Long-term Results after Maturity following Hemivertebra Resection in Early Childhood – Lessons Learned
Publication date: November 2019Source: Spine Deformity, Volume 7, Issue 6Author(s): Michael Ruf, Tobias Pitzen, Gregor Ostrowski, Carolin Meyer, Juergen Harms (Source: Spine Deformity)
Source: Spine Deformity - November 13, 2019 Category: Orthopaedics Source Type: research
Obesity Is Associated With Increased Thoracic Kyphosis in Adolescent Idiopathic Scoliosis Patients and Nonscoliotic Adolescents
ConclusionIncreased BMI percentile is associated with increased thoracic kyphosis in AIS patients and nonscoliotic adolescents. Excess weight may reduce anterior vertebral growth. AIS patients have an increased pelvic incidence compared with nonscoliotic adolescents; however, this variable is not influenced by body mass. These relationships should be taken into account when planning sagittal plane deformity correction or considering neuro axis disorders (also associated with increased kyphosis) in patients with scoliosis.Level of EvidenceLevel II. (Source: Spine Deformity)
Source: Spine Deformity - November 13, 2019 Category: Orthopaedics Source Type: research
Letter to the Editor: Celiac Artery Syndrome After Correction of Kyphoscoliosis
Publication date: September 2019Source: Spine Deformity, Volume 7, Issue 5Author(s): Devan D. Patel, Steven F. DeFroda, Alan H. Daniels (Source: Spine Deformity)
Source: Spine Deformity - September 6, 2019 Category: Orthopaedics Source Type: research
Editorial Board
Publication date: September 2019Source: Spine Deformity, Volume 7, Issue 5Author(s): (Source: Spine Deformity)
Source: Spine Deformity - September 6, 2019 Category: Orthopaedics Source Type: research
Instructions for Authors
Publication date: September 2019Source: Spine Deformity, Volume 7, Issue 5Author(s): (Source: Spine Deformity)
Source: Spine Deformity - September 6, 2019 Category: Orthopaedics Source Type: research
Table of Contents (continued)
Publication date: September 2019Source: Spine Deformity, Volume 7, Issue 5Author(s): (Source: Spine Deformity)
Source: Spine Deformity - September 6, 2019 Category: Orthopaedics Source Type: research
Patient Safety in Spinal Deformity Surgery: The Development of Standard Work Protocols, Moral Hazard in Decision Making, and the Need for Prospective Validation and Protocol Adoption
Publication date: September 2019Source: Spine Deformity, Volume 7, Issue 5Author(s): Sig Berven (Source: Spine Deformity)
Source: Spine Deformity - September 6, 2019 Category: Orthopaedics Source Type: research
Denis Sise Drummond, MD, FRS(C) (1934–2019)
Publication date: September 2019Source: Spine Deformity, Volume 7, Issue 5Author(s): (Source: Spine Deformity)
Source: Spine Deformity - September 6, 2019 Category: Orthopaedics Source Type: research
State-of-the-Art Reviews: Safety in Complex Spine Surgery
Publication date: September 2019Source: Spine Deformity, Volume 7, Issue 5Author(s): Rajiv Sethi, Michael Bohl, Michael VitaleAbstractThe surgical correction of spinal deformities carries a high risk of perioperative morbidity. As the incidence of debilitating spinal deformities continues to increase, so too does our obligation to search for ways to enhance safety in our delivery of surgical care. Standardized work processes and other lean manufacturing methodologies have the potential to improve efficiency, safety, and hence value in our delivery of surgical care to patients with complex spine pathologies by reducing vari...
Source: Spine Deformity - September 6, 2019 Category: Orthopaedics Source Type: research
The Role of Potentially Modifiable Factors in a Standard Work Protocol to Decrease Complications in Adult Spinal Deformity Surgery: A Systematic Review, Part 1
ConclusionPreoperative hemoglobin, bone density, body mass index, preoperative albumin/prealbumin, and smoking status all are potentially modifiable risk factors that are associated with increased complications in the adult spine surgery population. Developing a Standard Work Protocol for patient evaluation and optimization should include these factors.Level of EvidenceLevel II. (Source: Spine Deformity)
Source: Spine Deformity - September 6, 2019 Category: Orthopaedics Source Type: research
The Role of Potentially Modifiable Factors in a Standard Work Protocol to Decrease Complications in Adult Spinal Deformity Surgery: A Systematic Review, Part 2
ConclusionGaps in the existing literature limit our ability to evaluate if all of the patient and surgical factors selected for this review are associated with increased or decreased complications and reoperations in ASD surgery. However, for both intraoperative TXA usage and optimized intraoperative fluid management that were supported by good evidence, developing Standard Work Protocols may optimize care.Level of EvidenceLevel II. (Source: Spine Deformity)
Source: Spine Deformity - September 6, 2019 Category: Orthopaedics Source Type: research
Local Application of Vancomycin in Spine Surgery Does Not Result in Increased Vancomycin-Resistant Bacteria—10-Year Data
ConclusionsTopical vancomycin within the surgical site is not correlated with vancomycin-resistant bacteria. However, there was an increased incidence of gram-negative organisms in infections after vancomycin application in the wound versus no vancomycin. Continued surveillance with prospectively collected randomized data is necessary to better understand bacterial evolution against current antimicrobial techniques.Level of EvidenceLevel III. (Source: Spine Deformity)
Source: Spine Deformity - September 6, 2019 Category: Orthopaedics Source Type: research
Operating Room Personnel Determine Efficiency of Pediatric Spinal Fusions for Scoliosis
ConclusionsAnesthesiologists have a significant effect before and surgeons have a significant effect after entry into the OR. Identification of this variability provides an opportunity to study the differences in habits and processes of high- and low-efficiency teams, which can then be applied to all teams with the goal of improving performance of all surgical teams.Level of EvidenceLevel IV, case series. (Source: Spine Deformity)
Source: Spine Deformity - September 6, 2019 Category: Orthopaedics Source Type: research
Timing of Complications After Posterior Spinal Fusions in Pediatric Spine Deformity
ConclusionUnderstanding the timing of complications is important for patients and providers, as it reflects the need of heightened awareness and low thresholds of testing during periods of highest risks to catch complications, launch appropriate optimization protocols, and minimize the cost burden associated with readmissions.Level of EvidenceLevel IV. (Source: Spine Deformity)
Source: Spine Deformity - September 6, 2019 Category: Orthopaedics Source Type: research
Treatment of Idiopathic Scoliosis With Vertebral Body Stapling
ConclusionsAlthough early outcomes after VBS appear to parallel the results of bracing, stapling does not affect the percentage of patients ultimately requiring PSIF. Initial curve correction degraded over time in younger patients with significant growth remaining, and high rates of progression in this group, even with bracing, merits investigation into more efficacious treatment strategies.Level of EvidenceLevel III. (Source: Spine Deformity)
Source: Spine Deformity - September 6, 2019 Category: Orthopaedics Source Type: research
