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Spine Deformity

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https://www.readbyqxmd.com/read/29886923/early-onset-spinal-deformity-in-skeletal-dysplasias-a-multicenter-study-of-growth-friendly-systems
#1
Klane K White, Viviana Bompadre, Suken A Shah, Gregory J Redding, Walter F Krengel, William G Mackenzie
PURPOSE: Severe, early-onset spinal deformity is common in patients with skeletal dysplasia. These deformities often present at young ages and are associated with significant pulmonary dysfunction. The objective of this study is to verify the effectiveness of growth-friendly spinal instrumentation systems in promoting growth in patients with skeletal dysplasia and early-onset kyphoscoliosis. METHODS: A retrospective, multicenter comparative cohort study was performed...
July 2018: Spine Deformity
https://www.readbyqxmd.com/read/29886922/how-often-do-you-lengthen-a-physician-survey-on-lengthening-practice-for-prosthetic-rib-devices
#2
Brendan M Striano, Christian Refakis, Sumeet Garg, Ron El-Hawary, Joshua M Pahys, Michael Vitale, Robert M Campbell, John M Flynn, Patrick J Cahill
STUDY DESIGN: Physician survey. OBJECTIVES: To identify physician practice patterns in use of prosthetic rib devices. BACKGROUND: Management of scoliosis with prosthetic ribs involves repeated expansions. Despite this, there is a paucity of literature on expansion practice. We believe that despite minimal literature, there exist surgeon practice patterns. METHODS: Thirty-seven surgeons from the Children's Spine Study Group, with prosthetic rib experience, were anonymously surveyed about their expansion practice...
July 2018: Spine Deformity
https://www.readbyqxmd.com/read/29886921/early-onset-scoliosis-updated-treatment-techniques-and-results
#3
Christina K Hardesty, Robert P Huang, Ron El-Hawary, Amer Samdani, Paloma Bas Hermida, Teresa Bas, Mehmet Bülent Balioğlu, David Gurd, Jeff Pawelek, Richard McCarthy, Feng Zhu, Scott Luhmann
STUDY DESIGN: This is a review of the current literature on early-onset scoliosis (EOS) techniques and treatment written by the Growing Spine Committee of the Scoliosis Research Society. OBJECTIVES: The Growing Spine Committee of the Scoliosis Research Society sought to update the information available on the definition and treatment of EOS, including new information about existing techniques. SUMMARY OF BACKGROUND DATA: EOS represents a diverse, heterogeneous, and clinically challenging group of spinal disorders occurring in children under the age of 10...
July 2018: Spine Deformity
https://www.readbyqxmd.com/read/29886920/complications-results-and-risk-factors-of-spinal-fusion-in-patients-with-myelomeningocele
#4
Bridget Ollesch, Christopher Brazell, Patrick M Carry, Gaia Georgopoulos
STUDY DESIGN: Retrospective prognostic study. OBJECTIVE: The purpose of this study assess was to assess the results of spinal fusion and identify factors associated with the development of post-spinal fusion infections in patients with myelomeningocele. BACKGROUND: Surgical correction of neuromuscular scoliosis secondary to myelomeningocele is known to be associated with a high complication rate. METHODS: A retrospective cohort study design was used to collect data on patients with myelomeningocele who underwent spinal fusion between the years of 1997-2013...
July 2018: Spine Deformity
https://www.readbyqxmd.com/read/29886919/plastic-multilayered-closure-in-pediatric-nonidiopathic-scoliosis-is-associated-with-a-lower-than-expected-incidence-of-wound-complications-and-surgical-site-infections
#5
Thomas Imahiyerobo, Anas A Minkara, Hiroko Matsumoto, Michael G Vitale
OBJECTIVE: To compare the incidence of surgical site infection (SSI) and wound complications between standard and plastic multilayered closure (PMC) in patients with pediatric nonidiopathic scoliosis undergoing primary or revision instrumentation or fusion. STUDY DESIGN: Retrospective cohort study. SUMMARY OF BACKGROUND DATA: Although PMC has been used for adult spine patients as well as infected spinal wound closure, it has not been reported as routine closure in the pediatric nonidiopathic scoliosis population...
