Meet Dr. Salam

Aleya Salam, MD

About Aleya Salam, MD

When it comes to treatment, Dr. Aleya Salam gets to know the whole patient before making any decisions. As an expert in minimally invasive spine care, she often looks for ways to treat patients without the use of invasive surgery. When she initially meets patients , Dr. Aleya Salam takes the time to listen to their concerns and expectations, making sure she understands the patient’s full medical history when it comes to their specific orthopaedic concerns. From veterans to athletes, Dr. Salam wants to see everyone regain their full mobility.

Expertise

Education

  • Medical College: King Edward Medical College
  • Residency: UMDNJ/Kessler Institute of Physical Medicine & Rehabilitation

Fellowship

  • University of Pennsylvania – Interventional Spine

Post Doctorate Research Fellowships

  • Massachusetts General Hospital/Harvard – “Pulmonary Critical Care”
  • UCLA – “Role of infectious agents in autism”

Board Certification

  • American Board of Physical Medicine & Rehabilitation

Memberships

  • American Academy of Physical Medicine & Rehabilitation (AAPM&R)
  • New Jersey Society for Pain Management & Rehabilitation
  • North American Spine Society (NASS)
  • Spine Interventional Society (SIS)

Procedures Offered:

  • Non Surgical Spinal Procedures:
  • Herniated Disc In Neck and Back
  • Cervical Injections
  • Thoracic Injections
  • Lumbar Injections
  • Facet Joint Inflammation
  • Radiofrequency Ablation/Rhizotomy
  • Percutaneous Disc Decompression
  • Vertebral Compression Fractures
  • Lumbar Discogram
  • Electromyography (EMG)
  • Sacroiliac Joint Injections
  • Trigger Point Injections
  • Spinal Cord Stimulation
  • Peripheral Nerve Stimulation
  • Piriformis Syndrome II
  • Non-Surgical Orthopaedics

Percutaneous Lumbar Disc Decompression Using the Dekompressor: A Prospective Long-Term Outcome Study

Authors

  • Zachary L. McCormick, MD*,
  • Curtis Slipman, MD†,
  • Ashot Kotcharian, MD‡,
  • Akhil Chhatre, MD§,
  • Frank J Bender III, MD¶,
  • Aleya Salam, MD‖,
  • Serge Menkin, MD‖|,
  • David J Kennedy, MD** and
  • Christopher Plastaras, MD‡

*Department of PM&R, Northwestern Feinberg School of Medicine/the Rehabilitation Institute of Chicago, Chicago, Illinois;
†No Institutional Affiliation, Miami, Florida;
‡Department of PM&R, University of Pennsylvania, Philadelphia, Pennsylvania;
§Department of PM&R, Johns Hopkins University, Baltimore, Maryland;
¶No Institutional Affiliation, Springfield, Illinois;
‖Hunterdon Orthopedic Institute, Flemington, New Jersey;
‖|Center for Joint and Spine Relief, Jersey City, New Jersey;
**Department of Orthopaedics, Stanford University, Palo Alto, California, USA

Correspondence to: Zack L. McCormick, MD, Department of Physical Medicine and Rehabilitation, Rehabilitation Institute of Chicago, Northwestern University, Chicago, IL, USA. Tel: 312-695-2500; Fax: 312-695-9013; E-mail: zmccormi@gmail.com.

Abstract

Background Data. Few studies have investigated the long-term efficacy of percutaneous lumbar disc decompression (PLDD) with Dekompressor (Stryker, Kalamazoo, MI) for discogenic radicular pain that has failed conservative management.
Objective. Determine long-term outcomes of Dekompressor PLDD for discogenic radicular pain.
Methods. Prospective cohort study at a tertiary academic spine center of consecutive patients (12/2004–11/2005) with discogenic lumbosacral radicular pain who underwent PLDD with Dekompressor. Numerical Rating Scale (NRS) leg pain score and Oswestry Disability Index (ODI) score data were collected at 6 months and 1 year. These two measures, 5-point Likert scale patient satisfaction, and surgical rate data were collected at 8 years.
Results. Seventy patients underwent PLDD. Forty and 25 patients were successfully contacted at 1-year and 8-year follow-up, respectively. Using intention to treat analysis, at 1 year and 8 years, NRS leg pain scores were reduced >50% in 47% (95% confidence interval [CI] 35%, 59%) and 29% (95% confidence interval [CI] 18%, 40%) of patients, respectively; ODI score improved >30% in 43% (CI 32%, 55%) and 26% (CI 19%, 41%) of patients, respectively. Of the patients who followed up at 8 years, 36% (CI 17%, 55%) had undergone surgery and the median satisfaction was “4” (interquartile range 2,5).
Conclusions. While limited by loss-to-follow-up, this study suggests that treatment of discogenic lumbosacral radicular pain with Dekompressor results in decreased leg pain and disability and favorable satisfaction at long-term follow-up. Further study with adequate follow-up retention is needed to confirm that Dekompressor spares open spinal surgery.
Key words

Low Back Pain Radiculopathy Discectomy Percutaneous Intervertebral Disc Outcome Assessment (Health Care)
© 2016 American Academy of Pain Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com

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