Joshua Heller

TitleAssoc Professor
InstitutionThomas Jefferson University
DepartmentNeurosurgery
Address909 Walnut Street
Philadelphia PA 19107
Phone215-955-7000
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    Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Faculty can login to make corrections and additions.
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    1. Glener SR, Patel PD, Serva SN, Self DM, Heller JE. Prospective analysis of STRATAFIX? symmetric PDS plus suture for fascial closure in spinal surgery: a pilot study. Neurosurg Rev. 2024 Aug 17; 47(1):438. PMID: 39152260.
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    2. Sarikonda A, Sami A, Hines K, Self DM, Isch E, Leibold A, Keppetipola KM, Gonzalez G, Mansoor Ali D, Thalheimer S, Heller J, Prasad S, Jallo J, Sharan A, Vaccaro AR, Harrop J, Sivaganesan A. What is the Value Proposition of Evidence-Based Guidelines? An Application of the Operative Value Index for Lumbar Fusions. World Neurosurg. 2024 Jul 06. PMID: 38977127.
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    3. Leibold A, Sarikonda A, Tecce E, Sami A, Mansoor Ali D, Thalheimer S, Heller J, Prasad SK, Sharan A, Jallo J, Harrop J, Vaccaro AR, Sivaganesan A. How Do the True Intraoperative Costs of Endoscopic Diskectomy Compare With Microdiskectomy for Lumbar Disk Herniations? A Time-Driven Activity-Based Cost Analysis. Oper Neurosurg (Hagerstown). 2024 Jun 18. PMID: 38888329.
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    4. Sarikonda A, Leibold A, Sami A, Mansoor Ali D, Tecce E, August A, O'Leary M, Thalheimer S, Heller J, Prasad S, Sharan A, Jallo J, Harrop J, Vaccaro AR, Sivaganesan A. Do Busier Surgeons Have Lower Intraoperative Costs? An Analysis of Anterior Cervical Discectomy and Fusion Using Time-Driven Activity-Based Costing. Clin Spine Surg. 2024 Apr 10. PMID: 38637916.
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    5. Sarikonda A, Tecce E, Leibold A, Mansoor Ali D, Thalheimer S, Heller J, Prasad S, Sharan A, Jallo J, Harrop J, Vaccaro AR, Sivaganesan A. What is the Marginal Cost of Using Robot Assistance or Navigation for Transforaminal Lumbar Interbody Fusion? A Time-Driven Activity-Based Cost Analysis. Neurosurgery. 2024 Mar 11. PMID: 38465927.
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    6. Tecce E, Sarikonda A, Leibold A, Ali DM, Thalheimer S, Sami A, Heller J, Prasad S, Sharan AS, Harrop J, Vaccaro AR, Sivaganesan A. Does BMI Influence Intraoperative Costs and Operative Times for Anterior Cervical Discectomy and Fusion? A Time-Driven Activity-Based Costing Analysis. World Neurosurg. 2024 Feb 19. PMID: 38382758.
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    7. Mandloi S, Syed M, Ailes I, Shoraka O, Leiby B, Miao J, Thalheimer S, Heller J, Mohamed FB, Sharan A, Harrop J, Krisa L, Alizadeh M. Exploring Functional Connectivity in Chronic Spinal Cord Injury Patients With Neuropathic Pain Versus Without Neuropathic Pain. Neurotrauma Rep. 2024; 5(1):16-27. PMID: 38249324.
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    8. Sarikonda A, Leibold A, Ali DM, Thalheimer S, Heller J, Prasad S, Sharan AS, Harrop J, Vaccaro AR, Sivaganesan A. What is the marginal intraoperative cost of using an exoscope or operative microscope for anterior cervical discectomy and fusion? A time-driven activity-based cost analysis. World Neurosurg. 2023 Nov 20. PMID: 37992992.
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    9. Mouchtouris N, Luck T, Locke K, Hines K, Franco D, Yudkoff C, Sivaganesan A, Heller J, Prasad S, Harrop J. Comparison of 5-Item and 11-Item Modified Frailty Index as Predictors of Functional Independence in Patients With Spinal Cord Injury. Global Spine J. 2023 Nov 02; 21925682231211279. PMID: 37918861.
