Publications by authors named "Andy T Ton"
Study Design/setting: Retrospective Cohort Study.
Objective: To describe postoperative physical therapy (PostopPT) utilization patterns and evaluate predictors of utilization after anterior cervical discectomy and fusion (ACDF).
Background Context: ACDF is the most common cervical spine procedure.
Objective: The present study compares postoperative outcomes between patients with and without sickle cell disease (SCD) undergoing 1-to 3-level lumbar spinal fusion for degenerative pathologies.
Methods: Patients who underwent 1-to 3-level lumbar spinal fusion for degenerative pathologies from 2010 to 2021 were identified using the PearlDiver database. Patients were separated into 1) SCD and 2) non-SCD groups and were propensity-matched 1:1 for age, sex, Elixhauser Comorbidity Index, surgical approach, and various comorbidities.
Article Synopsis
- The systematic review and meta-analysis aimed to examine how osteoporosis affects outcomes in patients with lumbar degenerative spine disease after surgery, focusing on complications and recovery.
- Findings indicated that patients with osteoporosis had higher rates of adjacent segment disease and cage subsidence but had lower reoperation rates compared to non-osteoporotic patients.
- Although osteoporosis was linked to increased complications like longer hospital stays and higher costs, it did not show a significant impact on overall clinical outcomes or fusion rates.
Objective: The objective of this study is to assess differences in complication profiles between 3-level posterior column osteotomy (PCO) and single-level pedicle subtraction osteotomy (PSO) as both are reported to provide similar degrees of sagittal correction.
Methods: The PearlDiver database was queried retrospectively using International Classification of Disease, 9th and 10th edition and Current Procedural Terminology codes to identify patients who underwent PCO or PSO for degenerative spine disease. Patients under age 18 or with history of spinal malignancy, infection, or trauma were excluded.
Are Cervical Disc Arthroplasty Medicare Reimbursement Trends Sustainable?
Int J Spine Surg
April 2023
Background: Cervical disc arthroplasty (CDA) was originally approved by the US Food and Drug Administration (FDA) in 2007 as a motion-sparing procedure to treat cervical degenerative disc disease. Since then, promising results from randomized control trials have led to increasing popularity. However, data discussing monetary trends are limited.
View Article and Find Full Text PDFStudy Design: Retrospective national database study design.
Purpose: This study was designed to determine whether acute percutaneous vertebral augmentation (PVA) alters morbidity compared with nonoperative management.
Overview Of Literature: Osteoporotic vertebral compression fractures (OCFs) are common and represent a large economic and patient burden.