July 2018: Spine Deformity
https://www.readbyqxmd.com/read/29886918/the-prevalence-of-klippel-feil-syndrome-a-computed-tomography-based-analysis-of-2-917-patients
#6
Jillian Gruber, Ahmed Saleh, Wajeeh Bakhsh, Paul T Rubery, Addisu Mesfin
STUDY DESIGN: Cross-sectional study. OBJECTIVE: To determine the prevalence of KFS in asymptomatic patients in New York State. SUMMARY OF BACKGROUND DATA: Klippel-Feil syndrome (KFS) is characterized by congenitally fused cervical vertebrae and may not be diagnosed clinically because most patients do not have the classic triad of short neck, low posterior hairline, and decreased neck range of motion. KFS may be associated with abnormalities such as congenital scoliosis and deafness, and patients are at higher risk for neurologic injury following cervical spine trauma...
July 2018: Spine Deformity
https://www.readbyqxmd.com/read/29886917/effects-of-spinal-fusion-for-idiopathic-scoliosis-on-lower-body-kinematics-during-gait
#7
Karen M Kruger, Christina M R Garman, Joseph J Krzak, Adam Graf, Sahar Hassani, Sergey Tarima, Peter F Sturm, Kim W Hammerberg, Purnendu Gupta, Gerald F Harris
STUDY DESIGN: Prospective. OBJECTIVES: The purpose of this study was to compare gait among patients with scoliosis undergoing posterior spinal fusion and instrumentation (PSFI) to typically developing subjects and determine if the location of the lowest instrumented vertebra impacted results. SUMMARY OF BACKGROUND DATA: PSFI is the standard of care for correcting spine deformities, allowing the preservation of body equilibrium while maintaining as many mobile spinal segments as possible...
July 2018: Spine Deformity
https://www.readbyqxmd.com/read/29886916/clinically-significant-psychological-and-emotional-distress-in-32-of-adolescent-idiopathic-scoliosis-patients
#8
Austin E Sanders, Lindsay M Andras, Stephanie E Iantorno, Anita Hamilton, Paul D Choi, David L Skaggs
STUDY DESIGN: Prospective study of 92 patients. OBJECTIVES: To determine if the incidence of clinically significant psychological and emotional distress in adolescent idiopathic scoliosis (AIS) patients is higher than the general population and if this correlates with deformity severity. SUMMARY OF BACKGROUND DATA: Adolescents with scoliosis may exhibit a less positive outlook on life, suffer from lower self-esteem, and have more difficulty connecting with peers; however, there is conflicting evidence whether different stages of treatment prompt different psychological problems and the long-term psychological effect of scoliosis...
July 2018: Spine Deformity
https://www.readbyqxmd.com/read/29886915/low-dose-versus-high-dose-postoperative-naloxone-infusion-combined-with-patient-controlled-analgesia-for-adolescent-idiopathic-scoliosis-surgery-a-randomized-controlled-trial
#9
Benjamin J Pieters, John T Anderson, Nigel Price, Lynn M Anson, Richard M Schwend
STUDY DESIGN: Randomized controlled trial. OBJECTIVES: The aim of this prospective randomized clinical trial was to compare low (0.5 μg/kg/h) and high (2.5 μg/kg/h) dose naloxone infusion on the time to tolerate liquids and meals after surgery, patient-controlled analgesia (PCA) opioid requirements, nausea and pruritus ratings, and hospital length of stay. SUMMARY OF BACKGROUND DATA: Adolescents undergoing posterior spinal fusion often receive PCA after surgery and may experience common opioid-associated side effects, including nausea and pruritus...
July 2018: Spine Deformity
https://www.readbyqxmd.com/read/29886914/development-of-consensus-based-best-practice-guidelines-for-perioperative-management-of-blood-loss-in-patients-undergoing-posterior-spinal-fusion-for-adolescent-idiopathic-scoliosis
#10
Nicholas D Fletcher, Michelle C Marks, Jahangir K Asghar, Steven W Hwang, Paul D Sponseller, Peter O Newton
STUDY DESIGN: Delphi process with multiple iterative rounds using a nominal group technique. OBJECTIVE: The aim of this study was to use expert opinion to achieve consensus on various methods for minimizing blood loss in patients undergoing posterior spinal fusion (PSF) for adolescent idiopathic scoliosis (AIS). BACKGROUND DATA: Perioperative blood loss management represents a critical component of safely performing PSF in children with AIS...
