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https://www.readbyqxmd.com/read/28107233/posterior-correction-without-rib-head-resection-for-patients-with-neurofibromatosis-type-1-dystrophic-scoliosis-and-rib-head-protrusion-into-the-spinal-canal
#1
Siyi Cai, Jianguo Zhang, Jianxiong Shen, Hong Zhao, Xisheng Weng, Guixing Qiu
STUDY DESIGN: A retrospective study. OBJECTIVE: The objective of this study is to report the result of patients with neurofibromatosis type 1(NF-1), dystrophic scoliosis, and rib-head protrusion into the spinal canal who received posterior scoliosis correction surgery without rib-head resection. SUMMARY OF BACKGROUND DATA: A total of 124 patients with NF-1 and dystrophic scoliosis were treated at our institution during the study period. Eight patients with a median age of 12 years had rib-head protrusion into the spinal canal and received surgery and were included in the analysis...
February 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/28043681/long-term-outcome-of-interdisciplinary-management-of-patients-with-duchenne-muscular-dystrophy-receiving-daily-glucocorticoid-treatment
#2
Brenda L Wong, Irina Rybalsky, Karen C Shellenbarger, Cuixia Tian, Mary A McMahon, Meilan M Rutter, Hemant Sawnani, John L Jefferies
OBJECTIVE: To evaluate clinical outcomes and steroid side effects in a cohort of patients with Duchenne muscular dystrophy (DMD) treated with long-term daily glucocorticoid therapy. Although daily glucocorticoid therapy has been shown to extend ambulatory function in DMD, less frequent dosing is often used because of side effect concerns. STUDY DESIGN: Retrospective study of 97 patients with DMD aged 10 to <16 years treated with daily glucocorticoid (89% on deflazacort) for a mean of 8...
December 30, 2016: Journal of Pediatrics
https://www.readbyqxmd.com/read/28039546/the-relationship-between-lateral-displacement-of-the-mandible-and-scoliosis
#3
Azusa Nakashima, Hiroyuki Nakano, Tomohiro Yamada, Kazuya Inoue, Goro Sugiyama, Wataru Kumamaru, Yasumichi Nakajima, Tomoki Sumida, Takeshi Yokoyama, Katsuaki Mishiama, Yoshihide Mori
OBJECTIVES: Idiopathic scoliosis is an orthopaedic disease of childhood, with onset and progress occurring until adolescence. Here, the relationship between lateral displacement of the mandible and scoliosis was analysed quantitatively. METHODS: Seventy-nine non-syndromic Japanese patients (18 men, 61 women), who were diagnosed with jaw deformities and underwent surgical orthognathic treatment at Kyushu University Hospital from January 2011 to August 2014, were enrolled...
December 30, 2016: Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28038696/predictors-for-postoperative-shoulder-balance-in-lenke-1-adolescent-idiopathic-scoliosis-a-prospective-cohort-study
#4
Alberto O Gotfryd, Maria Fernanda Silber Caffaro, Robert Meves, Osmar Avanzi
STUDY DESIGN: Prospective cohort. OBJECTIVES: To determine the predictors of the shoulder balance after main thoracic (MT) fusion in patients with Lenke 1 adolescent idiopathic scoliosis (AIS). SUMMARY OF BACKGROUND DATA: Imbalanced shoulders are a major cause of dissatisfaction in AIS patients. In Lenke 1 curves, MT curve fusion is supposed to lead to spontaneous correction of the proximal thoracic (PT) curve and thereby promote shoulder balance...
January 2017: Spine Deformity
https://www.readbyqxmd.com/read/28038694/is-the-superior-articular-process-a-reliable-landmark-for-determining-the-transverse-plane-angulation-of-thoracic-pedicles-in-patients-with-adolescent-idiopathic-scoliosis
#5
Ogi Stevanovic, Alec Ryan Hermanson, John Thomas Anderson
PURPOSE: To analyze the usefulness of the superior articular process (SAP) as an external landmark for determining the transverse plane angulation of thoracic pedicles in scoliotic spines. METHODS: Two investigators reviewed thoracic spine CT scans of 60 patients with adolescent idiopathic scoliosis. The gantry was adjusted to obtain axial images parallel to the superior endplate. Each investigator measured the Cobb angle of the thoracic curve and identified the apical vertebra...
