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Scoliosis and Spinal Disorders

Theodoros B Grivas, Olga Savvidou, Stefanos Binos, Georgios Vynichakis, Dimitrios Lykouris, Michail Skaliotis, Eleni Velissariou, Konstandinos Giotopoulos, Konstandinos Velissarios
Background: Vertebrae morphology appears to have genetic and ethnic variations. Knowledge of the vertebra and pedicle morphology is essential for proper selection and safe application of transpedicular screws. The aim of this study is to create a morphometric database for thoracolumbar and lumbar vertebrae (T9-L5) among individuals of both sexes in the Greek population. Material and methods: The morphometric dimensions of T9-L5 vertebrae on computed tomography (CT) scan images were measured in 100 adults (79 males and 21 females), without spinal pathology, age from 33 to 87 years old (mean 70 ± 8...
2019: Scoliosis and Spinal Disorders
Geoff Dakin, Raymond J Turner, Stephana J Cherak
Background: The purpose of this study was to describe the relationship between pelvic inclination (PI) and lumbar lordosis (LL). Pelvic inclination and pelvic tilt are two different names for the same metric. The geometrical parameters of the spine and pelvis were measured using surface topography scanning, and the data was explored for any physical relationships using principal component analysis.Once widely assumed to be a direct correlation, research in the 1980s first cast doubt upon the PI to LL relationship...
2019: Scoliosis and Spinal Disorders
Steven M Presciutti, Philip K Louie, Jannat M Khan, Bryce A Basques, Comron Saifi, Christopher J Dewald, Dino Samartzis, Howard S An
Background: This study aims to determine if (1) loss of lumbar lordosis (LL), often associated with degenerative scoliosis (DS), is structural or rather largely due to positional factors secondary to spinal stenosis; (2) only addressing the symptomatic levels with a decompression and posterolateral fusion in carefully selected patients will result in improvement of sagittal malalignment; and (3) degree of sagittal plane correction achieved with such a local fusion could be predicted by routine pre-operative imaging...
2018: Scoliosis and Spinal Disorders
Theodoros B Grivas, Konstantinos Angouris, Michail Chandrinos, Vasilios Kechagias
Background: Limb length Inequality (LLI) in children and adults may affect posture, gait, and several truncal parameters, and it can cause spinal scoliosis. In literature, however, there is a paucity of assessment of truncal and spinal changes due to mild LLI in children. This report presents children with LLI, and it aims to provide information in pelvic imbalance, spinal posture, and scoliotic curve, using surface topography analysis which is a novel methodological approach for this condition...
2018: Scoliosis and Spinal Disorders
Lucas Piantoni, Carlos A Tello, Rodrigo G Remondino, Ernesto S Bersusky, Celica Menéndez, Corina Ponce, Susana Quintana, Felisa Hekier, Ida A Francheri Wilson, Eduardo Galaretto, Mariano A Noël
Background: Bracing is used as a valid non-surgical treatment for adolescent idiopathic scoliosis (AIS) to avoid progression of the deformity and thereby surgery. The effect of bracing treatment on quality of life of patients with AIS has been a topic of interest in the international literature. The aim of this study was to evaluate the quality of life and patient satisfaction during bracing treatment for AIS of a pediatric hospital. Material and method: We assessed a total of 43 non-consecutive female patients (mean age at questionnaire, 13 years and 1 month and 10 years and 8 months to 14 years and 5 months; mean period of usage of brace, 1 year and 7 months), with adolescent idiopathic scoliosis (AIS), older than 10 years of age until skeletal maturity, with a Risser sign less than 3 and scoliosis between 20 and 45°, treated with thoracolumbosacral orthosis (TLSO) for a period longer than 6 months, and without other comorbidities or previous surgeries, were evaluated...
2018: Scoliosis and Spinal Disorders
Theodoros B Grivas, Jean Claude de Mauroy, Grant Wood, Manuel Rigo, Michael Timothy Hresko, Tomasz Kotwicki, Stefano Negrini
[This retracts the article DOI: 10.1186/s13013-016-0102-y.].
