keyword
https://read.qxmd.com/read/38536654/surgical-technique-proximal-extension-of-instrumentation-using-sublaminar-bands-for-salvage-of-postoperative-proximal-junctional-failure-in-pediatric-patients
#1
JOURNAL ARTICLE
Mason A Fawcett, Richard M Schwend
PURPOSE: Proximal junctional failure is a complication that can occur following posterior spine surgery with instrumentation. The ability to surgically revise this complication is important for the spine surgeon, yet there is little literature on the topic, especially for pediatric patients. METHODS: The technique we describe involves proximal extension of the existing instrumentation using paired levels of sublaminar bands that allows for a smooth transition of forces at the junction of instrumented and non-instrumented regions of the spine...
March 27, 2024: Spine Deformity
https://read.qxmd.com/read/38514530/lowest-instrumented-vertebrae-in-early-onset-scoliosis-is-there-a-role-for-a-more-selective-approach
#2
JOURNAL ARTICLE
Michael J Heffernan, Claudia Leonardi, Lindsay M Andras, Bailli Fontenot, Luke Drake, Joshua M Pahys, John T Smith, Peter F Sturm, George H Thompson, Michael P Glotzbecker, Tyler A Tetreault, Benjamin D Roye, Ying Li
PURPOSE: This purpose of this study was to assess the impact of patient and implant characteristics on LIV selection in ambulatory children with EOS and to assess the relationship between the touched vertebrae (TV), the last substantially touched vertebrae (LSTV), the stable vertebrae (SV), the sagittal stable vertebrae (SSV), and the LIV. METHODS: A multicenter pediatric spine database was queried for patients ages 2-10 years treated by growth friendly instrumentation with at least 2-year follow up...
March 21, 2024: Spine Deformity
https://read.qxmd.com/read/38512566/evaluating-compliance-with-the-best-practice-guidelines-for-wrong-level-surgery-prevention-in-high-risk-pediatric-spine-surgery
#3
JOURNAL ARTICLE
Alondra Concepción-González, J Manuel Sarmiento, Christina C Rymond, Chinenye Ezeh, Rishi Sinha, Hannah Lin, Kevin Lu, Afrain Z Boby, Prakash Gorroochurn, A Noelle Larson, Benjamin D Roye, Brice Ilharreborde, Michael G Vitale
PURPOSE: In 2018, Best Practice Guidelines (BPGs) were published for preventing wrong-level surgery in pediatric spinal deformity, but successful implementation has not been established. The purpose of this study was to evaluate BPG compliance 5 years after publication. We hypothesized higher compliance among BPG authors and among surgeons with more experience, higher caseload, and awareness of the BPGs. METHODS: We queried North American and European surgeons, authors and nonauthors, and members of pediatric spinal study groups on adherence to BPGs using an anonymous survey consisting of 18 Likert scale questions...
March 21, 2024: Spine Deformity
https://read.qxmd.com/read/38510616/case-report-c1-2-rotational-instability-progressing-to-extreme-subaxial-hyperkyphosis-in-an-adolescent-with-severe-catatonia
#4
Samuel F Schaible, Christoph Hamann, Sebastian Grunt, Fabian C Aregger, Moritz C Deml
INTRODUCTION: Autism spectrum disorder (ASD) is characterized by deficits in social communication, repetitive behaviors, and can be accompanied by a spectrum of psychiatric symptoms, such as schizophrenia and catatonia. Rarely, these symptoms, if left untreated, can result in spinal deformities. RESEARCH QUESTION AND CASE DESCRIPTION: This case report details the treatment of a 16-year-old male ASD patient with catatonic schizophrenia and mutism, presenting with neck pain, left-rotated torticollis, and fever...
2024: Brain Spine
https://read.qxmd.com/read/38499968/characterizing-antibiotic-prophylaxis-practices-in-pediatric-deformity-spinal-surgery-and-impact-on-30-day-postoperative-infection-an-nsqip-pediatric-database-study
#5
JOURNAL ARTICLE
Vivien Chan, David L Skaggs, Robert H Cho, Selina C Poon, Geoffrey Shumilak
PURPOSE: The aim of this study was to characterize antibiotic prophylaxis practices in pediatric patients who have received posterior arthrodesis for spinal deformity and understand how these practices impact 30-day postoperative infection rates. METHODS: This was a retrospective cohort study using the National Surgical Quality Improvement Program Pediatric database for year 2021. Patients 18 years of age or younger who received posterior arthrodesis for scoliosis or kyphosis correction were included...
