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Spine scoliosis surgery

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https://www.readbyqxmd.com/read/27928452/evaluation-of-the-unit-rod-surgical-instrumentation-in-duchenne-scoliosis-a-retrospective-study
#1
Nedelcu T, Georgescu I
The article represents a retrospective clinical and radiological study. Objectives. Evaluating the safety and efficiency of the surgical treatment by using the Unit Rod for scoliosis in adolescents and children presenting Duchenne's muscular dystrophy. Summary. Surgical management of myopathic scoliosis still causes controversies regarding the timing of surgery (patient's age), the pelvic inclusion in the arthrodesis or the advantages of surgery over the conservatory treatment. The patients are very fragile and a long surgery with massive blood loss could lead to serious complications...
October 2016: Journal of Medicine and Life
https://www.readbyqxmd.com/read/27927574/untreated-thoracic-curve-in-adult-idiopathic-scoliosis-what-are-patients-concerns
#2
Javier Pizones, Mar Pérez Martin-Buitrago, Francisco Javier Sánchez Perez-Grueso, Ferran Pellisé, Ahmet Alanay, Ibrahim Obeid, Frank Kleinstück, Emre R Acaroglu
STUDY DESIGN: Retrospective two-cohort comparative analysis of data collected prospectively. OBJECTIVES: To analyze a cohort of patients with untreated thoracic curves of an adult multicenter deformity database [European spine study group (ESSG)], describe patient characteristics and concerns, and establish the rate and motivations for surgical intervention. SUMMARY OF BACKGROUND DATA: Idiopathic thoracic curves have a significant clinical and socioeconomic impact during adolescence...
November 2016: Spine Deformity
https://www.readbyqxmd.com/read/27927571/a-comparative-analysis-among-the-srs-m-m-nis-and-kid-databases-for-the-adolescent-idiopathic-scoliosis
#3
Nathan J Lee, Javier Z Guzman, Jun Kim, Branko Skovrlj, Christopher T Martin, Andrew J Pugely, Yubo Gao, John M Caridi, Sergio Mendoza-Lattes, Samuel K Cho
STUDY DESIGN: Retrospective cohort analysis. OBJECTIVES: A growing number of publications have utilized the Scoliosis Research Society (SRS) Morbidity and Mortality (M&M) database, but none have compared it to other large databases. The objective of this study was to compare SRS complications with those in administrative databases. SUMMARY OF BACKGROUND DATA: The Nationwide Inpatient Sample (NIS) and Kid's Inpatient Database (KID) captured a greater number of overall complications while the SRS M&M data provided a greater incidence of spine-related complications following adolescent idiopathic scoliosis (AIS) surgery...
November 2016: Spine Deformity
https://www.readbyqxmd.com/read/27927569/complications-and-radiographic-outcomes-of-posterior-spinal-fusion-and-observation-in-patients-who-have-undergone-distraction-based-treatment-for-early-onset-scoliosis
#4
Jeffrey R Sawyer, Rodrigo Góes Medéa de Mendonça, Tara S Flynn, Amer F Samdani, Ron El-Hawary, Alan J Spurway, John T Smith, John B Emans, Tricia A St Hilaire, Stephen J Soufleris, Ryan P Murphy
STUDY DESIGN: Retrospective, multicenter. OBJECTIVES: To compare surgical and radiographic outcomes of early-onset scoliosis (EOS) patients who had stopped lengthening for ≥2 years without additional surgery to those who had posterior spinal fusion (PSF) at the end of lengthening. SUMMARY OF BACKGROUND DATA: Because of the risk of significant complications with PSF in patients with EOS, "watchful waiting" at the end of lengthening has been suggested as a viable alternative...
November 2016: Spine Deformity
https://www.readbyqxmd.com/read/27927516/preoperative-mrsa-screening-in-pediatric-spine-surgery-a-helpful-tool-or-a-waste-of-time-and-money
#5
Scott J Luhmann, June C Smith
OBJECTIVES: To review the use of preoperative screening for Staphylococcus aureus for all pediatric spine procedures that was instituted at our facility in a multimodal approach to decrease the frequency of postoperative wound infections. SUMMARY OF BACKGROUND DATA: Four years ago at our facility, a multimodal approach to decrease the frequency of postoperative infections after pediatric spine surgery was instituted. METHODS: A single-center, single-surgeon pediatric spine surgery database was queried to identify all patients who had preoperative S...
