Biography & Education

Biography
Dr. Oskouian is a neurosurgeon who specializes in the diagnosis and treatment of complex spinal disorders. As the Chair of the Complex Spine Department, his clinical practice located on the Swedish/Cherry Hill campus in Seattle focuses on scoliosis, spinal deformities, spine trauma, spine fractures, spinal surgery revisions, osteoporosis, spinal cord injury, degenerative disc disease, spine tumors, stereotactic spinal radiosurgery, spine infections, and minimally invasive spinal surgery. Dr. Oskouian received his medical degree from the University of California, Los Angeles. He completed his residency in neurosurgery at the University of Virginia under the late Dr. John Jane, Sr. Dr. Oskouian completed his neurosurgery fellowship at the New Zealand National Hospital in Auckland. Dr. Oskouian has published in numerous medical journals and textbooks, including Neuroscience, Neurosurgery, Neurosurgical Clinics of North America, the Journal of Neurosurgery, Neurosurgical Focus and Spine. His philosophy of care is to provide comprehensive, individualized medical care for his patients based on the most recent scientific advances. Dr. Oskouian also believes prevention, communication and education are a vital component of a patient’s long-term health and well-being.
Specialties
  • Spine Surgery
Education Background
Medical School: University of California, Los Angeles David Geffen School of Medicine
Residency: University of Virginia
Fellowship: New Zealand National Hospital
Languages
  • English
  • Persian
Professional Associations
Member: Christopher and Dana Reeve Paralysis Foundation, Neurofibromatosis Foundation, American Association of Neurological Surgeons, Congress of Neurological Surgeons, American Medical Association, North American Spine Association, Seattle Science Foundation Advisory Board, AOSpine; Board Member: One Spine, Puget Sound Spine Interest Group; Chairman: One Spine Annual Fellows Meeting

Care Locations

550 17th Avenue
Suite 500 James Tower, 5th Floor
Seattle, WA 98122
Fax (206) 320-5250
Affiliated Facilities
Accepting New Patients
Accepting Medicare

Publications

Publications

1.      Kelly DF, Oskouian RJ Jr, Fineman I.  Collagen sponge repair of small cerebrospinal fluid leaks obviates tissue grafts and cerebrospinal fluid diversion after pituitary surgery.  Neurosurgery.  2001;49(4):885-889.

2.      Oskouian RJ Jr, Johnson JP, Regan JJ.  Thoracoscopic microdiscectomy.  Operatíve Nuances Section: Neurosurgery.  2002;50(1):103-109.

3.      Oskouian RJ Jr, Johnson JP.  Vascular complications in anterior thoracolumbar spinal reconstruction. J Neurosurg. 2002;96(1):1-5.

4.      Oskouian RJ Jr, Jane JA Sr, Laurent JJ, Dumont AS, Levine PA.  Esthesioneuroblastoma: Clinical presentation, radiology, pathology, treatment, and review of the literature.  Neurosurg Focus.  2002;12(5)1-9.

5.      Oskouian RJ Jr, Martin NA, Lee JH, Glenn TC, Guthrie D, Gonzalez N, Afari A, Vinũela F.  Multimodal quantitation of endovascular therapy for vasospasm: TCD, CBF and arterial diameters. Neurosurgery.  2002;51(1):30-41.

6.      Dumont AS, Oskouian RJ Jr, Chow MM, Kassell NF.  Surgical management of unruptured basilar artery bifurcation aneurysms: Technical note.  Neurosurg Focus.  2002;13(3):e3.

7.      Dumont AS, Dumont RJ, Oskouian RJ Jr.  Will improved understanding of the pathophysiological mechanisms involved in acute spinal cord injury improve the potential for therapeutic intervention?  Curr Opin Neurol.  2002;(6):713-20.

8.      Oskouian RJ Jr, Samii A,  Whitehill R,  Shaffrey Me, Johnson R, Shaffrey CI.  The future of spinal arthroplasty: A biomaterial perspective.  Neurosurg Focus.  2004;17(3):E2.

9.      Laws ER, Sheehan JP, Sheehan JM, Jaganathan J, Jane JA Jr, Oskouian JR Jr.  Stereotactic radiosurgery for pituitary adenomas: a review of the literature.  Journal of Neuro-Oncology.  2004;69: 257–272.

