keyword
https://read.qxmd.com/read/38450685/intrawound-vancomycin-powder-reduces-delayed-deep-surgical-site-infections-following-posterior-spinal-fusion-for-adolescent-idiopathic-scoliosis
#21
JOURNAL ARTICLE
Kensuke Shinohara, Peter O Newton, Michael P Kelly, Vidyadhar V Upasani, Carrie E Bartley, Tracey P Bryan
STUDY DESIGN: Retrospective. OBJECTIVE: Evaluate whether the use of vancomycin powder (VP) placed in the surgical site prior to wound closure prevents delayed deep surgical site infections (DDI). SUMMARY OF BACKGROUND DATA: DDI after posterior spinal fusion (PSF) in adolescent idiopathic scoliosis (AIS) patients remains a significant major complication. The use of VP to prevent acute surgical site infection has been reported but the impact on DDI is unknown...
March 7, 2024: Spine
https://read.qxmd.com/read/38442676/dural-ectasia-with-cauda-equina-syndrome-a-rare-case-report
#22
Tumwesige R Kondo, Mathias S Ncheye, Happiness R Massawe, Godlisten S Kawiche, Honest H Massawe, Peter Magembe Mrimba
INTRODUCTION AND IMPORTANCE: Dural ectasia, which is often idiopathic, is seen both in patients with neurofibromatosis and Marfan's syndrome. In neurofibromatosis, the ectasia is most often seen in the thoracic region but can occur at any point along the dura. A complication such as cauda equina syndrome is usually rare. CLINICAL PRESENTATION: A 48 year old male complaining of recurrent throbbing headache, for 3 years, 2 years ago he developed progressively lower back pain, associated with numbness and tingling sensation of the lower limbs...
March 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38441871/aborted-ais-spinal-fusion-due-to-persistent-loss-of-ionm-which-patients-are-at-greatest-risk
#23
JOURNAL ARTICLE
Connor Zale, Evan Fene, Claire Bonnyman, Lydia Klinkerman, Amy L McIntosh
PURPOSE: Determine peri-operative risk factors predictive for prematurely stopping surgery prior to completion of deformity correction due to intra-operative neuromonitoring changes. METHODS: A single institution retrospective review of adolescent idiopathic scoliosis (AIS) patients that underwent spinal fusion for curves greater than 70°. Cases aborted due to persistent loss of IONM were compared to completed cases. Demographic, radiographic, neurologic, and surgical information was reviewed...
March 5, 2024: Spine Deformity
https://read.qxmd.com/read/38441505/catheter-tip-associated-mass-with-continuous-infusion-of-sufentanil-for-persistent-spinal-pain-syndrome-type-2-a-case-report-including-histopathologic-examination-and-review-of-the-associated-basic-and-clinical-research
#24
REVIEW
Andrew J B Pisansky, Benjamin J MacDougall, Edgar L Ross, John H Chi, Grace Neville, Tony L Yaksh
OBJECTIVES: Intrathecal opioids delivered by implanted pumps are used to treat malignant or nonmalignant chronic pain. In this study, we 1) review a case in which intrathecal infusions of sufentanil along with other adjuvants were used and after an extended period led to an intrathecal mass and 2) compared and contrasted the potential mechanisms for these phenomena. MATERIALS AND METHODS: A woman aged 66 years with a history of scoliosis and multiple spine surgeries was treated with an implantable drug delivery system for treating persistent pain after laminectomy...
March 5, 2024: Neuromodulation: Journal of the International Neuromodulation Society
https://read.qxmd.com/read/38436875/adult-versus-adolescent-idiopathic-scoliosis-surgery-a-meta-analysis-of-clinical-and-radiographic-outcomes
#25
REVIEW
Jeffrey W Chen, Hani Chanbour, Rishabh Gupta, Justine Izah, Wilson E Vaughan, Amir M Abtahi, Scott L Zuckerman, Byron F Stephens
INTRODUCTION: While the natural history of adolescent idiopathic scoliosis (AIS) and adult idiopathic scoliosis (AdIS) is well documented in the literature, the impact of age on postoperative outcomes remains an active area of research. We performed a systematic review and meta-analysis to compare patients undergoing surgery for AIS and AdIS with respect to: (1) postoperative Cobb correction, (2) perioperative variables, and (3) postoperative complications. METHODS: A systematic literature search was performed in accordance with preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines...
