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Scoliosis, angle degree

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
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
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
Morgane Le Berre, Marc-Alexandre Guyot, Olivier Agnani, Isabelle Bourdeauducq, Marie-Christine Versyp, Cécile Donze, André Thévenon, Jean-Francois Catanzariti
PURPOSE: Adolescent idiopathic scoliosis (AIS) is a three-dimensional deformity of the spinal column of unknown etiology. Multiple factors could be involved, including neurosensory pathways and, potentially, an elective disorder of dynamic proprioception. The purpose of this study was to determine whether routine balance tests could be used to demonstrate an elective alteration of dynamic proprioception in AIS. METHODS: This was a multicentre case-control study based on prospectively collected clinical data, in three hospitals pediatric, with spine consultation, from January 2013 through April 2015...
November 14, 2016: European Spine Journal
Andrea Lebel, Victoria Ashley Lebel
BACKGROUND: Scoliosis is a complex three-dimensional (3D) spinal deformity. Acquired scoliosis in early childhood may progress into adulthood and pose an increased risk of health problems and reduction in quality of life. In Canada, patients with scoliosis are not referred for physiotherapeutic scoliosis-specific exercises (PSSE) despite the fact that Schroth physiotherapy, a scoliosis-specific 3D posture training and exercise program, can be effective in reducing pain and improving scoliosis curves, vital capacity, and overall quality of life in scoliosis patients...
2016: Scoliosis and Spinal Disorders
Kae Sian Tay, Anupreet Bassi, William Yeo, Wai Mun Yue
BACKGROUND CONTEXT: There is no current literature comparing outcomes of patients with and without lumbar scoliosis having neurologic symptoms undergoing minimally invasive surgery-transforaminal lumbar interbody fusion (MISTLIF) technique. PURPOSE: This study aimed to determine whether associated lumbar scoliosis will result in different clinical, radiological, and operative outcomes in patients undergoing focal MISTLIF for neurogenic symptoms, without specific correction of the scoliosis...
October 8, 2016: Spine Journal: Official Journal of the North American Spine Society
Senol Bekmez, Halil Gokhan Demirkiran, Ozgur Dede, Yunus Atici, Mehmet Bulent Balioglu, Moyo Kruyt, Timothy Ward, Muharrem Yazici
BACKGROUND: Pelvic incidence increases gradually throughout growth until skeletal maturity. Growing rod instrumentation has been suggested to have a stabilizing effect on the development of the normal sagittal spinal alignment. The purpose of this study is to determine the effect of fixed sagittal plane caused by dual growing rod instrumentation on the natural progression of sagittal spinopelvic parameters in children with idiopathic or idiopathic-like early onset scoliosis. METHODS: Hospital records of children with growing rod instrumentation from 4 separate institutions were reviewed retrospectively...
September 22, 2016: Journal of Pediatric Orthopedics
Daniel J Blizzard, Michael A Gallizzi, Charles Sheets, Benjamin T Smith, Robert E Isaacs, Megan Eure, Christopher R Brown
BACKGROUND: Sagittal balance restoration has been shown to be an important determinant of outcomes in corrective surgery for degenerative scoliosis. Lateral interbody fusion (LIF) is a less-invasive technique which permits the placement of a high lordosis interbody cage without risks associated with traditional anterior or transforaminal interbody techniques. Studies have shown improvement in lumbar lordosis following LIF, but only one other study has assessed sagittal balance in this population...
2016: International Journal of Spine Surgery
Gözde Gür, Cigdem Ayhan, Yavuz Yakut
BACKGROUND: Core stabilization training is used to improve postural balance in musculoskeletal problems. OBJECTIVES: The purpose of this study was to investigate the effectiveness of stabilization training in adolescent idiopathic scoliosis. STUDY DESIGN: A randomized controlled trial, pretest-posttest design. METHODS: In total, 25 subjects with adolescent idiopathic scoliosis were randomly divided into two groups: stabilization group (n = 12) and control group (n = 13)...
