Publishing date 2021-06-28
    Publishing country Korea (South)
    Document type Journal Article
    ZDB-ID 2559763-2
    ISSN 1976-7846 ; 1976-1902
    ISSN (online) 1976-7846
    ISSN 1976-1902
    DOI 10.31616/asj.2020.0674
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  6. Article ; Online: Surgical Site Infection Prophylaxis and Wound Management in Spine Surgery

    Alexandra J. White / Brian Fiani / Ryan Jarrah / Arbaz A. Momin / Jonathan Rasouli

    Asian Spine Journal, Vol 16, Iss 3, Pp 451-

    2022  Volume 461

    Abstract: Surgical site infection (SSI) is a potentially devastating complication of spinal surgery that increases patient morbidity and healthcare costs. SSIs have complex and multifactorial etiologies; therefore, there are numerous opportunities for prevention ... ...

    Abstract Surgical site infection (SSI) is a potentially devastating complication of spinal surgery that increases patient morbidity and healthcare costs. SSIs have complex and multifactorial etiologies; therefore, there are numerous opportunities for prevention and risk mitigation. The aim of this narrative review was to describe the incidence, risk factors, and outcomes of SSIs in spine surgery with an emphasis on postoperative wound care. We list and describe the preoperative, intraoperative, and postoperative evidence-based interventions that can be applied to potentially prevent SSI after spinal surgery.
    Keywords spine ; infection ; surgical wound ; intraoperative care ; postoperative care ; perioperative care ; Medicine ; R
    Language English
    Publishing date 2022-06-01T00:00:00Z
    Publisher Korean Spine Society
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: C1-C2 Arthrodesis With C1 Lateral Mass and C2 Parsicle Screws Combined With Interlaminar Arthrodesis and Wiring.

    Rasouli, Jonathan J / Momin, Arbaz / Fiani, Brian / Shao, Jianning / Moore, Timothy A

    Clinical spine surgery

    2021  Volume 35, Issue 2, Page(s) 76–79

    Abstract: C1-C2 arthrodesis is a common procedure performed for the correction of atlantoaxial instability due to a host of pathologies, including degenerative, neoplastic, congenital, and trauma. While there is clinical equipoise, C1-C2 fusion is associated with ... ...

    Abstract C1-C2 arthrodesis is a common procedure performed for the correction of atlantoaxial instability due to a host of pathologies, including degenerative, neoplastic, congenital, and trauma. While there is clinical equipoise, C1-C2 fusion is associated with a lower morbidity than occipital-cervical fusion. However, due to the unique morphometric characteristics of the C1 lateral mass, and the challenges that its fixation presents, some surgeons may elect to extend the construct to the occiput rather than attempt a C1-C2 fusion. Here, we describe our freehand technique of safely and expeditiously performing a C1-C2 fusion with C1 lateral mass and C2 "parsicle" screws. In patients with high preprocedural probability to develop pseudarthrosis, we combine our instrumented fusion with interlaminar bone graft wiring, as similarly described by Gallie. We believe the C2 "parsicle" screw avoids the technical challenges of placing a traditional C2 pedicle screw and accommodates a much larger screw length than those placed in the C2 pars. Practical surgical tips, pearls, and potential complications are discussed in detail.
    MeSH term(s) Atlanto-Axial Joint/diagnostic imaging ; Atlanto-Axial Joint/surgery ; Cervical Vertebrae/diagnostic imaging ; Cervical Vertebrae/surgery ; Humans ; Joint Instability/surgery ; Pedicle Screws ; Spinal Diseases ; Spinal Fusion/methods
    Language English
    Publishing date 2021-05-20
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2849646-2
    ISSN 2380-0194 ; 2380-0186
    ISSN (online) 2380-0194
    ISSN 2380-0186
    DOI 10.1097/BSD.0000000000001210
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 2427: Show issues Location:
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  8. Article ; Online: The Adjunctive Use of Vancomycin Powder Appears Safe and May Reduce the Incidence of Surgical-Site Infections After Deep Brain Stimulation Surgery.

