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Pediatric spine suite by Dave Bennett MD—subspecialist

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5 papers 25 to 100 followers
By David Bennett Pediatric Orthopaedic Surgeon in the United States
Alan H Daniels, Andrew D Sobel, Craig P Eberson
Thoracolumbar spine trauma is an important cause of morbidity and mortality in pediatric patients. Special attention to this population is necessary because several unique features of the growing pediatric spine separate these patients from adult patients. These injuries are frequently associated with high-energy trauma and concurrent thoracic or abdominal injuries that require coordinated multidisciplinary care. Thoracolumbar spine trauma in pediatric patients may lead to compression fractures, burst fractures, flexion-distraction injuries (ie, Chance fracture), fracture-dislocation injuries, apophyseal fractures/herniations, and spinous process and transverse process fractures...
December 2013: Journal of the American Academy of Orthopaedic Surgeons
Nelson Astur, Jeffrey R Sawyer, Paul Klimo, Derek M Kelly, Michael Muhlbauer, William C Warner
Although once considered an invariably fatal injury, improvements in diagnosis and management have made atlanto-occipital dislocation (AOD) a survivable injury. MRI is the preferred imaging modality; occasionally, flexion/extension/distraction fluoroscopy may be required to determine craniovertebral stability. Early surgical stabilization is recommended for all children with AOD. Early occipitocervical fusion using screws in combination with a rod or plate, or sublaminar wires with a contoured rod, coupled with autograft bone, provide immediate stabilization and a high fusion rate...
May 2014: Journal of the American Academy of Orthopaedic Surgeons
Mark W Manoso, Amy M Cizik, Richard J Bransford, Carlo Bellabarba, Jens Chapman, Michael J Lee
STUDY DESIGN: The Spine End Results Registry (2003-2004) is a registry of prospectively collected data of all patients undergoing spinal surgery at the University of Washington Medical Center and Harborview Medical Center. Insurance data were prospectively collected and used in multivariate analysis to determine risk of perioperative complications. OBJECTIVE: Given the negative financial impact of surgical site infections (SSIs) and the higher overall complication rates of patients with a Medicaid payer status, we hypothesized that a Medicaid payer status would have a significantly higher SSI rate...
September 15, 2014: Spine
Ning Liu, Xinhu Guo, Zhongqiang Chen, Qiang Qi, Weishi Li, Zhaoqing Guo, Yan Zeng, Chuiguo Sun, Zhongjun Liu
STUDY DESIGN: Retrospective cohort study. OBJECTIVE: To investigate the relationship between radiological signs of Scheuermann disease (SD) and low back pain (LBP) in a local population using lumbar magnetic resonance (MR) images. SUMMARY OF BACKGROUND DATA: SD is a spinal disorder, and both its classic and atypical (lumbar) forms are associated with LBP. However, radiological signs of SD are present in 18% to 40% of the general population, in whom the clinical significance of "SD-like" spine remains largely unknown...
September 15, 2014: Spine
Rachel Y Goldstein, Caleb D Sunde, Peter Assaad, John Grimm, David L Skaggs, Lindsay Andras
BACKGROUND: There is little information available on the anatomic location of the vertebral artery in pediatric patients undergoing a posterior cervical arthrodesis involving the first cervical vertebra (C1). The purpose of this study was to define how far laterally one can safely dissect posteriorly without risk to the vertebral artery in pediatric patients. METHODS: A subset of computed tomography angiograms of the neck that had been previously obtained in patients at our institution was evaluated...
September 17, 2014: Journal of Bone and Joint Surgery. American Volume
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