Rex A. W. Marco
YOU?
Author Swipe
View article: Comparing the effectiveness of generative AI technology in commonly asked scoliosis questions
Comparing the effectiveness of generative AI technology in commonly asked scoliosis questions Open
Purpose: In recent years, generative artificial intelligence systems have transformed the landscape of patient’s access to medical information and education. As increases in general and subspeciality physician shortages lead to longer lead…
View article: Accuracy of 2D Sagittal Radiological Analysis vs 3D Templating for Pedicle Screw Fixation of C2 Vertebral Body
Accuracy of 2D Sagittal Radiological Analysis vs 3D Templating for Pedicle Screw Fixation of C2 Vertebral Body Open
View article: AO Spine Clinical Practice Recommendations for Diagnosis and Management of Degenerative Cervical Myelopathy: Evidence Based Decision Making - A Review of Cutting Edge Recent Literature Related to Degenerative Cervical Myelopathy
AO Spine Clinical Practice Recommendations for Diagnosis and Management of Degenerative Cervical Myelopathy: Evidence Based Decision Making - A Review of Cutting Edge Recent Literature Related to Degenerative Cervical Myelopathy Open
Study Design Literature review of key topics related to degenerative cervical myelopathy (DCM) with critical appraisal and clinical recommendations. Objective This article summarizes several key current topics related to the management of …
View article: A Clinical Practice Guideline for the Management of Patients With Acute Spinal Cord Injury: Recommendations on Hemodynamic Management
A Clinical Practice Guideline for the Management of Patients With Acute Spinal Cord Injury: Recommendations on Hemodynamic Management Open
Study Design Clinical practice guideline development following the GRADE process. Objectives Hemodynamic management is one of the only available treatment options that likely improves neurologic outcomes in patients with acute traumatic sp…
View article: A Clinical Practice Guideline for Prevention, Diagnosis and Management of Intraoperative Spinal Cord Injury: Recommendations for Use of Intraoperative Neuromonitoring and for the Use of Preoperative and Intraoperative Protocols for Patients Undergoing Spine Surgery
A Clinical Practice Guideline for Prevention, Diagnosis and Management of Intraoperative Spinal Cord Injury: Recommendations for Use of Intraoperative Neuromonitoring and for the Use of Preoperative and Intraoperative Protocols for Patients Undergoing Spine Surgery Open
Study Design Development of a clinical practice guideline following the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) process. Objective The objectives of this study were to develop guidelines that outline the …
View article: An Update of a Clinical Practice Guideline for the Management of Patients With Acute Spinal Cord Injury: Recommendations on the Role and Timing of Decompressive Surgery
An Update of a Clinical Practice Guideline for the Management of Patients With Acute Spinal Cord Injury: Recommendations on the Role and Timing of Decompressive Surgery Open
Study Design Clinical practice guideline development. Objectives Acute spinal cord injury (SCI) can result in devastating motor, sensory, and autonomic impairment; loss of independence; and reduced quality of life. Preclinical evidence sug…
View article: The Management of Intraoperative Spinal Cord Injury – A Scoping Review
The Management of Intraoperative Spinal Cord Injury – A Scoping Review Open
Study Design Scoping Review. Objective To review the literature and summarize information on checklists and algorithms for responding to intraoperative neuromonitoring (IONM) alerts and management of intraoperative spinal cord injuries (IS…
View article: Anterior column realignment (ACR) for focal kyphotic spinal deformity using an anterior to psoas approach and anterior longitudinal ligament release
Anterior column realignment (ACR) for focal kyphotic spinal deformity using an anterior to psoas approach and anterior longitudinal ligament release Open
ACR can be performed with a complete ALL release under direct visualization using the ATP approach. This technique can be a safe and effective method for achieving substantial correction of a focal kyphotic deformity within the lumbar spin…
View article: Vascular injury risk stratification for lateral lumbar interbody fusion (LLIF) at L4–L5: a morphometric study using magnetic resonance imaging
