Practice Experience

2005 ORTHOPEDIC SPECIALISTS PORTLAND, OR
• Partner with Drs. Wyman, Montgomery, and Wagner at Portland Providence Hospital.

Education

2005 UNIVERSITY OF WASHINGTON/HARBORVIEW SEATTLE, WA
• Six month spine fellowship with Drs. Wagner, Chapman, Bellabarba, and Mirza.

2004-2005 SWEDISH HOSPITAL SEATTLE, WA
• Six month spine fellowship with Seattle Spine Group; Drs. Leung, Garr, and J.Williams.

1999-2004 UNIVERSITY OF CALIFORNIA DAVIS SACRAMENTO, CA
• Resident physician in orthopaedic surgery

1995-1999 TUFTS UNIVERSITY SCHOOL OF MEDICINE BOSTON, MA
• M.D. Alpha Omega Alpha

1994-1995 TUFTS UNIVERSITY MEDFORD, MA
• Master of Science, Chemistry

1990-1994 TUFTS UNIVERSITY MEDFORD, MA
• Bachelor of Science, cum laude in Chemistry, Dean's List

Research Experience

2005 UNIVERSITY OF WASHINGTON SEATTLE, WA
• A new method to determine a lumbar spinal level intraoperatively was investigated. A MRI can be marked preoperatively to identify the level of the iliac crests with respect to the lumbar discs. Intraoperatively, the average height of the iliac crests when seen on a lateral x-ray was found to be located at the same disc level regardless of patient anatomy or x-ray technique. By correlating the preoperatively marked MRI with the average intercrest point seen on x-ray, wrong level lumbar spine surgery can be avoided.

2003 UC DAVIS MEDICAL CENTER SACRAMENTO, CA
• The modes of failure and indications for intervention of Less Invasive Stabilization System (LISS) plates applied for distal femoral fractures were reviewed. Two modes of failure exist: plate breakage and pull-off of the plate from the femur. Further controlled studies on the outcomes of LISS plates are needed.

2002-2003 UC DAVIS MEDICAL CENTER SACRAMENTO, CA
• The results of 46 patients who underwent anterior spinal fusion with BAK cage placement by a single surgeon were evaluated to determine the results of the procedure. At least a 22% revision rate and 22% complication rate were found. 55% of patients had a poor outcome using Prolo scores and 57% were at least severely disabled as measured by the Oswestry scoring system.

2001-2002 UC DAVIS MEDICAL CENTER SACRAMENTO, CA
• Outcome rating scales in foot and ankle surgery were examined to determine if any scales exist that are valid, reliable, and responsive. Currently, there is no outcome system for foot and ankle problems that is recognized as a gold-standard, proven to be reliable, valid, or responsive for a variety of foot problems.

1996-1997 NEW ENGLAND MEDICAL CENTER BOSTON, MA
• Survival, quality of life, and functional ability outcomes of chronically critically ill patients were studied. Between 1990 and 1996, over thirty-six million dollars were spent to care for 97 patients who spent at least 7 days in a New England Medical Center intensive care unit and were then directly discharged to an extended care facility. Within one year, only 11 patients returned home, spontaneously ventilating, with good functionality, and at least a fair quality of life.

Publications and Presentations

2005

• Button G, Wagner T, Alvine G, et al. A New Technique to Identify an Intra-operative Spinal Level and to Correlate the Level with MRI. E-poster presentation at 12th International Meeting on Advanced Spinal Techniques (IMAST) in Banff, Alberta, July 2005.

• Button G, Gupta M, Barrett C, et al. Three- to Six-year Follow-up of Stand-alone BAK Cages Implanted by a Single Surgeon. The Spine Journal 2005; 5(2):155-60.

2004

• Button G, Wolinsky P, Hak D. Failure of Less Invasive Stabilization System Plates in the Distal Femur: A Report of Four Cases. Journal of Orthopaedic Trauma 2004; 18(8): 565-570.

• Button G, Pinney S. A Meta-analysis of Outcome Rating Scales in Foot and Ankle Surgery: Is There a Valid, Reliable, and Responsive System? Foot and Ankle International 2004; 25(8): 521-525.

• Management of Open Fractures, Orthopaedic Nurses Association monthly meeting, Shriners Hospital, Sacramento, CA, June 2004

2003

• Management of Open Fractures, Trauma Multidisciplinary Conference, UC Davis Medical Center, Sacramento, CA, September 2003

• Button G, Gupta M, Barrett C, Cammack P, Benson D. 3 to 6-year Follow-up of Stand-alone BAK Cages Implanted by a Single Surgeon. Abstract and poster reviewed in Neurology Reviews 2003 11(12):23-24.

• Button G, Gupta M, Barrett C, Cammack P, Benson D. 3 to 6-year Follow-up of Stand-alone BAK Cages Implanted by a Single Surgeon. Poster presentation at North American Spine Society annual meeting in San Diego, CA, October 2003. The Spine Journal 2003; 3(5S): 125.

• Button G, Gupta M, Barrett C, Cammack P, Benson D. 3 to 6-year Follow-up of Stand-alone BAK Cages Implanted by a Single Surgeon. Podium and poster presentations at Western Orthopaedic Association meeting in San Antonio, TX, October 2003.

• Button G, Wolinsky P, Hak D. Modes of Failure of Less Invasive Stabilization System (LISS) Plates. Podium presentation at Western Orthopaedic Association annual meeting in San Antonio, TX, October 2003.

• Button G, Gupta M, Barrett C, Cammack P, Benson D. 3 to 6-year Follow-up of Stand-alone BAK Cages Implanted by a Single Surgeon. Poster presentation at Scoliosis Research Society annual meeting in Montreal, Quebec, September 2003.

2002

• Button G, Pinney S. A Meta-analysis of Outcome Rating Scales in Foot and Ankle Surgery: Is there a Valid, Reliable, and Responsive System? Podium presentation given at Western Orthopaedic Association annual meeting in Maui, HI, August 2002.

2000

• Nasraway SA, Button G, Rand W, Hudson-Jinks T, Gustafson M. Survivors of Catastrophic Illness: Outcome after Direct Transfer from Intensive Care to Extended Care Facilities. Critical Care Medicine 2000; 28: 19-25.

1997

• Direct Transfer of Chronically Critically Ill Patients from Intensive Care Units to Extended Care Facilities: Outcomes and Costs, Surgical Grand Rounds, Newton Wellsley Hospital, Newton, MA, November 1997.

• Button G, Rand W, Nasraway SA. Direct Transfer of Chronically Critically Ill Patients from Intensive Care Units to Extended Care Facilities: Outcomes and Costs. Chest 112(3): 16S. Presented at American College of Chest Physicians Meeting, New Orleans, LA, October 1997.

• Outcomes in Intensive Care, Surgical Grand Rounds, Good Samaritan Hospital, Brockton, MA, August 1997.

Teaching Experience

2005 UNIVERSITY OF WASHINGTON SEATTLE, WA
• Fellow in spine surgery teaching residents
1999-2004 UC DAVIS MEDICAL CENTER SACRAMENTO, CA
• Resident physician teaching orthopaedics to rotating medical students
1994-1995 TUFTS UNIVERSITY MEDFORD, MA
• Teaching assistant in chemistry

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