10.    Oskouian RJ, Johnson PJ.  Endoscopic thoracic discectomy.  Neurosurg Focus.  2005;3(6):459-464.

11.    Kanter AS, Dumont AS, Asthagiri AR, Oskouian RJ Jr, Sansur C, Jane JA Jr, Laws ER Jr. The transsphenoidal approach: A historical perspective.  Neurosurg Focus. 2005;18(4):e6.

12.    Villavicencio AT, Oskouian RJ Jr, Roberson C, Stokes J, Park J, Shaffrey CI, Johnson JP. Thoracolumbar vertebral reconstruction of metastatic spinal tumors: Long-term outcomes.  Neurosurg Focus.  2005;19(3):E8.

13.    Johnson JP, Stokes JJ, Oskouian RJ Jr, Choi W.  Image-guided thoracoscopic spinal surgery: A merging of two technologies.  Spine 2005;30(19):E572-8.

14.    Kanter AS, Diallo AO, Jane JA Jr., Sheehan JP, Asthagiri AR, Oskouian RJ Jr, Okonkwo DO, Sansur CA, Vance ML, Rogol AD, Laws ER Jr.  Single-center experience with pediatric Cushing’s disease.  J Neurosurg.  2005;103(5):413-20.

15.    Jagannathan J, Dumont AS, Prevedello DM, Lopes B, Oskouian RJ Jr, Jane JA Jr, Laws ER Jr. Genetics of pituitary adenomas: Current theories and future implications.  Neurosurg Focus. 2005;19(5):E4.

16.    Oskouian RJ Jr, Johnson JP.  Endoscopic thoracic microdiscectomy.  J Neurosurg Spine.  2005;3(6):459-64.        

17.    Li Y, Oskouian RJ Jr, Day Y-J, Kewrn JA, Linden JM.  Evaluation of a compression-derived mouse spinal cord ischemia/reperfusion (SCIR) injury model.  J Neurosurg Spine. 2006;4(2):165-73.

18.    Pouratin N, Oskouian RJ Jr, Jensen ME, Kassell NF, Dumont AS.  Endovascular management of unruptured intracranial aneurysms.  J Neurol Neurosurg Psychiatry.  2006;77:572-578.

19.    Li Y, Oskouian RJ Jr, Day YJ, Rieger JM, Liu L, Kern JA, Linden J.  Mouse spinal cord compression injury is reduced by either activation of the adenosine a(2a) receptor on bone marrow-derived cells or deletion of the a(2a) receptor on non-bone marrow-derived cells. Neuroscience.  2006;141(4):2029-2039.

20.    Oskouian RJ Jr, Samii A, Laws ER.  The craniopharyngiomas. Pituitary surgery.  Front Horm Res. 2006;34:256-278.

21.    Li Y, Oskouian RJ, Day YJ, Ker Ja, Linden J.  Optimization of a mouse locomotor rating system to evaluate compression-induced spinal cord injury:  Correlation of locomotor and morphological injury indices.  J Neurosurg Spine.  2006;4(2):165-173.

22.    Oskouian RJ Jr, Kelly DF, Laws ER.  Vascular Injury and transsphenoidal surgery.  Pituitary surgery.  Front Horm Res.  2006;34:105-126.

23.    Li Y, Oskouian RJ, Shaffrey CI, Day Y-J, Bumpass DB, Roy RJ, Berr SS, Kern JA, Linden J.  Novel and reproducible murine spinal cord ischemia/reperfusion injury mode.  Top Spinal Cord Inj Rehabil.  2006;12(1):1-10.

24.    Oskouian RJ Jr, Shaffrey CI.  Degenerative lumbar scoliosis.  Neurosurg Clin N Am.  2006;17(3):299-315, vii. 

25.    Aslan H, Zilberman Y, Kandel L, Liebergall M, Oskouian RJ Jr, Gazit D, Gazit Z.  Osteogenic differentiation of noncultured immunoisolated bone marrow-derived CD105+ cells.  Stem Cells.  2006;24(7):1728-1737.

