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Spine surgery scoliosis

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https://www.readbyqxmd.com/read/29656622/minimally-invasive-spinal-surgery-for-adult-spinal-deformity
#1
REVIEW
Junseok Bae, Sang-Ho Lee
The purpose of this review is to present the current techniques and outcomes of adult spine deformity (ASD) surgery using the minimally invasive spine surgery (MISS) approach. We performed a systemic search of PubMed for literature published through January 2018 with the following terms: "minimally invasive spine surgery," "adult spinal deformity," and "degenerative scoliosis." Of the 138 items that were found through this search, 57 English-language articles were selected for full-text review...
March 2018: Neurospine
https://www.readbyqxmd.com/read/29629587/an-nihr-approved-two-year-observational-study-on-magnetically-controlled-growth-rods-in-the-treatment-of-early-onset-scoliosis
#2
C Nnadi, C Thakar, J Wilson-MacDonald, P Milner, A Rao, D Mayers, J Fairbank, T Subramanian
Aims The primary aim of this study was to evaluate the performance and safety of magnetically controlled growth rods in the treatment of early onset scoliosis. Secondary aims were to evaluate the clinical outcome, the rate of further surgery, the rate of complications, and the durability of correction. Patients and Methods We undertook an observational prospective cohort study of children with early onset scoliosis, who were recruited over a one-year period and followed up for a minimum of two years. Magnetically controlled rods were introduced in a standardized manner with distractions performed three-monthly thereafter...
April 1, 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29629580/current-concepts-in-the-surgical-management-of-adolescent-idiopathic-scoliosis
#3
A D Tambe, S J Panikkar, P A Millner, A I Tsirikos
Adolescent idiopathic scoliosis (AIS) is a complex 3D deformity of the spine. Its prevalence is between 2% and 3% in the general population, with almost 10% of patients requiring some form of treatment and up to 0.1% undergoing surgery. The cosmetic aspect of the deformity is the biggest concern to the patient and is often accompanied by psychosocial distress. In addition, severe curves can cause cardiopulmonary distress. With proven benefits from surgery, the aims of treatment are to improve the cosmetic and functional outcomes...
April 1, 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29623419/axial-plane-dissimilarities-of-two-identical-lenke-type-6c-scoliosis-cases-visualized-and-analyzed-by-vertebral-vectors
#4
Tamás S Illés, Máté Burkus, Szabolcs Somoskeőy, Fabien Lauer, Francois Lavaste, Jean F Dubousset
PURPOSE: The global appearance of scoliosis in the horizontal plane is not really known. Therefore, the aims of this study were to analyze scoliosis in the horizontal plane using vertebral vectors in two patients classified with the same Lenke group, and to highlight the importance of the information obtained from these vertebral vector-based top-view images in clinical practice. METHODS: Two identical cases of scoliosis were selected, based on preoperative full-body standing anteroposterior and lateral radiographs obtained by the EOS™ 2D/3D system...
April 6, 2018: European Spine Journal
https://www.readbyqxmd.com/read/29596213/a-prospective-single-blind-randomized-controlled-trial-of-chewing-gum-on-bowel-function-recovery-after-posterior-spinal-fusion-surgery-for-adolescent-idiopathic-scoliosis
#5
Yichen Meng, Tao Lin, Wei Shao, Heng Jiang, Tangbo Li, Rui Gao, Xuhui Zhou
PURPOSE: To evaluate the effectiveness of chewing gum on promoting bowel function recovery in adolescent idiopathic scoliosis patients undergoing surgical correction. MATERIALS AND METHODS: Adolescent idiopathic scoliosis patients scheduled for posterior spinal fusion surgery at our institution were randomized to either group 1 (chewing gum) or group 2 (control). The primary endpoints were time to flatus, time to bowel movement, length of hospital stay, and time to liquid or solid...
