Andrew J. Grossbach, MD, FAANS
@AJGrossbach
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Residency Program Director. Deformity and Robotic Spine Fellowship Director. The Ohio State University Department of Neurosurgery.
Columbus, OH
Joined June 2010
Always interesting to hear about the great work being done across the country!.
Thank you to our sub-interns this month for the great grand rounds talks!
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RT @NeurosurgeryOSU: What’s your favorite interbody technique to address a mobile spondylolisthesis?.
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When to fuse a low grade spondy? “Instability” is hard to define. But when I see facet joints like this combined with vertical foraminal stenosis, an interbody fusion is needed. ALIF, XLIF, OLIF, TLIF, MIS TLIF is dealer’s choice.
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RT @ZachAPennington: Check out our article in @TheJNS looking at the relative contributions of paraspinal muscularity and bone quality to p….
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Great talks and love to see all the spine research!!.
Great presentations this evening for some of our Hunt Summer Scholars in Neurosurgery! The future of neurosurgery is bright!
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59 yo F with back and leg pain. Foraminal stenosis at her fractional and lumbar curves. Failed all conservative modalities. What’s your plan for level selection, interbodies, and osteotomies? How do you maintain coronal balance and not throw off the CSVL?
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There are many ways to accomplish reduction. The most important is timing if there is an incomplete spinal cord injury. What’s your preferred technique?.
Here is PGY3 resident Dr. Gruber presenting a cervical fracture-dislocation. What’s your method of getting this reduced? Pre-op traction? Intra-op? Anterior vs posterior approach? Do you need an MRI first?
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73 yo F with what started as an L4 compression fracture. Multiple procedures at outside hospital including a cement augmentation, lami, pedicle screw fixation, removal, and spinal cord stimulator. On Forteo 2 yrs. Back and leg pain, 4/5 in b/l dorsiflexion. What’s your plan?
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Here’s what I ended up doing. Used a kickstand to help push her trunk shift/CI over.
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RT @virtualspine: Join us on Thursday, July 10, at 6 PM ET for an engaging and high-level discussion on one of the most critical procedures….
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76 yo F with a history of dystonia s/p DBS and cervical fusion. Osteoporosis treated with 2 years of Forteo, transitioned to Prolia. Progressive back and leg pain. 4/5 RLE distally. What would you offer here?
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