Outcomes of 3-Column Osteotomy in Cervicothoracic Spine (C7/T1) for Congenital Cervicothoracic Scoliokyphosis in Children
Publication date: November–December 2018Source: Spine Deformity, Volume 6, Issue 6Author(s): Shengru Wang, Jianguo Zhang (Source: Spine Deformity)
Source: Spine Deformity - October 21, 2018 Category: Orthopaedics Source Type: research
Vancomycin Concentrations in Paraspinal Muscles During Posterior Spinal Fusions for Neuromuscular Scoliosis
ConclusionsUsing accepted guidelines for the administration of intravenous vancomycin preoperatively, serum levels reached MIC at incision and at all timepoints tested during PSF for neuromuscular scoliosis. At no timepoint tested did muscle levels reach MIC.Level of EvidenceLevel II. (Source: Spine Deformity)
Source: Spine Deformity - October 21, 2018 Category: Orthopaedics Source Type: research
Prevalence and Indications for Unplanned Reoperations Following Index Surgery in the Adult Symptomatic Lumbar Scoliosis NIH-Sponsored Clinical Trial
ConclusionIn a consecutive series of adult spinal deformity surgery patients with meticulous follow-up, 24% of patients required an unplanned reoperation. The most common indication for reoperation was rod fracture/pseudoarthrosis, which occurred from 9 months to 3.7 years following the index surgery and accounted for 62% (28/45) of the reoperations. The second most common indication for reoperation was PJF, which occurred from 1 month to 1.6 years following index surgery and accounted for 22% (10/45) of the reoperations. As these complications will likely increase with longer follow-up, efforts to lower the rates of these...
Source: Spine Deformity - October 21, 2018 Category: Orthopaedics Source Type: research
Radiographic Axial Malalignment is Associated With Pretreatment Patient-Reported Health-Related Quality of Life Measures in Adult Degenerative Scoliosis: Implementation of a Novel Radiographic Software Tool
ConclusionsThis is the first study that reports on the association between apical vertebral axial rotation and pretreatment HRQOL, disability, and pain in ADS. This study suggests that increased apical vertebral axial rotation is associated with suboptimal pretreatment health status scores.Level of EvidenceLevel III. (Source: Spine Deformity)
Source: Spine Deformity - October 21, 2018 Category: Orthopaedics Source Type: research
Pelvic Incidence Changes Between Flexion and Extension
ConclusionsPI is a dynamic parameter that changes between flexion and extension. Changes in SS are the main factor involved in these changes, implicating movement through the sacroiliac joints as the cause. Obese patients have greater changes in PI from flexion to extension.Level of EvidenceLevel II. (Source: Spine Deformity)
Source: Spine Deformity - October 21, 2018 Category: Orthopaedics Source Type: research
Predicting Surgical Complications in Patients Undergoing Elective Adult Spinal Deformity Procedures Using Machine Learning
ConclusionsMachine learning algorithms outperform ASA scoring for predicting individual risk prognosis. These algorithms also outperform LR in predicting individual risk for all complications except VTE. With the growing size of medical data, the training of machine learning on these large data sets promises to improve risk prognostication, with the ability of continuously learning making them excellent tools in complex clinical scenarios.Level of EvidenceLevel III. (Source: Spine Deformity)
Source: Spine Deformity - October 21, 2018 Category: Orthopaedics Source Type: research
Jack-knife Posture After Correction Surgery for Degenerative Sagittal Imbalance—Does Spinopelvic Parameter Always Matter in Preventing Stooping Posture?