April 2018: Clinical Spine Surgery
https://www.readbyqxmd.com/read/29578110/spontaneous-correction-of-coronal-imbalance-after-selective-thoracolumbar-lumbar-fusion-in-patients-with-lenke-5c-adolescent-idiopathic-scoliosis
#6
Chang Ju Hwang, Choon Sung Lee, Hyojune Kim, Dong-Ho Lee, Jae Hwan Cho
BACKGROUND CONTEXT: Coronal imbalance is a complication of corrective surgeries in AIS. However, few studies about immediate coronal decompensation in Lenke-5C curves have reported its incidence, prognosis, and related factors. PURPOSE: To evaluate the development of coronal imbalance after selective thoracolumbar/lumbar (TL/L) fusion (SLF) in Lenke-5C adolescent idiopathic scoliosis (AIS), and to reveal related factors. STUDY DESIGN/SETTING: Retrospective comparative study...
March 22, 2018: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/29570045/preoperative-full-length-standing-radiographs-and-revision-rates-in-lumbar-degenerative-scoliosis
#7
Joshua T Bunch, Steven D Glassman, Howard R Underwood, Leanne N Metcalfe, Stephen Ondra, Ivan Vasilyev, Leah Y Carreon
OBJECTIVE Full-length (36-inch) standing spine radiographs are commonly used by spine surgeons to evaluate patients with lumbar degenerative scoliosis (LDS). Despite this practice, the impact of these images on preoperative decision making and the rate of revision surgery has not been analyzed. The purpose of this study is to determine if preoperative full-length standing spine radiographs improve surgical decision making by decreasing the rate of revision surgery in patients with LDS. METHODS From the Health Care Service Corporation administrative claims database, the authors identified patients 50-80 years of age with LDS who had undergone surgery including posterior lumbar decompression and fusion over 2-6 levels and with at least 5 years of continuous coverage after the index surgery...
March 23, 2018: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/29561297/prevalence-of-pre-operative-lower-urinary-tract-symptoms-in-patients-undergoing-elective-lumbar-spine-surgery
#8
Elizabeth G Lieberman, Ryan M Boone, Stephanie Radoslovich, Valentina Haj, Jayme Hiratzka, Lynn M Marshall, Jung U Yoo
STUDY DESIGN: Cross sectional cohort study OBJECTIVE.: To determine the prevalence of moderate-to-severe lower urinary tract symptoms (LUTS) in patients undergoing elective lumbar spine surgery, and to describe associations between prevalence, severity of symptoms, demographic variables, and spine pathology. SUMMARY OF BACKGROUND DATA: The prevalence of LUTS is unknown in patients with lumbar spine disease. Furthermore, the extent of LUTS severity and the relationship between spine pathology and LUTS is not well documented...
March 20, 2018: Spine
https://www.readbyqxmd.com/read/29557862/does-vancomycin-powder-decrease-surgical-site-infections-in-growing-spine-surgery-a-preliminary-study
#9
George H Thompson, Connie Poe-Kochert, Christina K Hardesty, Jochen Son-Hing, R Justin Mistovich
BACKGROUND: Vancomycin powder has been demonstrated to be safe in children, and yet there are no data on its use to reduce surgical site infections (SSIs) in surgery for early-onset scoliosis. METHODS: We performed a retrospective study of our patients treated for early-onset scoliosis in the period of 2010 to 2016. In 2010, we updated our standardized perioperative growing spine care path. The only later change was the gradual introduction of intrawound vancomycin powder...
March 21, 2018: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29534415/-outcome-of-traditional-growing-rods-for-correction-of-apical-vertebra-rotation-in-early-onset-scoliosis
#10
X Sun, L Xu, Z H Chen, X Chen, C Z Du, S Li, Z Liu, B P Qian, B Wang, Z Z Zhu, Y Qiu
Objective: To evaluate the correction result of traditional dual growing rods on apical vertebral rotation. Methods: This study recruited 19 early-onset scoliosis patients (6 boys and 13 girls) who had received traditional dual growing rods treatment at Department of Spine Surgery, Nanjing Drum Tower Hospital from January 2009 to July 2015. The age at initial surgery was (5.7±1.7)years(range, 3 to 9 years). Measurements of primary curve magnitude, height of T(1)-S(1), apical vertebral translation(AVR), apical vertebral body-rib ratio, apical vertebral rotation, thoracic rotation and rib hump were compared between pre-operatively, post-operatively, and at latest follow-up, through a paired- t test...