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    10. Mandloi S, Syed M, Shoraka O, Ailes I, Kang KC, Sathe A, Heller J, Thalheimer S, Mohamed FB, Sharan A, Harrop J, Krisa L, Matias C, Alizadeh M. The role of the insula in chronic pain following spinal cord injury: A resting-state fMRI study. J Neuroimaging. 2023 May 15. PMID: 37188633.
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    11. Lambrechts MJ, Canseco JA, Toci GR, Karamian BA, Kepler CK, Smith ML, Schroeder GD, Hilibrand AS, Heller JE, Grasso G, Gottfried O, Kebaish KM, Harrop JS, Shaffrey C, Vaccaro AR. Spine Surgical Subspecialty and Its Effect on Patient Outcomes - A Systematic Review and Meta-Analysis. Spine (Phila Pa 1976). 2023 Feb 28. PMID: 36856545.
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    12. Mouchtouris N, Luck T, Yudkoff C, Hines K, Franco D, Al Saiegh F, Thalheimer S, Khanna O, Prasad S, Heller J, Harrop J, Jallo J. Initial Heart Rate Predicts Functional Independence in Patients With Spinal Cord Injury Requiring Surgery: A Registry-Based Study in a Mature Trauma System Over the Past 10?Years. Global Spine J. 2023 Feb 03; 21925682231155127. PMID: 36735682.
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    13. Gonzalez GA, Porto G, Hines K, Franco D, Montenegro TS, Mahtabfar A, O'Leary M, Miao J, Thalheimer S, Heller JE, Sharan A, Harrop J. Clinical Outcomes with and without Adherence to Evidence-Based Medicine Guidelines for Lumbar Degenerative Spondylolisthesis Fusion Patients. J Clin Med. 2023 Feb 02; 12(3). PMID: 36769851.
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    14. Gonzalez GA, Corso K, Miao J, Rajappan SK, Porto G, Anandan M, O'Leary M, Wainwright J, Smit R, Hines K, Franco D, Mahtabfar A, DeSimone C, Polanco D, Qasba R, Thalheimer S, Heller JE, Sharan A, Jallo J, Harrop J. Does Preoperative Opiate Choice Increase Risk of Postoperative Infection and Subsequent Surgery? World Neurosurg. 2022 Nov 14. PMID: 36396056.
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    15. Reeves RA, Miller CJ, Wang D, Ng A, Heller JE, Nazarian LN. Use of High-Resolution Ultrasound to Guide Alcohol Neurolysis for Chronic Pain. Pain Physician. 2022 11; 25(8):E1297-E1303. PMID: 36375203.
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    16. De Abreu Pineda M, Atallah E, Wainwright J, Schaefer J, Mahtabfar A, Harrop J, Prasad S, Heller J, Sharan A, Sivaganesan A, Jallo J. Hypoglossal nerve injury with C1 lateral mass screw placement: A case report and review of the literature. Radiol Case Rep. 2022 Dec; 17(12):4594-4598. PMID: 36193267.
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    17. Neavling N, Mahtabfar A, Atallah E, Gonzalez G, Luginbuhl AJ, Heller JE, Prasad S, Harrop JS, Jallo J. Intraoperative chyle leak repair during right-sided anterior cervical discectomy and fusion. Clin Neurol Neurosurg. 2022 11; 222:107452. PMID: 36209518.
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    18. Hines K, Philipp L, Thalheimer S, Montenegro TS, Gonzalez GA, Hughes LP, Leibold A, Mahtabfar A, Franco D, Heller JE, Jallo J, Prasad S, Sharan AD, Harrop JS. Increased Surgeon-specific Experience and Volume is Correlated With Improved Clinical Outcomes in Lumbar Fusion Patients. Clin Spine Surg. 2022 Aug 25. PMID: 36006405.
