How to Optimize Axial Correction Without Altering Thoracic Sagittal Alignment in Hybrid Constructs With Sublaminar Bands: Description of the “Frame” Technique
ConclusionThe “frame” technique is an innovative way of using polyester bands, optimizing axial correction while respecting sagittal alignment.Level of EvidenceLevel IV. (Source: Spine Deformity)
Source: Spine Deformity - January 17, 2019 Category: Orthopaedics Source Type: research
Spine and Lower Extremity Kinematics Exhibited During Running by Adolescent Idiopathic Scoliosis Patients With Spinal Fusion
ConclusionPossibly because of relearned compensatory mechanism, individuals with SF-AIS displayed similar patterns of spine, lower extremity, and step kinematics as healthy controls during high-effort running with some exceptions.Level of EvidenceLevel III. (Source: Spine Deformity)
Source: Spine Deformity - January 17, 2019 Category: Orthopaedics Source Type: research
Patients With Idiopathic Scoliosis Run an Increased Risk of Schizophrenia
ConclusionThis study suggests that patients with IS have increased risk of schizophrenia. Dissatisfaction with one’s physical appearance might lead to psychological distress and provoke mental illness in predisposed persons. Alternatively, these two disorders may share a common genetic background.Level of EvidenceLevel 2B. (Source: Spine Deformity)
Source: Spine Deformity - January 17, 2019 Category: Orthopaedics Source Type: research
Midterm Results of Hemivertebrae Resection and Transpedicular Short Fusion in Patients Younger Than 5 Years: How Do Thoracolumbar and Lumbosacral Curves Compare?
ConclusionEarly hemivertebra resection and transpedicular short fusion allowed good coronal correction initially, which was difficult to maintain at midterm, especially at the LS junction. Sagittal plane correction was excellent in TL deformities and was maintained over time. Results were more challenging in the LS group compared with TL deformities. Guidance to avoid unwanted results is proposed.Level of EvidenceLevel III. (Source: Spine Deformity)
Source: Spine Deformity - January 17, 2019 Category: Orthopaedics Source Type: research
Corrigendum to Surgical Risk Stratification Based on Preoperative Risk Factors in Severe Pediatric Spinal Deformity Surgery [Spine Deformity 2 (2014) 340–349]
Publication date: March 2019Source: Spine Deformity, Volume 7, Issue 2Author(s): Oheneba Boachie-Adjei, Mitsuru Yagi, Cristina Sacramento-Dominguez, Harry Akoto, Matthew E. Cunningham, Munish Gupta, William F. Hess, Baron S. Lonner, Jennifer Ayamga, Elias Papadopoulus, Federico Sanchez-Perez-Grueso, Feran Pelise, Kenneth J. Paonessa, Han Jo Kim, FOCOS Spine Research Group (Source: Spine Deformity)
Source: Spine Deformity - January 17, 2019 Category: Orthopaedics Source Type: research
Anatomic Trajectory for Iliac Screw Placement in Pediatric Scoliosis and Spondylolisthesis: An Alternative to S2-Alar Iliac Portal
ConclusionIliac screw insertion using the AT portal is a safe and effective method of pelvic fixation in pediatric patients with satisfactory radiographic correction and minimal complications.Level of EvidenceLevel 4. (Source: Spine Deformity)
Source: Spine Deformity - January 17, 2019 Category: Orthopaedics Source Type: research
Self-Image and Health-Related Quality of Life Three Decades After Fusion In Situ for High-Grade Isthmic Spondylolisthesis
ConclusionsIn situ fusion for high-grade isthmic spondylolisthesis is a safe treatment option in the long term from a function and pain perspective, but the results of our study suggest that self-image is negatively affected long into adult life.Level of EvidenceLevel IV. (Source: Spine Deformity)
Source: Spine Deformity - January 17, 2019 Category: Orthopaedics Source Type: research
Clinical Manifestations and Surgical Management of Spinal Lesions in Patients With Mucopolysaccharidosis: A Report of 52 Cases
ConclusionThis is the largest series published of mucopolysaccharidosis pediatric patients with a surgically treated spinal condition. We recommend early spinal cord decompression in mucopolysaccharidosis spine pathology to prevent or potentially reverse neurologic impairment.Level of EvidenceLevel IV. (Source: Spine Deformity)
Source: Spine Deformity - January 17, 2019 Category: Orthopaedics Source Type: research
Surgeon and Caregiver Agreement on the Goals and Indications for Scoliosis Surgery in Children With Cerebral Palsy
