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Spine surgery scoliosis

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https://www.readbyqxmd.com/read/29462061/visual-loss-following-spine-surgery-what-have-we-seen-within-the-scoliosis-research-society-morbidity-and-mortality-database
#1
Jamal N Shillingford, Joseph L Laratta, Nana O Sarpong, Hasani Swindell, Meghan Cerpa, Ronald A Lehman, Lawrence G Lenke, Charla Fischer
STUDY DESIGN: A retrospective review of the Scoliosis Research Society (SRS) morbidity and mortality (M&M) database. OBJECTIVE: The aim of this study was to investigate visual related complications in spinal deformity patients undergoing spine surgery. SUMMARY OF BACKGROUND DATA: The SRS compiles surgeon-reported complications into an M&M database, tracking postoperative complications including visual loss, neurological deficits, infections, and death...
February 16, 2018: Spine
https://www.readbyqxmd.com/read/29456756/relationship-between-thoracic-kyphosis-and-neural-axis-abnormalities-in-patients-with-adolescent-idiopathic-scoliosis
#2
I Swarup, P Derman, E Sheha, J Nguyen, J Blanco, R Widmann
Purpose: Previous studies have suggested an association between increased thoracic kyphosis and neural axis abnormalities in patients with adolescent idiopathic scoliosis (AIS). However, the basis for this finding is unclear, and this association has been mainly noted in retrospective studies on a non-consecutive series of patients. The purpose of this study was to assess the relationship between thoracic kyphosis and neural axis abnormalities in patients with AIS. Methods: We studied a consecutive series of AIS patients treated with spinal fusion...
February 1, 2018: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/29445948/intraspinal-neural-axis-abnormalities-in-severe-spinal-deformity-a-10-year-mri-review
#3
Ying Zhang, Jingming Xie, Yingsong Wang, Ni Bi, Tao Li, Jie Zhang, Zhi Zhao, Hua Ou, Siyuan Liu
PURPOSE: Documents indicated that the average prevalence of intraspinal neural axis abnormalities (INAAs) in presumed idiopathic scoliosis (PIS) patients was about 17.7%. However, paucity study focuses on the incidence of INAAs in severe spinal deformity (SSDs). In this study, we investigate the incidence of intraspinal neural axis abnormalities (IINAAs) and the clinical relevance in SSD at a single center. METHODS: All the patients with SSDs admitted for spinal surgery were evaluated from 2003 to 2014...
February 14, 2018: European Spine Journal
https://www.readbyqxmd.com/read/29432262/increased-radiation-but-no-benefits-in-pedicle-screw-accuracy-with-navigation-versus-a-freehand-technique-in-scoliosis-surgery
#4
Wiktor Urbanski, Wojciech Jurasz, Michal Wolanczyk, Miroslaw Kulej, Piotr Morasiewicz, Szymon Lukasz Dragan, Rafal Zaluski, Grzegorz Miekisiak, Szymon Feliks Dragan
BACKGROUND: The clinical value of pedicle screws in spinal deformity surgery is well known; however, screw insertion is demanding and sometimes associated with complications. Navigation systems based on intraoperatively obtained three-dimensional (3-D) images were developed to minimize pedicle screw misplacements. However, there is a lack of data confirming superiority of navigation above other techniques. There are also concerns regarding increased radiation used during the procedure...
February 8, 2018: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/29413742/current-evidence-regarding-the-diagnostic-methods-for-pediatric-lumbar-spondylolisthesis-a-report-from-the-scoliosis-research-society-evidence-based-medicine-committee
#5
Han Jo Kim, Charles H Crawford, Charles Ledonio, Shay Bess, A Noelle Larson, Marilyn Gates, Matthew Oetgen, James O Sanders, Douglas Burton
STUDY DESIGN: Structured literature review. OBJECTIVES: The Scoliosis Research Society (SRS) requested an assessment of the current state of peer-reviewed evidence regarding pediatric lumbar spondylolisthesis with the goal of identifying what is known and what gaps remain in further understanding the diagnostic methods for pediatric spondylolisthesis. SUMMARY OF BACKGROUND DATA: Spondylolisthesis in the lumbar spine is common among children and adolescents and no formal synthesis of the published literature regarding diagnostic methods has been previously performed...
