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Spine Deformity

Christopher J DeFrancesco, Saba Pasha, Daniel J Miller, Randal R Betz, David H Clements, Nicholas D Fletcher, Michael G Glotzbecker, Steven W Hwang, Michael P Kelly, Ronald A Lehman, Baron S Lonner, Peter O Newton, Benjamin D Roye, Paul D Sponseller, Vidyadhar V Upasani, Patrick J Cahill
No abstract text is available yet for this article.
March 2019: Spine Deformity
Emmanuelle Ferrero, Renaud Lafage, Bassel G Diebo, Vincent Challier, Brice Illharreborde, Frank Schwab, Wafa Skalli, Pierre Guigui, Virginie Lafage
No abstract text is available yet for this article.
March 2019: Spine Deformity
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
No abstract text is available yet for this article.
March 2019: Spine Deformity
Oheneba Boachie-Adjei, Mitsuru Yagi, Venu M Nemani, Cristina Sacramento-Dominguez, Harry Akoto, Matthew E Cunningham, Munish Gupta, William F Hess, Baron S Lonner, Michael J Mendelow, Elias C Papadopoulus, Federico Sanchez-Perez-Grueso, Feran Pelise, Ken Paonesa, Bettye Wright, Irene Wulff, Han Jo Kim
No abstract text is available yet for this article.
March 2019: Spine Deformity
Alvin H Crawford, Hono Caus Gr, Adam P Schumaier, Francesco T Mangano
No abstract text is available yet for this article.
March 2019: Spine Deformity
Nadim Joukhadar, Ozren Kubat, John Heflin, Mohamad S Yasin, Anna McClung, Tara Flynn, Megan Sheppard, David Skaggs, Ron El-Hawary
BACKGROUND: Proximal junctional kyphosis (PJK) is a reported complication of distraction-based growth-friendly surgery for early-onset scoliosis (EOS). A potential consequence of PJK is revision surgery with superior extension of the upper instrument vertebrae (UIV). The purpose of this study was to determine the risk of radiographic and clinically significant PJK during growth-friendly surgery. METHODS: This is a retrospective review of children treated with distraction-based growth-friendly surgeries from two EOS registries with minimum two-year follow-up...
March 2019: Spine Deformity
Ethan Cottrill, Adam Margalit, Cameron Brucker, Paul D Sponseller
STUDY DESIGN: Retrospective. OBJECTIVE: Compare clinical outcomes in early-onset scoliosis (EOS) patients treated with sacral-alar-iliac (SAI) versus iliac-only methods of pelvic fixation at two years' minimum follow-up. SUMMARY OF BACKGROUND DATA: Pelvic fixation in EOS is challenged by poor bone, anchor migration, and displacement. The long-term outcomes of SAI fixation in EOS is unknown. METHODS: We retrospectively reviewed EOS patients in a single center from 2000 to 2017...
March 2019: Spine Deformity
Ajoy Prasad Shetty, Aju Bosco, Shanmuganathan Rajasekaran, Rishi Mugesh Kanna
STUDY DESIGN: Single-center retrospective cohort analysis. OBJECTIVES: To analyze the impact of loss of global lumbar lordosis (GLL) on functional outcomes in tuberculosis of the lumbar and lumbosacral spine and to define strategies to restore or preserve the physiological lumbar lordosis. SUMMARY OF BACKGROUND DATA: In tuberculosis of lumbosacral spine, loss of lumbar lordosis (LL) leads to altered lumbosacral biomechanics. All available studies have assessed treatment outcomes with respect to physical well-being, neurologic improvement, bone healing, and changes in radiologic parameters...
March 2019: Spine Deformity
Panagiotis Korovessis, Vasileios Syrimpeis, Vasileios Tsekouras
STUDY DESIGN: A retrospective cohort study. OBJECTIVES: To investigate whether decompression plus short segment lumbosacral fixation changes the sagittal baseline spinopelvic parameters in patients with moderate degenerative spondylolisthesis (DS) and associated degenerative lumbar spinal stenosis (DLSS). SUMMARY OF BACKGROUND DATA: Spinal decompression and fusion are commonly performed in DS with associated DLSS. Spinopelvic alignment after surgery for DS is an important research topic...