Vascular injury risk stratification for lateral lumbar interbody fusion (LLIF) at L4–L5: a morphometric study using magnetic resonance imaging Open
There are significant vascular anatomic variations at the L4-L5 disc level and a proper VIRS can be performed utilizing a combination of anterior disc line to posterior vessel wall distance, DVA, and disc edge to vessel distance, on the ax…
View article: Postoperative Rehabilitation to Improve Outcomes After Cervical Spine Fusion for Degenerative Cervical Spondylosis: A Systematic Review
Postoperative Rehabilitation to Improve Outcomes After Cervical Spine Fusion for Degenerative Cervical Spondylosis: A Systematic Review Open
View article: Response to Letter Regarding “Predictive Value of Preoperative Serum Albumin in Patients With Metastatic Spine Diseases: A Statistical Comment”
Response to Letter Regarding “Predictive Value of Preoperative Serum Albumin in Patients With Metastatic Spine Diseases: A Statistical Comment” Open
We thank the authors for their interest in and commentary on “Preoperative Serum Albumin Level Predicts Length of Stay and Perioperative Adverse Events Following Vertebral Corpectomy and Posterior Stabilization for Metastatic Spine Disease…
View article: Preoperative Serum Albumin Level Predicts Length of Stay and Perioperative Adverse Events Following Vertebral Corpectomy and Posterior Stabilization for Metastatic Spine Disease
Preoperative Serum Albumin Level Predicts Length of Stay and Perioperative Adverse Events Following Vertebral Corpectomy and Posterior Stabilization for Metastatic Spine Disease Open
Study Design Retrospective review of a prospectively collected national database Objectives To determine the association between preoperative serum albumin levels and perioperative adverse events (AEs) following vertebral corpectomy and po…
View article: Anterior Column Realignment Using an Anterior-To-Psoas Approach: A Radiographic-Anatomic Feasibility Study at L1-L5
Anterior Column Realignment Using an Anterior-To-Psoas Approach: A Radiographic-Anatomic Feasibility Study at L1-L5 Open
Study Design Cross-sectional radioanatomic study. Objective To determine the feasibility of performing an anterior column realignment (ACR) using an anterior-to-psoas (ATP) approach at L1-L5. Methods Axial magnetic resonance images (MRI) o…
View article: Freehand Pre-drilling Technique for Lateral Mass Screw Fixation Is More Efficient and Reliable Versus Sequential Drilling Technique: A Sawbone Analysis
Freehand Pre-drilling Technique for Lateral Mass Screw Fixation Is More Efficient and Reliable Versus Sequential Drilling Technique: A Sawbone Analysis Open
View article: A Practical Classification System for Acute Cervical Spinal Cord Injury Based on a Three-Phased Modified Delphi Process From the AOSpine Spinal Cord Injury Knowledge Forum
A Practical Classification System for Acute Cervical Spinal Cord Injury Based on a Three-Phased Modified Delphi Process From the AOSpine Spinal Cord Injury Knowledge Forum Open
Study Design A modified Delphi study. Objective To assess current practice patterns in the management of cervical spinal cord injury (SCI) and develop a simplified, practical classification system which offers ease of use in the acute sett…
View article: Obesity and perioperative adverse events in patients undergoing complex revision surgery for the thoracolumbar spine
Obesity and perioperative adverse events in patients undergoing complex revision surgery for the thoracolumbar spine Open
View article: Scoliosis Following Chest Wall Resection for Tumor With and Without Prophylactic Fixation: Case Series
Scoliosis Following Chest Wall Resection for Tumor With and Without Prophylactic Fixation: Case Series Open
Posterior chest wall resection is a complex surgical procedure that involves removing any anatomical structure that surrounds the lungs and pleura, such as the intercostals, ribs, and soft tissues. The etiology of scoliosis that develops a…
View article: Correction to: Anterior versus posterior spinal fusion for Lenke type 5 adolescent idiopathic scoliosis: a systematic review and meta-analysis of comparative studies
Correction to: Anterior versus posterior spinal fusion for Lenke type 5 adolescent idiopathic scoliosis: a systematic review and meta-analysis of comparative studies Open