March 18, 2024: Spine Deformity
https://read.qxmd.com/read/38493442/impact-of-a-quality-improvement-initiative-and-monthly-multidisciplinary-meetings-on-outcomes-after-posterior-spinal-fusion-for-adolescent-idiopathic-scoliosis
#6
JOURNAL ARTICLE
Astrid C Hengartner, Aladine A Elsamadicy, Anshu Jonnalagadda, Samuel Craft, Josiah J Z Sherman, Benjamin C Reeves, Tiana Fernandez, Joshua Hobbs, Andrew B Koo, Michael DiLuna, Dominick A Tuason
INTRODUCTION: Several studies have demonstrated the benefits of enhanced recovery after surgery (ERAS) protocols for patients with adolescent idiopathic scoliosis (AIS) undergoing posterior spinal instrumented fusion (PSIF). However, there are relatively few studies investigating the effect of regular multidisciplinary team meetings on level selection, surgical performance parameters, and patient outcomes after PSIF for AIS. The aim of this study was to assess changes in intra- and postoperative outcomes following multidisciplinary team meeting implementation for patients undergoing PSIF for AIS...
March 17, 2024: Spine Deformity
https://read.qxmd.com/read/38467044/fusion-mass-to-pelvis-internal-distraction-technique-using-multiple-hook-fixation-for-scoliosis-correction-illustrative-case
#7
JOURNAL ARTICLE
J Manuel Sarmiento, Christina C Rymond, Abdulbaki Kozan, Lawrence G Lenke
BACKGROUND: Internal distraction rods have been described as an alternative to halo gravity traction for the treatment of severe scoliosis. Distraction rods can be challenging to use in patients with existing fusion masses. The authors report an internal distraction, construct-to-construct rod technique using multiple-hook fixation in a patient with a sharply angulated cervicothoracic scoliosis fusion mass. OBSERVATIONS: A 12-year-old female with previously diagnosed congenital scoliosis who had undergone cervical fusion in situ at age 2 presented to the clinic with shortness of breath exacerbated by increased levels of activity...
March 11, 2024: J Neurosurg Case Lessons
https://read.qxmd.com/read/38459148/surgical-limits-pitfalls-and-potential-solutions-in-kyphectomy-in-myelomeningocele-three-cases-and-systematic-review-of-the-literature
#8
REVIEW
Raffaele De Marco, Luigi Aurelio Nasto, Antonio Strangio, Gianluca Piatelli, Marco Pavanello
OBJECTIVES: To describe surgical treatment of 3 cases of severe and progressive thoracolumbar kyphosis in myelomeningocele and provide a systematic review of the available literature on the topic. METHODS: Medical records and pre- and post-operative imaging of 3 patients with thoracolumbar kyphosis and myelomeningocele were reviewed. A database search was performed for all manuscripts published on kyphectomy and/or surgical treatment of kyphosis in myelomeningocele...
March 9, 2024: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://read.qxmd.com/read/38457028/the-effect-of-antibiotic-impregnated-calcium-sulfate-beads-and-medical-optimization-clinic-attendance-on-the-acute-surgical-site-infection-rate-in-high-risk-pediatric-neuromuscular-and-syndromic-scoliosis-patients
#9
JOURNAL ARTICLE
Yashas Reddy, Adam Jamnik, David Thornberg, Anne-Marie Datcu, Emily Lachmann, Megan Johnson, Brandon Ramo, Amy L McIntosh
BACKGROUND: Neuromuscular and syndromic (NMS) scoliosis patients are at higher risk of acute surgical site infections (SSIs). Despite following POSNA's endorsed consensus-based guidelines for SSI prevention, our institutional rates of acute SSI have varied dramatically. This variability drove simultaneous strategies to lower SSI rates: the creation of a preoperative Medical Optimization Clinic (MOC) and use of antibiotic-impregnated (Abx-I) calcium sulfate beads. METHODS: Patients undergoing index PSF at a single institution between 2016 and 2022 were retrospectively reviewed...
March 8, 2024: Spine Deformity
https://read.qxmd.com/read/38454491/a-new-look-at-vertebral-body-tethering-vbt-through-the-modified-clavien-dindo-sink-mcds-classification
#10
JOURNAL ARTICLE
John S Vorhies, Lucas Hauth, Samantha Garcia, Benjamin D Roye, Selina Poon, Peter F Sturm, Michael Glotzbecker, Nicholas D Fletcher, Joseph D Stone, Patrick J Cahill, Jason B Anari
INTRODUCTION: Anterior vertebral body tethering (AVBT) is increasingly popular as an option for surgical treatment of idiopathic scoliosis (IS). While the technology remains new, it is important for families and patients to be able to compare it to the current standard of care, posterior spinal fusion (PSF). The purpose of this study is to describe the complication rate of AVBT in IS using the mCDS and to compare it to the recently reported complication rate of PSF in IS. METHODS: A multicenter pediatric spine deformity database was queried for all idiopathic scoliosis patients who underwent vertebral body tethering...