26.    Oskouian RJ Jr, Shaffrey CI, Whitehill R, Sansur CA, Pouratian N, Kanter AS, Asthagiri AR, Dumont AS, Sheehan JP, Elias WJ, Shaffrey ME.  Anterior stabilization of three-column thoracolumbar spinal trauma. J Neurosurg Spine.  2006;5(1):18-25.

27.    Li Y, Oskouian RJ Jr, Day YJ, Rieger JM, Liu L, Kern JA, Linden J.  Mouse spinal cord compression injury is reduced by either activation of the adenosine A2A receptor on bone marrow-derived cells or deletion of the A2A receptor on non-bone marrow-derived cells.  Neuroscience.  2006;141(4):2029-2039.

28.    Elias WJ, Pouratian N, Oskouian RJ, Schrimer B, Burns T.  Peroneal neuropathy following successful bariatric surgery.  Case report and review of the literature.  J Neurosurg.  2006;105(4):631-635.

29.    Oskouian RJ Jr, Sansur CA, Shaffrey CI.  Congenital abnormalities of the thoracic and lumbar spine.  Neurosurg Clin N Am.  2007;18(3):479-498.

30.    Sansur CA, Frysinger RC, Pouratian N, Fu K-M, Bittl M, Oskouian RJ, Laws ER, Elias JW. Incidence of symptomatic hemorrhage after stereotactic electrode placement.  J Neurosurg.  2007;107(5):998-1003.

31.    Jagannathan J, Oskouian RJ, Yeoh K, Dumont AS.  Molecular biology of unreresectable meningiomas: Implications for new treatments and review of literature.  Skull Base.  2008;18(3):173-187.

32.    Sheehan J, Ionescu A, Pouratian N, Hamilton K, Schelesinger D, Oskouian RJ Jr, Sansur C. Trans sodium crocetinate sensitizes glioblastoma multiforme tumors to radiation.  J Neurosurg.  2008;108(5):972-978.

33.    Jagannathan J, Oskouian RJ Jr, Dumont AS, Shaffrey CI, Jane JA Sr.  Radiographic and clinical outcomes following single level anterior cervical diskectomy and allograft fusion without plating or cervical collar.  J Neurosurg Spine.  2008;8(5):420-428.

34.    Hamilton DK, Jones-Quaidoo SM, Sansur C, Shaffrey CI, Oskouian R, Jane JA Sr.  Outcomes of bone morphogenetic protein-2 in mature adults: Posterolateral non-instrument-assisted lumbar decompression and fusion.  Surg Neurol.  2008;69(5):457-461.

35.    Furneaux CE, Marshall ES, Yeoh K, Monteith SJ, Mews PJ, Sansur CA, Oskouian RJ, Sharples KJ, Baguley BC.  Cell cycle times of short-term cultures of brain cancers as predictors of survival.  Br J Cancer J.  2008;99(10):1678-1683.

36.    Sansur CA, Fu KM, Oskouian RJ Jr, Jagannathan J, Kuntz C 4th, Shaffrey CI.  Surgical management of global sagittal deformity in ankylosing spondylitis.  Neurosurg Focus.  2008;24(1):E8.

37.    Jagannathan J, Sansur CA, Oskouian RJ Jr, Fu KM, Shaffrey CI.  Radiographic restoration of lumbar alignment after transforaminal lumbar interbody fusion.  Neurosurgery.  2009;64(5):955-963.

38.    Jagannathan J, Yen CP, Ray DK, Schlesinger D, Oskouian RJ Jr, Pouratian N, Shaffrey ME, Larner J, Sheehan JP.  Gamma Knife radiosurgery to the surgical cavity following resection of brain metastases.  J Neurosurg.  2009;111(3):431-438.

39.    Hussain NS, Hanscom D, Oskouian RJ Jr.  Chyloretroperitoneum following anterior spinal surgery. Report of 4 cases.  J Neurosurg Spine.  2012;17(5):415-421.

40.    Ahmadian A, Verma S, Mundis GM Jr, Oskouian RJ Jr, Smith DA, Uribe JS.  Minimally invasive lateral retroperitoneal transpsoas interbody fusion for L4-5 spondylolisthesis: clinical outcomes. J Neurosurg Spine. 2013 Sep;19(3):314-20.