    Rasouli, Jonathan J / Kopell, Brian Harris

    World neurosurgery

    2016  Volume 95, Page(s) 9–13

    Abstract: Background: Postoperative surgical-site infections (SSIs) are a common complication after deep brain stimulation (DBS) surgery, occurring at a quoted rate of approximately 1%-9%. Intraoperative vancomycin powder has demonstrated efficacy in reducing ... ...

    Abstract Background: Postoperative surgical-site infections (SSIs) are a common complication after deep brain stimulation (DBS) surgery, occurring at a quoted rate of approximately 1%-9%. Intraoperative vancomycin powder has demonstrated efficacy in reducing SSIs after cranial and spinal surgery; however, its use during DBS surgery has yet to be established. In this study, we describe the senior author's experience with the use of intraoperative vancomycin powder to prevent SSIs after DBS surgery.
    Methods: We retrospectively examined the incidence of SSI in 297 patients who underwent DBS surgery at the Mount Sinai Health System from September 2012 to December 2015. All patients underwent a uniform perioperative antiseptic protocol, including thorough skin cleansing, intravenous anticephalosporin antibiotics, copious irrigation, and the application of topical vancomycin powder (1 g) before skin closure. Patient information was obtained through a review of electronic medical records. Primary outcome was the incidence of SSI, which was defined per the standards of the Centers for Disease Control and Prevention and confirmed with wound cultures.
    Results: Four patients developed clinical signs and symptoms of SSI (1.3%); all were men with Parkinson disease. The primary organism responsible was Staphylococcus aureus (75%). Two patients presented with neurostimulator infections, and 2 presented with parietal connector-site infections between 2 months and 1 year after initial surgery. No patients in our series developed topical or systemic reactions attributable to the use of vancomycin powder.
    Conclusions: In our experience, vancomycin powder has demonstrated safety and efficacy as an adjunct medication for infection prophylaxis after DBS surgery. Further prospective studies with larger patient cohorts are warranted.
    MeSH term(s) Administration, Topical ; Aged ; Anti-Bacterial Agents/therapeutic use ; Antibiotic Prophylaxis/methods ; Burkholderia Infections/drug therapy ; Burkholderia Infections/epidemiology ; Burkholderia cepacia ; Cefuroxime/therapeutic use ; Deep Brain Stimulation ; Device Removal ; Doxycycline/therapeutic use ; Dystonia/therapy ; Humans ; Incidence ; Intraoperative Care ; Male ; Middle Aged ; Neurosurgical Procedures ; Parkinson Disease/therapy ; Powders ; Prosthesis Implantation ; Prosthesis-Related Infections/epidemiology ; Prosthesis-Related Infections/prevention & control ; Retrospective Studies ; Staphylococcal Infections/drug therapy ; Staphylococcal Infections/epidemiology ; Staphylococcus aureus ; Surgical Wound Infection/epidemiology ; Surgical Wound Infection/prevention & control ; Vancomycin/therapeutic use
    Chemical Substances Anti-Bacterial Agents ; Powders ; Vancomycin (6Q205EH1VU) ; Doxycycline (N12000U13O) ; Cefuroxime (O1R9FJ93ED)
    Language English
    Publishing date 2016-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2534351-8
    ISSN 1878-8769 ; 1878-8750
    ISSN (online) 1878-8769
    ISSN 1878-8750
    DOI 10.1016/j.wneu.2016.07.063
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    Zs.A 1159: Show issues Location:
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  9. Article ; Online: Opioid Alternatives in Spine Surgery: A Narrative Review.

    Rajan, Shobana / Devarajan, Jagan / Krishnaney, Ajit / George, Arun / Rasouli, Jonathan J / Avitsian, Rafi

    Journal of neurosurgical anesthesiology

    2020  Volume 34, Issue 1, Page(s) 3–13

    Abstract: Adequate analgesia is known to improve outcomes after spine surgery. Despite recent attention highlighting the negative effects of narcotics and their addiction potential, opioids have been the mainstay of management for providing analgesia following ... ...