March 4, 2024: European Spine Journal
https://read.qxmd.com/read/38430401/the-effect-of-providence-night-time-bracing-on-the-sagittal-profile-in-adolescent-idiopathic-scoliosis
#26
JOURNAL ARTICLE
Martin Heegaard, Niklas Tøndevold, Benny Dahl, Thomas B Andersen, Martin Gehrchen, Søren Ohrt-Nissen
PURPOSE: Adolescent idiopathic scoliosis (AIS) is characterized by coronal scoliosis and often a sagittal hypokyphosis. The effect of bracing on the sagittal profile is not well understood. The aim of this study is to assess the effect of night-time bracing on the sagittal profile in patients with AIS. METHODS: We retrospectively included AIS patients with a main curve of 25-45° treated with a night-time brace in our institution between 2005 and 2018. Patients with estimated growth potential based on either Risser stage, hand X-rays, or menarchal status were included...
March 2, 2024: European Spine Journal
https://read.qxmd.com/read/38430152/rare-sagittal-compensatory-balance-in-neuromuscular-scoliosis-complicated-by-hydrocephalus-a-case-report
#27
JOURNAL ARTICLE
Jingxuan Wang, Zheng Zhang, Shuo Yuan
OBJECTIVE: This case report aims to present a rare case of thoracic lordosis and lumbar kyphosis and describe the posterior instrumented scoliosis correction performed. CASE PRESENTATION: A 59-year-old female presented with low back pain. She had undergone ventriculoperitoneal shunt placement 8 years ago. I scored 76 on the Wechsler Adult Intelligence Scale. MRI of the lumbar spine showed spinal canal stenosis at L3/4, L4/5, and L5/S1. Full spine X-ray revealed thoracic lordosis and lumbar kyphoscoliosis, the coronal imbalance, and the sagittal compensatory balance...
March 1, 2024: Alternative Therapies in Health and Medicine
https://read.qxmd.com/read/38428951/does-spinal-cord-type-predict-intraoperative-neuro-monitoring-alerts-in-scoliosis-correction-surgery-a-systematic-review-and-meta-analysis-of-operative-and-radiologic-predictors
#28
REVIEW
Abdulrahman O Al-Naseem, Abdulaziz O Al-Naseem, Derek T Cawley, Ahmed Aoude, Anthony A Catanzano, Muhammad M Abd-El-Barr, Aman Sharma, Roozbeh Shafafy
STUDY DESIGN: Systematic literature review and meta-analysis. OBJECTIVES: Predicting patient risk of intraoperative neuromonitoring (IONM) alerts preoperatively can aid patient counselling and surgical planning. Sielatycki et al established an axial-MRI-based spinal cord classification system to predict risk of IONM alerts in scoliosis correction surgery. We aim to systematically review the literature on operative and radiologic factors associated with IONM alerts, including a novel spinal cord classification...
March 1, 2024: Global Spine Journal
https://read.qxmd.com/read/38423741/artificial-intelligence-in-spine-surgery
#29
REVIEW
Justin K Scheer, Christopher P Ames
The amount and quality of data being used in our everyday lives continue to advance in an unprecedented pace. This digital revolution has permeated healthcare, specifically spine surgery, allowing for very advanced and complex computational analytics, such as artificial intelligence (AI) and machine learning (ML). The integration of these methods into clinical practice has just begun, and the following review article will describe AI/ML, demonstrate how it has been applied in adult spinal deformity surgery, and show its potential to improve patient care touching on future directions...