41.    Oskouian RJ Jr, Uribe JS.  Introduction: Minimally Invasive Spine surgery: The Greatest Advance in Medicine?  Neurosurg Focus. 2013 Aug;35(2):Introduction.

42.    Chapman JR, Oskouian RJ Jr. Nonoperative care or noncore for thoracolumbar spine fractures?  Questioning the unthinkable.  Spine J.  2014;14(11):2557-64.

43.    Moisi MD, Page J, Oskouian RJ Jr.  Commentary on: Lumbar Intervertebral Discal Cyst: A Rare Cause of Low Back Pain and Radiculopathy. Case Report and Review of the Current Evidences on Diagnosis and Management.”  Evid Based Spine Care J. 2014.

44.    Oskouian, RJ Jr, Chapman, JR  Cervicothoracic Spine Fractures. AOSpine 2015 (6): 57-75.

45.    Hussain, NS, Perez-Cruet, MJ, Oskouian RJ Jr. Thoracolumnbar Osteoporosis. Spinal Instrumentation, 2nd Ed., Ch 49.

46.    Moisi M, Page J, Paulson D, Oskouian RJ.  Technical Note - Lateral Approach to the Lumbar Spine for the Removal of Interbody Cages. Cureus. 2015 May 11;7(5):e268. doi: 10.7759/cureus.268. eCollection 2015 May.

47.   Tubbs RS, Demerdash A, Rizk E, Chapman JR, Oskouian RJ. Complications of transoral and Transnasal odontoidectomy: a comprehensive review.  Childs Nerv Syst. 2015 Aug 7.

48.   Akobo S, Rizk E, Loukas M, Chapman JR, Oskouian RJ, Tubbs RS.  The Odontoid Process: A Comprehensive Review of Its Anatomu, Embryology and Variations. Childs Nerv Syst. 2015 Aug 8.

49.   Bernard S, Loukas M, Rizk E, Oskouian RJ, Delashaw J, Shane Tubbs R. The Human Orbital  Bone:   Review and Update of its Embryology and Molecular Development. Childs Nerv Syst. 2015 Aug 18.

50.  Youssef P, Loukas M, Chapman JR, Oskouian RJ, Tubbs RS. Comprehensive Anatomical and Immunohistochemical Review of the Innervation of the Human Spine and Joints with Application to an Improved Understanding of Back Pain.  Childs Nerv Syst. 2015 Aug 18.

51.  Aly I, Chapman JR, Oskouian RJ, Loukas M, Tubbs RS.  Lumbar Ribs: a Comprehensive Review.  Childs Nerv Syst. 2015 Sep 9.

Research

ONGOING RESEARCH PROJECTS AND INTERESTS

Mesenchymal stem cell and regeneration of the nucleus pulposus and annulus

Degenerative disc disease mouse model

Tissue engineering with nanoscaffolds and stem cells

The role of adenosine agonist therapy in spinal cord injury

Minimally invasive neurosurgery

Minimally invasive surgical techniques in the management of degenerative, traumatic, and degenerative spinal disorders

Stereotactic radiosurgery for the spine

Co-founded a Biotechnology/Stem Cell Company, NanoSpine LLC

RESEARCH GRANTS

Cerebral vasospasm and endovascular therapy. Neil A. Martin M.D., Division of Neurosurgery, UCLA Iris Cantor School of Medicine Research Grant 1999.

Vascular complications and anterior spinal surgery. J. Patrick Johnson M.D., UCLA Spine Center, Edith and Carl Lasky Research Award, UCLA School of Medicine 2001.

Adenosine A2a agonist in the treatment of acute spinal cord injury: University of Virginia School of Medicine. Commonwealth Neurotrauma Initiative 2003-5. 

Adult Stem Cells Processing and Delivery Technology. NIH STTR grant #00069088, submitted for 2006-7.

Blog

Cyberknife for spine patients

January 20, 2014
Cyberknife is a type of radiosurgery used to deliver radiation to a specific part of the body.  This high-energy x-ray system utilizes a robotic arm to deliver focused beam radiation.  While the focused radiation can destroy tumor cells and halt tumor growth, the surrounding tissues have minimal exposure to the radiation, thus sparing them from damage. When is it used? CyberKnife is useful for both cancerous and noncancerous tumors.  While it has been used to treat tumors of the head, neck, breast, lung, pancreas, kidney, liver, and prostate, it can be extremely effective for the treatment of  spinal tumors.   How does CyberKnife work? Patients who undergo CyberKnife have a specialized treatment plan created for them by their neurosurgeon, radiation oncologist, and a medical physicist.  These personalized plans take into account the ...

