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Scoliosis and Spinal Disorders

Theodoros B Grivas, Jean Claude de Mauroy, Grant Wood, Manuel Rigo, Michael Timothy Hresko, Tomasz Kotwicki, Stefano Negrini
[This retracts the article DOI: 10.1186/s13013-016-0102-y.].
2018: Scoliosis and Spinal Disorders
Daniela Ghisi, Alessandro Ricci, Sandra Giannone, Tiziana Greggi, Stefano Bonarelli
Background: Acute pancreatitis has been described as potential complication of both abdominal and non-abdominal surgeries. The pathogenetic mechanism underlying acute pancreatitis in spine surgery may include intraoperative hemodynamic instability causing prolonged splanchnic hypoperfusion, as well as mechanical compression of the pancreas due to scoliosis correction, with a higher risk in cases of more extended fusions, especially in young adults with lower body mass index (BMI). Case presentation: We report here a case of postoperative acute pancreatitis with benign evolution in a young female patient after the first and second surgery of a two-stage correction of right thoracic idiopathic scoliosis...
2018: Scoliosis and Spinal Disorders
Lucas Piantoni, Carlos A Tello, Rodrigo G Remondino, Ida A Francheri Wilson, Eduardo Galaretto, Mariano A Noel
Background: Currently, there is little consensus on how or when to discontinue bracing in adolescent idiopathic scoliosis (AIS). An expert spine surgeon national survey could aid in elucidate discontinuation of the brace.Few data have been published on when and how to discontinue bracing treatment in patients with AIS resulting in differences in the management of the condition. The aim of this study was to characterize decision-making of surgeons in the management of bracing discontinuation in AIS...
2018: Scoliosis and Spinal Disorders
Masatoshi Teraguchi, Rita Yim, Jason Pui-Yin Cheung, Dino Samartzis
Background: Magnetic resonance imaging (MRI) of the lumbar spine is commonly used to identify the source of low back pain (LBP); however, its use has been questionable. Throughout the years, numerous lumbar phenotypes (e.g., endplate abnormalities, Modic changes, black disc) have been studied as possible pain generators. High-intensity zones (HIZs) are of particular interest as they may represent annular tears. However, for over three decades, there has been heated debate as to whether these imaging biomarkers are synonymous with LBP...
2018: Scoliosis and Spinal Disorders
Franck Le Navéaux, A Noelle Larson, Hubert Labelle, Carl-Eric Aubin
Background: Increased implant number is thought to provide better control on the scoliotic spine, but there is limited scientific evidence of improved deformity correction and surgical outcomes with high-density constructs. The objective is to assess key anchor points used by experienced spinal deformity surgeons and to evaluate the effect of implant density pattern on correction techniques. Methods: Seventeen experienced spine surgeons reviewed five Lenke 1 adolescent idiopathic scoliosis cases and provided their preferred posterior correction technique (implant pattern, correction maneuvers, and implants used for their execution) and an alternative technique with the minimal implant density they felt would be acceptable (170 surgical plans total)...
2018: Scoliosis and Spinal Disorders
Avraam Ploumis, Vikas Trivedi, Jae-Hyuk Shin, Kirkham B Wood, Brian E Grottkau
Βackground: Both limb length inequality and scoliosis are associated with pelvic obliquity. Methods: This is an observational study of adolescents with growth potential presenting for evaluation of thoracic or thoracolumbar idiopathic scoliosis at an outpatient pediatric orthopedic clinic. Patients were evaluated for limb length discrepancy (LLD) (using bilateral femoral head height difference), pelvic obliquity (using bilateral iliac crest height difference and sacral takeoff angle), and scoliotic curve (using Cobb angle and rotation) on full spine standing radiographs...
2018: Scoliosis and Spinal Disorders
Hiroyuki Seki, Satoshi Ideno, Taiga Ishihara, Kota Watanabe, Morio Matsumoto, Hiroshi Morisaki
Posterior spinal fusion for adolescent idiopathic scoliosis is one of the most invasive surgical procedures performed in children and adolescents. Because of the extensive surgical incision and massive tissue trauma, posterior spinal fusion causes severe postoperative pain. Intravenous patient-controlled analgesia with opioids has been the mainstay of postoperative pain management in these patients. However, the use of systemic opioids is sometimes limited by opioid-related side effects, resulting in poor analgesia...