April 2024: Neurosurgery Clinics of North America
https://read.qxmd.com/read/38417624/will-chatgpt-be-able-to-replace-a-spine-surgeon-in-the-clinical-setting
#30
JOURNAL ARTICLE
Ralph Chalhoub, Antoine Mouawad, Marven Aoun, Mohammad Daher, Pierre El-Sett, Gaby Kreichati, Khalil Kharrat, Amer Sebaaly
PURPOSE: This study evaluates ChatGPT's performance in diagnosing and managing spinal pathologies. METHODS: Patients underwent evaluation by two spine surgeons (and the case was discussed and a consensus was reached) and ChatGPT. Patient data, including demographics, symptoms, and available imaging reports, were collected using a standardized form. This information was then processed by ChatGPT for diagnosis and management recommendations. The study assessed ChatGPT's diagnostic and management accuracy through descriptive statistics, comparing its performance to that of experienced spine specialists...
February 26, 2024: World Neurosurgery
https://read.qxmd.com/read/38415871/therapeutic-exercises-for-idiopathic-scoliosis-in-adolescents
#31
REVIEW
Michele Romano, Silvia Minozzi, Josette Bettany-Saltikov, Fabio Zaina, Nachiappan Chockalingam, Tomasz Kotwicki, Axel Maier-Hennes, Chiara Arienti, Stefano Negrini
BACKGROUND: Adolescent idiopathic scoliosis (AIS) is a pathology that changes the three-dimensional shape of the spine and trunk. While AIS can progress during growth and cause cosmetic issues, it is usually asymptomatic. However, a final spinal curvature above the critical threshold of 30° increases the risk of health problems and curve progression in adulthood. The use of therapeutic exercises (TEs) to reduce the progression of AIS and delay or avoid other, more invasive treatments is still controversial...
February 28, 2024: Cochrane Database of Systematic Reviews
https://read.qxmd.com/read/38413472/pedicle-screw-accuracy-placed-with-assistance-of-machine-vision-technology-in-patients-with-neuromuscular-scoliosis
#32
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/38409831/comparison-and-evaluation-of-the-accuracy-for-thoracic-and-lumbar-pedicle-screw-fixation-in-early-onset-congenital-scoliosis-children
#33
JOURNAL ARTICLE
Xuzhao Guo, Jing Gong, Xiaokang Zhou, Chen Wang, Fei Wang, Hua Zhu, Ziwei Mao, Zhao Meng, Yi Qu
BACKGROUND: Compared to adult scoliosis, correcting scoliosis in children often presents greater challenges. This is attributed to two key factors. Firstly, it involves accounting for the growth potential of children. Secondly, the thinner pedicles in children can complicate screw insertion, particularly when dealing with existing deformities. The utilization of intraoperative navigation technology offers a modest improvement in the precision of screw placement but does come with the drawback of increased radiation exposure...
February 2024: Discovery Medicine
https://read.qxmd.com/read/38407226/primary-pelvic-anteversion-definition-relevance-and-history-after-surgery-for-adult-spine-deformity
#34
JOURNAL ARTICLE
Alice Baroncini, Louis Boissiere, Caglar Yilgor, Daniel Larrieu, Ahmet Alanay, Ferran Pellisé, Frank Kleinstueck, Javier Pizones, Yann Philippe Charles, Cecile Roscop, Anouar Bourghli, Ibrahim Obeid
STUDY DESIGN: Retrospective analysis of prospectively collected data. OBJECTIVE: To identify the best definition of primary anteverted pelvis in the setting of adult spine deformity (ASD), and to investigate whether this is a pathologic setting that requires surgical correction. SUMMARY OF BACKGROUND DATA: While pelvic retroversion has been thoroughly investigated, pelvic anteversion (AP) is a far lesser discussed topic. Four different AP definitions have been proposed, and AP has been described as a normal or pathologic entity by different authors...