September 13, 2016: Prosthetics and Orthotics International
Xin Zheng, Bang-Ping Qian, Zhen Liu, Xu Sun, Ze-Zhang Zhu, Bin Wang, Yang Yu, Yong Qiu
STUDY DESIGN: Retrospective study. OBJECTIVE OF THE STUDY: The objective was to investigate the effect of apical pedicle screw placement on surgical outcomes of Lenke 1 adolescent idiopathic scoliosis (AIS). SUMMARY OF THE BACKGROUND DATA: Pedicle screw instrumentation achieves satisfactory correction of scoliosis in thoracic AIS patients, but the effect of apical screw placement is unclear. MATERIALS AND METHODS: Lenke 1 AIS patients with all pedicle screw instrumentation between January 2009 and January 2011 were reviewed...
September 10, 2016: Clinical Spine Surgery
Peng Yan, Hongda Bao, Yong Qiu, Mike Bao, Jeffrey J Varghese, Xu Sun, Zhen Liu, Zezhang Zhu, Bangping Qian, Minghao Zheng, Feng Zhu
STUDY DESIGN: A retrospective study. OBJECTIVE: To investigate whether the mismatch between proximal junctional angle (PJA) and the proximal rod contouring contributed to the occurrence of post-operative PJK in degenerative scoliosis. SUMMARY OF BACKGROUND DATA: Proximal junctional kyphosis (PJK) is one of the complications in the treatment of degenerative scoliosis, the post-operative PI-LL mismatch and the increased rod stiffness are supposed to be the etiology of PJK...
August 24, 2016: Spine
Burt Yaszay, Tracey P Bastrom, Carrie E Bartley, Stefan Parent, Peter O Newton
PURPOSE: Utilizing 2D measurements, previous studies have found that in AIS, increased thoracic Cobb and decreased thoracic kyphosis contribute to pulmonary dysfunction. Recent technology has improved our ability to measure and understand the true 3D deformity in AIS. The purpose of this study was to evaluate which 3D radiographic measures predict pulmonary dysfunction. METHODS: One hundred and sixty-three surgically treated AIS patients with preoperative PFTs (FEV, FVC, TLC) and EOS(®) imaging were identified at a single center...
August 11, 2016: European Spine Journal
Mayalen Lamerain, Manon Bachy, Arnaud Dubory, Reda Kabbaj, Caroline Scemama, Raphaël Vialle
PURPOSE: Recently introduced cobalt-chromium (CoCr) rods that rely solely on pedicle screws produce very good results in correcting scoliotic curves. All-pedicle screws constructs are also suspected of decreasing thoracic kyphosis. The current study was designed to evaluate sagittal correction in adolescent idiopathic scoliosis patients, using 6-mm CoCr rods and all-screw constructs. MATERIALS AND METHODS: A total of 61 patients treated by posterior spinal fusion and instrumentation, using all-pedicle screw constructs were included...
July 11, 2016: Clinical Spine Surgery
Jae-Young Hong, Keon-Woo Kim, Seung-Woo Suh, Si-Young Park, Jae-Hyuk Yang
STUDY DESIGN: Radiographic analysis with scoliosis patients. OBJECTIVES: To analyze correlations between sagittal spinal alignment and coronal scoliotic curvature. SUMMARYOF BACKGROUND DATA: Sagittal spinal alignment and scoliosis may have a significant relationship, and schematic analysis is needed. METHODS: The study group was comprised of 163 patients with adolescent idiopathic scoliosis. Subjects underwent antero-posterior and lateral radiographs of the whole spine including hip joints...
June 28, 2016: Clinical Spine Surgery
C Palazzo, J P Montigny, F Barbot, B Bussel, I Vaugier, D Fort, I Courtois, C Marty-Poumarat
OBJECTIVE: To assess the effectiveness of bracing in adult with scoliosis. DESIGN: Retrospective cohort study SETTING: Outpatients followed in 2 French tertiary care hospitals PARTICIPANTS: 38 adults with non-operated progressive idiopathic or degenerative scoliosis treated by custom-molded lumbar-sacral orthosis (LSO), with a minimum follow-up time of 10 years before bracing and 5 years after bracing. Progression was defined as a variation in Cobb angle ≥ 10° between the first and the last radiograph before bracing...