2018: Scoliosis and Spinal Disorders
Larry Cohen, Sarah Kobayashi, Milena Simic, Sarah Dennis, Kathryn Refshauge, Evangelos Pappas
No abstract text is available yet for this article.
2018: Scoliosis and Spinal Disorders
Marlene Dufvenberg, Fisayo Adeyemi, Isabelle Rajendran, Birgitta Öberg, Allan Abbott
Background: Postural stability deficits have been proposed to influence the onset and progression of adolescent idiopathic scoliosis (AIS). This study aimed to systematically identify, critically evaluate and meta-analyse studies assessing postural stability during unperturbed stance with posturography in AIS compared to typically developed adolescents. Methods: Studies from four electronic databases (PubMed, Scopus, CINAHL, PEDro) were searched and case-control methodological quality assessed using a risk-of-bias assessment tool and a posturography methodological quality checklist...
2018: Scoliosis and Spinal Disorders
Balaji Zacharia, Dhiyaneswaran Subramaniyam, Sadiqueali Padinharepeediyekkal
Background: Idiopathic scoliosis is the most common type of spinal deformity. Scoliosis is defined as a lateral curvature of the spine greater than 10° accompanied by rotation of the vertebrae. The treatment available for adolescent idiopathic scoliosis is observation, orthosis, and surgery. The surgical options include open anterior release and instrumentation, posterior instrumentation, and thoracoscopic approaches. The Scoliosis Research Society Questionnaire (SRS-30) is a specific instrument to measure health-related quality of life in patients with scoliosis, who had or had not undergone surgery...
2018: Scoliosis and Spinal Disorders
Hasan Ghandhari, Ebrahim Ameri, Farshad Nikouei, Milad Haji Agha Bozorgi, Shoeib Majdi, Mostafa Salehpour
Background: Adolescent idiopathic scoliosis (AIS) is the most common form of idiopathic scoliosis, and surgery is considered as one of the therapeutic options. However, it is associated with a variety of irreversible complications, in spite of the benefits it provides. Here, we evaluated the long-term outcome of posterior spinal fusion (PSF) of AIS to shed more light on the consequences of this surgery. Methods: In a cross-sectional study, a total of 42 AIS patients who underwent PSF surgery were radiographically and clinically inspected for the potential post-operative complications...
2018: Scoliosis and Spinal Disorders
John Thometz, XueCheng Liu, Robert Rizza, Ian English, Sergery Tarima
Background: A wide variety of braces are commercially available designed for the adolescent idiopathic scoliosis (AIS), but very few braces for infantile scoliosis (IS) or juvenile scoliosis (JS). The goals of this study were: 1) to briefly introduce an elongation bending derotation brace (EBDB) in the treatment of IS or JS; 2) to investigate changes of Cobb angles in the AP view of X-ray between in and out of the EBDB at 0, 3, 6, 9, and 12 months; 3) to compare differences of Cobb angles (out of brace) in 3, 6, 9, and12 month with the baseline; 4) to investigate changes (out of brace) in JS and IS groups separately...
2018: Scoliosis and Spinal Disorders
Sabrina Donzelli, Fabio Zaina, Salvatore Minnella, Monia Lusini, Stefano Negrini
Background: In respect to the prescribed regimen and the regular daily pattern, investigate how short-term results are affected by wear time adherence in terms of hours per day. Methods: This is a case-control study. The setting is outpatient clinic. There were 168 subjects, all of whom met the inclusion criteria: adolescent idiopathic scoliosis and Sforzesco brace prescription of 18 to 23 h/day. The minimum period of follow-up was 4 months, and the maximum was 6 months, which is the average time passing between the Thermobrace (TB) adoption and out-of-brace X-ray before treatment...