2018: Scoliosis and Spinal Disorders
Daniela Ghisi, Alessandro Ricci, Sandra Giannone, Tiziana Greggi, Stefano Bonarelli
Background: Acute pancreatitis has been described as potential complication of both abdominal and non-abdominal surgeries. The pathogenetic mechanism underlying acute pancreatitis in spine surgery may include intraoperative hemodynamic instability causing prolonged splanchnic hypoperfusion, as well as mechanical compression of the pancreas due to scoliosis correction, with a higher risk in cases of more extended fusions, especially in young adults with lower body mass index (BMI). Case presentation: We report here a case of postoperative acute pancreatitis with benign evolution in a young female patient after the first and second surgery of a two-stage correction of right thoracic idiopathic scoliosis...
2018: Scoliosis and Spinal Disorders
Lucas Piantoni, Carlos A Tello, Rodrigo G Remondino, Ida A Francheri Wilson, Eduardo Galaretto, Mariano A Noel
Background: Currently, there is little consensus on how or when to discontinue bracing in adolescent idiopathic scoliosis (AIS). An expert spine surgeon national survey could aid in elucidate discontinuation of the brace.Few data have been published on when and how to discontinue bracing treatment in patients with AIS resulting in differences in the management of the condition. The aim of this study was to characterize decision-making of surgeons in the management of bracing discontinuation in AIS...
2018: Scoliosis and Spinal Disorders
Masatoshi Teraguchi, Rita Yim, Jason Pui-Yin Cheung, Dino Samartzis
Background: Magnetic resonance imaging (MRI) of the lumbar spine is commonly used to identify the source of low back pain (LBP); however, its use has been questionable. Throughout the years, numerous lumbar phenotypes (e.g., endplate abnormalities, Modic changes, black disc) have been studied as possible pain generators. High-intensity zones (HIZs) are of particular interest as they may represent annular tears. However, for over three decades, there has been heated debate as to whether these imaging biomarkers are synonymous with LBP...
2018: Scoliosis and Spinal Disorders
Franck Le Navéaux, A Noelle Larson, Hubert Labelle, Carl-Eric Aubin
Background: Increased implant number is thought to provide better control on the scoliotic spine, but there is limited scientific evidence of improved deformity correction and surgical outcomes with high-density constructs. The objective is to assess key anchor points used by experienced spinal deformity surgeons and to evaluate the effect of implant density pattern on correction techniques. Methods: Seventeen experienced spine surgeons reviewed five Lenke 1 adolescent idiopathic scoliosis cases and provided their preferred posterior correction technique (implant pattern, correction maneuvers, and implants used for their execution) and an alternative technique with the minimal implant density they felt would be acceptable (170 surgical plans total)...
2018: Scoliosis and Spinal Disorders
Avraam Ploumis, Vikas Trivedi, Jae-Hyuk Shin, Kirkham B Wood, Brian E Grottkau
Βackground: Both limb length inequality and scoliosis are associated with pelvic obliquity. Methods: This is an observational study of adolescents with growth potential presenting for evaluation of thoracic or thoracolumbar idiopathic scoliosis at an outpatient pediatric orthopedic clinic. Patients were evaluated for limb length discrepancy (LLD) (using bilateral femoral head height difference), pelvic obliquity (using bilateral iliac crest height difference and sacral takeoff angle), and scoliotic curve (using Cobb angle and rotation) on full spine standing radiographs...
2018: Scoliosis and Spinal Disorders
Hiroyuki Seki, Satoshi Ideno, Taiga Ishihara, Kota Watanabe, Morio Matsumoto, Hiroshi Morisaki
Posterior spinal fusion for adolescent idiopathic scoliosis is one of the most invasive surgical procedures performed in children and adolescents. Because of the extensive surgical incision and massive tissue trauma, posterior spinal fusion causes severe postoperative pain. Intravenous patient-controlled analgesia with opioids has been the mainstay of postoperative pain management in these patients. However, the use of systemic opioids is sometimes limited by opioid-related side effects, resulting in poor analgesia...
2018: Scoliosis and Spinal Disorders
Larry Cohen, Sarah Kobayashi, Milena Simic, Sarah Dennis, Kathryn Refshauge, Evangelos Pappas
No abstract text is available yet for this article.
2018: Scoliosis and Spinal Disorders
Marlene Dufvenberg, Fisayo Adeyemi, Isabelle Rajendran, Birgitta Öberg, Allan Abbott
Background: Postural stability deficits have been proposed to influence the onset and progression of adolescent idiopathic scoliosis (AIS). This study aimed to systematically identify, critically evaluate and meta-analyse studies assessing postural stability during unperturbed stance with posturography in AIS compared to typically developed adolescents. Methods: Studies from four electronic databases (PubMed, Scopus, CINAHL, PEDro) were searched and case-control methodological quality assessed using a risk-of-bias assessment tool and a posturography methodological quality checklist...