July 2018: Spine Deformity
https://www.readbyqxmd.com/read/29886913/responsiveness-of-image-perception-outcome-scales-after-surgical-treatment-of-idiopathic-scoliosis-a-comparison-between-the-trunk-appearance-perception-scale-taps-and-scoliosis-research-society-22-srs-22-questionnaire
#11
Juan Bago, Antonia Matamalas, Judith Sánchez-Raya, Ferran Pellise, Francisco J S Pérez-Grueso
STUDY DESIGN: Retrospective study of prospectively collected longitudinal data. OBJECTIVES: To analyze the Trunk Appearance Perception Scale's (TAPS's) responsiveness to surgical treatment of idiopathic scoliosis (IS). SUMMARY OF BACKGROUND DATA: TAPS is a drawing-based instrument to assess trunk deformity in IS. It shows appropriate metric properties, such as internal consistency and discriminant validity. However, no data on responsiveness to surgical treatment is available...
July 2018: Spine Deformity
https://www.readbyqxmd.com/read/29886912/repeat-surgical-interventions-following-definitive-instrumentation-and-fusion-for-idiopathic-scoliosis-25-year-update
#12
Megan Mignemi, Dong Tran, Brandon Ramo, B Stephens Richards
STUDY DESIGN: Single-institution, retrospective review of prospectively collected data on pediatric patients with adolescent idiopathic scoliosis (AIS) undergoing spinal fusion with a minimum two-year follow-up. OBJECTIVE: To determine the rate of reoperation in AIS patients undergoing spine fusion from 2008 to 2012. SUMMARY OF BACKGROUND DATA: Recent trends in the surgical treatment of AIS have included increased use of all-pedicle screw constructs, smaller implants, more posterior-only approaches, and improved correction techniques...
July 2018: Spine Deformity
https://www.readbyqxmd.com/read/29886911/does-school-screening-affect-scoliosis-curve-magnitude-at-presentation-to-a-pediatric-orthopedic-clinic
#13
Joshua J Thomas, Anthony A Stans, Todd A Milbrandt, Vickie M Treder, Hilal Maradit Kremers, William J Shaughnessy, A Noelle Larson
BACKGROUND: With new data supporting the efficacy of bracing, the role of school screening for early detection of moderate scoliosis curves has been revisited. Because of a high rate of false-positive screening and cost concerns, a comprehensive county-wide school screening program was discontinued in 2004. We aim to determine the impact of a comprehensive school screening program on curve magnitude at presentation and initial scoliosis treatment for all local county patients presenting to a pediatric orthopedic clinic from all referral sources...
July 2018: Spine Deformity
https://www.readbyqxmd.com/read/29886910/adaptation-of-the-scoliosis-research-society-22-questionnaire-for-the-hebrew-language-transcultural-adaptation-and-reliability-analysis
#14
Tomer Bezalel, Eli Carmeli, Leonid Kalichman
STUDY DESIGN: A cross-cultural adaptation and reliability study. OBJECTIVE: To perform cross-cultural adaptation and evaluate the reliability and validity of the Hebrew version of the Scoliosis Research Society-22 (SRS-22) questionnaire. SUMMARY OF BACKGROUND DATA: The SRS-22 validated in different languages is used in assessing health-related quality of life of patients with scoliosis. METHODS: The English SRS-22 was translated/retranslated and a cross-cultural adaptation was performed...
July 2018: Spine Deformity
https://www.readbyqxmd.com/read/29886909/two-for-one-a-change-in-hand-positioning-during-low-dose-spinal-stereoradiography-allows-for-concurrent-reliable-sanders-skeletal-maturity-staging
#15
Taylor J Jackson, Daniel Miller, Susan Nelson, Patrick J Cahill, John M Flynn
STUDY DESIGN: Prospective survey. OBJECTIVES: To evaluate the reliability of low-dose stereoradiography compared to standard hand bone age films for assessing Sanders skeletal maturity stage in patients with idiopathic scoliosis. SUMMARY OF BACKGROUND DATA: The Sanders skeletal maturity staging system is a valuable tool in the care of juvenile and adolescent spine scoliosis, but obtaining dedicated hand films adds additional time, radiation, and expense to the clinic visit...