2018: Scoliosis and Spinal Disorders
Karina A Zapata, Sharon S Wang-Price, Tina S Fletcher, Charles E Johnston
Background: Software applications (apps) could potentially promote exercise adherence. However, it is unclear whether adolescents with painful hyperkyphosis will use an app designed for a home exercise program. The purpose of this study is to assess factors regarding adherence to an app-based home exercise program in adolescents with hyperkyphosis and back pain who were provided a one-time exercise treatment. Methods: Twenty-one participants were instructed in a one-time exercise treatment and asked to complete a home exercise program 3 times a week for 6 months using an app called PT PAL...
2018: Scoliosis and Spinal Disorders
Yew Long Lo, Yam Eng Tan, Sitaram Raman, Adeline Teo, Yang Fang Dan, Chang Ming Guo
Background: Motor- (MEP) and somatosensory-evoked potentials (SSEP) are susceptible to the effects of intraoperative environmental factors. Methods: Over a 5-year period, 250 patients with adolescent idiopathic scoliosis (AIS) who underwent corrective surgery with IOM were retrospectively analyzed for MEP suppression (MEPS). Results: Our results show that four distinct groups of MEPS were encountered over the study period. All 12 patients did not sustain any neurological deficits postoperatively...
2018: Scoliosis and Spinal Disorders
Máté Burkus, Ádám Tibor Schlégl, Ian O'Sullivan, István Márkus, Csaba Vermes, Miklós Tunyogi-Csapó
Background: Scoliosis is a complex three-dimensional deformity. While the frontal profile is well understood, increasing attention has turned to balance in the sagittal plane. The present study evaluated changes in sagittal spino-pelvic parameters in a large Hungarian population with adolescent idiopathic scoliosis. Methods: EOS 2D/3D images of 458 scoliotic and 69 control cases were analyzed. After performing 3D reconstructions, the sagittal parameters were assessed as a whole and by curve type using independent sample t test and linear regression analysis...
2018: Scoliosis and Spinal Disorders
Konstantinos C Soultanis, Alexandros H Payatakes, Vasilios T Chouliaras, Georgios C Mandellos, Nikolaos E Pyrovolou, Fani M Pliarchopoulou, Panayotis N Soucacos
[This retracts the article DOI: 10.1186/1748-7161-2-15.].
2018: Scoliosis and Spinal Disorders
Tatsuhiro Sekiya, Yoichi Aota, Katsutaka Yamada, Kanichiro Kaneko, Manabu Ide, Tomoyuki Saito
Background: To our knowledge, no studies have reported the exact structural leg length discrepancies (LLDs) in patients with adolescent idiopathic scoliosis (AIS). Therefore, this study aimed to evaluate the differences between functional and structural LLDs and to examine the correlations between LLDs and spinopelvic parameters in patients with AIS using an EOS imaging system, which permits the three-dimensional reconstruction of spinal and lower-limb bony structures. Methods: Eighty-two consecutive patients with AIS underwent whole-body EOS radiography in a standing position between August 2014 and March 2016...
2018: Scoliosis and Spinal Disorders
Dariusz Czaprowski, Łukasz Stoliński, Marcin Tyrakowski, Mateusz Kozinoga, Tomasz Kotwicki
Background: The physiological sagittal spinal curvature represents a typical feature of good body posture in the sagittal plane. The cervical and the lumbar spine are curved anteriorly (lordosis), while the thoracic segment is curved posteriorly (kyphosis). The pelvis is inclined anteriorly, and the lower limbs' joints remain in a neutral position. However, there are many deviations from the optimal body alignment.The aim of this paper is to present the most common types of non-structural misalignments of the body posture in the sagittal plane...
2018: Scoliosis and Spinal Disorders
Michele Romano, Matteo Mastrantonio
Background: One of the reasons that make scoliosis a disease that scares so much the parents is its specific characteristic of being difficult to detect on its onset.The aim of this paper is to check the possible usefulness of a simple tool (the torsion bottle) that has been developed with the aim to offer an instrument for home use by parents but also for screening purposes in the low-income countries. Methods: Study design: retrospective analysis to evaluate intra-operator reliability of the tools and inter-operator repeatability using the torsion bottle...
2018: Scoliosis and Spinal Disorders
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