July 2016: Spine Deformity
https://www.readbyqxmd.com/read/27927504/does-the-type-of-metal-instrumentation-affect-the-risk-of-surgical-site-infection-in-pediatric-scoliosis-surgery
#6
Margaret L Wright, David L Skaggs, Hiroko Matsumoto, Regina P Woon, Ashley Trocle, John M Flynn, Michael G Vitale
STUDY DESIGN: Retrospective cohort study. OBJECTIVES: To determine the association of implant metal composition with the risk of surgical site infection (SSI) following pediatric spine surgery. SUMMARY OF BACKGROUND DATA: SSI is a well-described complication following pediatric spine surgery. Many risk factors have been identified in the literature, but controversy remains regarding metal composition as a risk factor. METHODS: This was a retrospective study of patients who underwent posterior spinal instrumentation procedures between January 1, 2006, and December 31, 2008, at three large children's hospitals for any etiology of scoliosis and had at least 1 year of postoperative follow-up...
May 2016: Spine Deformity
https://www.readbyqxmd.com/read/27927501/morphometric-analysis-of-the-thoracic-intervertebral-foramen-osseous-anatomy-in-adolescent-idiopathic-scoliosis-using-low-dose-computed-tomography
#7
Thorbjorn J Loch-Wilkinson, Maree T Izatt, Robert D Labrom, Geoffrey N Askin, Mark J Pearcy, Clayton J Adam
PURPOSE: The dimensions of the thoracic intervertebral foramen in adolescent idiopathic scoliosis (AIS) have not previously been quantified. Better understanding of the dimensions of the foramen may be useful in surgical planning. This study describes a reproducible method for measurement of the thoracic foramen in AIS using computed tomography (CT). METHODS: In 23 preoperative female patients with Lenke 1 type AIS with right-side convexity major curves confined to the thoracic spine the foraminal height (FH), foraminal width (FW), pedicle to superior articular process distance (P-SAP), and cross-sectional foraminal area (FA) were measured using multiplanar reconstructed CT...
May 2016: Spine Deformity
https://www.readbyqxmd.com/read/27927492/investigating-the-universality-of-preoperative-health-related-quality-of%C3%A2-life-hrqol-for-surgically-treated-spinal-deformity-in-young-adults-a-propensity-score-matched-comparison-between-african-and%C3%A2-us-populations
#8
Bradley Y Harris, Matthew F Roth, Bassel G Diebo, Shay Bess, Alexander A Theologis, Justin K Scheer, Frank J Schwab, Virginie Lafage, Christopher P Ames, Richard Hodes, Jennifer Ayamga, Oheneba Boachie-Adjei
STUDY DESIGN: Retrospective analysis of propensity score-matched (PSM) observational cohorts. OBJECTIVES: To evaluate and compare preoperative health-related quality of life (HRQoL) scores and radiographic measurements of young African and US adults with spinal deformity (ASD). SUMMARY OF BACKGROUND DATA: Young ASD patients in the United States are motivated more to correct coronal and sagittal plane deformities than to alleviate pain. Motivations for surgical correction in young ASD patients in Africa have not been previously investigated...
September 2016: Spine Deformity
https://www.readbyqxmd.com/read/27927491/age-at-initiation-and-deformity-magnitude-influence-complication-rates-of-surgical-treatment-with-traditional-growing-rods-in-early-onset-scoliosis
#9
Vidyadhar V Upasani, Kevin C Parvaresh, Jeff B Pawelek, Patricia E Miller, George H Thompson, David L Skaggs, John B Emans, Michael P Glotzbecker
STUDY DESIGN: Multi-center retrospective review. OBJECTIVE: The purpose of this study was to identify preoperative variables associated with postoperative complications in early-onset scoliosis (EOS) patients treated with traditional growing rods (TGR); and to develop a model to predict the incidence of postoperative complications based on preoperative variables. SUMMARY OF BACKGROUND DATA: TGRs are commonly used to treat progressive EOS. Prior research has demonstrated a high rate of postoperative complications using this technique; however, few studies have identified preoperative factors that contribute to such complications...
September 2016: Spine Deformity
https://www.readbyqxmd.com/read/27927489/sagittal-spine-length-measurement-a-novel-technique-to-assess-growth-of-the-spine
#10
Alan J Spurway, Chukwudi K Chukwunyerenwa, Waleed E Kishta, Jennifer K Hurry, Ron El-Hawary
STUDY DESIGN: The accuracy and repeatability of a novel sagittal spine length (SSL) radiographic measurement was examined using photographic and radiographic imaging. OBJECTIVES: To validate the new SSL technique for measuring growth in early-onset scoliosis (EOS) patients. SUMMARY OF BACKGROUND DATA: Current assessment of patient growth undergoing growth-friendly surgical treatment for EOS is the use of serial vertical spine height measurements (VH) on coronal radiographs...