ConclusionsSurgeon-caregiver agreement is greater where literature support for a particular surgical indication is strong (ie, spinal fusion’s known improvement of sitting posture in children with neuromuscular scoliosis). Stronger literature support may bolster surgeons’ confidence in recommending a particular procedure, fostering greater communication, understanding, and agreement on surgical necessity between caregivers and surgeons.Level of EvidenceLevel II, prospective comparative study. (Source: Spine Deformity)
Source: Spine Deformity - January 17, 2019 Category: Orthopaedics Source Type: research
Moderate Interrater and Substantial Intrarater Reproducibility of the Roussouly Classification System in Patients With Adult Spinal Deformity
ConclusionThe current study presents moderate interrater and substantial intrarater reliability of the Roussouly Classification System. These findings are acceptable and comparable to previous results of reproducibility for a classification system in patients with Adult Spinal Deformity. Additional studies are requested to validate these findings as well as to further investigate the impact of the classification system on outcome following surgery. (Source: Spine Deformity)
Source: Spine Deformity - January 17, 2019 Category: Orthopaedics Source Type: research
The Prevalence of the Use of MIS Techniques in the Treatment of Adult Spinal Deformity (ASD) Amongst Members of the Scoliosis Research Society (SRS) in 2016
ConclusionsThe low rate of adoption of these techniques among the SRS members may be due to the false perception that there is not enough data to support that MIS techniques are better. This and the fact that a practitioner needs to be facile at different MIS techniques may be the true impediment to the adoption of MIS techniques in the treatment of ASD.Level of EvidenceLevel IV. (Source: Spine Deformity)
Source: Spine Deformity - January 17, 2019 Category: Orthopaedics Source Type: research
Measurement of Spinopelvic Angles on Prone Intraoperative Long-Cassette Lateral Radiographs Predicts Postoperative Standing Global Alignment in Adult Spinal Deformity Surgery
ConclusionsIntraoperative measurements of TPA, T4PA, and T9PA correlated better with postoperative global alignment than PI-LL, demonstrating their utility in confirming alignment goals. When comparing intraoperative to postoperative films, only T9PA was similar in LT whereas all spinopelvic angles were similar in UT. Reciprocal kyphosis in unfused segments of LT fusions may account for difference in TPA and T4PA from intraoperative to postoperative films.Level of EvidenceLevel III. (Source: Spine Deformity)
Source: Spine Deformity - January 17, 2019 Category: Orthopaedics Source Type: research
Ability of the Global Alignment and Proportion Score to Predict Mechanical Failure Following Adult Spinal Deformity Surgery—Validation in 149 Patients With Two-Year Follow-up
ConclusionsIn a consecutive series of surgically treated ASD patients, we found no significant association between postoperative GAP score and mechanical failure or revision surgery. Despite minor limitations in similarities to the original study cohort, further validation studies or adjustments to the original scoring system are proposed.Level of EvidenceLevel II. (Source: Spine Deformity)
Source: Spine Deformity - January 17, 2019 Category: Orthopaedics Source Type: research
Transpedicular Wedge Resection Osteotomy of the Apical Vertebrae for the Treatment of Severe and Rigid Thoracic Kyphoscoliosis: A Retrospective Study of 26 Cases
ConclusionsTWRO of the apical vertebrae as a treatment for severe and rigid thoracic kyphoscoliosis in adult patients provided excellent clinical outcomes. However, the procedure remains technically demanding and exhausting, with a potential risk for complications.Level of EvidenceLevel IV. (Source: Spine Deformity)
Source: Spine Deformity - January 17, 2019 Category: Orthopaedics Source Type: research
Short Lumbosacral Decompression Plus Fixation Does Not Change the Spinopelvic Balance on Patients With Moderate Degenerative Spondylolisthesis and Associated Spinal Stenosis
ConclusionsShort lumbosacral fixation does not significantly change the preoperative sagittal spinopelvic balance in adult patients with preoperatively balanced spines who have DS and DLSS.Level of EvidenceLevel III. (Source: Spine Deformity)
Source: Spine Deformity - January 17, 2019 Category: Orthopaedics Source Type: research
