Michael A. Bohl
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View article: Use of awl for screw pilot hole creation increases strength of anterior cervical discectomy and fusion plate constructs in biomimetic model
Use of awl for screw pilot hole creation increases strength of anterior cervical discectomy and fusion plate constructs in biomimetic model Open
This study aimed to evaluate the influence of pilot hole creation technique on biomechanical characteristics of ACDF constructs in a high fidelity 3D-printed biomimetic model. The results-favoring creation of pilot holes with an awl-highli…
View article: Expanding Clinician Access to High-Quality, Low-Cost Biomechanical Research: A Technical Report on the Carolina Neurosurgery and Spine Biomechanics Laboratory
Expanding Clinician Access to High-Quality, Low-Cost Biomechanical Research: A Technical Report on the Carolina Neurosurgery and Spine Biomechanics Laboratory Open
View article: Spinoplastic Surgery: A Review of Techniques, Indications, and Optimal Patient Selection
Spinoplastic Surgery: A Review of Techniques, Indications, and Optimal Patient Selection Open
Background/Objectives: Spinoplastic surgery is an emerging multidisciplinary field developed to address and reduce the complication of pseudoarthrosis following complex spinal reconstructions. While the number of spinal fusion procedures c…
View article: Spino-plastic surgery, back to the future
Spino-plastic surgery, back to the future Open
Artificial intelligence (AI) is a powerful computational tool that is being utilized more frequently in healthcare. AI holds promise within surgical practice, including application in the care of challenging patient populations. Complex sp…
View article: Vascularized Iliac Crest Bone Graft for the Reconstruction of Anterior Vertebral Corpus Defects: A Literature Review and Cadaveric Feasibility Study
Vascularized Iliac Crest Bone Graft for the Reconstruction of Anterior Vertebral Corpus Defects: A Literature Review and Cadaveric Feasibility Study Open
Background: Vertebral body defects pose a significant challenge in spinal reconstructive surgery. Compression fractures of the vertebral corpus are typically treated with vertebral augmentation procedures. There are significant risks assoc…
View article: Spino-Plastic Surgery: Addressing Spinal Tumors with New Techniques
Spino-Plastic Surgery: Addressing Spinal Tumors with New Techniques Open
Background/Objectives: Spino-plastic surgery describes a specialized, multidisciplinary approach to addressing various spinal pathologies. The field is the innovative product of a multidisciplinary collaboration between plastic and reconst…
View article: Spinoplastic Reconstruction Using Iliac Crest Vascularized Bone Graft following Sacral Ependymoma Resection
Spinoplastic Reconstruction Using Iliac Crest Vascularized Bone Graft following Sacral Ependymoma Resection Open
Summary: Sacral reconstruction post tumor resection has historically been executed with the placement of hardware or free tissue transfer. Reconstruction using a vascularized bone graft is an alternative that avoids the complications assoc…
View article: Spino-plastic surgery
Spino-plastic surgery Open
Highlights Spino-plastic surgery addresses complex spinal defects using a multidisciplinary approach The plastic surgeon's role in spinal reconstructive surgery has evolved from reactive to proactive involvement in care VBGs reduce time to…
View article: Vascularized bone grafts in spinal reconstruction: An updated comprehensive review
Vascularized bone grafts in spinal reconstruction: An updated comprehensive review Open
In the past two decades, plastic surgeons have advanced to the forefront of spinal surgery, joining orthopedic and neurosurgeons in the multidisciplinary field of spino-plastics. As the global disease burden grows with an increased inciden…
View article: Open Versus Percutaneous Stabilization of Thoracolumbar Fractures: A Large Retrospective Analysis of Safety and Reoperation Rates
Open Versus Percutaneous Stabilization of Thoracolumbar Fractures: A Large Retrospective Analysis of Safety and Reoperation Rates Open
View article: Novel Approach to Difficult Spinal Reconstruction: Bilateral Simultaneous Rib and Iliac Crest Vascularized Bone Graft Spinoplastic Surgery
Novel Approach to Difficult Spinal Reconstruction: Bilateral Simultaneous Rib and Iliac Crest Vascularized Bone Graft Spinoplastic Surgery Open
