Alexander C Ching

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Anterior cervical procedures for neurologic decompression and fusion, including cervical diskectomy and cervical corpectomy, are commonly performed by orthopaedic surgeons and spinal neurosurgeons. These procedures are highly successful in treating most patients with persistent pain and neurologic symptoms that have not responded to nonsurgical methods.(More)
STUDY DESIGN Analysis of prospectively collected multicenter data. OBJECTIVE To explore the relationship between preoperative expectations and postoperative outcomes and satisfaction in lumbar and cervical spine surgery. SUMMARY OF BACKGROUND DATA Back pain is one of the most common health problems, leading to the utilization of health care resources,(More)
STUDY DESIGN Nationwide epidemiological cohort study. OBJECTIVE To characterize the incidence of second cervical vertebral (C2) fractures by age and geographical region among the elderly Medicare population and to elucidate if the rate changed in the years 2005 to 2008. SUMMARY OF BACKGROUND DATA Recent publications hypothesized that the rate of(More)
OBJECT The authors evaluated the efficacy of posterior instrumentation for the management of spontaneous spinal infections. Standard surgical management of spontaneous spinal infection is based on debridement of the infected tissue. However, this can be very challenging as most of these patients are medically debilitated and the surgical debridement(More)
Bioabsorbable implants are playing an increasing role in the surgical management of foot and ankle pathologies. Current technology allows implants to have acceptably comparable strength and pull-out characteristics to metallic implants. The advantages include elimination of secondary surgeries, biodegradability of implants placed across mobile articular(More)
STUDY DESIGN Prospective cohort study. OBJECTIVE To characterize the relation between postoperative soft tissue swelling and the development of chronic dysphagia after anterior cervical spine surgery. Chronic dysphagia was defined as dysphagia that persists more than 1 year. SUMMARY OF BACKGROUND DATA Dysphagia is commonly reported in the early(More)
BACKGROUND CONTEXT Vertebral cement augmentation, including kyphoplasty, has been shown to be a successful treatment for pain relief for vertebral compression fracture (VCF). Patients can sustain additional symptomatic VCFs that may require additional surgical intervention. PURPOSE To examine the prevalence and predictors of patients who sustain(More)
STUDY DESIGN Case series of 2-level lumbar disc arthroplasties treated by the authors. OBJECTIVE Identify a potentially significant failure rate of 2-level disc arthroplasty due to coronal plane instability. SUMMARY OF BACKGROUND DATA Arthrodesis remains the standard for surgical treatment of degenerative disc disease, despite concerns about adjacent(More)
Achieving solid osseous fusion remains a challenge in spine surgery. Autologous iliac crest bone graft remains the gold-standard graft material. In most cases, the fusion rates achievable with modern surgical techniques and autologous iliac crest bone graft are >90%. In specific scenarios, including long-segment fusion surgery and in patients with(More)
PURPOSE Somatosensory evoked potential (SSEP) and motor evoked potentials (MEP) are frequently fused to monitor neurological function during spinal deformity surgery. However, there are few studies regarding the utilization of intraoperative neuromonitoring during anterior lumbar interbody fusion (ALIF). This study presents the authors' experience with(More)