January 2017: Spine Deformity
https://www.readbyqxmd.com/read/28038692/asymmetry-of-the-vertebral-body-and-pedicles-in-the-true-transverse-plane-in-adolescent-idiopathic-scoliosis-a-ct-based-study
#6
Rob C Brink, Tom P C Schlösser, Dino Colo, Koen L Vincken, Marijn van Stralen, Steve C N Hui, Winnie C W Chu, Jack C Y Cheng, René M Castelein
STUDY DESIGN: Cross-sectional. OBJECTIVES: To quantify the asymmetry of the vertebral bodies and pedicles in the true transverse plane in adolescent idiopathic scoliosis (AIS) and to compare this with normal anatomy. SUMMARY OF BACKGROUND DATA: There is an ongoing debate about the existence and magnitude of the vertebral body and pedicle asymmetry in AIS and whether this is an expression of a primary growth disturbance, or secondary to asymmetrical loading...
January 2017: Spine Deformity
https://www.readbyqxmd.com/read/28028597/intra-and-inter-observer-reliability-of-determining-degree-of-pelvic-obliquity-in-neuromuscular-scoliosis-using-the-eos-chair%C3%A2-protocol
#7
Jihane Rouissi, Robin Arvieu, Arnaud Dubory, Claudio Vergari, Manon Bachy, Raphaël Vialle
PURPOSE: Scoliosis with pelvic obliquity (PO) could be investigated with the EOS-CHAIR protocol as the most common deformity especially in patients with trunk hypotonia and quadriplegia. However, the intra-observer and inter-observer reliability of various angles assessing PO was not investigated with this new imaging protocol. METHODS: A retrospective cohort of 36 EOS frontal full-spine acquisitions made in sitting position was used. The sacroiliac pelvic obliquity angle, iliac crest pelvic obliquity angle, and ischiatic pelvic obliquity angle were assessed in an intra-observer and inter-observer study...
December 27, 2016: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/27997505/characterization-and-predictive-value-of-segmental-curve-flexibility-in-adolescent-idiopathic-scoliosis-patients
#8
Guanfeng Yao, Jason Pui Yin Cheung, Hideki Shigematsu, Søren Ohrt-Nissen, Kenneth M C Cheung, Keith D K Luk, Dino Samartzis
STUDY DESIGN: A prospective radiographic analysis of AIS patients managed with alternate-level pedicle screw fixation was performed. OBJECTIVE: The objective of this study was to characterize segmental curve flexibility and to determine its predictive value in curve correction in adolescent idiopathic scoliosis (AIS) patients. SUMMARY OF BACKGROUND DATA: Little is known regarding the distinct segmental curve characteristics and their ability to predict curve correction in patients with AIS...
December 16, 2016: Spine
https://www.readbyqxmd.com/read/27984489/intraobserver-and-interobserver-measurement-variability-of-the-rib-vertebral-angle-difference
#9
Robert G Tysklind, Karen Myung, George Gantsoudes, Shyam Kishan, Chad Turner, Stella Lee, Matthew Wanner, Meagan Sabatino, Scott Linger, Randall T Loder
BACKGROUND: The rib-vertebral angle (RVAD) differentiates between progressive and resolving infantile idiopathic scoliosis (IIS) curves. Those with a RVAD<20 degrees often resolve without treatment, whereas those >20 degrees often progress and require treatment. The mathematical magnitude of RVAD measurement variability has not been described, and was thus the purpose of this study. It is important to know the reliability of RVAD measurements so as to understand changes that can be attributed to observer error alone...
December 14, 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/27941586/geometric-torsion-in-adolescent-idiopathic-scoliosis-a-surgical-outcomes-study-of-lenke-type-1-patients
#10
Jesse Shen, Samuel Kadoury, Hubert Labelle, Stefan Parent
STUDY DESIGN: Consecutive case series analysis. OBJECTIVE: To evaluate the surgical outcomes of patients with thoracic adolescent idiopathic scoliosis (AIS) in relation to different degrees of geometric torsion. SUMMARY OF BACKGROUND DATA: AIS is a three-dimensional (3D) deformity of the spine. A 3D classification of AIS, however, remains elusive because there is no widely accepted 3D parameter in the clinical practice. Recently, a new method of estimating geometric torsion has been proposed and detected two potential new 3D subgroups based on geometric torsion values...