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    19. Gonzalez GA, Franco D, Porto G, Elia C, Hattar E, Hines K, Mahtabfar A, O'Leary M, Philipp L, Atallah E, Montenegro TS, Heller J, Sharan A, Jallo J, Harrop J. Does the Number of Levels of Decompression Have an Impact on the Clinical Outcomes of Patients With Lumbar Degenerative Spondylolisthesis: A Retrospective Study in Single-Level Fused Patients. Cureus. 2022 Aug; 14(8):e27804. PMID: 36134108.
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    20. Karamian BA, Mao J, Toci GR, Lambrechts MJ, Canseco JA, Qureshi MA, Silveri O, Minetos PD, Jallo JI, Prasad S, Heller JE, Sharan AD, Harrop JS, Woods BI, Kaye ID, Hilibrand A, Kepler CK, Vaccaro AR, Schroeder GD. Clinical Outcomes at 1-year Follow Up for Patients with Surgical Site Infection After Spinal Fusion. Spine (Phila Pa 1976). 2022 Jun 29. PMID: 35797595.
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    21. Schaefer J, Atallah E, Tecce E, Thalheimer S, Harrop J, Heller JE. Utility of intraoperative neuromonitoring for decompression of Chiari type I malformation in 93 adult patients. J Neurosurg. 2022 Apr 29; 1-6. PMID: 35535833.
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    22. Fisher CG, Vaccaro AR, Mahtabfar A, Mulpuri K, Evanview N, Dea N, Makanji H, Whang PG, Heller JE. Evidence-Based Recommendations for Spine Surgery. Spine (Phila Pa 1976). 2022 Mar 03. PMID: 35238857.
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    23. Hines K, Schaefer J, Tecce E, Gonzalez GA, Hafazalla K, Franco D, Leibold A, Montenegro TS, Prasad S, Jallo J, Heller J, Sharan A, Harrop J. Patient-Reported Outcomes for Lumbar Fusion in Patients with Previously Treated Cervical Myelopathy. World Neurosurg. 2022 Feb 10. PMID: 35151921.
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    24. Matias CM, Velagapudi L, Montenegro TS, Heller JE. Minimally Invasive Sacroiliac Fusion-a Review. Curr Pain Headache Rep. 2022 Feb 09. PMID: 35138566.
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    25. Montenegro TS, Singh A, Elia C, Matias CM, Gonzalez GA, Saiegh FA, Philipp L, Hattar E, Hines K, Fatema U, Thalheimer S, Wu C, Prasad SK, Jallo J, Heller JE, Sharan A, Harrop J. Independent Predictors of Revision Lumbar Fusion Outcomes and the Impact of Spine Surgeon Variability: Does It Matter Whether the Primary Surgeon Revises? Neurosurgery. 2021 Oct 13; 89(5):836-843. PMID: 34392365.
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    26. Montenegro TS, Gonzalez GA, Saiegh FA, Philipp L, Hines K, Hattar E, Franco D, Mahtabfar A, Keppetipola KM, Leibold A, Atallah E, Fatema U, Thalheimer S, Wu C, Prasad SK, Jallo J, Heller J, Sharan A, Harrop J. Clinical outcomes in revision lumbar spine fusions: an observational cohort study. J Neurosurg Spine. 2021 Aug 06; 1-9. PMID: 34359034.
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    27. Al Saiegh F, Philipp L, Hughes LP, Montenegro TS, Hines K, Gonzalez GA, Mahtabfar A, Andrews C, Keppetipola K, Franco D, Hafazalla K, Khanna O, Mouchtouris N, Self DM, Heller J, Prasad S, Jallo J, Sharan AD, Harrop JS. The Impact of Incorporating Evidence-Based Guidelines for Lumbar Fusion Surgery in Neurosurgical Resident Education. World Neurosurg. 2021 Oct; 154:e382-e388. PMID: 34293523.
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    28. Ghosh R, Velagapudi L, Montenegro TS, Hines K, Gonzalez GA, Mahtabfar A, Prasad S, Jallo J, Sharan A, Heller J, Harrop J. Operative versus Nonoperative Management of Idiopathic Spinal Cord Herniation: Effect on Symptomatology and Disease Progression. World Neurosurg. 2021 08; 152:e149-e154. PMID: 34033961.