    Abstract Adequate analgesia is known to improve outcomes after spine surgery. Despite recent attention highlighting the negative effects of narcotics and their addiction potential, opioids have been the mainstay of management for providing analgesia following spine surgeries. However, side effects including hyperalgesia, tolerance, and subsequent dependence restrict the generous usage of opioids. Multimodal analgesia regimens acting through different mechanisms offer significant opioid sparing and minimize the side effects of individual drugs. Hence, they are being increasingly incorporated into enhanced recovery protocols. Multimodal analgesia includes drugs such as N-methyl-D-aspartate antagonists, nonsteroidal anti-inflammatory drugs and membrane-stabilizing agents, neuraxial opioids, local anesthetic infiltration, and fascial compartment blocks. Analgesia started before the painful stimulus, termed preemptive analgesia, facilitates subsequent pain management. Both nonsteroidal anti-inflammatory drugs and neuraxial analgesia have been conclusively shown to reduce opioid requirements after spine surgery, and there is a resurgence of interest in the use of low-dose ketamine or methadone. Neuraxial narcotics offer enhanced analgesia for a longer duration with lower dosage and side effect profiles compared with systemic opioid administration. Fascial compartment blocks are increasingly used as they provide effective analgesia with fewer adverse effects. In this narrative review, we will discuss multimodality analgesic regimens incorporating opioid-sparing adjuvants to manage pain after spine surgery.
    MeSH term(s) Analgesia ; Analgesics ; Analgesics, Opioid/therapeutic use ; Humans ; Pain Management ; Pain, Postoperative/drug therapy
    Chemical Substances Analgesics ; Analgesics, Opioid
    Language English
    Publishing date 2020-06-19
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1018119-2
    ISSN 1537-1921 ; 0898-4921
    ISSN (online) 1537-1921
    ISSN 0898-4921
    DOI 10.1097/ANA.0000000000000708
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    Zs.A 2656: Show issues Location:
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  10. Article: Anterior Cervical Discectomy and Fusion With "Kissing" Allograft Interbodies.

    Rasouli, Jonathan / Fiani, Brian / Belding, John / Moore, Timothy A

    Cureus

    2021  Volume 13, Issue 11, Page(s) e19499

    Abstract: Background: There is recent evidence to suggest that the use of polyetheretherketone (PEEK) interbodies are inherently associated with a higher rate of pseudarthrosis, in particular, at the C5-6 and C6-7 levels. Herein, we describe our technique ... ...

    Abstract Background: There is recent evidence to suggest that the use of polyetheretherketone (PEEK) interbodies are inherently associated with a higher rate of pseudarthrosis, in particular, at the C5-6 and C6-7 levels. Herein, we describe our technique utilizing two parallel structural allografts or "kissing" allografts, designed to mitigate the risk of pseudarthrosis and subsidence at these levels.
    Materials and methods: We retrospectively reviewed all anterior cervical discectomy and fusion (ACDF) procedures with "kissing" for degenerative spine pathology at a single institution between 2018 and 2019 for the C5-6 and C6-7 levels. One-year postoperative flexion/extension cervical X-rays were evaluated for evidence of radiographic pseudarthrosis and subsidence.
    Results: A total of 28 patients met the study criteria. Solid fusion was achieved in 93%. There were no infections or wound complications. One patient developed postoperative dysphagia that resolved at 3-months post-op. Two patients were found to have clinically asymptomatic radiographic pseudarthrosis that did not warrant intervention. One patient developed a postoperative hematoma that required surgical evacuation.
    Conclusions: "Kissing" allograft ACDF is a safe and effective method designed to address the intrinsically higher risk of pseudarthrosis at the C5-6 and C6-7 levels. Further prospective studies are warranted to comparatively evaluate this technique against single allograft and PEEK interbodies.
    Language English
    Publishing date 2021-11-12
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.19499
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