Spine Dragon site logo: Michael J H McCarthy, Consultant Spinal Surgeon

Research Experience

AO Spine Fellow Brisbane, Australia 2010/11

A one year post working at the world renowned AO Spine Reference Centre in Brisbane, Australia. My main research projects were:

  1. Complications Of The Use Of BMP In A Single Surgeon Cohort Of 300 Patients: RhBMP2 Versus RhBMP7 A Survivorship Analysis In Lumbar Spinal Surgery
  2. A Radiological Analysis of Early Failure of Cervical Fixation for Trauma in the Subaxial Cervical Spine

MSc Orthopaedic Engineering with Distinction (Cardiff University)

A Biomechanical Comparison of the Synthes Dynamic Hip Screw, Dynamic Helical Hip Screw, Proximal Femoral Nail Antirotation (PFNA) and the Stryker Gamma 3 Lag Screws. Supervised by Professor T. Miles and Mr J. Keenan. Centre for Orthopaedic Biomechanics, Department of Mechanical Engineering, Bath University (2008).

Specialist Registrar Trauma and Orthopaedics

I set up the trial entitled: A Prospective Randomised Controlled Trial Of The Dynamic Hip Screw Versus The Dynamic Helical Hip Screw (DVD Trial). I gained experience in submitting and attaining full ethical approval from the UK REC. Synthes Ltd agreed to fund the trial by providing the surgical equipment, the new implants (at the same cost as the standard ones) and meeting the cost of follow up appointments and X-Rays for each patient (circa £200,000).

Clinical Research Fellow In Spinal Surgery

This was a one year post in the world renowned Department of Spinal Surgery and Studies at the Queens Medical Centre, Nottingham (February 2004-5). The on call commitment included cover of the neurosurgical wards. I was actively involved in the following research:

  1. Cauda Equina Syndrome:
    1. A study of the long term neurological and urological outcomes and
    2. MRI measurements reproducibility and prediction of clinical outcome.
  2. Comparison of the Neck Disability Index and the SF36 Health Questionnaires.
  3. The Injured Spine: A chapter in “An Introduction to Spinal Surgery” (AO publishing).
  4. Vertebroplasty – a review.
  5. A study of the long term outcome of infected spinal instrumentation left in-situ.
  6. The use of Low Intensity Pulsed Ultrasound in patients with neck pain.

Completed Bachelor of Medical Sciences

The bilateral effects of neonatal capsaicin treatment on the number and mean cell volume of neurones in the tenth thoracic dorsal root ganglion of the rat: a stereological study. Supervised by Dr. C. Kent and Professor T. Mayhew. Department of Human Anatomy and Cell Biology, School of Biomedical Sciences, Queens Medical Centre, Nottingham (July 1996 – March 1997).

Current Research Interests

Spinal surgery outcomes

Implant biomechanics

Basic science research

Medical Student Special Study Modules

Lumbar Facet Joint Cysts: Investigating Demographics And Evaluating Management Within CVUHB – A Retrospective Case Series

An Analysis Of Pedicle Screw Placement And Subsequent Return To Theatre: Was The Intraoperative Imaging Adequate?

Patient Outcomes Following The Use Of Methylprednisolone Acetate 40mg Particulate Steroid Versus Dexamethasone 3.3m/6.6mg Non-Particulate Steroid In Foraminal Epidural Injections For The Management Of Radicular Pain Due To Disc Prolapse

Symptomatic Post-Operative Spinal Subdural Extra-Arachnoid Hygromas: Resolution With Conservative Management

Septic Arthritis Of The Costovertebral Joint: A Unique Case Presenting As Renal Colic

An Audit Of Elective Outpatient Spinal Surgery Referrals

Radiological Evaluation Of Fusion Rates, Cervical Alignment And Postoperative Swelling Following Anterior Cervical Discectomy And Fusion Involving Either A Standalone Anchored Cage Construct Or Cage And Plate Combination

Do Lumbar Facet Joint Injections Provide Symptom Relief For Low Back Pain And Does This Relate To Patient Recorded Outcome Measures? – A Single Surgeon Cohort

Do Preoperative Depression And Anxiety Predict Outcomes Of Lumbar Spinal Surgery?

A Comparison Of (1) MRI Muscle Fat Content In Psoas And Erector Spinae Muscles And (2) Patient Reported Outcome Measures In Patients With Lumbar Degenerative Disc Disease, L4/5 Degenerative Spondylolisthesis And L5/S1 Lytic Spondylolisthesis