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    29. Pereira BA, Heller JE, Lehrman JN, Sawa AGU, Kelly BP. Biomechanics of Circumferential Cervical Fixation Using Posterior Facet Cages: A Cadaveric Study. Neurospine. 2021 Mar; 18(1):188-196. PMID: 33819945.
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    30. Harrop J, Emes A, Chitale A, Wu C, Al Saiegh F, Stricsek G, Gonzalez GA, Jallo J, Heller J, Hines K, Philipp L, Thalheimer S, Prasad SK, Montenegro TS, Fatema U, Sharan A. Are Guidelines Important? Results of a Prospective Quality Improvement Lumbar Fusion Project. Neurosurgery. 2021 Mar 17. PMID: 33729535.
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    31. Montenegro TS, Hoelscher C, Hines K, Thalheimer S, Matias C, Wilent B, Harrop J, Heller JE. The Impact of Intraoperative Image-Guidance Modalities and Neurophysiologic Monitoring in the Safety of Sacroiliac Fusions. Global Spine J. 2021 Jan 12; 2192568220981977. PMID: 33432824.
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    32. Hines K, Elmer N, Detweiler M, Fatema U, Gonzalez GA, Montenegro TS, Franco D, Prasad S, Jallo J, Sharan A, Heller J, Boon M, Spiegel J, Harrop J. Combined Anterior Osteophytectomy and Cricopharyngeal Myotomy for Treatment of DISH-Associated Dysphagia. Global Spine J. 2020 Nov 18; 2192568220967358. PMID: 33203249.
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    33. Mahtabfar A, Mazza J, Franco D, Gonzalez GA, Hines K, Chalouhi N, Jabbour P, Harrop J, Heller J. Cranial Settling Causing Intracranial Hemorrhage Through Violation of the Skull Base by Cervical Spine Instrumentation. World Neurosurg. 2021 Jan; 145:178-182. PMID: 32890852.
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    34. Al Saiegh F, Leibold A, Mouchtouris N, Sabourin V, Stefanelli A, Franco D, Harrop J, Jallo J, Prasad S, Heller J. Robot-Assisted Instrumented Fusion of a T8-9 Extension Distraction Fracture and Epidural Hematoma Evacuation: 2-Dimensional Operative Video. Oper Neurosurg (Hagerstown). 2020 Apr 07. PMID: 32259253.
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    35. Hines K, Stricsek G, Mahtabfar A, Prasad S, Jallo J, Sharan A, Heller J, Boon M, Huntley C, Spiegel J, Harrop J. The Role of Cricopharyngeal Myotomy After Anterior Cervical Decompression and Fusion Operations. World Neurosurg. 2020 Feb 06. PMID: 32036068.
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    36. Heller JE, Stricsek G, Thaete L. HSV-Encephalitis Reactivation after Cervical Spine Surgery. Case Rep Surg. 2019; 2019:2065716. PMID: 31093411.
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    37. Luksanapruksa P, Millhouse PW, Carlson V, Ariyawatkul T, Heller J, Kepler CK. Comparison of Surgical Outcomes of the Posterior and Combined Approaches for Repair of Cervical Fractures in Ankylosing Spondylitis. Asian Spine J. 2019 Feb 13. PMID: 30744306.
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    38. Stricsek G, Iorio J, Mosley Y, Prasad S, Heller J, Jallo J, Shahrokh S, Harrop JS. Etiology and Surgical Management of Cervical Spinal Epidural Abscess (SEA):: A Systematic Review. Global Spine J. 2018 Dec; 8(4 Suppl):59S-67S. PMID: 30574440.
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    39. Boody B, Lucasti CJ, Schroeder GD, Heller JE, Vaccaro AR. Extradural Arachnoid Cyst Excision. Clin Spine Surg. 2018 Mar 23. PMID: 29578874.
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    40. Ghobrial GM, Maulucci CM, Viereck MJ, Beygi S, Chitale A, Prasad S, Jallo J, Heller J, Sharan AD, Harrop JS. Suture Choice in Lumbar Dural Closure Contributes to Variation in Leak Pressures: Experimental Model. Clin Spine Surg. 2017 Jul; 30(6):272-275. PMID: 28632550.
