Robert M. Campbell Jr., 1951–2018
Publication date: November–December 2018Source: Spine Deformity, Volume 6, Issue 6Author(s): (Source: Spine Deformity)
Source: Spine Deformity - October 21, 2018 Category: Orthopaedics Source Type: research
Postoperative Surgical Site Infection After Spine Surgery: An Update From the Scoliosis Research Society (SRS) Morbidity and Mortality Database*
ConclusionSSIs occur in 1.2% of spine deformity patients, with a rate significantly higher in patients with kyphosis. Approximately 25% of these infections are secondary to gram-negative species. Antibiotic complications occur in 4.5% of patients being treated for SSI. Despite advancements in surgical technique and infection prophylaxis, postoperative SSI remains one of the most common complications in spinal deformity surgery.Level of EvidenceLevel III (Source: Spine Deformity)
Source: Spine Deformity - October 21, 2018 Category: Orthopaedics Source Type: research
Agreement Between Manual and Computerized Designation of Neutral Vertebra in Idiopathic Scoliosis
ConclusionsVariability in instrumented level selection and outcomes in idiopathic scoliosis may be partially related to inconsistency in selection of the NV. The use of SR post-processing software may provide a more reliable method for choosing NV.Level of EvidenceLevel II. (Source: Spine Deformity)
Source: Spine Deformity - October 21, 2018 Category: Orthopaedics Source Type: research
Magnetic Resonance Imaging in Infantile Idiopathic Scoliosis: Is Universal Screening Necessary?
ConclusionThis is the first study in IIS patients to identify a radiographic parameter that helps select out a subgroup for MRI screening. Additionally, we report an incidence of 24.5% NAAs in these patients, which is higher than previously reported. (Source: Spine Deformity)
Source: Spine Deformity - October 21, 2018 Category: Orthopaedics Source Type: research
Complications of Posterior Column Osteotomies in the Pediatric Spinal Deformity Patient
ConclusionThe overall frequency of complications related to PCOs was 0.4% (0.4% dural tears/violations) with 0% postoperative neurologic deficit, CSF leak, or pseudarthrosis. Based on these data, PCOs appear to be a safe technique in pediatric spine deformity surgery, with a low rate of technique-related complications.Study DesignRetrospective case series.ObjectivesTo report the frequency of posterior column osteotomy complications (neurologic deficit, dural tear, cerebrospinal fluid leak, and pseudarthrosis) in pediatric patients undergoing spinal deformity surgery.Level of EvidenceLevel IV. (Source: Spine Deformity)
Source: Spine Deformity - October 21, 2018 Category: Orthopaedics Source Type: research
Intraoperative CT Scan Verification of Pedicle Screw Placement in AIS to Prevent Malpositioned Screws: Safety Benefit and Cost
ConclusionIntraoperative CT is an effective tool to prevent reoperation in AIS surgery for incorrect screw placement. Despite high volume, experience, and specialty training, incorrect trajectories occur and systems should be in place for preventable error.Level of EvidenceLevel II. (Source: Spine Deformity)
Source: Spine Deformity - October 21, 2018 Category: Orthopaedics Source Type: research
Selective Thoracic Fusion for Adolescent Idiopathic Scoliosis: Long-Term Radiographic and Functional Outcomes*
ConclusionAt an average 33-year follow-up, the lumbar curve in STF is unchanged, with patients functioning well and mild radiographic changes in the lumbar spine. (Source: Spine Deformity)
Source: Spine Deformity - October 21, 2018 Category: Orthopaedics Source Type: research
Quality of Life Improvement Following Surgery in Adolescent Spinal Deformity Patients: A Comparison Between Scheuermann Kyphosis and Adolescent Idiopathic Scoliosis*
ConclusionsSurgery for SK in the adolescent population results in significant improvements in HRQOL, which outpace those of the AIS population.Level of EvidenceLevel II. (Source: Spine Deformity)
Source: Spine Deformity - October 21, 2018 Category: Orthopaedics Source Type: research
