Clinical research interests include the development of new, less invasive (both endoscopic and minimally invasive) treatment strategies for addressing spinal problems, from the very simple to the complex. Furthermore, multi-center trials are being performed to further help to identify means to help limit the approach-related morbidity of spinal surgery, as well as investigate up-and-coming technologies and their safety and efficacy in dealing with spinal disorders. Multi-disciplinary research investigating the effects of spine surgery on back musculature and it's functionality is under way. Biomechanical investigations are focusing on the traumatized spine and more minimally invasive, surgical means to heal the fractured spine. Finally, laboratory research efforts are specifically directed towards refining and improving various minimally-invasive surgical treatment statagies for approaching the spine.
Robert Eric Isaacs
BACKGROUND: Incidental durotomies occur in up to 17% of spinal operations. Controversy exists regarding the short- and long-term consequences of durotomies.
STUDY DESIGN: A cadaveric study to determine the accuracy of percutaneous screw placement in the thoracic spine using standard fluoroscopic guidance.
Pedicle screw (PS) instrumentation provides an exceptionally rigid construct to promote fusion in cases of spinal trauma and degenerative disease.
A key component toward improving surgical outcomes is proper patient selection.
OBJECTIVE: Prior reports document macrophage and lymphocyte infiltration with proinflammatory cytokine expression in pathologic intervertebral disc (IVD) tissues.
Spinal Cord Injury (SCI) is an acute trauma to the neural elements resulting in temporary or permanent sensory and motor deficit.
Objective. To evaluate racial disparities in outcomes of lumbar stenosis surgery. Summary of Background Data. Racial inequalities have been described in the outcomes of cardiovascular and orthopedic procedures.
STUDY DESIGN: A retrospective, cross-sectional study. OBJECTIVE: To evaluate racial disparities in outcomes of lumbar stenosis surgery.