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» Authors » Alvaro Dowling

Alvaro Dowling

Explore the profile of Alvaro Dowling including associated specialties, affiliations and a list of published articles. Areas
Snapshot
Articles 23
Citations 150
Followers 0
Related Specialties
Neurology
Orthopedics
Top 10 Co-Authors
Kai-Uwe Lewandrowski
Jorge Felipe Ramirez Leon
Anthony Yeung
Paulo Sergio Teixeira de Carvalho
Morgan P Lorio
Stefan Hellinger
Rossano Kepler Alvim Fiorelli
Albert E Telfeian
Zhang Xifeng
Ivo Abraham
Published In
Int J Spine Surg
J Pers Med
J Spine Surg
Clin Neurol Neurosurg
Rev Bras Ortop (Sao Paulo)
Affiliations
Soon will be listed here.
Recent Articles
1.
Endoscopic transfacet Decompression for Severe Lumbar Spinal Stenosis: A Technical Note, Illustrative Clinical Series, and Surgeon Survey Regarding Post-Decompression Instability
Lewandrowski K, Dowling A, Kim C, Kwon B, Ongulade J, Ito K, et al.
J Pers Med . 2025 Feb; 15(2). PMID: 39997330
: Lumbar spinal stenosis (LSS) remains a predominant cause of debilitating back and leg pain, affecting many aging populations. Traditional decompression surgeries can be invasive and pose significant risks and...
2.
Insights on High-Value Procedures From the ISASS 4-Part Webinar Series on Current and Emerging Techniques in Endoscopic Spine Surgery Based on Surgeon Experience
Lewandrowski K, Li Z, Liu X, Xifeng Z, Kwon B, Dowling A, et al.
Int J Spine Surg . 2024 Nov; 18(S2):S66-S82. PMID: 39547675
Background: The authors conducted a comprehensive review and integration of insights from 4 webinars hosted by the International Society for the Advancement of Spine Surgery (ISASS) to arrive at recommendations...
3.
Insights From the ISASS Webinar Series on Current and Emerging Techniques in Endoscopic Spine Surgery | Part 1: Polytomous Rasch Analysis of Surgeon Endorsement of Endoscopic Discectomy/Foraminotomy, Interbody Fusion, and Importance of Patient...
Lewandrowski K, de Carvalho P, Dowling A, Li Z, Knight M, Lorio M
Int J Spine Surg . 2024 Nov; 18(S2):S10-S22. PMID: 39500596
Background: The International Society for the Advancement of Spine Surgery hosted the first of a series of 4 webinars on endoscopic spine surgery techniques, focusing on end§oscopic discectomy, foraminotomy, instrumented...
4.
Comparative Analysis of Learning Curve, Complexity, Psychological Stress, and Work Relative Value Units for CPT 62380 Endoscopic Lumbar Spinal Decompression vs Traditional Lumbar Spine Surgeries: A Paired Rasch Survey Study
Lewandrowski K, Alfaro Pachicano H, Fiorelli R, Elfar J, Landgraeber S, Oertel J, et al.
Int J Spine Surg . 2024 Apr; 18(2):138-151. PMID: 38677780
Background: Effective 1 January 2017, single-level endoscopic lumbar discectomy received a Category I Current Procedural Terminology (CPT) code 62380. However, no work relative value units (RVUs) are currently assigned to...
5.
Polytomous Rasch Analyses of Surgeons' Decision-Making on Choice of Procedure in Endoscopic Lumbar Spinal Stenosis Decompression Surgeries
Lewandrowski K, Fiorelli R, Pereira M, Abraham I, Alfaro Pachicano H, Elfar J, et al.
Int J Spine Surg . 2024 Apr; 18(2):164-177. PMID: 38677779
Background: With the growing prevalence of lumbar spinal stenosis, endoscopic surgery, which incorporates techniques such as transforaminal, interlaminar, and unilateral biportal (UBE) endoscopy, is increasingly considered. However, the patient selection...
6.
Randomized Clinical Trials and Observational Tribulations: Providing Clinical Evidence for Personalized Surgical Pain Management Care Models
Abraham I, Lewandrowski K, Elfar J, Li Z, Fiorelli R, Pereira M, et al.
J Pers Med . 2023 Jul; 13(7). PMID: 37511657
Proving clinical superiority of personalized care models in interventional and surgical pain management is challenging. The apparent difficulties may arise from the inability to standardize complex surgical procedures that often...
7.
Durotomy- and Irrigation-Related Serious Adverse Events During Spinal Endoscopy: Illustrative Case Series and International Surgeon Survey
Vargas R, Hagel V, Xifeng Z, Yang H, Leon J, Lorio M, et al.
Int J Spine Surg . 2023 Jun; 17(3):387-398. PMID: 37315993
Background: Durotomy during endoscopic spine surgery can cause a patient's neurological or cardiovascular status to deteriorate unexpectedly intra- or postoperatively. There is currently limited literature regarding appropriate fluid management strategies,...
8.
The Changing Environment in Postgraduate Education in Orthopedic Surgery and Neurosurgery and Its Impact on Technology-Driven Targeted Interventional and Surgical Pain Management: Perspectives from Europe, Latin America, Asia, and The United States
Lewandrowski K, Elfar J, Li Z, Burkhardt B, Lorio M, Winkler P, et al.
J Pers Med . 2023 May; 13(5). PMID: 37241022
Personalized care models are dominating modern medicine. These models are rooted in teaching future physicians the skill set to keep up with innovation. In orthopedic surgery and neurosurgery, education is...
9.
Personalized Interventional Surgery of the Lumbar Spine: A Perspective on Minimally Invasive and Neuroendoscopic Decompression for Spinal Stenosis
Lewandrowski K, Yeung A, Lorio M, Yang H, Leon J, Soriano Sanchez J, et al.
J Pers Med . 2023 May; 13(5). PMID: 37240880
Pain generator-based lumbar spinal decompression surgery is the backbone of modern spine care. In contrast to traditional image-based medical necessity criteria for spinal surgery, assessing the severity of neural element...
10.
Pain Relief After Allogenic Stem Cell Disc Therapy
Lewandrowski K, Dowling A, Vera J, Leon J, Telfeian A, Lorio M
Pain Physician . 2023 Mar; 26(2):197-206. PMID: 36988365
Background: Treatment of intermediate-stage painful degenerative disc disease is controversial, with few reliable options. Allogenic mesenchymal stem cells (MSCs)are an alternative to autologous stem cell transplantation. Allogeneic MSCs in the...