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Geographical Distribution Of Osteopathic Neurosurgery Residents, Ogechukwu Ariwodo, Andrew Greek, Ryan Wong, Vincent S. Alexander, Andrew D. Vogel, Bracken Burns, Kristen Conrad-Schnetz

Student Publications

Introduction: The neurosurgery residency match has grown increasingly competitive, especially for osteopathic (DO) medical students, amidst the transition to a single accreditation system in 2020. This shift required former American Osteopathic Association (AOA) programs to apply for Accreditation Council for Graduate Medical Education (ACGME) accreditation, leading to a notable reduction in programs with a history of accepting DO applicants. This study aims to explore both potential geographical trends in residency match among recent DO neurosurgical residents and in the number of DO neurosurgical residents pre- and post-ACGME merger.

Methods: Neurosurgery residency programs during the 2023-2024 academic year were identified, and …

An Unidentified Infiltrative Etiology Of Spinal Cord Compression: A Case Report And Literature Review, Michael J. Valentine, Fakhar Hayat, Ankur Kayastha, Takara R. Newsome-Cuby, Anh Thu N. Nguyen, Usama Aldallal, Mohamed Ismail

Student Publications

Spinal cord compression is a neurosurgical emergency. Symptoms of this disorder are highlighted as back pain, ambulatory difficulties, and bladder/bowel incontinence. Diagnostic imaging is not indicated in many circumstances of nonspecific back pain; however, the addition of neurologic deficits in the setting of back pain justifies radiologic imaging. Various pathologies can cause constriction of the spinal cord due to the delicate nature of spinal cord anatomy. Etiologies may include trauma, neoplasms, and infections. In this report, we present an unusual case of a 31-year-old male who presented to the emergency department with a history of chronic back pain accompanied by …

The Impact Of Historical Redlining On Neurosurgeon Distribution And Reimbursement In Modern Neighborhoods, Jean-Luc K. Kabangu, John Dugan, Benson Joseph, Amanda Hernandez, Takara R. Newsome-Cuby, Danny Fowler, Momodou G. Bah, Lane Fry, Sonia V. Eden

Student Publications

Background: This study examines the lasting impact of historical redlining on contemporary neurosurgical care access, highlighting the need for equitable healthcare in historically marginalized communities.

Objective: To investigate how redlining affects neurosurgeon distribution and reimbursement in U.S. neighborhoods, analyzing implications for healthcare access.

Methods: An observational study was conducted using data from the Center for Medicare and Medicaid Services (CMS) National File, Home Owner’s Loan Corporation (HOLC) neighborhood grades, and demographic data to evaluate neurosurgical representation across 91 U.S. cities, categorized by HOLC Grades (A, B, C, D) and gentrification status.

Results: Of the 257 neighborhoods, Grade A, B, C, …

Oblique Anterior Column Realignment With A Mini-Open Posterior Column Osteotomy For Minimally Invasive Adult Spinal Deformity Correction: Illustrative Case, Zach Pennington, Nolan J. Brown, Seyedamirhossein Pishva, Hernán F.J. González, Martin H. Pham

Student Publications

BACKGROUND Adult spinal deformity (ASD) occurs from progressive anterior column collapse due to disc space desiccation, compression fractures, and autofusion across disc spaces. Anterior column realignment (ACR) is increasingly recognized as a powerful tool to address ASD by progressively lengthening the anterior column through the release of the anterior longitudinal ligament during lateral interbody approaches. Here, we describe the application of minimally invasive ACR through an oblique antepsoas corridor for deformity correction in a patient with adult degenerative scoliosis and significant sagittal imbalance.

OBSERVATIONS A 65-year-old female with a prior history of L4–5 transforaminal lumbar interbody fusion and morbid obesity …