Summary: Pseudoarthrosis is a severe complication of spinal fusion surgery with occurrence rates as high as 35%–40%. Current options of revision surgery to correct pseudoarthrosis frequently carry high failure rates and risk of developing …
View article: Survey of United States neurosurgeons on firearm injury prevention
Survey of United States neurosurgeons on firearm injury prevention Open
OBJECTIVE Firearm-related injuries and deaths are an endemic problem in the US, posing a burden on the healthcare system with significant social and economic consequences. As front-line care providers for these patients, neurosurgeons are …
View article: Spino-plastic surgery: A literature review of vascularized bone grafts and their uses in spine reconstruction
Spino-plastic surgery: A literature review of vascularized bone grafts and their uses in spine reconstruction Open
The role of plastic surgeons in the world of spine surgery is quickly evolving. The plastic surgeon now serves both a therapeutic and prophylactic role in addressing complications of complex and revision spine surgery. The field of Spino-p…
View article: Expanding Clinician Access to High-Quality, Low-Cost Biomechanical Research: A Technical Report on the Carolina Neurosurgery and Spine Biomechanics Laboratory
Expanding Clinician Access to High-Quality, Low-Cost Biomechanical Research: A Technical Report on the Carolina Neurosurgery and Spine Biomechanics Laboratory Open
View article: Ten-Year Experience of Skip Anterior Cervical Corpectomy and Fusion
Ten-Year Experience of Skip Anterior Cervical Corpectomy and Fusion Open
BACKGROUND: Anterior cervical corpectomy and fusion (ACCF) is often required to adequately decompress the spinal cord in patients with multilevel cervical spondylosis. Unfortunately, multilevel corpectomy constructs have high rates of earl…
View article: Technical Feasibility of Subaxial Cervical Pedicle Screws for Distal Anchoring of Occipitocervical Fixation Constructs in the Mid-Cervical Spine: Early Clinical Experience
Technical Feasibility of Subaxial Cervical Pedicle Screws for Distal Anchoring of Occipitocervical Fixation Constructs in the Mid-Cervical Spine: Early Clinical Experience Open
Occipitocervical fixation and fusion (OCF) is performed for patients who have destabilizing traumatic injuries or pathologies affecting the complex bony and ligamentous structures of the occipitoatlantal and atlantoaxial joint structures. …
View article: Establishing a Reference Procedure Length for Anterior Cervical Fusions: The Role for Standards in Surgical Process Improvement
Establishing a Reference Procedure Length for Anterior Cervical Fusions: The Role for Standards in Surgical Process Improvement Open
Surgical process improvement strategies are increasingly being applied to specific procedures to improve value. A critical step in any process improvement strategy is the identification of performance benchmarks. Procedure length is a perf…
View article: Local 3-Dimensional Printing of a Calvarium-Anchored Ventricular Catheter Occlusion Device
Local 3-Dimensional Printing of a Calvarium-Anchored Ventricular Catheter Occlusion Device Open
Three-dimensional (3D)-printed objects have been incorporated into many surgical specialties for various purposes. These devices can be customized and used as implants or surgical instruments. This study describes the use of a 3D-printed d…
View article: Posterior Fossa Hemorrhage Following the Use of Low-Molecular-Weight Heparin: Lessons Learned and Recommendations for the Treatment and Prophylaxis of Postoperative Venous Thromboembolism
Posterior Fossa Hemorrhage Following the Use of Low-Molecular-Weight Heparin: Lessons Learned and Recommendations for the Treatment and Prophylaxis of Postoperative Venous Thromboembolism Open
View article: Vascularized Scapular Bone Grafting: Indications, Techniques, Clinical Outcomes, and Alternatives
Vascularized Scapular Bone Grafting: Indications, Techniques, Clinical Outcomes, and Alternatives Open
Spinal fusion can be challenging to obtain in patients with complex spinal pathology. Medial scapular vascularized bone grafts (S-VBGs) are a novel approach to supplement cervicothoracic arthrodesis in patients at high risk of failed spina…
View article: Vascularized Rib Bone Grafting: Indications, Techniques, and Clinical Outcomes
