Lionel Metz, MD

Title(s)Associate Professor, Orthopaedic Surgery
SchoolSchool of Medicine
Address500 Parnassus Avenue
San Francisco CA 94117
Phone415-514-6098
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    Collapse Biography 
    Collapse Education and Training
    University of California, Davis, Davis, CaBS2002Biochemistry and Molecular Biology
    University of California, San Francisco, San Francisco, CaMD2008Doctor of Medicine
    University of California, San Francisco, San Francisco, Ca Orthopaedic Surgery Residency2014Orthopaedic Residency
    Washington University School of Medicine , St Louis, MOSpine Surgery Fellowship2015Orthopaedic Spine
    University of California, San Francisco, CA2019Diversity, Equity, and Inclusion Champion Training

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    Collapse Bibliographic 
    Collapse Publications
    Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Researchers can login to make corrections and additions, or contact us for help. to make corrections and additions.
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    Altmetrics Details PMC Citations indicate the number of times the publication was cited by articles in PubMed Central, and the Altmetric score represents citations in news articles and social media. (Note that publications are often cited in additional ways that are not shown here.) Fields are based on how the National Library of Medicine (NLM) classifies the publication's journal and might not represent the specific topic of the publication. Translation tags are based on the publication type and the MeSH terms NLM assigns to the publication. Some publications (especially newer ones and publications not in PubMed) might not yet be assigned Field or Translation tags.) Click a Field or Translation tag to filter the publications.
    1. The Reliability of a Grading System for Digital Subtraction Imaging Quality During Cervical Transforaminal Epidural Steroid Injection. Pain Med. 2020 11 01; 21(11):3126-3132. Binler D, House LM, Mattie R, Saltychev M, Nagao M, Pekmeczi M, Metz L, O'Neil C, Shah V, McCormick ZL. PMID: 32167547.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    2. 55. Ending opioid addiction following spine surgery. The Spine Journal. 2019 Sep 1; 19(9):s27-s28. Sina Pourtaheri, Lionel N. Metz, Emmanuel N. Menga. .
      View in: Publisher Site   Mentions:
    3. Cervical Laminoplasty. Degenerative Cervical Myelopathy and Radiculopathy. 2019 Jan 1; 207-220. Lionel N. Metz, Grigoriy Arutyunyan, Deeptee Jain, Lee A. Tan, K. Daniel Riew. .
      View in: Publisher Site   Mentions:
    4. Current Concepts in Orthopaedic Care Disparities. J Am Acad Orthop Surg. 2018 Dec 01; 26(23):823-832. Pandya NK, Wustrack R, Metz L, Ward D. PMID: 30180094.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans
    5. Topical tranexamic acid in spinal surgery: A systematic review and meta-analysis. J Clin Neurosci. 2019 Mar; 61:114-119. Yerneni K, Burke JF, Tuchman A, Li XJ, Metz LN, Lehman RA, Lenke LG, Tan LA. PMID: 30401569.
      View in: PubMed   Mentions: 5     Fields:    Translation:Humans
    6. Preventing Pseudoarthrosis and Proximal Junctional Kyphosis: How to Deal with the Osteoporotic Spine. Neurosurg Clin N Am. 2018 Jul; 29(3):365-374. Karikari IO, Metz LN. PMID: 29933804.
      View in: PubMed   Mentions: 3     Fields:    Translation:Humans
    7. Hypoalbuminemia Is Associated With Septic Revisions After Primary Surgery and Postoperative Infection After Revision Surgery. Spine (Phila Pa 1976). 2018 03 15; 43(6):454-460. Khanna K, Yi PH, Sing DC, Geiger E, Metz LN. PMID: 29016434.
      View in: PubMed   Mentions: 4     Fields:    Translation:Humans
    8. Contributions of Material Properties and Structure to Increased Bone Fragility for a Given Bone Mass in the UCD-T2DM Rat Model of Type 2 Diabetes. J Bone Miner Res. 2018 06; 33(6):1066-1075. Acevedo C, Sylvia M, Schaible E, Graham JL, Stanhope KL, Metz LN, Gludovatz B, Schwartz AV, Ritchie RO, Alliston TN, Havel PJ, Fields AJ. PMID: 29342321.
