The Effect of Bracing on Spinopelvic Rotation and Psychosocial Parameters in Adolescents with Idiopathic Scoliosis.
Conclusions: The Cobb angle and AVR are crucial measurements that help evaluate the treatment efficacy in AIS with small curves who undergo brace treatment. HRQOL and pelvic axial rotation are not influenced by the brace treatment. PMID: 31434463 [PubMed - as supplied by publisher]
ConclusionResults of the current study demonstrated that thoracoplasty associated with posteromedial translation technique did not alter PFT results at two years postoperation. The morbidity of the procedure is limited, and it can therefore be considered in patients with high cosmetic demand and significant residual rib hump after main curve correction. However, hump height and pain evaluation would be interesting data in a prospective study.Level of EvidenceLevel IV.
ConclusionsPatients with primary MCGR insertion can be expected to have greater radiographic correction and spine length gain than those with conversion from growth-friendly instrumentation to MCGR, most likely because of increased spine stiffness in conversion patients. The rate of complications, primarily implant-related, remains higher in conversion than in primary insertion patients.Level of EvidenceLevel III.
Publication date: September 2019Source: Spine Deformity, Volume 7, Issue 5Author(s): Yehia ElBromboly, Jennifer Hurry, Kedar Padhye, Charles Johnston, Anna McClung, Amer Samdani, Michael Glotzbecker, Abdallah Attia, Tricia St. Hilaire, Ron El-Hawary, Children's Spine Study Group, Growing Spine Study GroupAbstractStudy DesignRetrospective, comparative.ObjectivesTo determine if distraction-based surgeries will increase spine length in patients with nonidiopathic EOS and whether etiology affects final spine length.Summary of Background DataAs early-onset scoliosis (EOS) has many etiologies, it is unclear whether etiology affe...
This study was conducted to evaluate responsiveness to change in the BIDQ-S associated with surgical treatment of AIS two years postoperatively to complete the validation of this questionnaire.MethodsSeventy-five consecutive operative AIS patients were enrolled and completed BIDQ-S and Scoliosis Research Society–22 (SRS-22) at preoperative and two-year postoperative visits. Demographic and radiographic data were collected. Preoperative and two-year postoperative BIDQ-S (1 = best, 5 = worst) and SRS-22 scores (1 = worst, 5 = best) were compared using paired t test. Correlations between BIDQ-S and SRS-22 scores were ev...
ConclusionsAlthough early outcomes after VBS appear to parallel the results of bracing, stapling does not affect the percentage of patients ultimately requiring PSIF. Initial curve correction degraded over time in younger patients with significant growth remaining, and high rates of progression in this group, even with bracing, merits investigation into more efficacious treatment strategies.Level of EvidenceLevel III.
CONCLUSIONS: Facet joint degeneration is an important factor that contributes to the development of degenerative lumbar scoliosis. Disc degeneration and facet joints degeneration can lead to lumbar scoliosis, which in turn aggravates disc degeneration, facet joints degeneration and asymmetric stress, thus forming a vicious circle to further exacerbate lumbar scoliosis. PMID: 31511222 [PubMed - in process]
The preoperative X-ray presented in Figure 1 of the original publication erroneously was not the latest radiographic image taken before the index surgery at the age of 3 years.
Lumbar lateral listhesis has been found to be associated with radicular leg pain in adult scoliosis. This relationship, however, has yet to be specified by making a simple grading/classification system of lateral listhesis that stratifies the risk of leg pain. Such a classification could better alert surgeons of potential involvement of nerve impingement early in the evaluation, especially in such emerging settings as “telehealth" wherein history inquiry and image review may take place separately.
Prior adolescent idiopathic scoliosis (AIS) literature has demonstrated that patient satisfaction correlated weakly with individual SRS-22r domains and did not correlate with specific radiographic parameters.
Early-onset idiopathic scoliosis (EOIS) management needs a long follow-up during the entire patient growth. The very young patient's age at the diagnosis can expose them to high cumulated radiation doses. Low-dose radiographs allow high-quality view of the spine in standing position. Accuracy and reproducibility of digital measurements of Cobb angle have already been assessed in adults and adolescents. Nevertheless, reliability of Cobb angle measurement has not been evaluated in EOIS follow-up