Disc Degeneration in Unfused Caudal Motion Segments Ten Years Following Surgery for Adolescent Idiopathic Scoliosis
ConclusionIn the first study of its kind, we found that only 7.3% of patients had significant DD 10 years after surgical correction of AIS. Rates of DD increased over time. Our data provide evidence to support recommendations to save as many caudal motion segments as possible, to avoid fusing to L4, and maintain the LIV tilt angle below 5° and LIV translation less than 2 cm. (Source: Spine Deformity)
Source: Spine Deformity - October 21, 2018 Category: Orthopaedics Source Type: research
The Influence of Lumbar Muscle Volume on Curve Progression After Skeletal Maturity in Patients With Adolescent Idiopathic Scoliosis: A Long-Term Follow-up Study
ConclusionsIn patients with AIS who have a major curve ≥30° at skeletal maturity, patients with greater TL/L curve progression have lower skeletal muscle volume and higher fatty degeneration of the lumbar extensor muscles in adulthood. However, further longitudinal or prospective studies are necessary to clarify the causal relationship between scoliosis progression and trunk muscular status.Level of EvidenceLevel III, retrospective cohort study. (Source: Spine Deformity)
Source: Spine Deformity - October 21, 2018 Category: Orthopaedics Source Type: research
Psychological Effects of the SRS-22 on Girls With Adolescent Idiopathic Scoliosis
ConclusionSimilar BAS scores were observed between the study and control group. Despite concerns regarding the potential negative impact of the SRS-22, taking the questionnaire was not observed to negatively affect patients’ body image.Level of EvidenceLevel II. (Source: Spine Deformity)
Source: Spine Deformity - October 21, 2018 Category: Orthopaedics Source Type: research
Do Heavier Patients With Adolescent Idiopathic Scoliosis Have More Preserved Thoracic Kyphosis and Pulmonary Function?
ConclusionsHeavier AIS patients have greater values of TK and percentage predicted FVC.Level of EvidenceLevel III. (Source: Spine Deformity)
Source: Spine Deformity - October 21, 2018 Category: Orthopaedics Source Type: research
In Search of the Ever-Elusive Postoperative Shoulder Balance: Is the T2 UIV the Key?*
ConclusionsThe selection of a T4 UIV results in more shoulder balance postoperatively than T2 or T3, regardless of which shoulder was elevated preoperatively. The selection of a T2 UIV does not guarantee postoperative shoulder balance following posterior treatment of main thoracic curves; however, when compared to the more caudal UIV of T4, an improved upper thoracic curve correction can be anticipated.Level of EvidenceLevel 3. (Source: Spine Deformity)
Source: Spine Deformity - October 21, 2018 Category: Orthopaedics Source Type: research
National Trends in Spinal Fusion Surgery for Neurofibromatosis
ConclusionsThere have been significant increases in the rate of spinal fusion surgeries for NF-1 patients. Surgical treatment has shifted over the years and is dependent on the location of the deformity. Patients undergoing APSF are significantly younger.Level of EvidenceLevel III. (Source: Spine Deformity)
Source: Spine Deformity - October 21, 2018 Category: Orthopaedics Source Type: research
Management of Cervical Instability as a Complication of Neurofibromatosis Type 1 in Children: A Historical Perspective With a 40-Year Experience
ConclusionsSpinal deformity is the most common musculoskeletal manifestation of NF1. Cervical lesions are frequently asymptomatic, but patients with thoracolumbar scoliosis, dystrophic features, or a history of laminectomy should have the cervical spine carefully evaluated. For severe and progressive kyphotic deformities, most authors recommend a period of traction followed by a combined anterior-posterior fusion that is instrumented from parallel to parallel vertebra (or six or more levels). Close follow-up is very important because complications and progression are frequent. (Source: Spine Deformity)
Source: Spine Deformity - October 21, 2018 Category: Orthopaedics Source Type: research