February 26, 2024: Spine
https://read.qxmd.com/read/38405685/clinical-outcomes-of-percutaneous-transforaminal-endoscopic-discectomy-assisted-with-selective-nerve-root-block-for-treating-radicular-pain-with-diagnostic-uncertainty-in-the-elderly
#35
JOURNAL ARTICLE
Yanjie Zhu, Xinkun Zhang, Guangfei Gu, Yunshan Fan, Zhi Zhou, Chaobo Feng, Xin Gu, Shisheng He
PURPOSE: To investigate the clinical outcomes of percutaneous transforaminal endoscopic discectomy assisted with selective nerve root block for treating radicular pain with diagnostic uncertainty in the elderly. METHODS: A total number of 36 elderly patients were included in the study. Clinical outcomes collected for analysis include operative time, hospital stay time, Visual Analog Scale, and Oswestry Disability Index before and after the surgery, the global outcome based on the Macnab outcome criteria...
2024: Journal of Pain Research
https://read.qxmd.com/read/38398428/novel-screw-placement-method-for-extremely-small-lumbar-pedicles-in-scoliosis
#36
JOURNAL ARTICLE
Chang-Ju Hwang, Joo-Young Lee, Dong-Ho Lee, Jae-Hwan Cho, Choon-Sung Lee, Mi-Young Lee, So-Jung Yoon
Study Design: Consecutive case series. Objective: To propose a screw placement method in patients with extremely small lumbar pedicles (ESLPs) (<2 mm) to maintain screw density and correction power, without relying on the O-arm navigation system. Summary of Background Data: In scoliosis surgery, ESLPs can hinder probe passage, resulting in exclusion or substitution of the pedicle screws with a hook. Screw density affects correction power, making it necessary to maximize the number of screw placements, especially in the lumbar curve...
February 16, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38397340/the-minimally-invasive-bipolar-fixation-for-pediatric-spinal-deformities-a-narrative-review
#37
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/38397271/posterior-vertebral-body-tethering-a-preliminary-study-of-a-new-technique-to-correct-lenke-5c-lumbar-curves-in-adolescent-idiopathic-scoliosis
#38
JOURNAL ARTICLE
Jean-Damien Metaizeau, Delphy Denis
Vertebral body tethering has been approved for adolescent scoliosis correction. The usual approach is anterior, which is relatively easy for the thoracic spine, but becomes much more challenging for the lumbar curves, with a higher rate of complications. The purpose of this study was to describe and evaluate the first results of a new posterior vertebral body tethering (PVBT) technique using pedicle screws through a posterolateral Wiltse approach. Twenty-two patients with 5C idiopathic scoliosis (Lenke classification) were included in this retrospective study, with a follow up of 2 years after surgery...
January 26, 2024: Children
https://read.qxmd.com/read/38388885/goldenhar-syndrome-with-limbal-neoformation-microtia-and-skeletal-deformities-a-case-report-and-literature-review
#39
JOURNAL ARTICLE
Yushan Fu, Haotian Yu, Jiajia Zhang, Nan Zhou
BACKGROUND: To report a case of a 4-year-old patient with Goldenhar syndrome. CASE PRESENTATION: The author presents a rare case report involving a 4-year-old boy with multiple malformations. A comprehensive examination showed that the patient primarily had a limbal dermoid. He also has bilateral microtia and ear canal deformities. The skull CT scan and spine X-ray showed Maxillofacial Abnormalities and scoliosis. Whole Exome Sequencing revealed potential gene variations related to microtia...
February 22, 2024: BMC Ophthalmology
https://read.qxmd.com/read/38376560/costs-of-revision-operations-for-distal-junctional-kyphosis-following-thoracic-posterior-spinal-fusion-for-adolescent-idiopathic-scoliosis
#40
JOURNAL ARTICLE
Alekos A Theologis, Hao-Hua Wu, Jacob F Oeding, Mohammad Diab
PURPOSE: To assess direct costs and risks associated with revision operations for distal junctional kyphosis/failure (DJK) following thoracic posterior spinal instrumented fusions (TPSF) for adolescent idiopathic scoliosis (AIS). METHODS: Children who underwent TPSF for AIS by a single surgeon (2014-2020) were reviewed. Inclusion criteria were minimum follow-up of 2 years, thoracolumbar posterior instrumented fusion with a lower instrumented vertebra (LIV) cranial to L2...
February 20, 2024: European Spine Journal
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