September 2016: Spine Deformity
https://www.readbyqxmd.com/read/27900714/is-there-asymmetry-between-the-concave-and-convex-pedicles-in-adolescent-idiopathic-scoliosis-a-ct-investigation
#11
Colin M Davis, Caroline A Grant, Mark J Pearcy, Geoffrey N Askin, Robert D Labrom, Maree T Izatt, Clayton J Adam, J Paige Little
BACKGROUND: Adolescent idiopathic scoliosis is a complex three-dimensional deformity of the spine characterized by deformities in the sagittal, coronal, and axial planes. Spinal fusion using pedicle screw instrumentation is a widely used method for surgical correction in severe (coronal deformity, Cobb angle > 45°) adolescent idiopathic scoliosis curves. Understanding the anatomic difference in the pedicles of patients with adolescent idiopathic scoliosis is essential to reduce the risk of neurovascular or visceral injury through pedicle screw misplacement...
November 29, 2016: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/27893663/revision-surgery-for-curve-progression-after-implant-removal-following-posterior-fusion-only-at-a-young-age-in-the-treatment-of-congenital-scoliosis-a-case-report
#12
Dong-Gune Chang, Jae Hyuk Yang, Jung-Hee Lee, Jung-Sub Lee, Seung-Woo Suh, Jin-Hyok Kim, Seung-Yeol Oh, Woojin Cho, Jong-Beom Park, Se-Il Suk
RATIONALE: Congenital scoliosis due to a hemivertebra creates a wedge-shaped deformity, which progresses and causes severe spinal deformities as an individual grows. The treatment of congenital scoliosis focuses on early diagnosis and appropriate surgical management before the development of severe deformity. PATIENT CONCERNS: We report the case of a 4-year-old male child with a left thoracolumbar scoliosis of 27° (T10-T12) due to a T11 hemivertebra who was treated by posterior fusion and pedicle screw fixation at the age of 4 years...
November 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27890439/a-japanese-nationwide-multicenter-survey-on-perioperative-complications-of-corrective-fusion-for-elderly-patients-with-adult-spinal-deformity
#13
Yu Yamato, Yukihiro Matsuyama, Kazuhiro Hasegawa, Yoichi Aota, Tsutomu Akazawa, Takahiro Iida, Kazumasa Ueyama, Koki Uno, Tokumi Kanemura, Noriaki Kawakami, Toshiaki Kotani, Masashi Takaso, Jun Takahashi, Masato Tanaka, Hiroshi Taneichi, Taichi Tsuji, Hideo Hosoe, Joji Mochida, Takachika Shimizu, Ikuho Yonezawa, Kota Watanabe, Morio Matsumoto
BACKGROUND: Recently, corrective fusion surgery for patients with adult spinal deformity (ASD) has become common in Japan. This study aimed to clarify the status of surgeries for ASD in Japan, focusing on perioperative complications. A nationwide multicenter survey gathering information on surgically treated ASD patients was conducted by the committee for Adult Spinal Deformity of the Japanese Scoliosis Society. METHODS: This study was a review of retrospectively collected data from 18 spine scoliosis centers belonging to the Japanese Scoliosis Society...
November 24, 2016: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/27879512/uhmwpe-sublaminar-wires-in-posterior-spinal-instrumentation-stability-and-biocompatibility-assessment-in-an-ovine-pilot-study
#14
Rob Bogie, Laura Voss, Jacobus J Arts, Arno Lataster, Paul C Willems, Boudewijn Brans, Lodewijk W van Rhijn, Tim J M Welting
STUDY DESIGN: An animal study. OBJECTIVE: To explore ultra-high molecular weight polyethylene (UHMWPE) sublaminar wires in spinal surgery and to assess stability and biocompatibility of the UHMWPE instrumentation in an ovine model. SUMMARY OF BACKGROUND DATA: Sublaminar wiring is a well-established technique in segmental scoliosis surgery. However, during introduction and/or removal of the metal sublaminar wires, neurological problems can occur...
December 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/27876481/physical-effects-of-unilateral-mastectomy-on-spine-deformity
#15
Savaş Serel, Zeynep Yasavur Tuzlalı, Zehra Akkaya, Çağlar Uzun, Burak Kaya, Sancar Bayar
OBJECTIVE: Mastectomy is known to effect body posture after a change in the center of gravity of women due to a missing breast. Although previous studies on short-term postural changes in mastectomy patients using photogrammetry or Moiré topography suggested ipsilateral inclination of the trunk, our clinical observations during breast reconstruction surgeries indicated a contralateral shoulder elevation in women with unilateral mastectomy. Because the change in body posture can affect spinal alignment, we aimed to evaluate the long-term physical effects of unilateral mastectomy on spine deformity by radiographic examination...