March 2018: Spine Deformity
https://www.readbyqxmd.com/read/29412529/-adult-scoliosis-surgical-management
#6
Guillaume Racloz, Dennis Dominguez, Antonio Faundez, Romain Dayer
Adult scoliosis is a common condition. Symptoms could be very debilitating. Surgical management requires a clear assessment of the functional impact of scoliosis, the failure of conservative treatments and precise analysis of radiological investigations (full spine views, dynamic X-rays and MRI). Surgical techniques (anterior and posterior approaches, minimal invasive techniques, osteotomies, all spine instrumentation) must be tailored to each patient. The main goals of surgery are treatment of symptoms, correction of deformity in coronal and sagittal plane and achievement of a solid fusion...
February 7, 2018: Revue Médicale Suisse
https://www.readbyqxmd.com/read/29412187/how-does-sagittal-imbalance-affect-the-appropriateness-of-surgical-indications-and-selection-of-procedure-in-the-treatment-of-degenerative-scoliosis-findings-from-the-rand-auc-study
#7
Michael D Daubs, Harsimran S Brara, Laura B Raaen, Peggy Guey-Chi Chen, Ashaunta T Anderson, Steven M Asch, Teryl K Nuckols
BACKGROUND CONTEXT: Degenerative Lumbar Scoliosis (DLS) is often associated with sagittal imbalance, which may affect patients' health outcomes before and after surgery. The appropriateness of surgery and preferred operative approaches has not been examined in detail for patients with DLS and sagittal imbalance. PURPOSE: The goal of this paper is to describe what is currently known about the relationship between sagittal imbalance and health outcomes among patients with DLS, and to determine how indications for surgery in patients with DLS differ when sagittal imbalance is present...
February 2, 2018: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/29401073/growth-friendly-surgery-and-serial-cast-correction-in-the-treatment-of-early-onset-scoliosis-for-patients-with-prader-willi-syndrome
#8
Jonathan Oore, Braydon Connell, Burt Yaszay, Amer Samdani, Tricia St Hilaire, Tara Flynn, Ron El-Hawary
BACKGROUND: Prader-Willi syndrome (PWS) patients can present with scoliosis which can be treated with serial cast correction (SCC) or with growth friendly surgery (GFS). This study's purpose was to describe the results of SCC as well as GFS for PWS patients with early-onset scoliosis (EOS). METHODS: PWS patients were identified from 2 international multicenter EOS databases. Scoliosis, kyphosis, spine height (T1-S1), right/left hemithoracic heights/widths (RHTH, LHTH, RHTW, LHTW) were measured pretreatment, postoperation, and at 2-year follow-up...
February 2, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29397444/surgical-treatment-of-spinal-disorders-in-parkinson-s-disease
#9
REVIEW
Fabio Galbusera, Tito Bassani, Elena Stucovitz, Carlotta Martini, Maryem-Fama Ismael Aguirre, Pedro L Berjano, C Lamartina
PURPOSE: Most patients suffering from Parkinson's disease (PD) exhibit alterations in the posture, which can in several cases give rise to spine deformities, both in the sagittal and the coronal plane. In addition, degenerative disorders of the spine frequently associated to PD, such as spinal stenosis and sagittal instability, can further impact the quality of life of the patient. In recent years, spine surgery has been increasingly performed, with mixed results. The aim of this narrative review is to analyze the spinal disorders associated to PD, and the current evidence about their surgical treatment...
February 3, 2018: European Spine Journal
https://www.readbyqxmd.com/read/29396814/intraoperative-radiation-exposure-in-spinal-scoliosis-surgery-for-pediatric-patients-using-the-o-arm%C3%A2-imaging-system
#10
Kazuyoshi Kobayashi, Kei Ando, Kenyu Ito, Mikito Tsushima, Masayoshi Morozumi, Satoshi Tanaka, Masaaki Machino, Kyotaro Ota, Naoki Ishiguro, Shiro Imagama
PURPOSE: The O-arm® navigation system allows intraoperative CT imaging that can facilitate highly accurate instrumentation surgery, but radiation exposure is higher than with X-ray radiography. This is a particular concern in pediatric surgery. The purpose of this study is to examine intraoperative radiation exposure in pediatric spinal scoliosis surgery using O-arm. METHODS: The subjects were 38 consecutive patients (mean age 12.9 years, range 10-17) with scoliosis who underwent spinal surgery with posterior instrumentation using O-arm...