2018: Scoliosis and Spinal Disorders
Balaji Zacharia, Dhiyaneswaran Subramaniyam, Sadiqueali Padinharepeediyekkal
Background: Idiopathic scoliosis is the most common type of spinal deformity. Scoliosis is defined as a lateral curvature of the spine greater than 10° accompanied by rotation of the vertebrae. The treatment available for adolescent idiopathic scoliosis is observation, orthosis, and surgery. The surgical options include open anterior release and instrumentation, posterior instrumentation, and thoracoscopic approaches. The Scoliosis Research Society Questionnaire (SRS-30) is a specific instrument to measure health-related quality of life in patients with scoliosis, who had or had not undergone surgery...
2018: Scoliosis and Spinal Disorders
Hasan Ghandhari, Ebrahim Ameri, Farshad Nikouei, Milad Haji Agha Bozorgi, Shoeib Majdi, Mostafa Salehpour
Background: Adolescent idiopathic scoliosis (AIS) is the most common form of idiopathic scoliosis, and surgery is considered as one of the therapeutic options. However, it is associated with a variety of irreversible complications, in spite of the benefits it provides. Here, we evaluated the long-term outcome of posterior spinal fusion (PSF) of AIS to shed more light on the consequences of this surgery. Methods: In a cross-sectional study, a total of 42 AIS patients who underwent PSF surgery were radiographically and clinically inspected for the potential post-operative complications...
2018: Scoliosis and Spinal Disorders
John Thometz, XueCheng Liu, Robert Rizza, Ian English, Sergery Tarima
Background: A wide variety of braces are commercially available designed for the adolescent idiopathic scoliosis (AIS), but very few braces for infantile scoliosis (IS) or juvenile scoliosis (JS). The goals of this study were: 1) to briefly introduce an elongation bending derotation brace (EBDB) in the treatment of IS or JS; 2) to investigate changes of Cobb angles in the AP view of X-ray between in and out of the EBDB at 0, 3, 6, 9, and 12 months; 3) to compare differences of Cobb angles (out of brace) in 3, 6, 9, and12 month with the baseline; 4) to investigate changes (out of brace) in JS and IS groups separately...
2018: Scoliosis and Spinal Disorders
Sabrina Donzelli, Fabio Zaina, Salvatore Minnella, Monia Lusini, Stefano Negrini
Background: In respect to the prescribed regimen and the regular daily pattern, investigate how short-term results are affected by wear time adherence in terms of hours per day. Methods: This is a case-control study. The setting is outpatient clinic. There were 168 subjects, all of whom met the inclusion criteria: adolescent idiopathic scoliosis and Sforzesco brace prescription of 18 to 23 h/day. The minimum period of follow-up was 4 months, and the maximum was 6 months, which is the average time passing between the Thermobrace (TB) adoption and out-of-brace X-ray before treatment...
2018: Scoliosis and Spinal Disorders
Karina A Zapata, Sharon S Wang-Price, Tina S Fletcher, Charles E Johnston
Background: Software applications (apps) could potentially promote exercise adherence. However, it is unclear whether adolescents with painful hyperkyphosis will use an app designed for a home exercise program. The purpose of this study is to assess factors regarding adherence to an app-based home exercise program in adolescents with hyperkyphosis and back pain who were provided a one-time exercise treatment. Methods: Twenty-one participants were instructed in a one-time exercise treatment and asked to complete a home exercise program 3 times a week for 6 months using an app called PT PAL...
2018: Scoliosis and Spinal Disorders
Yew Long Lo, Yam Eng Tan, Sitaram Raman, Adeline Teo, Yang Fang Dan, Chang Ming Guo
Background: Motor- (MEP) and somatosensory-evoked potentials (SSEP) are susceptible to the effects of intraoperative environmental factors. Methods: Over a 5-year period, 250 patients with adolescent idiopathic scoliosis (AIS) who underwent corrective surgery with IOM were retrospectively analyzed for MEP suppression (MEPS). Results: Our results show that four distinct groups of MEPS were encountered over the study period. All 12 patients did not sustain any neurological deficits postoperatively...
2018: Scoliosis and Spinal Disorders
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