      View in: PubMed   Mentions: 15     Fields:    Translation:Animals
    9. Spine deformity surgery in the elderly: risk factors and 30-day outcomes are comparable in posterior versus combined approaches. Neurol Res. 2017 Dec; 39(12):1066-1072. Yue JK, Sing DC, Sharma S, Upadhyayula PS, Winkler EA, Shaw JD, Metz LN. PMID: 28925332.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    10. Machine Learning-Based Classification of 38 Years of Spine-Related Literature Into 100 Research Topics. Spine (Phila Pa 1976). 2017 Jun 01; 42(11):863-870. Sing DC, Metz LN, Dudli S. PMID: 28125523.
      View in: PubMed   Mentions: 4     Fields:    Translation:Humans
    11. Variations in Sagittal Alignment Parameters Based on Age: A Prospective Study of Asymptomatic Volunteers Using Full-Body Radiographs. Spine (Phila Pa 1976). 2016 Dec 01; 41(23):1826-1836. Iyer S, Lenke LG, Nemani VM, Albert TJ, Sides BA, Metz LN, Cunningham ME, Kim HJ. PMID: 27111763.
      View in: PubMed   Mentions: 19     Fields:    Translation:Humans
    12. Variations in Occipitocervical and Cervicothoracic Alignment Parameters Based on Age: A Prospective Study of Asymptomatic Volunteers Using Full-Body Radiographs. Spine (Phila Pa 1976). 2016 Dec 01; 41(23):1837-1844. Iyer S, Lenke LG, Nemani VM, Fu M, Shifflett GD, Albert TJ, Sides BA, Metz LN, Cunningham ME, Kim HJ. PMID: 27116113.
      View in: PubMed   Mentions: 16     Fields:    Translation:Humans
    13. Increase in spinal deformity surgery in patients age 60 and older is not associated with increased complications. Spine J. 2017 05; 17(5):627-635. Sing DC, Berven SH, Burch S, Metz LN. PMID: 27884745.
      View in: PubMed   Mentions: 5     Fields:    Translation:Humans
    14. Baseline Patient-Reported Outcomes Correlate Weakly With Radiographic Parameters: A Multicenter, Prospective NIH Adult Symptomatic Lumbar Scoliosis Study of 286 Patients. Spine (Phila Pa 1976). 2016 Nov 15; 41(22):1701-1708. Chapman TM, Baldus CR, Lurie JD, Glassman SD, Schwab FJ, Shaffrey CI, Lafage V, Boachie-Adjei O, Kim HJ, Smith JS, Crawford CH, Lenke LG, Buchowski JM, Edwards C, Koski T, Parent S, Lewis S, Kang DG, McClendon J, Metz L, Zebala LP, Kelly MP, Spratt KF, Bridwell KH. PMID: 27831984.
      View in: PubMed   Mentions: 5     Fields:    Translation:Humans
    15. 227 Validation of the Orthopedic Perioperative Effective Risk Assessment Score in Posterolateral Spinal Fusion. The Spine Journal. 2016 Oct 1; 16(10):s328. David Sing, Lionel N. Metz. .
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    16. P41 Does Malnutrition Predict Infection after Revision Spine Surgery?. The Spine Journal. 2016 Oct 1; 16(10):s268. Paul Yi, David Sing, Lionel N. Metz. .
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    17. P126 Increase in Spinal Deformity Patients in Patients Age 60 and Over is Not Associated with Increased Complications. The Spine Journal. 2016 Oct 1; 16(10):s347. David Sing, Sigurd H. Berven, Shane Burch, Lionel N. Metz. .
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    18. Increasing Rates of Surgical Management of Multilevel Spinal Curvature in Elderly Patients. Spine Deform. 2016 09; 4(5):365-372. Sing DC, Khanna R, Shaw JD, Metz LN, Burch S, Berven SH. PMID: 27927494.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    19. Obesity Is an Independent Risk Factor of Early Complications After Revision Spine Surgery. Spine (Phila Pa 1976). 2016 May; 41(10):E632-40. Sing DC, Yue JK, Metz LN, Winkler EA, Zhang WR, Burch S, Berven SH. PMID: 26641848.
      View in: PubMed   Mentions: 5     Fields:    Translation:Humans
    20. Alterations in Intervertebral Disc Composition, Matrix Homeostasis and Biomechanical Behavior in the UCD-T2DM Rat Model of Type 2 Diabetes. The Spine Journal. 2015 Oct 1; 15(10):s142-s143. Aaron J. Fields, Britta Berg-Johansen, Lionel N. Metz, Stephanie Miller, Brandan La, Ellen C. Liebenberg, Dezba G. Coughlin, James L. Graham, Kimber L. Stanhope, Peter J. Havel, Jeffrey C. Lotz. .