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    41. Pintauro M, Duffy A, Vahedi P, Rymarczuk G, Heller J. Interspinous implants: are the new implants better than the last generation? A review. Curr Rev Musculoskelet Med. 2017 Jun; 10(2):189-198. PMID: 28332140.
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    42. Ghobrial GM, Al-Saiegh F, Franco D, Heller J. Fluoroscopic Confirmation of Sacral Pedicle Screw Placement Utilizing Pelvic Inlet and Outlet Technique: Technical Note. Clin Spine Surg. 2017 05; 30(4):150-155. PMID: 27977441.
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    43. Ghobrial GM, Heller J, Cataldo D, Kepler CK. Is An Isolated Intervertebral Disk With Significant Degeneration Magnetic Resonance Imaging A Cause of Low Back Pain That Requires No Confirmatory Diagnostic Tests? Clin Spine Surg. 2017 May; 30(4):139-141. PMID: 28437328.
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    44. Ghobrial GM, Franco D, Theofanis T, Margiotta PJ, Andrews E, Wilson JR, Harrop JS, Heller JE. Cervical Spondylodiscitis: Presentation, Timing, and Surgical Management in 59 Patients. World Neurosurg. 2017 Jul; 103:664-670. PMID: 28457929.
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    45. Ghobrial GM, Al-Saiegh F, Franco D, Benito D, Heller J. Lateral lumbar retroperitoneal transpsoas approach in the setting of spondylodiscitis: A technical note. J Clin Neurosci. 2017 May; 39:193-198. PMID: 28159488.
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    46. Schmidt RF, Casey JP, Gandhe AR, Curtis MT, Heller JE. Teratoma of the spinal cord in an adult: Report of a rare case and review of the literature. J Clin Neurosci. 2016 Nov 1. PMID: 27815027.
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    47. Schmitt PJ, Kelleher JP, Ailon T, Heller JE, Kasliwal MK, Shaffrey CI, Smith JS. Long-Segment Fusion for Adult Spinal Deformity Correction Using Low-Dose Recombinant Human Bone Morphogenetic Protein-2: A Retrospective Review of Fusion Rates. Neurosurgery. 2016 Aug; 79(2):212-21. PMID: 26702838.
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    48. D'Souza JN, Luginbuhl AJ, Goldman RA, Heller JE, Curry JM, Cognetti DM. Cervical Spine Spondylodiscitis After Esophageal Dilation in Patients With a History of Laryngectomy or Pharyngectomy and Pharyngeal Irradiation. JAMA Otolaryngol Head Neck Surg. 2016 May 1; 142(5):467-71. PMID: 27010455.
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    49. Dillard-Cannon E, Atsina KB, Ghobrial G, Gnass E, Curtis MT, Heller J. Lumbar paraganglioma. J Clin Neurosci. 2016 Aug; 30:149-51. PMID: 27032749.
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    50. Hollern D, Shafi K, Miller A, Woods B, Heller J, Vaccaro A. C1 Lateral Mass Screw Migration Causing a Delayed Unilateral Hypoglossal Nerve Lesion: A Case Report. JBJS Case Connect. 2016 Jan-Mar; 6(1):e15. PMID: 29252721.
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    51. Ghobrial GM, Viereck MJ, Margiotta PJ, Beygi S, Maulucci CM, Heller JE, Vaccaro AR, Harrop JS. Surgical Management in 40 Consecutive Patients With Cervical Spinal Epidural Abscesses: Shifting Toward Circumferential Treatment. Spine (Phila Pa 1976). 2015 Sep 1; 40(17):E949-53. PMID: 25893350.
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    52. Cannarsa G, Clark SW, Chalouhi N, Zanaty M, Heller J. Hemorrhagic lumbar synovial cyst: case report and literature review. Nagoya J Med Sci. 2015 Aug; 77(3):481-92. PMID: 26412895.
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    53. Ghobrial GM, Beygi S, Viereck MJ, Heller JE, Sharan A, Jallo J, Harrop JS, Prasad S. C-5 palsy after cerebrospinal fluid diversion in posttraumatic syringomyelia: case report. J Neurosurg Spine. 2015 Apr; 22(4):394-8. PMID: 25658467.