PURPOSE To review and compare clinical and radiologic outcomes between anterior spinal fusion (ASF) and posterior spinal fusion (PSF) for the treatment of Lenke type 5 adolescent idiopathic scoliosis (AIS). METHODS A systematic review was …
View article: Obesity is Not Associated with Perioperative Adverse Events in Patients Undergoing Complex Revision Surgery for the Thoracolumbar Spine
Obesity is Not Associated with Perioperative Adverse Events in Patients Undergoing Complex Revision Surgery for the Thoracolumbar Spine Open
Study Design: Retrospective cohort studyObjective: This study sought to determine the relationship between obesity and perioperative adverse events (AEs) with patients undergoing complex revision thoracolumbar spine surgery while controlli…
View article: Duloxetine for the Treatment of Chronic Low Back Pain: A Systematic Review of Randomized Placebo-Controlled Trials
Duloxetine for the Treatment of Chronic Low Back Pain: A Systematic Review of Randomized Placebo-Controlled Trials Open
This systematic review determines the efficacy and safety of duloxetine for chronic low back pain (CLBP). We queried the PubMed, SCOPUS, and Ovid MEDLINE databases. All level I and II randomized controlled studies published in the English …
View article: Decreased radiation exposure using pulsed fluoroscopy and a detachable pedicle marker and probe to place pedicle screws: a comparison to current fluoroscopy techniques and CT navigation
Decreased radiation exposure using pulsed fluoroscopy and a detachable pedicle marker and probe to place pedicle screws: a comparison to current fluoroscopy techniques and CT navigation Open
View article: Single stage en bloc resection of a recurrent metastatic osteosarcoma of the pediatric lumbar spine through multiple exposures – a novel approach
Single stage en bloc resection of a recurrent metastatic osteosarcoma of the pediatric lumbar spine through multiple exposures – a novel approach Open
To obtain a wide resection and safe margins in recurrent spine osteosarcoma, the surgical approach can include – posterior only, combined posterior and anterior, and combined posterior and anterior with a return to posterior in multiple st…
View article: Radiologic Analysis of C2 to Predict Safe Placement of Pedicle Screws
Radiologic Analysis of C2 to Predict Safe Placement of Pedicle Screws Open
This study aids in the surgical decision-making behind the placement of C2 pedicle screws using CT scans without reliance upon complex digital templating software.
View article: A novel muscle-sparing high thoracotomy for upper thoracic spine resection and reconstruction
A novel muscle-sparing high thoracotomy for upper thoracic spine resection and reconstruction Open
The described muscle-sparing, high thoracotomy approach provides excellent exposure of the ventral cervicothoracic and upper thoracic spine without the morbidity associated with the transection of shoulder girdle muscle bellies. This techn…
View article: Case Report: Angiosarcoma in the Upper Extremity Related to a Nonfunctioning Arteriovenous Fistula
Case Report: Angiosarcoma in the Upper Extremity Related to a Nonfunctioning Arteriovenous Fistula Open
Background: Angiosarcoma is a rare but aggressive malignancy with a high predilection for the head and neck. There have been few case reports of the development of angiosarcoma in a nonfunctional arteriovenous fistula in a hemodialysis pat…
View article: En Bloc Resection of Pancoast Tumor with Adjuvant Aortic Endograft and Chemoradiation
En Bloc Resection of Pancoast Tumor with Adjuvant Aortic Endograft and Chemoradiation Open
"Pancoast" tumors frequently require a multidisciplinary approach to therapy and are still associated with high morbidity and mortality. Due to their sensitive anatomic location, complex resections and chemoradiation regimens are typically…
View article: Is there an Increased Incidence of Cervical Degenerative Disease in Surgeons who use Loupes and a Headlight?
Is there an Increased Incidence of Cervical Degenerative Disease in Surgeons who use Loupes and a Headlight? Open
Background context:The ergonomic effects of headgear on spine surgeons are poorly understood.Assessment of cervical degenerative disease resulting from prolonged use of loupes and/or headlights was performed via data drawn from spine surge…
View article: Three dimensional model for surgical planning in resection of thoracic tumors
Three dimensional model for surgical planning in resection of thoracic tumors Open