June 22, 2016: Archives of Physical Medicine and Rehabilitation
Saumyajit Basu, Agnivesh Tikoo, Farid H Malik, Jay Deep Ghosh, Mantu Jain, Trinanjan Sarangi
STUDY DESIGN: Data of 22 patients with congenital scoliosis who underwent single stage posterior hemivertebrectomies and short segment fixation with a minimum follow-up of 2 years in our centre were studied retrospectively. PURPOSE: To report the efficacy of posterior hemivertebrectomy in single vs multiple level hemivertebra and compare their results. OVERVIEW OF LITERATURE: Single stage hemivertebrectomy is a standard procedure for single level hemivertebra...
June 2016: Asian Spine Journal
Satoru Demura, Hideki Murakami, Satoshi Kato, Katsuhito Yoshioka, Moriyuki Fujii, Takashi Igarashi, Noritaka Yonezawa, Naoki Takahashi, Hiroyuki Tsuchiya
BACKGROUND CONTEXT: Deformity progression after posterior fusion in skeletally immature patients with scoliosis has remained a topic of debate. It occurs when the anterior segment of the apical zone continues to grow after successful posterior fusion, resulting in progressive bending and rotation of the vertebral bodies. For this reason, circumferential fusion using a combined anterior-posterior approach has been used to prevent this occurrence. PURPOSE: The aim of this study was to report instrumented spinal fusion with convex hemi-interbody arthrodesis using a posterior-only approach in Risser stage 0 or 1 scoliosis patients...
September 2016: Spine Journal: Official Journal of the North American Spine Society
Zezhang Zhu, Leilei Xu, Xu Sun, Jun Qiao, Bang-Ping Qian, Saihu Mao, Yong Qiu
STUDY DESIGN: A retrospective study to determine whether brace treatment is appropriate for adolescent idiopathic scoliosis(AIS) patients with Cobb angle between 40 and 50 degrees who utterly refuse surgery. OBJECTIVE: To investigate whether it is possible to halt the curve progression of AIS patients with Cobb angle between 40 and 50 degrees through bracing, and to identify factors that could influence the effectiveness of brace treatment in such patients. SUMMARY OF BACKGROUND DATA: Despite of the great achievements in treating patients with mild curve, bracing has been considered to be inappropriate for those with curves more than 40 degrees...
May 18, 2016: Clinical Spine Surgery
Jin Young Bae, Hyun Hwa Cha, Won Joon Seong
BACKGROUND: A severely deformed vertebra is a matter of concern, particularly when it develops before 24 weeks of gestation, which may lead to compromised pulmonary function and neurological development. CASE: A 39-year-old, nulliparous woman presented at 19 weeks of gestation. Her uterus was snowman shaped due to uterine synechiae, and the fetus was confined in the upper section, where amniotic fluid was scanty. The fetal spine was flexed at the upper thoracic level at an angle greater than 90°, with the head flexed and touching the right shoulder throughout pregnancy...
March 2016: Journal of Reproductive Medicine
Ane Simony, Leah Y Carreon, Karen Hjmark, Kirsten O Kyvik, Mikkel Ø Andersen
STUDY DESIGN: Clinical, radiological, and genetic determination of zygosity of twin pairs from the Danish Twin Registry who self-reported having adolescent idiopathic scoliosis (AIS). OBJECTIVE: To establish concordance rates of AIS. SUMMARY OF BACKGROUND DATA: The etiology of and the true mode of inheritance of AIS remain unclear. Studies on concordance in twin pairs provide a basis for analyzing the influence of genetic versus environmental factors...
October 1, 2016: Spine
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