Vascularized Rib Bone Grafting: Indications, Techniques, and Clinical Outcomes Open
Pseudarthrosis is a difficult complication often seen in patients with complex spinal pathology. To supplement existing neurosurgical approaches to cervicothoracic spinal instrumentation and fusion, novel vascularized rib bone grafts can b…
View article: Vascularized Bone Grafts in Spinal Reconstruction: An Overview of Nomenclature and Indications
Vascularized Bone Grafts in Spinal Reconstruction: An Overview of Nomenclature and Indications Open
Several vascularized bone grafts (VBGs) have been introduced for reconstruction and augmenting fusion of the spine. The expanding use of VBGs in the field of spinoplastic reconstruction, however, has highlighted the need to clarify the nom…
View article: Vascularized Posterior Iliac Crest Bone Grafting: Indications, Techniques, Clinical Outcomes, and Alternatives
Vascularized Posterior Iliac Crest Bone Grafting: Indications, Techniques, Clinical Outcomes, and Alternatives Open
Pseudarthrosis is a feared complication of spinal fusion procedures. Currently, the gold standard in prevention or treatment of pseudarthrosis is placement of nonvascularized iliac crest bone autograft. While rates of fusion are significan…
View article: Vascularized Occipital Bone Grafting: Indications, Techniques, Clinical Outcomes, and Alternatives
Vascularized Occipital Bone Grafting: Indications, Techniques, Clinical Outcomes, and Alternatives Open
Successful arthrodesis at the craniocervical junction and atlantoaxial joint can be more challenging than in other segments of the cervical spine. Different techniques for spinal fixation in this region have been well described, along with…
View article: Failure in Lumbar Spinal Fusion and Current Management Modalities
Failure in Lumbar Spinal Fusion and Current Management Modalities Open
Lumbar spinal fusion is a commonly performed procedure to stabilize the spine, and the frequency with which this operation is performed is increasing. Multiple factors are involved in achieving successful arthrodesis. Systemic factors incl…
View article: Postoperative 30-day emergency department utilization after 7294 cranial neurosurgery procedures at a tertiary neuroscience center
Postoperative 30-day emergency department utilization after 7294 cranial neurosurgery procedures at a tertiary neuroscience center Open
OBJECTIVE Hospital readmission and the reduction thereof has become a major quality improvement initiative in organized medicine and neurosurgery. However, little research has been performed on why neurosurgical patients utilize hospital e…
View article: Vascularized Rib Grafts to Augment Spinal Fusion: A Novel Approach
Vascularized Rib Grafts to Augment Spinal Fusion: A Novel Approach Open
BACKGROUND: Pseudoarthrosis is a well-known complication following spinal fusion. Rates range from 5% to 40% and are influenced by both patient factors and technical factors. Patients with pseudoarthrosis may experience a return or worseni…
View article: In Reply: The Living Spine Model: A Biomimetic Surgical Training and Education Tool
In Reply: The Living Spine Model: A Biomimetic Surgical Training and Education Tool Open
To the Editor: We appreciate the comments of the authors1 and the excellent point raised regarding our paper on a biomimetic surgical training and education tool.2 We agree that as quantitative research into surgical simulation advances, w…
View article: Development and first clinical use of a novel anatomical and biomechanical testing platform for scoliosis
Development and first clinical use of a novel anatomical and biomechanical testing platform for scoliosis Open
A novel synthetic spine model for corrective scoliosis procedures is presented, along with early clinical experience using this model as a surgical planning platform. This model has tremendous potential not only as a surgical planning plat…
View article: Utility of a Novel Biomimetic Spine Model in Surgical Education: Case Series of Three Cervicothoracic Kyphotic Deformities
Utility of a Novel Biomimetic Spine Model in Surgical Education: Case Series of Three Cervicothoracic Kyphotic Deformities Open
Study Design: Evaluation of new technology. Objectives: To evaluate the utility of a novel biomimetic spine model as a surgical planning and education resource in the treatment of cervical spine deformities (CSD). Methods: Three patients w…