December 15, 2016: Spine
https://www.readbyqxmd.com/read/27927552/multicenter-comparison-of-3d-spinal-measurements-using-surface-topography-with-those-from-conventional-radiography
#11
Patrick Knott, Peter Sturm, Baron Lonner, Patrick Cahill, Marcel Betsch, Richard McCarthy, Michael Kelly, Lawrence Lenke, Randal Betz
INTRODUCTION: In pediatric spinal deformity the gold standard for curve surveillance remains standing full-column radiographs, but repeated exposure to ionizing radiation motivates us to look for nonradiographic solutions. This study tests a modern system of surface topography (ST) to determine whether it is reliable and reproducible. METHODS: Patients from 6 pediatric spinal deformity clinics were recruited for enrollment. Inclusion criteria were age 8-18; diagnosis of scoliosis measuring ≥10 and <50 degrees or increased kyphosis of ≥45 degrees...
March 2016: Spine Deformity
https://www.readbyqxmd.com/read/27927543/curve-magnitude-in-patients-referred-for-evaluation-of-adolescent-idiopathic-scoliosis-five-years-experience-from-a-system-without-school-screening
#12
Søren Ohrt-Nissen, Dennis W Hallager, Jeppe L Henriksen, Martin Gehrchen, Benny Dahl
STUDY DESIGN: Retrospective cross-sectional study. OBJECTIVES: To analyze the referral pattern of patients with adolescent idiopathic scoliosis (AIS) in a tertiary hospital in a nationalized health care system without school screening and to compare curve magnitude on referral with results reported in the literature. SUMMARY OF BACKGROUND DATA: In Denmark, school screening for AIS has not been in effect for more than two decades, and there is limited knowledge of curve magnitude and pattern of referral to specialized treatment in our country...
March 2016: Spine Deformity
https://www.readbyqxmd.com/read/27927520/staged-anterior-release-and-posterior-instrumentation-in-correction-of%C3%A2-severe-rigid-scoliosis-cobb-angle-100-degrees
#13
Pankaj Kandwal, Ankur Goswami, G Vijayaraghavan, K R Subhash, Ashok Jaryal, B N Upendra, Arvind Jayaswal
PURPOSE: Severe rigid curves present a big challenge to the treating spine surgeon. We evaluated the outcome of staged anterior release and posterior instrumentation for rigid scoliosis. METHODS: Twenty-one patients with an average age of 14.4 years (range 11-17) having a rounded severe rigid scoliosis (Cobb angle >100 degrees) underwent surgical correction. Six patients had congenital scoliosis, 13 idiopathic scoliosis, and 2 syndromic. All patients underwent anterior release in Stage I with one or more Ponte osteotomies and in Stage II with all pedicle screw instrumentation, and 13 of the patients underwent an asymmetric pedicle subtraction osteotomy at the apex...
July 2016: Spine Deformity
https://www.readbyqxmd.com/read/27927503/curve-progression-in-adolescent-idiopathic-scoliosis-with-a-minimum-of%C3%A2-2-years-follow-up-after-completed-brace-weaning-with-reference-to%C3%A2-the-srs-standardized-criteria
#14
Benlong Shi, Jing Guo, Saihu Mao, Zhiwei Wang, Fiona W P Yu, Kwong Man Lee, Bobby K W Ng, Zezhang Zhu, Yong Qiu, Jack C Y Cheng, Tsz Ping Lam
STUDY DESIGN: A retrospective study. OBJECTIVES: To investigate curve evolution after brace weaning in adolescent idiopathic scoliosis (AIS) with reference to the Scoliosis Research Society (SRS) criteria. SUMMARY OF BACKGROUND DATA: Previous studies mainly focused on curve evolution during bracing in AIS. However, curve progression after brace weaning was not well addressed. METHODS: Braced AIS girls followed up for at least 2 years after brace weaning were reviewed...