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    54. Ayad M, Whisenhunt A, Hong E, Heller J, Salvatore D, Abai B, DiMuzio PJ. Posterior tibial vein aneurysm presenting as tarsal tunnel syndrome. Vascular. 2015 Jun; 23(3):322-6. PMID: 25199522.
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    55. Ghobrial GM, Beygi S, Viereck MJ, Maulucci CM, Sharan A, Heller J, Jallo J, Prasad S, Harrop JS. Timing in the surgical evacuation of spinal epidural abscesses. Neurosurg Focus. 2014 Aug; 37(2):E1. PMID: 25081958.
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    56. Ghobrial GM, Amenta PS, Maltenfort M, Williams KA, Harrop JS, Sharan A, Jallo J, Heller J, Ratliff J, Prasad S. Longitudinal incidence and concurrence rates for traumatic brain injury and spine injury - A twenty year analysis. Clin Neurol Neurosurg. 2014 Aug; 123:174-80. PMID: 24973569.
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    57. Hann S, Chalouhi N, Madineni R, Vaccaro AR, Albert TJ, Harrop J, Heller JE. An algorithmic strategy for selecting a surgical approach in cervical deformity correction. Neurosurg Focus. 2014 May; 36(5):E5. PMID: 24785487.
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    58. Ghobrial GM, Thakkar V, Andrews E, Lang M, Chitale A, Oppenlander ME, Maulucci CM, Sharan AD, Heller J, Harrop JS, Jallo J, Prasad S. Intraoperative vancomycin use in spinal surgery: single institution experience and microbial trends. Spine (Phila Pa 1976). 2014 Apr 1; 39(7):550-5. PMID: 24480966.
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    59. Verma K, Crothers T, Neuman B, Vaccaro A, Heller J. Intradural Extramedullary Spinal Tuberculosis Diagnosed Eight Years After Treatment of the Primary Infection: A Case Report. JBJS Case Connect. 2013 Oct 23; 3(4 Suppl 2):e1021-4. PMID: 29252257.
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    60. Cho W, Mason JR, Smith JS, Shimer AL, Wilson AS, Shaffrey CI, Shen FH, Novicoff WM, Fu KM, Heller JE, Arlet V. Failure of lumbopelvic fixation after long construct fusions in patients with adult spinal deformity: clinical and radiographic risk factors: clinical article. J Neurosurg Spine. 2013 Oct; 19(4):445-53. PMID: 23909551.
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    61. Groff MW, Heller JE, Potts EA, Mummaneni PV, Shaffrey CI, Smith JS. A survey-based study of wrong-level lumbar spine surgery: the scope of the problem and current practices in place to help avoid these errors. World Neurosurg. 2013 Mar-Apr; 79(3-4):585-92. PMID: 22480979.
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    62. Adhikary S, Li H, Heller J, Skarica M, Zhang M, Ganea D, Tuma RF. Modulation of inflammatory responses by a cannabinoid-2-selective agonist after spinal cord injury. J Neurotrauma. 2011 Dec; 28(12):2417-27. PMID: 21970496.
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    63. Heller JE, Baty DE, Zhang M, Li H, Adler M, Ganea D, Gaughan J, Loftus CM, Jallo JI, Tuma RF. The combination of selective inhibition of the cannabinoid CB1 receptor and activation of the cannabinoid CB2 receptor yields improved attenuation of motor and autonomic deficits in a mouse model of spinal cord injury. Clin Neurosurg. 2009; 56:84-92. PMID: 20214038.
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    64. Baron EM, Levene HB, Heller JE, Jallo JI, Loftus CM, Dominique DA. Neuroendoscopy for spinal disorders: a brief review. Neurosurg Focus. 2005 Dec 15; 19(6):E5. PMID: 16398482.
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    65. McGinley JC, Heller JE, Fertala A, Gaughan JP, Kozin SH. Biochemical composition and histologic structure of the forearm interosseous membrane. J Hand Surg Am. 2003 May; 28(3):503-10. PMID: 12772112.
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