Cover 2 - Masthead
Publication date: November 2019Source: Spine Deformity, Volume 7, Issue 6Author(s): (Source: Spine Deformity)
Source: Spine Deformity - November 13, 2019 Category: Orthopaedics Source Type: research

Editorial Board
Publication date: November 2019Source: Spine Deformity, Volume 7, Issue 6Author(s): (Source: Spine Deformity)
Source: Spine Deformity - November 13, 2019 Category: Orthopaedics Source Type: research

Instructions for Authors
Publication date: November 2019Source: Spine Deformity, Volume 7, Issue 6Author(s): (Source: Spine Deformity)
Source: Spine Deformity - November 13, 2019 Category: Orthopaedics Source Type: research

Table of Contents
Publication date: November 2019Source: Spine Deformity, Volume 7, Issue 6Author(s): (Source: Spine Deformity)
Source: Spine Deformity - November 13, 2019 Category: Orthopaedics Source Type: research

Analysis of Scoliosis Research Society (SRS) Podium Presentations for the Last Seven Years: Implications of an SRS Annual Meeting Abstract Registry
ConclusionWe report the trend of SRS podium presentation. We hope that these data will be of interest to our members as a representation of where interests have been for the SRS, and these data can be the foundation of an SRS AM abstract registry for spinal deformity research. (Source: Spine Deformity)
Source: Spine Deformity - November 13, 2019 Category: Orthopaedics Source Type: research

Normative Data of Pulmonary Function Tests and Radiographic Measures of Chest Development in Children Without Spinal Deformity: Is a T1–T12 Height of 22 cm Adequate?
ConclusionsPercent-predicted FEV1 and FVC values for normal children with a T1–T12 height of 22 cm at skeletal maturity were <50%. Though this analysis does not take into consideration radial expansion of the chest or children with scoliosis (idiopathic, congenital, neuromuscular), these values are concerning and may not be adequate to guarantee that children with early-onset scoliosis who are fused with T1–T12 heights of 22 cm will have an asymptomatic pulmonary status in adulthood.Level of EvidenceLevel IV. (Source: Spine Deformity)
Source: Spine Deformity - November 13, 2019 Category: Orthopaedics Source Type: research

Traditional Growing Rod Graduates of Different Etiologic Categories have Similar Clinical and Radiographic Outcomes
Publication date: November 2019Source: Spine Deformity, Volume 7, Issue 6Author(s): Behrooz Akbarnia, Jeff Pawelek, Pooria Hosseini, Pooria Salari, Nima Kabirian, David Marks, Suken A. Shah, David Skaggs, John Emans, Elsebaie Hazem, George Thompson, Paul Sponseller (Source: Spine Deformity)
Source: Spine Deformity - November 13, 2019 Category: Orthopaedics Source Type: research

Skeletally Immature Patients With Adolescent Idiopathic Scoliosis Curves 15°–24° Are at High Risk for Progression
ConclusionsCurve progression for small curves (15°–19°) is similar to curves between 20° and 24°. Close observation or perhaps early intervention for these patients is necessary. These data may suggest a paradigm shift to earlier brace initiation and call for early treatment in small curves.Level of EvidenceLevel II. (Source: Spine Deformity)
Source: Spine Deformity - November 13, 2019 Category: Orthopaedics Source Type: research

Utility of Perioperative Laboratory Tests in Pediatric Patients Undergoing Spinal Fusion for Scoliosis
ConclusionsMany perioperative laboratory orders may be unnecessary in pediatric spinal deformity surgery, subjecting patients to extraneous costs and needlesticks. In particular, preoperative coagulation laboratory tests, perioperative BMPs, and additional postoperative CBCs for those with hemoglobin>9.35 on POD1 may not be warranted.Level of EvidenceLevel III, retrospective cohort study. (Source: Spine Deformity)
Source: Spine Deformity - November 13, 2019 Category: Orthopaedics Source Type: research

The Adolescent Idiopathic Scoliosis International Disease Severity Study: Do Operative Curve Magnitude and Complications Vary by Country?
ConclusionsLarger curve magnitudes in the least-access countries correlated with more levels fused, longer OT, and greater EBL, indicating that increased curve magnitude at surgery could explain the difference in operative morbidity between low- and high-access countries. With OT as the prevailing predictive factor of complications, we suggest that increased curve magnitude leads to longer OTs and more complications. A lack of access to orthopedic care may be the largest contributor to the postponement of treatment.Level of EvidenceLevel II. (Source: Spine Deformity)
Source: Spine Deformity - November 13, 2019 Category: Orthopaedics Source Type: research

Bracing in Adolescent Idiopathic Scoliosis Trial (BrAIST): Development and Validation of a Prognostic Model in Untreated Adolescent Idiopathic Scoliosis Using the Simplified Skeletal Maturity System
ConclusionsThis study provides the first rigorously validated model predicting a short-term outcome of untreated AIS. The resultant estimates can serve two important functions: 1) setting benchmarks for comparative effectiveness studies and 2) most importantly, providing clinicians and families with individual risk estimates to guide treatment decisions.Level of EvidenceLevel 1, prognostic. (Source: Spine Deformity)
Source: Spine Deformity - November 13, 2019 Category: Orthopaedics Source Type: research

Spine Growth Modulation in Early Adolescent Idiopathic Scoliosis: Prospective US FDA IDE Pilot Study of Titanium Clip-Screw Implant at Two to Five Years
ConclusionsIn a study of spine growth modulation in patients with early AIS with high risk of progression, at skeletal maturity or five years postoperation, major thoracic curves of half progressed to>50°, whereas curves of the other half remained <40°, below fusion indications. Removal of selected implants may halt overcorrection. The next, pivotal, study phase was approved by FDA.Level of EvidenceLevel IV, prospective case series under stringent regulatory controls. (Source: Spine Deformity)
Source: Spine Deformity - November 13, 2019 Category: Orthopaedics Source Type: research

Comparison of the Coagulation Profile of Adolescent Idiopathic Scoliosis Patients Undergoing Posterior Spinal Fusion With and Without Tranexamic Acid
ConclusionsThis study provides confirmation of antifibrinolytic activity during posterior spinal fusion for adolescent idiopathic scoliosis. The presented data of fibrinolysis are proposed as standard measurements for future work on controlling blood loss during scoliosis surgery.Level of EvidenceLevel 2, prospective comparative study. (Source: Spine Deformity)
Source: Spine Deformity - November 13, 2019 Category: Orthopaedics Source Type: research

Patient-Reported SRS-24 Outcomes Scores After Surgery for Adolescent Idiopathic Scoliosis Have Improved Since the New Millennium
ConclusionThe percentage of patients with positive postoperative SRS scores has increased in the modern era, providing evidence that newer surgical techniques are resulting in improved outcomes based on the patients' perspectives. Interestingly, recent patients were more afflicted with negative pain and self-image before surgery. (Source: Spine Deformity)
Source: Spine Deformity - November 13, 2019 Category: Orthopaedics Source Type: research

Spinopelvic Compensatory Mechanisms for Reduced Hip Motion (ROM) in the Setting of Hip Osteoarthritis
ConclusionsSpinopelvic compensatory mechanisms are adapted for reduced hip joint motion associated with hip OA in standing and sitting.Level of EvidenceLevel III. (Source: Spine Deformity)
Source: Spine Deformity - November 13, 2019 Category: Orthopaedics Source Type: research