March 8, 2024: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/38437675/treatment-of-an-anterior-cervicothoracic-myelomeningocele-together-with-spine-deformity-correction-in-a-child-illustrative-case
#11
JOURNAL ARTICLE
Hudin N Jackson, Nealen Laxpati, David F Bauer
BACKGROUND: Anterior cervicothoracic myelomeningoceles are a rare pathology. In reported cases, treatment has included shunting, isolated resection and repair without deformity correction, or isolated deformity correction without meningocele repair. The authors describe a pediatric patient with an anterior cervicothoracic myelomeningocele presenting with progressive neurological decline, who underwent simultaneous treatment of the myelomeningocele to detether the spinal cord and achieve major correction of the scoliotic deformity...
March 4, 2024: J Neurosurg Case Lessons
https://read.qxmd.com/read/38413472/pedicle-screw-accuracy-placed-with-assistance-of-machine-vision-technology-in-patients-with-neuromuscular-scoliosis
#12
JOURNAL ARTICLE
Rajendra Sakhrekar, Nicholas Shkumat, Birgit Ertl-Wagner, Stephen Lewis, David Lebel, M J McVey, Mark Camp
INTRODUCTION: Pedicle screws are the primary method of vertebral fixation in scoliosis surgery, but there are lingering concerns over potential malposition. The rates of pedicle screw malposition in pediatric spine surgery vary from 10% to 21%. Malpositioned screws can lead to potentially catastrophic neurological, vascular, and visceral complications. Pedicle screw positioning in patients with neuromuscular scoliosis is challenging due to a combination of large curves, complex pelvic anatomy, and osteopenia...
February 27, 2024: Spine Deformity
https://read.qxmd.com/read/38411707/long-term-outcomes-in-sacral-agenesis
#13
JOURNAL ARTICLE
Calum Thomson, Amun Mahmood, Sung Min Yun, Laura Hartley, Rajesh Botchu, Khalid Mohmoud, Mathew Sewell, Jwalant Mehta
INTRODUCTION: Sacral agenesis (SA) includes a range of clinical presentations of varying severity, with implications for function and quality of life (QoL). Diagnosis is often made perinatally, and prognostic discussions become an important aspect of parental counselling. This study engaged SA sufferers and their caregivers to obtain objective, long-term patient reported outcome data. METHOD: Patients with radiologically confirmed SA from a single tertiary spinal unit underwent retrospective medical record review...
February 27, 2024: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://read.qxmd.com/read/38397340/the-minimally-invasive-bipolar-fixation-for-pediatric-spinal-deformities-a-narrative-review
#14
REVIEW
Lotfi Miladi, Federico Solla, Mathilde Gaume
Growing rod techniques are increasingly used for early-onset scoliosis in children. Unfortunately, they are associated with many complications, particularly neuromuscular scoliosis, favored by the poor general condition of these patients and the fragility of their osteoporotic bones. Furthermore, these interventions are often iterative and usually followed by vertebral fusion at the end of growth. This is a review of the literature on a recent fusionless technique, minimally invasive bipolar fixation, which is more stable than the traditional growing rod techniques and less aggressive than vertebral arthrodesis...
February 9, 2024: Children
https://read.qxmd.com/read/38397270/3d-back-contour-metrics-in-predicting-idiopathic-scoliosis-progression-retrospective-cohort-analysis-case-series-report-and-proof-of-concept
#15
JOURNAL ARTICLE
Milan Patel, Xue-Cheng Liu, Kai Yang, Channing Tassone, Benjamin Escott, John Thometz
Adolescent Idiopathic Scoliosis is a 3D spinal deformity commonly characterized by serial radiographs. Patients with AIS may have increased average radiation exposure compared to unaffected patients and thus may be implicated with a modest increase in cancer risk. To minimize lifetime radiation exposure, alternative imaging modalities such as surface topography are being explored. Surface topography (ST) uses a camera to map anatomic landmarks of the spine and contours of the back to create software-generated spine models...