March 2019: Spine Deformity
Wenbin Hua, Yukun Zhang, Xinghuo Wu, Yong Gao, Shuai Li, Kun Wang, Shuhua Yang, Cao Yang
STUDY DESIGN: Retrospective analysis of clinical records. OBJECTIVE: To determine the efficacy of transpedicular wedge resection osteotomy (TWRO) of the apical vertebrae to treat severe and rigid thoracic kyphoscoliosis in 26 adults. SUMMARY OF BACKGROUND DATA: Although posterior vertebral column resection has traditionally been used to correct severe and rigid kyphoscoliosis, TWRO may achieve the same correction with a shorter operative time and lower rate of complications...
March 2019: Spine Deformity
Tanvir Johanning Bari, Søren Ohrt-Nissen, Lars Valentin Hansen, Benny Dahl, Martin Gehrchen
STUDY DESIGN: Retrospective analysis of prospectively collected data. OBJECTIVES: To validate the Global Alignment and Proportion (GAP) score in a single-center cohort of adult spinal deformity (ASD) patients. SUMMARY OF BACKGROUND DATA: Surgical treatment for ASD is associated with a high risk of mechanical failure and consequent revision surgery. To improve prediction of mechanical complications, the GAP score was developed with promising results...
March 2019: Spine Deformity
Jonathan H Oren, Jared C Tishelman, Louis M Day, Joseph F Baker, Norah Foster, Subaraman Ramchandran, Cyrus Jalai, Gregory Poorman, Ryan Cassilly, Aaron Buckland, Peter G Passias, Shay Bess, Thomas J Errico, Themistocles S Protopsaltis
STUDY DESIGN: Retrospective review from a single institution. OBJECTIVES: To evaluate intraoperative T1-pelvic angle (TPA), T4PA, and T9PA as predictors of postoperative global alignment after adult spinal deformity (ASD) surgery. SUMMARY OF BACKGROUND DATA: Malalignment following adult spinal surgery is associated with disability and correlates with health-related quality of life. Preoperative planning and intraoperative verification are crucial for optimal postoperative outcomes...
March 2019: Spine Deformity
Neel Anand, Aniruddh Agrawal, Evalina L Burger, Emmanuelle Ferrero, Jeremy L Fogelson, Takashi Kaito, Michael O LaGrone, Jean-Charles Le Huec, Jung-Hee Lee, Ram Mudiyam, Yutaka Sasao, Jonathan N Sembrano, Per D Trobisch, Shu-Hua Yang
STUDY DESIGN: Electronic survey administered to Scoliosis Research Society members. OBJECTIVE: To determine the prevalence of minimally invasive surgery (MIS) techniques for the treatment of adult spinal deformity. SUMMARY OF BACKGROUND DATA: There is a paucity of data available on the practice pattern, prevalence of minimally invasive spine surgery, and the preferred minimally invasive techniques in the treatment of adult spine deformity...
March 2019: Spine Deformity
Tanvir Johanning Bari, Dennis Winge Hallager, Niklas Tøndevold, Ture Karbo, Lars Valentin Hansen, Benny Dahl, Martin Gehrchen
STUDY DESIGN: Reproducibility study of a classification system. OBJECTIVES: To provide the inter- and intrarater reproducibility of the Roussouly Classification System in a single-center prospective cohort of patients referred for Adult Spinal Deformity. SUMMARY OF BACKGROUND DATA: The Roussouly Classification System was developed to describe the variation in sagittal spine shape in normal individuals. A recent study suggests that patients' spine types could influence the outcome following spinal surgery...
