Secondary Cervicothoracic Scoliosis in Congenital Muscular Torticollis.

This study aims to evaluate the effects of surgical release of sternocleidomastoid (SCM) muscle on secondary cervicothoracic scoliosis in patients with CMT and determine factors affecting the improvement of scoliosis after surgical release of SCM muscle. Methods: Eighty-seven of the 106 patients, confirmed as having secondary cervicothoracic scoliosis with CMT with a minimum 1-year follow-up, were included in this study. Preoperative and last follow-up radiologic outcomes were assessed for the cervicomandibular angle (CMA), Cobb angle of the cervicothoracic scoliosis, and direction of convexity in the scoliosis curve. Patients were divided into two groups to assess the improvement of Cobb angle according to residual growth potential; age ≤ 15 years and> 15 years. The improvement of Cobb angle after surgical release was compared in the two groups. Correlation analysis and multivariable regression analysis were performed to determine the factors affecting the improvement of scoliosis. Results: All the radiologic parameters, such as the Cobb angle and CMA, improved significantly after surgical release (p 15 years (p
Source: Clinics in Orthopedic Surgery - Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

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Conditions:   Adolescent Idiopathic Scoliosis;   Cerebral Palsy Interventions:   Behavioral: Pain assessment for verbal patients;   Behavioral: Pain assessment for non-verbal patients Sponsor:   Catherine Ferland Recruiting
Source: - Category: Research Source Type: clinical trials
Unfortunately, the names of the members of the Texas Children ’s Hospital Spine Study Group have not been mentioned in the published article.
Source: European Spine Journal - Category: Orthopaedics Source Type: research
AbstractPurposeThree-column osteotomies at L5 or the sacrum (LS3COs) are technically challenging, yet they may be needed to treat lumbosacral kyphotic deformities. We investigated radiographic and clinical outcomes after LS3CO.MethodsWe analyzed 25 consecutive patients (mean age 56  years) who underwent LS3CO with minimum 2-year follow-up. Standing radiographs and health-related quality-of-life scores were evaluated. A new radiographic parameter [“lumbosacral angle” (LSA)] was introduced to evaluate sagittal alignment distal to the S1 segment.ResultsFrom preoperatively to the final follow-up, significant i...
Source: European Spine Journal - Category: Orthopaedics Source Type: research
AbstractBackgroundTraditionally, adolescent idiopathic scoliosis (AIS) has not been associated with back pain, but the increasing literature has linked varying factors between pain and AIS and suggested that it is likely underreported.PurposeOur objective was to investigate factors associated with post-op pain in AIS.MethodsA prospectively collected multicenter registry was retrospectively queried. Pediatric patients with AIS having undergone a fusion with at least 2  years of follow-up were divided into two groups: (1) patients with a postoperative SRS pain score ≤ 3 or patients having a reported com...
Source: European Spine Journal - Category: Orthopaedics Source Type: research
STUDY DESIGN: A repeated measurement, single-center, prospective study. OBJECTIVE: The purpose of this study is to compare and contrast the benefits of walking sticks versus a walker on the trunk and lower extremity muscular control in patients wit...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Ergonomics, Human Factors, Anthropometrics, Physiology Source Type: news
ConclusionsIn adolescent deformity, an adequate preoperative planning including clinical and radiological study must be carried out, paying special attention to the sagittal plane to identify major and minor structural curves.The pedicle subtraction osteotomy, despite being a demanding technique and not entirely risk-free, has shown itself to be an effective corrective technique.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
Authors: Garg S, Khechoyan D, Kim EB, French B Abstract Wound complications after pediatric spinal deformity surgery are a relatively common and challenging complication that results in emotional, physical, and monetary costs to the patients, families, and healthcare providers. The role of wound closure techniques for the prevention of wound complications is being increasingly explored. Interdisciplinary care by spinal surgeons and plastic surgeons has been recently found to decrease wound complication rates in patients with nonidiopathic scoliosis. PMID: 31977607 [PubMed - in process]
Source: The Journal of the American Academy of Orthopaedic Surgeons - Category: Orthopaedics Tags: J Am Acad Orthop Surg Source Type: research
Publication date: Available online 25 January 2020Source: Genes &DiseasesAuthor(s): Haoyue Xu, Hang Liu, Tao Chen, Bo song, Jin Zhu, Xing Liu, Ming Li, Cong LuoAbstractAccording to existing reports, mutations in the slow tropomyosin gene (TPM3) may lead to congenital fiber-type disproportion (CFTD), nemaline myopathy (NM) and cap myopathy (CD). They are all congenital myopathies and are associated with clinical, pathological and genetic heterogeneity. A ten-year-old girl with scoliosis was unable to wean from mechanical ventilation after total intravenous anesthesia. The girl has scoliosis, respiratory insufficiency, m...
Source: Genes and Diseases - Category: Genetics & Stem Cells Source Type: research
Abstract OBJECTIVE: Surgical correction of scoliosis in pediatric patients is associated with significant blood loss. Rotational thrombelastometry (ROTEM) might help to decrease the use of blood transfusion products by enabling an early point of care (POC) diagnosis of coagulopathy, thus helping to provide targeted therapy. The aim of this case-control study was to find out whether POC use of ROTEM during scoliosis surgery in children helps to reduce the need for blood transfusion products. METHODS: Data were prospectively analyzed from all patients treated during 2016-2018 who received ROTEM-based therapy du...
Source: Journal of Neurosurgery.Spine - Category: Neurosurgery Authors: Tags: J Neurosurg Spine Source Type: research
Conclusions: Our study showed a lower percentage of spinal anomalies compared to other series. As other studies, the progression of the scoliosis curve in patients with spinal anomalies seems primarily to be determined by the type of vertebral malformation. Level of Evidence: Level II.
Source: Journal of Craniovertebral Junction and Spine - Category: Orthopaedics Authors: Source Type: research
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