January 26, 2024: Children
https://read.qxmd.com/read/38386718/prospective-validation-of-the-spinal-cord-shape-classification-system-in-the-prediction-of-intraoperative-neuromonitoring-data-loss-assessing-the-risk-of-spinal-cord-data-loss-during-spinal-deformity-correction
#16
JOURNAL ARTICLE
Joshua Bakhsheshian, Lawrence G Lenke, Fthimnir M Hassan, Erik Lewerenz, Justin L Reyes, Scott L Zuckerman
BACKGROUND: The Spinal Cord Shape Classification System (SCSCS) class has been associated with spinal cord monitoring data loss during spinal deformity surgery. The objective of the current study was to prospectively validate the SCSCS as a predictor of spinal cord monitoring data loss during spinal deformity surgery. METHODS: A prospective cohort study of consecutive patients who were undergoing primary deformity surgery at a single institution from 2018 to 2023 and whose major curve was in the spinal cord region was undertaken...
February 22, 2024: Journal of Bone and Joint Surgery. American Volume
https://read.qxmd.com/read/38376241/rehabilitation-protocols-in-neonates-undergoing-primary-nerve-surgery-for-upper-brachial-plexus-palsy-a-scoping-review
#17
REVIEW
Dhruv Mendiratta, Michael F Levidy, Alice Chu, Aleksandra McGrath
INTRODUCTION: Surgical management is recommended in patients with severe neonatal brachial plexus palsy (NBPP) within the first 6 months of age to regain best possible function. Rehabilitation post-surgery remains relatively unexplored. This is a scoping review that explores, which rehabilitation modalities exist and how they vary for different microsurgical approaches in NBPP. MATERIALS AND METHODS: A systematic search was conducted to include articles about upper trunk obstetric brachial plexus nerve microsurgery in pediatric patients that made mention of rehabilitation protocols...
March 2024: Microsurgery
https://read.qxmd.com/read/38375876/safety-and-effectiveness-of-halo-gravity-traction-combined-with-traditional-growing-rods-in-severe-early-onset-scoliosis-with-neurofibromatosis-type-1
#18
JOURNAL ARTICLE
Mingqian Liang, Jun Cao, Xuejun Zhang, Dong Guo, Ziming Yao, Rongxuan Gao, Yunsong Bai
Neurofibromatosis type 1 (NF-1) scoliosis can be difficult to treat without early detection. Correcting deformities while considering long-term growth in early-onset scoliosis (EOS) treatment is important. This study was performed to establish the safety and effectiveness of halo gravity traction (HGT) with traditional growing rods (TGRs) in NF-1 EOS. We retrospectively reviewed a cohort of 15 children (7 boys and 8 girls; mean age, 5.61 years) diagnosed with NF-1 EOS from October 2016 to March 2021...
February 19, 2024: Journal of Pediatric Orthopedics. Part B
https://read.qxmd.com/read/38374878/non-ionizing-measurement-and-quantification-of-bell-shaped-chests-in-spinal-muscular-atrophy-a-pilot-study
#19
JOURNAL ARTICLE
Israel Amirav, Neta Rabin, Sapir Levi, Ronly Har-Even Cohn, Yotam Lior, Shelly Shiran, Liora Sagi, Aviva Fatal, Alon Zvirin, Yaron Honen, Moran Lavie, Ron Kimmel
BACKGROUND: Spinal Muscular Atrophy (SMA) is manifested by deformation of the chest wall, including a bell-shaped chest. We determined the ability of a novel non-ionizing, non-volitional method to measure and quantify bell-shaped chests in SMA. METHODS: A 3D depth camera and a chest x-ray (CXR) were used to capture chest images in 14 SMA patients and 28 controls. Both methods measure the distance between two points, but measurements performed by 3D analysis allow for the consideration of the curve of a surface (geodesic measurements), whereas the CXR allows solely for the determination of the shortest path between two points, with no regard for the surface (Euclidean measurements)...
2024: Frontiers in Pediatrics
https://read.qxmd.com/read/38348438/the-global-impact-of-the-covid-19-pandemic-on-pediatric-spinal-care-a-multi-centric-study
#20
JOURNAL ARTICLE
Hila Otremski, Jennifer Dermott, Kira Page, Lisa S Ipp, John S Blanco, Daniel Studer, Amit Sigal, Dorothy Kim, Carol C Hasler, David E Lebel, Roger F Widmann, Dror Ovadia
BACKGROUND: The COVID-19 pandemic has affected healthcare worldwide since December 2019. We aimed to identify the effect of the COVID-19 pandemic on outpatient clinic and surgical volumes and peri-operative complications for pediatric spinal deformities patients. METHODS: In this multi-center retrospective study, outpatient visits (in-person and virtual care) and pediatric spine surgeries volumes in four high-volume pediatric spine centers were compared between March and December 2019 and the same period in 2020...
February 2024: Journal of Children's Orthopaedics
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