March 2019: Spine Deformity
Alexander J Adams, Christian A Refakis, John M Flynn, Joshua M Pahys, Randal R Betz, Tracey P Bastrom, Amer F Samdani, Christopher M Brusalis, Paul D Sponseller, Patrick J Cahill
STUDY DESIGN: Prospective multicenter comparative study. OBJECTIVES: We aimed 1) to survey surgeons and caregivers to rank the surgical indications for spinal fusion of pediatric patients with neuromuscular scoliosis secondary to cerebral palsy in order of importance and 2) to characterize the agreement of surgeons and caregivers on major (top three) indications. SUMMARY OF BACKGROUND DATA: Surgery for spinal deformity in children with cerebral palsy is a multifaceted and individualized decision that may lead to miscommunication during informed consent...
March 2019: Spine Deformity
Rodrigo G Remondino, Carlos A Tello, Mariano Noel, Alejandra Francheri Wilson, Eduardo Galaretto, Ernesto Bersusky, Lucas Piantoni
STUDY DESIGN: Descriptive retrospective cohort of 52 pediatric patients with mucopolysaccharidosis (MPS) and spinal cord disease and surgical outcomes in a reference hospital. OBJECTIVES: To describe clinical manifestations and surgical management and outcomes of spinal lesions. METHODS: All medical records of 52 patients with mucopolysaccharidosis (I, II, III, IV, and VI) diagnosed between 1992 and 2011 were identified and followed at a single spine center of a pediatric hospital...
March 2019: Spine Deformity
Anders Joelson, Elias Diarbakerli, Paul Gerdhem, Rune Hedlund, Per Wretenberg, Karin Frennered
STUDY DESIGN: Observational study. OBJECTIVES: To evaluate self-image after in situ fusion for high-grade isthmic spondylolisthesis. SUMMARY OF BACKGROUND DATA: Certain clinical findings such as short trunk or waistline skin folds are often seen in high-grade spondylolisthesis. Since treatment with spinal fusion in situ does not address appearance, self-image and also health-related quality of life might be negatively affected in the short-term as well as the long-term perspective...
March 2019: Spine Deformity
Subaraman Ramchandran, Stephen George, Jahangir Asghar, Harry Shufflebarger
STUDY DESIGN: Single-center retrospective study. OBJECTIVE: To analyze two-year postoperative outcomes following spinopelvic fixation in pediatric patients using the anatomic trajectory (AT) portal for iliac screws. SUMMARY: Iliac fixation is crucial in situations requiring fusion to sacrum. Challenges include complex anatomy, pelvic deformation, severe deformity, and previous surgery. The PSIS portal requires significant dissection, rod connectors, and complex bends...
March 2019: Spine Deformity
David G Deckey, Leslie A Kalish, Daniel Hedequist, John Emans, Mark Proctor, Michael Glotzbecker, Lawrence Karlin, Brian Snyder, M Timothy Hresko
STUDY DESIGN: Retrospective case series. OBJECTIVES: To report operative outcomes of contemporary surgical treatment of spondylolisthesis in the pediatric population. SUMMARY OF BACKGROUND DATA: Surgical treatment of developmental spondylolisthesis is controversial, with limited data on complication and reoperation rates. METHODS: A retrospective study followed pediatric patients with either L5-S1 high-grade spondylolisthesis (HGS) or L5-S1 symptomatic low-grade spondylolisthesis (LGS) for a minimum of two years...
March 2019: Spine Deformity
Jose Miguel Sánchez-Márquez, Javier Pizones, Mar Pérez Martín-Buitrago, Nicomedes Fernández-Baillo, Francisco Javier Pérez-Grueso
STUDY DESIGN: Retrospective case series with comparative analysis. OBJECTIVE: To analyze a consecutive cohort of very young patients operated for congenital scoliosis secondary to a single hemivertebra (HV) and compare thoracolumbar (TL) versus lumbosacral (LS) curve results. SUMMARY OF BACKGROUND DATA: Despite the published successful results regarding early hemivertebra resection and short fusion for congenital hemivertebrae, literature lacks midterm results, especially in very young children...
March 2019: Spine Deformity
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