October 26, 2016: Clinical Breast Cancer
https://www.readbyqxmd.com/read/27861399/factors-affecting-pelvic-rotation-in-idiopathic-scoliosis-analysis-of-85-cases-in-a-single-center
#16
Yunfei Zhao, Lin Qi, Jun Yang, Xiaodong Zhu, Changwei Yang, Ming Li
Pelvic rotation (PR) is commonly seen in patients with idiopathic scoliosis (IS), but factors contributing to this phenomenon and its relationship with the surgical outcome are not well established.This retrospective study included 85 IS patients in 2 groups: thoracic curve dominance group (group A) and lumbar curve dominance group (group B). Pre- and postoperative PR was measured on standing posteroanterior radiographs by the left/right ratio (L/R ratio) of horizontal distance between the anterior superior iliac spine (ASIS) and the inferior ilium (SI) at the sacroiliac joint on the same side in both groups...
November 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27857857/predictive-parameters-for-the-antecedent-development-of-hip-pathology-associated-with-long-segment-fusions-to-the-pelvis-for-the-treatment-of-adult-spinal-deformity
#17
Merritt D Kinon, Rani Nasser, Jonathan P Nakhla, Owoicho Adogwa, Jessica R Moreno, Michael Harowicz, Terence Verla, Reza Yassari, Carlos A Bagley
BACKGROUND: The surgical treatment of adult scoliosis frequently involves long segment fusions across the lumbosacral joints that redistribute tremendous amounts of force to the remaining mobile spinal segments as well as to the pelvis and hip joints. Whether or not these forces increase the risk of femoral bone pathology remains unknown. The aim of this study is to determine the correlation between long segment spinal fusions to the pelvis and the antecedent development of degenerative hip pathologies as well as what predictive patient characteristics, if any, correlate with their development...
2016: Surgical Neurology International
https://www.readbyqxmd.com/read/27852501/longitudinal-pilot-analysis-of-radiation-exposure-during-the-course-of-growing-rod-treatment-for-early-onset-scoliosis
#18
Gregory M Mundis, Jeff B Pawelek, Edward K Nomoto, Michael W Hennessy, Burt Yaszay, Behrooz A Akbarnia
STUDY DESIGN: Retrospective consecutive case series. OBJECTIVES: To estimate the amount of ionizing radiation (IR) exposure in growing rod (GR) surgery for early-onset scoliosis. SUMMARY OF BACKGROUND DATA: There is substantial evidence of the health hazards attributed to IR exposure. However, no studies have estimated the amount of IR exposure in GR surgery. MATERIALS AND METHODS: A consecutive single-center series of GR patients were retrospectively reviewed...
January 2016: Spine Deformity
https://www.readbyqxmd.com/read/27852499/does-an-internal-thoracoplasty-correct-and-prevent-a-reassertion-of-the-rib-cage-deformity-after-spine-surgery-for-an-adolescent-idiopathic-thoracic-scoliosis-greater-than-70-degrees
#19
Michael J McMaster, Marianne E McMaster
STUDY DESIGN: Prospective observational study. OBJECTIVE: To evaluate the effect of internal thoracoplasty and anterior spine release combined with posterior spinal instrumentation in correcting and preventing a reoccurrence of the rib cage deformity in adolescent idiopathic thoracic scoliosis >70 degrees. SUMMARY OF BACKGROUND DATA: The rib cage deformity rather than the lateral curvature of the spine is usually the major cosmetic deformity in severe adolescent idiopathic thoracic scoliosis...
January 2016: Spine Deformity
https://www.readbyqxmd.com/read/27847853/assessment-of-coronal-radiographic-parameters-of-the-spine-in-the-treatment-of-adolescent-idiopathic-scoliosis
#20
Mohsen Karami, Arash Maleki, Keyvan Mazda
BACKGROUND: To determine the most important preoperative factors that affect postoperative coronal parameters of scoliotic curves. METHODS: All Adolescent Idiopathic Scoliosis (AIS) patients included in the study were classified according to Lenke and King Classification. The fusion levels were selected according to the rigidity of the existing curves (correction less than 50%), tilt of T1 and shoulders, sagittal angle of the curves and with considering stable and neutral end vertebra...
October 2016: Archives of Bone and Joint Surgery
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