      View in: Publisher Site   Mentions:
    21. Can S2-Alar-Iliac (S2AI) Screws Be Placed Accurately without Fluoroscopy?. The Spine Journal. 2015 Oct 1; 15(10):s225-s226. Daniel G. Kang, Jacob M. Buchowski, Lawrence G. Lenke, Ronald A. Lehman, Todd M. Chapman, Panya Luksanapruksa, Jamal McClendon, Lionel N. Metz. .
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    22. Complications of Morbid Obesity in Total Joint Arthroplasty: Risk Stratification Based on BMI. J Arthroplasty. 2015 Sep; 30(9 Suppl):42-6. Ward DT, Metz LN, Horst PK, Kim HT, Kuo AC. PMID: 26117070.
      View in: PubMed   Mentions: 16     Fields:    Translation:Humans
    23. Alterations in intervertebral disc composition, matrix homeostasis and biomechanical behavior in the UCD-T2DM rat model of type 2 diabetes. J Orthop Res. 2015 May; 33(5):738-46. Fields AJ, Berg-Johansen B, Metz LN, Miller S, La B, Liebenberg EC, Coughlin DG, Graham JL, Stanhope KL, Havel PJ, Lotz JC. PMID: 25641259.
      View in: PubMed   Mentions: 28     Fields:    Translation:Animals
    24. Infectious and Inflammatory Diseases Affecting the Young Athlete’s Spine. Spinal Injuries and Conditions in Young Athletes. 2014 Jan 1; 181-198. Lionel N. Metz, Derek Thomas Ward, Aenor J. Sawyer. .
      View in: Publisher Site   Mentions:
    25. Effects of Type-2 Diabetes Mellitus on Intervertebral Disc Health in Rats. The Spine Journal. 2013 Sep 1; 13(9):s49-s50. Lionel N. Metz, Aaron J. Fields, Alberto F. Lovell, Britta Berg-Johansen, Morsi Khashan, James Graham, Peter Havel, Jeffrey C. Lotz. .
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    26. Does Diabetes Cause the Intervertebral Disc to Degenerate?. The Spine Journal. 2012 Sep 1; 12(9):s74-s75. Lionel N. Metz, Alberto F. Lovell, James Graham, Ellen Liebenberg, Peter Havel, Jeffrey C. Lotz. .
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    27. Infectious, inflammatory, and metabolic diseases affecting the athlete's spine. Clin Sports Med. 2012 Jul; 31(3):535-67. Metz LN, Wustrack R, Lovell AF, Sawyer AJ. PMID: 22658001.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans
    28. Porcine intervertebral disc repair using allogeneic juvenile articular chondrocytes or mesenchymal stem cells. Tissue Eng Part A. 2011 Dec; 17(23-24):3045-55. Acosta FL, Metz L, Adkisson HD, Liu J, Carruthers-Liebenberg E, Milliman C, Maloney M, Lotz JC. PMID: 21910592.
      View in: PubMed   Mentions: 46     Fields:    Translation:AnimalsCells
    29. Kapitel 1 Einführung in die bewegungserhaltende Chirurgie der Wirbelsäule. Bewegungserhaltende Wirbelsäulenchirurgie. 2011 Jan 1; (Project Guttenburg1841):1-84. Alvin H. McKenzie, Rajiv K. Sethi, Lionel N. Metz, David S. Bradford, Daniel R. Fassett, Shiveindra B. Jeyamohan, Alexander R. Vaccaro, Peter G. Whang, Boyle C. Cheng, William C. Welch, Nadim James Hallab, Markus Wimmer, Joshua J. Jacobs, James J. Yue, James P. Lawrence, Nader M. Habela, Paul C. McAfee, Ashish Sahai, Todd Alamin, Andrew P. White, David Hannallah, Alan S. Hilibrand. .