February 2, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29389793/complications-in-patients-undergoing-spinal-fusion-after-tha
#11
Bassel G Diebo, George A Beyer, Preston W Grieco, Shian Liu, Louis M Day, Roby Abraham, Qais Naziri, Peter G Passias, Aditya V Maheshwari, Carl B Paulino
INTRODUCTION: Patients with lumbar spine and hip disorders may, during the course of their treatment, undergo spinal fusion and THA. There is disagreement among prior studies regarding whether patients who undergo THA and spinal fusion are at increased risk of THA dislocation and other hip-related complications. QUESTIONS / PURPOSES: Is short or long spinal fusion associated with an increased rate of postoperative complications in patients who underwent a prior THA? PATIENTS AND METHODS: A retrospective study of New York State's Department of Health database (SPARCS) was performed...
February 2018: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/29389720/complication-severity-score-for-growth-friendly-surgery-has-strong-interrater-and-intrarater-agreement
#12
Nicole Michael, Claire Palmer, John T Smith, Zhaoxing Pan, Tricia St Hilaire, Jessica Morgan, Victoria Heagy, Sumeet Garg
BACKGROUND: Growth-friendly surgery has high complication rates. The Complication Severity Score for growth-friendly surgery was developed to maintain consistency while reporting complications as part of research in this rapidly evolving field. This study evaluates the interrater and intrarater reliability of this complication classification system. METHODS: After Institutional Review Board approval, complications during treatment for early onset scoliosis were identified from a prospectively collected database...
January 31, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29384920/the-radiographic-parameter-risk-factors-of-rapid-curve-progression-in-lenke-5-and-6-adolescent-idiopathic-scoliosis-a-retrospective-study
#13
Zhikun Li, Gengwu Li, Chao Chen, Yifan Li, Changwei Yang, Ming Li, Wei Xu, Xiaodong Zhu
Various parameters related to growth and maturity have been shown to be risk factors for scoliosis curve progression. We previously identified correlations between curve progression and radiographic parameters in clinical practice, but there is a lack of research.The aim of this study was to investigate and identify the radiographic parameters that are risk factors for rapid curve progression in Lenke 5 or 6 adolescent idiopathic scoliosis (AIS).A retrospective review of patients who were prospectively enrolled at the initiation of brace wear and followed through completion of bracing or surgery was performed...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29384864/does-spinal-fusion-to-t2-t3-or-t4-affects-sagittal-alignment-of-the-cervical-spine-in-lenke-1-ais-patients-a-retrospective-study
#14
Jian Zhao, Ziqiang Chen, Mingyuan Yang, Gengwu Li, Yingchuan Zhao, Ming Li
The aim of this stusy was to investigate whether spinal fusion to T2, T3, or T4 affects sagittal alignment of the cervical spine in Lenke 1 adolescent idiopathic scoliosis (AIS) patients.A retrospective study comprised of 64 Lenke 1 AIS patients was performed to assess the radiographic and clinical outcome. According to the upper instrumented vertebrae (UIV) (T2, T3, or T4), the patients were divided into 3 groups. Comparison analyses were performed among these 3 groups of patients as between pre-op, immediate post-op, and final follow-up, as well as between these groups...
February 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29377376/cost-effectiveness-of-intravenous-acetaminophen-and-ketorolac-in-adolescents-undergoing-idiopathic-scoliosis-surgery
#15
Vidya Chidambaran, Rajeev Subramanyam, Lili Ding, Senthilkumar Sadhasivam, Kristie Geisler, Bobbie Stubbeman, Peter Sturm, Viral Jain, Mark H Eckman
BACKGROUND: Enhanced recovery after surgery protocols increasingly use multimodal analgesia after major surgeries with intravenous acetaminophen and ketorolac, despite no documented cost-effectiveness of these strategies. AIMS: The goal of this prospective cohort study was to model cost-effectiveness of adding acetaminophen or acetaminophen + ketorolac to opioids for postoperative outcomes in children having scoliosis surgery. METHODS: Of 106 postsurgical children, 36 received only opioids, 26 received intravenous acetaminophen, and 44 received acetaminophen + ketorolac as analgesia adjuncts...
