Pulmonary Function After Convex Thoracoplasty in Adolescent Idiopathic Scoliosis Patients Treated by Posteromedial Translation
ConclusionResults of the current study demonstrated that thoracoplasty associated with posteromedial translation technique did not alter PFT results at two years postoperation. The morbidity of the procedure is limited, and it can therefore be considered in patients with high cosmetic demand and significant residual rib hump after main curve correction. However, hump height and pain evaluation would be interesting data in a prospective study.Level of EvidenceLevel IV. (Source: Spine Deformity)
Source: Spine Deformity - September 6, 2019 Category: Orthopaedics Source Type: research
Hemoglobin Levels Pre- and Posttreatment as a Surrogate for Disease Severity in Early-Onset Scoliosis
ConclusionsIn some patients with EOS and TIS, there appears to be significant positive impact on oxygenation from distraction instrumentation as evidenced by a meaningful proxy measurement: improvement in abnormal preoperative Hgb levels after surgery.Level of EvidenceIII. (Source: Spine Deformity)
Source: Spine Deformity - June 13, 2019 Category: Orthopaedics Source Type: research
Editorial Board
Publication date: July 2019Source: Spine Deformity, Volume 7, Issue 4Author(s): (Source: Spine Deformity)
Source: Spine Deformity - June 13, 2019 Category: Orthopaedics Source Type: research
Instructions for Authors
Publication date: July 2019Source: Spine Deformity, Volume 7, Issue 4Author(s): (Source: Spine Deformity)
Source: Spine Deformity - June 13, 2019 Category: Orthopaedics Source Type: research
Table of Contents
Publication date: July 2019Source: Spine Deformity, Volume 7, Issue 4Author(s): (Source: Spine Deformity)
Source: Spine Deformity - June 13, 2019 Category: Orthopaedics Source Type: research
Sacropelvic Fixation: A Comprehensive Review
Publication date: July 2019Source: Spine Deformity, Volume 7, Issue 4Author(s): Mostafa H. El Dafrawy, Micheal Raad, Louis Okafor, Khaled M. KebaishAbstractSacropelvic fixation is indicated in various clinical settings, most notably long spinal arthrodesis, reduction of high-grade spondylolisthesis, and complex sacral fractures. The sacropelvis is characterized by complex regional anatomy and poor bone quality. These factors make achieving solid fusion across the lumbosacral junction challenging. However, a better understanding of spinal biomechanics at that level has led to much higher fusion rates than those of the past....
Source: Spine Deformity - June 13, 2019 Category: Orthopaedics Source Type: research
In Vivo Assessment of Thoracic Vertebral Shape From MRI Data Using a Shape Model
ConclusionsMagnetic resonance images and shape modeling provides a reliable method for characterizing vertebral shape in vivo. The method is able to identify differences between vertebral levels and between individuals. The use of these methods may be advantageous for performing repeated measurements in longitudinal studies.Level of EvidenceN/A. (Source: Spine Deformity)
Source: Spine Deformity - June 13, 2019 Category: Orthopaedics Source Type: research
Analysis of Center of Mass and Gravity-Induced Vertebral Axial Torque on the Scoliotic Spine by Barycentremetry
ConclusionResults suggest that AIS patients can maintain the COM of each body segment close to their gravity line, irrespective of the severity and asymmetry of their deformity. Moreover, torque analysis shed some light on the importance of junctional vertebrae in the spinal deformity and, potentially, in the vicious cycle determining scoliosis progression.Level of EvidenceLevel III. (Source: Spine Deformity)
Source: Spine Deformity - June 13, 2019 Category: Orthopaedics Source Type: research
Evidence of Intrinsic Impairment of Osteoblast Phenotype at the Curve Apex in Girls With Adolescent Idiopathic Scoliosis
ConclusionsIntrinsic differences that affect osteoblast function are exhibited by spinal facet osteoblasts at the curve apex in AIS patients.Level of EvidenceLevel IV, Prognostic. (Source: Spine Deformity)
Source: Spine Deformity - June 13, 2019 Category: Orthopaedics Source Type: research
Finite Element Based-Analysis for Pre and Post Lumbar Fusion of Adult Degenerative Scoliosis Patients
ConclusionsThis study was the first to investigate the effect of adjacent load transfer before and after fusion surgery using in vivo CT scans of 10 scoliotic spines. A posterior fusion has only a minor effect on mechanical behavior and a large effect on pressure and forces at the adjacent level. As expected, a large effect in the kinematics and kinetics was found at the fused level.Level of EvidenceLevel 3. (Source: Spine Deformity)
Source: Spine Deformity - June 13, 2019 Category: Orthopaedics Source Type: research
Reliability and Concurrent Validity of a Culturally Adapted Persian Version of the Brace Questionnaire in Adolescents With Idiopathic Scoliosis
ConclusionsThe culturally adapted Persian version of the BrQ can be used to assess the quality of life of adolescents with idiopathic scoliosis who wear a brace.Level of EvidenceII. (Source: Spine Deformity)
Source: Spine Deformity - June 13, 2019 Category: Orthopaedics Source Type: research
Adolescent Idiopathic Scoliosis Care in an Underserved Inner-City Population: Screening, Bracing, and Patient- and Parent-Reported Outcomes
ConclusionsOne of five children in our population was never screened for scoliosis, and nearly three of five children did not receive optimal care as recommended by SRS. AIS patients in our inner-city populations are potentially at risk of continuing to experience a significant disadvantage in health care access.Level of EvidenceLevel IV case series. (Source: Spine Deformity)
Source: Spine Deformity - June 13, 2019 Category: Orthopaedics Source Type: research
Technical Consideration for TLIF Cage Retrieval and Deformity Correction With Anterior Interbody Fusion in Lumbar Revision Surgeries
ConclusionsAnterior approach is a suitable technique for TLIF cage removal while preserving the end plates for subsequent optimal interbody fusion at the index level in symptomatic pseudoarthrosis patients or those with clinical deformity. ALIF with HLCs with or without Ponte osteotomy can restore segmental and overall sagittal alignment. (Source: Spine Deformity)
Source: Spine Deformity - June 13, 2019 Category: Orthopaedics Source Type: research
Do We Need Postoperative Chest Radiographs After Posterior Spinal Fusion for Adolescent Idiopathic Scoliosis?
ConclusionsPneumothorax is uncommon after PSIF for AIS. The need for intervention is even less common. Routine postoperative chest radiographs are of questionable value after PSIF for AIS.Level of EvidenceLevel III. (Source: Spine Deformity)
Source: Spine Deformity - June 13, 2019 Category: Orthopaedics Source Type: research
Intraoperative Computed Tomography–Guided Navigation for Pediatric Spine Patients Reduced Return to Operating Room for Screw Malposition Compared With Freehand/Fluoroscopic Techniques
ConclusionPatients with pedicle screws placed with CT-guided navigation had a lower rate of severely malpositioned screws and unplanned returns to the OR. There was no significant difference in blood loss or operative time when controlling for number of levels fused.SignificanceIn the era of health care “never-events,” return to OR for screw malposition could certainly be deemed unacceptable. Use of intraoperative CT-guided navigation thus far eliminated return to OR for screw malposition in a complex cohort of pediatric spinal deformity patients, without measurable increase in operative time or blood loss. (Source: Spine Deformity)
Source: Spine Deformity - June 13, 2019 Category: Orthopaedics Source Type: research