March 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/29503695/influence-of-distal-fusion-level-on-sagittal-spinopelvic-and-spinal-parameters-in-the-surgical-management-of-adolescent-idiopathic-scoliosis
#11
Turgut Akgül, Kerim Sarıyılmaz, Murat Korkmaz, Okan Özkunt, Özcan Kaya, Fatih Dikici
Study Design: Retrospective analysis of adolescent idiopathic scoliosis. Purpose: This study aimed to investigate the influence of distinct distal fusion levels on spinopelvic parameters in patients with adolescent idiopathic scoliosis (AIS) who underwent posterior instrumentation and fusion surgery. Overview of Literature: The distal fusion level selection in treatment of AIS is the one of milestone to effect on surgical outcome. Most of the paper focused on the coronal deformity correction and balance...
February 2018: Asian Spine Journal
https://www.readbyqxmd.com/read/29501749/rod-fracture-in-adult-spinal-deformity-surgery-fused-to-the-sacrum-prevalence-risk-factors-and-impact-on-health-related-quality-of-life-in-526-patients
#12
Thamrong Lertudomphonwanit, Michael P Kelly, Keith H Bridwell, Lawrence G Lenke, Steven J McAnany, Prachya Punyarat, Timothy P Bryan, Jacob M Buchowski, Lukas P Zebala, Brenda A Sides, Karen Steger-May, Munish C Gupta
BACKGROUND CONTEXT: Risk factors associated with rod fracture (RF) following adult spinal deformity (ASD) surgery fused to the sacrum remain debatable and the impact of RF on patient-reported outcomes (PROs) after ASD surgery has not been investigated. PURPOSE: To evaluate the prevalence of and risk factors for RF and determine PROs change associated with RF after ASD surgery fused to the sacrum. STUDY DESIGN/SETTING: Retrospective single-center cohort...
February 28, 2018: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/29499820/current-use-of-evidence-based-medicine-in-pediatric-spine-surgery
#13
REVIEW
Matthew E Oetgen
Evidence-based medicine (EBM) is a process of decision-making aimed at making the best clinical decisions as they relate to patients' health. The current use of EBM in pediatric spine surgery is varied, based mainly on the availability of high-quality data. The use of EBM is limited in idiopathic scoliosis, whereas EBM has been used to investigate the treatment of pediatric spondylolysis. Studies on early onset scoliosis are of low quality, making EBM difficult in this condition. Future focus and commitment to study quality in pediatric spinal surgery will likely increase the role of EBM in these conditions...
April 2018: Orthopedic Clinics of North America
https://www.readbyqxmd.com/read/29484856/degenerate-disc-infection-study-with-contaminant-control-discussion-on-the-research-methods
#14
Prashanth J Rao, Christine Chau, Kevin Phan, Ralph J Mobbs
OBJECTIVE: The role of bacterial infection in the causation of disc degeneration and its consequences is controversial. The current evidence is limited to underpowered studies, with the majority of such studies having only an internal contaminant arm, and only one study having a control arm with a non-degenerate disc population. The Degenerate-disc Infection Study with Contaminant Control (DISC) study includes a control arm and an internal contaminant control to resolve these shortcomings...
February 2018: Orthopaedic Surgery
https://www.readbyqxmd.com/read/29478623/selection-of-posterior-spinal-osteotomies-for-more-effective-periapical-segmental-vertebral-derotation-in-adolescent-idiopathic-scoliosis-an-in-vivo-comparative-analysis-between-ponte-osteotomy-and-inferior-facetectomy-alone
#15
Shoji Seki, Yasuhito Yahara, Hiroto Makino, Yoshiharu Kawaguchi, Tomoatsu Kimura
BACKGROUND: Ponte osteotomy is a useful method in posterior spinal release. However, it is unclear whether Ponte osteotomy itself contributes to vertebral derotation in surgery for adolescent idiopathic scoliosis (AIS) patients compared to inferior facetectomy alone. This study aimed to assess the effect of Ponte osteotomy on the magnitude of periapical vertebral body rotation compared to inferior facetectomy alone. This study was a prospective collected data. METHODS: The study included 63 patients with AIS (Thoracic curve type, 35; thoracolumbar/lumbar curve type, 27), who underwent surgery between August 2011 and January 2015...
February 22, 2018: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/29462061/visual-loss-following-spine-surgery-what-have-we-seen-within-the-scoliosis-research-society-morbidity-and-mortality-database
#16
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
#17
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
#18
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
#19
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
#20
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
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