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    30. Autoren. Bewegungserhaltende Wirbelsäulenchirurgie. 2011 Jan 1; viii-xiii. Todd F. Alamin, Marco Bérard, Rudolf Bertagnoli, Jason D. Blain, Scott L. Blumenthal, Nicholas R. Boeree, David S. Bradford, Jacob M. Buchowski, Allen Carl, Boyle C. Cheng, Robert J. Chomiak, Christine Coillard, Andrew H. Cragg, Bryan W. Cunningham, Frank Daday, Reginald J. Davis, Rick B. Delamarter, Roberto Díaz, Thomas J. Errico, Teddy Fagerstrom, Daniel R. Fassett, Rolando García, Ihab Gharzeddine, Vijay K. Goel, Matthew F. Gornet, Geneste Guilhaume, Giancarlo Guizzardi, Nader M. Habela, Horace Hale, Nadim James Hallab, David Hannallah, Matthew Hannibal, Alan S. Hilibrand, Robert W. Hoy, Kenneth Y. Hsu, Cary Idler, Joshua J. Jacobs, Jorge Jaramillo, Shiveindra B. Jeyamohan, Larry T. Khoo, Scott H. Kitchel, Carl Lauryssen, William Lavelle, James P. Lawrence, Juliano Lhamby, Gary L. Lowery, George Malcolmon, Thierry Marnay, Larry Martin, Paul C. McAfee, Alvin H. McKenzie, Lionel N. Metz, Hazem Nicola, Donna D. Ohnmeiss, Carlos E. Oliveira, Brett A. Osborn, Carlos Fernando Arias Pesántez, Piero Petrini, Luiz Pimenta, Ben B. Pradhan, K. Daniel Riew, Mildred B. Simon, Souad Rhalmi, Charles H. Rivard, Ashish Sahai, Samer Saiedy, Rick Sasso, Thomas Schaffa, Matthew Scott-Young, Rajiv K. Sethi, Kristina Spate, Jonathan R. Stieber, Bauer E. Sumpio, Jens Peter Timm, P. Justin Tortolani, Vincent C. Traynelis, Patrick Tropiano, Alexander R. Vaccaro, Archibald von Strempel, Peter G. Whang, William C. Welch, Bradley J. Wessman, Andrew P. White, Markus Wimmer, James J. Yue, James F. Zucherman. .
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    31. 98. Juvenile Chondrocytes are Superior to Undifferentiated Mesenchymal Stem Cells for Porcine Intervertebral Disc Repair. The Spine Journal. 2008 Sep 1; 8(5):50s. Frank Acosta, Lionel Metz, Jane Liu, Ellen Carruthers-Liebenberg, H.D. Adkisson, Michael Maloney, Jeffrey Lotz. .
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    32. Anterior arthrodesis with instrumentation for thoracolumbar scoliosis: comparison of efficacy in adults and adolescents. Spine (Phila Pa 1976). 2008 May 15; 33(11):1219-23. Deviren V, Patel VV, Metz LN, Berven SH, Hu SH, Bradford DS. PMID: 18469695.
      View in: PubMed   Mentions: 5     Fields:    Translation:Humans
    33. Computer-assisted surgical planning and image-guided surgical navigation in refractory adult scoliosis surgery: case report and review of the literature. Spine (Phila Pa 1976). 2008 Apr 20; 33(9):E287-92. Metz LN, Burch S. PMID: 18427309.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans
    34. Chapter 2 History and Evolution of Motion Preservation. Motion Preservation Surgery of the Spine. 2008 Jan 1; 11-20. Rajiv K. Sethi, Lionel N. Metz, David S. Bradford. .
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    35. 123. Contextual and Methodological Challenges in Determining the Minimal Clinically Important Difference (MCID). The Spine Journal. 2007 Sep 1; 7(5):59s-60s. Vedat Deviren, Danielle Geula, Sibel Demir-Deviren, Sigurd Berven, Lionel Metz, Serena Hu. .
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    36. Low-grade spondylolisthesis. Neurosurg Clin N Am. 2007 Apr; 18(2):237-48. Metz LN, Deviren V. PMID: 17556124.
      View in: PubMed   Mentions: 4     Fields:    Translation:Humans
    37. Anterior instrumented arthrodesis for adult idiopathic scoliosis. Neurosurg Clin N Am. 2007 Apr; 18(2):273-80. Deviren V, Metz LN. PMID: 17556128.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    38. Histomorphometric analysis of the effects of osteocyte density on osteonal morphology and remodeling. Bone. 2003 Nov; 33(5):753-9. Metz LN, Martin RB, Turner AS. PMID: 14623050.
      View in: PubMed   Mentions: 19     Fields:    Translation:AnimalsCells
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