ConclusionsPostoperative sagittal deformity can be classified into two types: JKP and PJK. JKP is caused mainly by hip and back extensor muscle weakness even though the cause of postoperative sagittal decompensation could be multifactorial. However, PJK developed mainly due to spinopelvic malalignment. Therefore, hip and back extensor weakness, which is age-dependent, may explain why older patients experienced more postoperative sagittal deformity.Level of EvidenceLevel IV. (Source: Spine Deformity)
Source: Spine Deformity - October 21, 2018 Category: Orthopaedics Source Type: research
Cumulative Anesthesia Exposure in Patients Treated for Early-Onset Scoliosis
ConclusionsDisease severity, non-idiopathic diagnoses, and longer length of follow-up were associated with increased anesthesia. Patients who presented at earlier ages, and those treated by Mehta casting, were more likely to exceed three hours of anesthesia prior to age 3.Level of EvidenceIII (Source: Spine Deformity)
Source: Spine Deformity - October 21, 2018 Category: Orthopaedics Source Type: research
Maximal Force Generated by Magnetically Controlled Growing Rods Decreases With Rod Lengthening
ConclusionThere is a small but statistically significant decrease in the maximal force generated by MCGR as the rods are lengthened. The decrease in force generated may result in diminished spine length gained with each subsequent MCGR lengthening.Level of EvidenceLevel IV. (Source: Spine Deformity)
Source: Spine Deformity - October 21, 2018 Category: Orthopaedics Source Type: research
Risk Factors for Surgical Site Infections Following Vertical Expandable Prosthetic Titanium Rib (VEPTR) Surgery in Children
ConclusionsAdministration of preoperative antibiotics closer to the time of surgery may reduce the risk of SSI in children undergoing VEPTR surgery. Further study is needed to determine the optimal timing of antibiotic prophylaxis for children undergoing spinal surgery.Level of EvidenceLevel III. (Source: Spine Deformity)
Source: Spine Deformity - October 21, 2018 Category: Orthopaedics Source Type: research
Current Use in Growth-Friendly Implants: A Ten-Year Update
Publication date: November–December 2018Source: Spine Deformity, Volume 6, Issue 6Author(s): Stuart Mitchell, Behrooz Akbarnia, Walter Klyce, Jeff Pawelek, David Skaggs, James O. Sanders, Suken A. Shah, Richard McCarthy, Peter F. Sturm, Paul Sponseller, Growing Spine Study Group, Scott Luhmann (Source: Spine Deformity)
Source: Spine Deformity - October 21, 2018 Category: Orthopaedics Source Type: research
Expert Consensus for Early Onset Scoliosis Surgery 2018
Publication date: November–December 2018Source: Spine Deformity, Volume 6, Issue 6Author(s): Divya Talwar (Source: Spine Deformity)
Source: Spine Deformity - October 21, 2018 Category: Orthopaedics Source Type: research
Consensus-Based Best Practice Guidelines (BPG) for Use of Preoperative Halo Gravity Traction (HGT) for Pediatric Spinal Deformity
Publication date: November–December 2018Source: Spine Deformity, Volume 6, Issue 6Author(s): Hiroko Matsumoto, Benjamin Roye, Michelle Welborn, Joshua Pahys, Amy McIntosh, Jeffery Sawyer, Peter F. Sturm, Laurence Lenke, Megan Campbell, Michael Vitale, Jaime A. Gomez, Nicholas Fletcher, Children's Spine Study Group (Source: Spine Deformity)
Source: Spine Deformity - October 21, 2018 Category: Orthopaedics Source Type: research
The Use of Halo Gravity Traction in the Treatment of Severe Early Onset Scoliosis
Publication date: November–December 2018Source: Spine Deformity, Volume 6, Issue 6Author(s): Kwando Poku Yankey, Oheneba Boachie-Adjei, FOCOS Spine Research Group, Henry Osei Tutu, Irene Wulff, Rufai Mahmud, Sravisht Iyer, Henry Ofori Duah (Source: Spine Deformity)
Source: Spine Deformity - October 21, 2018 Category: Orthopaedics Source Type: research
The role of Halo Gravity Traction Prior to MCGR, When Does Correction Occur?
Publication date: November–December 2018Source: Spine Deformity, Volume 6, Issue 6Author(s): Michelle Welborn, Daniel Bouton, Joseph Ivan Krajbich (Source: Spine Deformity)
Source: Spine Deformity - October 21, 2018 Category: Orthopaedics Source Type: research