Specialties

Board Certifications
  • Neurological Surgery
Clinical Interests
  • Ankylosing Spondylitis
  • Back Injuries
  • Back/Spine Injuries
  • Back/Spine Surgery
  • Cervical Fractures
  • Cervical Injury/Problems
  • Cervical Spine Problems/Proc.
  • Cervical/Lumbar Degen. Disorders
  • Chordoma
  • Congenital Deform. Extr/Spine
  • CyberKnife
  • Disc Problems
  • Discitis
  • Kyphosis
  • Minimally Invasive Procedures
  • Minimally Invasive Spine Surgery
  • Myelopathy
  • Neck Disorders
  • Neck Injuries
  • Neck Pain
  • Neurosurgery
  • Osteomyelitis
  • Radiculopathy
  • Sarcoma
  • Schwannoma
  • Sciatica
  • Scoliosis Surgery
  • Spinal Cord Injury
  • Spinal Disorders
  • Spinal Pain
  • Spinal Revision Surgery
  • Spinal Stenosis
  • Spine Deformity
  • Spine Fractures
  • Spine Infections
  • Spine Trauma
  • Spine Tumors
  • Stereotactic Radiosurgery
  • Thoracic Spine Trauma/Disease

Reviews

Patient Ratings and Comments
About Our Survey

The Patient Rating score is based on responses given during the CAHPS Patient Experience Survey. Responses are measured on a 10-point scale, with 10 being the best score. These scores are then translated to a 5-point scale in order to display results in a 5-star rating. Comments are also gathered from the same survey and displayed in their entirety with the exception of any language that may be considered slander, libel or contain private health information, which will be removed prior to publishing the comments.

4.3 out of 5 (59 Ratings, 14 Comments)

80

01/31/2016
Doesn't break down condition exactly what I had. Patients like me go blank at the office so a doctor should voluntarily explain in detail what they did or want to do or what is going on.
100

01/12/2016
Dr. Oskouian personally followed up. Very conscientious!
100

12/16/2015
Excellent Doctor and Nurse Assistants
 

11/24/2015
Very good.
70

11/18/2015
[...] the staff at his office couldn't have been nicer, kind, and great sense of humor! You guys totally rock! Thank you thank you. I also was given a packet to bring home with me that has clear instructions for my surgery, and all phone numbers to call if I need help with anything.
70

10/26/2015
After waiting 45 mins. over my appt. time, the doctor spent 1 min. with me. I felt very rushed.
50

09/27/2015
The description of my medical problem was poor, I did not understand
90

09/02/2015
I have recommended DR Oskouian to about 20 people who have met with the doctor all from northern Idaho - where I live.
80

08/30/2015
Doctor very laid back. The NP gave more explanation of what had happened
 

08/25/2015
Could be a very good neurosurgeon, but isn't very good with communicating with patients.
 

07/28/2015
[...] I know he has a good heart – he is just so busy. I hope you reward him well for how hard he works. His staff is his best asset.
100

06/25/2015
Super physician/nurse teaming with superior skills; PA not helpful, strange?
30

06/01/2015
I never saw the doctor, only the PA, when initially contacted the office about ongoing symptoms 1 year after surgery. The PA ordered a test which other doctors questioned. After the test, the PA spent about 15 minutes staring at the computer screen looking at test results. He never explained details, just said he saw nothing wrong. Doctor Oskouian then came in, did the same with the computer, and said he saw nothing wrong. My neurologist spent more time going over the CT scan results than did Dr. Oskouian and the PA! Doctor Oskouian told me to read a book at night to take mind off of pain. Really - this is the best advice he could offer? There was no other suggestions or ideas about what might be happening or how to address the debilitating issues.
10

04/22/2015
I was asked to get an MRI which all previous Dr. have went over it with me This Dr. Didn't I am the patient that drove 300 miles hoping to get some answers why I hurt this did not happen Dr. has his oppinion which I guess I wasn't included in them.