May 2016: Spine Deformity
https://www.readbyqxmd.com/read/27927493/why-do-patients-seek-a-spine-surgeon
#15
Roy Norris, Timothy Garvey, Robert Winter
STUDY DESIGN: Retrospective review of chief complaints (CCs) of patients seeking care at a specialty spine clinic with the diagnosis of degenerative scoliosis or lumbar stenosis. OBJECTIVES: The purpose of the study was to ascertain why patients seek care from spine surgeons. Specifically, we asked whether pain or deformity was more common. Secondarily, we studied the correlation of progressive curve magnitude with perceived functionality. BACKGROUND: Scant research is available on what leads a patient to be seen in a clinic...
September 2016: Spine Deformity
https://www.readbyqxmd.com/read/27922579/srs-22r-scores-in-non-operated-adolescent-idiopathic-scoliosis-patients-with-curves-greater-than-forty-degrees
#16
W Timothy Ward, Nicole A Friel, Tanya S Kenkre, Maria M Brooks, Joanne A Londino, James W Roach
STUDY DESIGN: Case control comparative series OBJECTIVE.: Describe surgical range adolescent idiopathic scoliosis (AIS) patients electing to forgo surgery and compare health related quality of life outcomes to a similar cohort of operated AIS patients by the same single surgeon. SUMMARY OF BACKGROUND DATA: No data have been published either documenting SRS-22r scores of non-operated patients with curves ≥ 40° or comparing these scores to a demographically similar operated cohort...
December 2, 2016: Spine
https://www.readbyqxmd.com/read/27921155/comparison-of-two-and-three-dimensional-measurement-of-the-cobb-angle-in-scoliosis
#17
Ricarda Lechner, David Putzer, Dietmar Dammerer, Michael Liebensteiner, Christian Bach, Martin Thaler
PURPOSE: The Cobb angle as an objective measure is used to determine the progression of deformity, and is the basis in the planning of conservative and surgical treatment. However, studies have shown that the Cobb angle has two limitations: an inter- and intraobserver variability of the measurement is approximately 3-5 degrees, and high variability regarding the definition of the end vertebra. Scoliosis is a three-dimensional (3D) pathology, and 3D pathologies cannot be completely assessed by two-dimensional (2D) methods, like 2D radiography...
December 5, 2016: International Orthopaedics
https://www.readbyqxmd.com/read/27875416/comparison-of-structural-disease-burden-to-health-related-quality-of-life-scores-in-264-adult-spinal-deformity-patients-with-2-year-follow-up-novel-insights-into-drivers-of-disability
#18
Joshua Bakhsheshian, Justin K Scheer, Jeffrey L Gum, Lance Horner, Richard Hostin, Virginie Lafage, Shay Bess, Themistocles S Protopsaltis, Douglas C Burton, Malla Keefe, Robert A Hart, Gregory M Mundis, Christopher I Shaffrey, Frank Schwab, Justin S Smith, Christopher P Ames
STUDY DESIGN: This is a review of a prospective multicenter database. OBJECTIVE: To investigate the relationship between preoperative disability and sagittal deformity in patients with high Oswestry Disability Index (ODI) and no sagittal malalignment, or low ODI and high sagittal malalignment. SUMMARY OF BACKGROUND DATA: The relationship between ODI and sagittal malalignment varies between each adult spinal deformity (ASD) patient. METHODS: A prospective multicenter database of 365 patients with ASD undergoing surgical reconstruction was analyzed...
November 21, 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/27861214/body-mass-hides-the-curve-thoracic-scoliometer-readings-vary-by-body-mass-index-value
#19
Adam Margalit, Greg McKean, Adam Constantine, Carol B Thompson, Rushyuan Jay Lee, Paul D Sponseller
BACKGROUND: Guidelines suggest referral for scoliosis when rib slope (scoliometer measurement, angle of trunk rotation) is ≥7 degrees. We hypothesized that overweight and obese patients would have lower scoliometer measurements compared with normal-weight and underweight patients for a given spinal curvature, causing overweight and obese patients with adolescent idiopathic scoliosis to present for treatment later and with larger curves. Our goal was to determine the association between scoliometer readings and major curve magnitudes in relation to body mass index (BMI)...
November 17, 2016: Journal of Pediatric Orthopedics
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
#20
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
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