January 29, 2018: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/29372371/surgical-treatment-of-patients-with-myelomeningocele-related-spine-deformities-study-of-26-cases
#16
Huseyin Canaz, Ibrahim Alatas, Gokhan Canaz, Gurkan Gumussuyu, Mehmet Akif Cacan, Ayten Saracoglu, Bekir Yavuz Ucar
INTRODUCTION: Scoliosis, kyphosis, and sacral agenesis (SA) are common spine deformities in myelomeningocele (MMC) patients. Surgery of spine deformities in MMC patients is associated with various difficulties as infection, pathological skin breakage, instrumentation failure, and neurological deterioration. The purposes of this study are to share our clinical experience and discuss different surgical techniques which are defined in the literature. PATIENTS AND METHOD: We retrospectively evaluated our database of patients with MMC who underwent surgical procedures for spine deformities from 2014 to 2016...
January 25, 2018: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/29369154/combining-bilateral-magnetically-controlled-implants-inserted-parallel-to-the-spine-with-rib-to-pelvis-fixation-surgical-technique-and-early-results
#17
Anna K Hell, Katharina Groenefeld, Konstantinos Tsaknakis, Lena Braunschweig, Heiko M Lorenz
Spine-based fixation of magnetically controlled lengthening devices has been successfully performed for children with early-onset scoliosis. However, spinal manipulation may lead to ossifications, stiffness, and autofusion as previously described. To avoid these problems, a surgical technique combining bilateral externally controlled magnetic device implantation with a rib cradle and pelvic hook fixation was introduced by us in 2011. By using a bilateral single-rib or double-rib cradle fixation and a pelvic hook, the magnetic device is percutaneously inserted...
January 23, 2018: Clinical Spine Surgery
https://www.readbyqxmd.com/read/29368138/sagittal-balance-and-idiopathic-scoliosis-does-final-sagittal-alignment-influence-outcomes-degeneration-rate-or-failure-rate
#18
REVIEW
Brice Ilharreborde
INTRODUCTION: In the last decade, spine surgeons have been impacted by the "sagittal plane analysis revolution". Significant correlations have been found in adult spinal deformity (ASD) between sagittal lumbo-pelvic parameters and functional outcomes, but most of them do not apply in adolescent idiopathic scoliosis (AIS). Meanwhile, instrumentation and reduction strategies have considerably evolved. This paper aims to describe the preoperative sagittal alignment in AIS, and to report literature evidence regarding the influence of postoperative sagittal balance on complication rates, low back pain incidence and disc degeneration...
January 24, 2018: European Spine Journal
https://www.readbyqxmd.com/read/29360660/relationships-between-the-axial-derotation-of-the-lower-instrumented-vertebra-and-uninstrumented-lumbar-curve-correction-radiographic-outcome-in-lenke-1-adolescent-idiopathic-scoliosis-with-a-minimum-2-year-follow-up
#19
Saba Pasha, Patrick J Cahill, John M Flynn, Paul Sponseller, Peter O Newton
BACKGROUND: Preoperative spinal parameters are used to guide the fusion levels in adolescent idiopathic scoliosis (AIS) spinal surgery. However, the impact of the factors modifiable by the surgeon in varying levels of preoperative patient-specific variables is not fully explored. The goal of this study was to identify the association between axial rotation correction of the lower instrumented vertebra (LIV) and spontaneous correction of the uninstrumented lumbar spine as a function of preoperative 3 dimensional (3D) curve characteristics in Lenke 1 AIS...
January 22, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29351095/the-effect-of-ketorolac-on-thoracolumbar-posterolateral-fusion-a-systematic-review-and-meta-analysis
#20
Jesse Li, Remi M Ajiboye, Michael H Orden, Akshay Sharma, Austin Drysch, Sina Pourtaheri
STUDY DESIGN: Systematic review and meta-analysis. OBJECTIVE: The purpose of this study was to evaluate the effect of postoperative ketorolac administration (ie, dosage and duration of use) on pseudarthrosis following thoracolumbar posterolateral spinal fusions. SUMMARY OF BACKGROUND DATA: Ketorolac is a nonsteroidal anti-inflammatory drug often administered for pain control after spine surgery. The main concern with ketorolac is the risk of pseudarthrosis following fusion...
January 18, 2018: Clinical Spine Surgery
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