July 2018: Spine Deformity
https://www.readbyqxmd.com/read/29886908/thoracoscopic-anterior-instrumentation-and-fusion-as-a-treatment-for-adolescent-idiopathic-scoliosis-a-systematic-review-of-the-literature
#16
Kedar Padhye, Alexandra Soroceanu, David Russell, Ron El-Hawary
STUDY DESIGN: A systematic review and meta-analysis on thoracoscopic anterior instrumentation and fusion as a treatment for adolescent idiopathic scoliosis (AIS). OBJECTIVE: The goal of this study is to determine the current status of thoracoscopic instrumentation and fusion as a treatment for AIS. SUMMARY OF BACKGROUND DATA: Traditional surgical techniques for AIS have been open anterior thoracotomy with instrumentation and posterior spinal fusion and instrumentation...
July 2018: Spine Deformity
https://www.readbyqxmd.com/read/29886907/predominance-of-studies-with-poor-level-of-evidence-among-the-top-100-most-cited-studies-on-idiopathic-scoliosis-a-bibliometric-and-content-analysis
#17
Joel Gambín-Botella, María Ayala, Joaquín Alfonso-Beltrán, Carlos Barrios
STUDY DESIGN: Bibliometric review of current literature. OBJECTIVE: To identify and analyze the characteristics of the 100 most cited articles on idiopathic scoliosis focusing on the level of evidence. SUMMARY OF BACKGROUND DATA: The scientific literature on idiopathic scoliosis has been constantly evolving, but many aspects of its true etiology, natural history, and response to treatment continue to be discussed. To date, no study has used bibliometric analysis to review the most influential articles about idiopathic scoliosis...
July 2018: Spine Deformity
https://www.readbyqxmd.com/read/29886906/proposal-of-a-new-treatment-oriented-classification-system-for-spinal-deformity-in-ankylosing-spondylitis
#18
Yan Wang, Guo-Quan Zheng, Yong-Gang Zhang, Kai Song, Di-Yu Song, Xue-Song Zhang, Zheng Wang, Ning Lu, Ke-Ya Mao
OBJECTIVE: To describe and apply an optimal classification system for the management of ankylosing spondylitis (AS) that may be appropriate to make a preoperative surgical plan. BACKGROUND: The treatment choices of ankylosing spondylitis kyphosis remain controversial. The lack of a widely accepted classification system contributes to the variation in surgical decision making. METHODS: The classification is mainly based on radiographic findings...
July 2018: Spine Deformity
https://www.readbyqxmd.com/read/29886905/radiographic-classification-for-degenerative-spondylolisthesis-of-the-lumbar-spine-based-on-sagittal-balance-a-reliability-study
#19
Soufiane Ghailane, Houssam Bouloussa, Vincent Challier, Claudio Vergari, Go Yoshida, Ibrahim Obeid, Louis Boissière, Jean-Marc Vital, Simon Mazas, Pierre Coudert, Olivier Gille
STUDY DESIGN: Inter- and intraobserver reliability study. OBJECT: To assess the reliability of a new radiographic classification of degenerative spondylolisthesis of the lumbar spine (DSLS). SUMMARY OF BACKGROUND DATA: DSLS is a common cause of chronic low back and leg pain in adults. To this date, there is no consensus for a comprehensive analysis of DSLS. The reliability of a new DSLS classification system based on sagittal alignment was assessed...
July 2018: Spine Deformity
https://www.readbyqxmd.com/read/29886904/accuracy-and-precision-of-seven-radiography-based-measurement-methods-of-vertebral-axial-rotation-in-adolescent-idiopathic-scoliosis
#20
Laure Boyer, Jesse Shen, Stefan Parent, Samuel Kadoury, Carl-Eric Aubin
STUDY DESIGN: Assessment of vertebral axial rotation measurement methods. OBJECTIVES: To assess the accuracy and precision of seven radiography-based vertebral axial rotation measurement methods for typical scoliotic deformity before and after posterior instrumentation. SUMMARY OF BACKGROUND DATA: Vertebral axial rotation is an important component to evaluate transverse plane scoliotic deformities. Several measurement methods were developed based on coronal plane radiographs or computerized 3D reconstruction...
July 2018: Spine Deformity
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