collection
https://read.qxmd.com/read/19571298/neurologic-injury-in-the-surgical-treatment-of-idiopathic-scoliosis-guidelines-for-assessment-and-management
#21
REVIEW
Joshua M Pahys, James T Guille, Linda P D'Andrea, Amer F Samdani, Joshua Beck, Randal R Betz
Iatrogenic spinal cord injury resulting from surgical treatment of spinal deformity is a relatively uncommon but devastating complication. Publications on the prevalence of spinal cord injury following surgery are numerous, but no definitive review with clinically pertinent treatment guidelines exists. Methods to reduce the risk of neurologic complications with scoliosis surgery include adequate patient evaluation and preoperative planning, intraoperative preparation, intraoperative neuromonitoring, and postoperative management...
July 2009: Journal of the American Academy of Orthopaedic Surgeons
https://read.qxmd.com/read/23715024/a-randomized-prospective-evaluation-of-3-techniques-of-postoperative-pain-management-after-posterior-spinal-instrumentation-and-fusion
#22
RANDOMIZED CONTROLLED TRIAL
Joshua W B Klatt, Jennie Mickelson, Man Hung, Simon Durcan, Chris Miller, John T Smith
STUDY DESIGN: Randomized prospective trial. OBJECTIVE: To compare the efficacy of intravenous analgesia with single and dual continuous epidural analgesia (CEA) in patients with adolescent idiopathic scoliosis (AIS) undergoing posterior spinal fusion and instrumentation (PSIF). SUMMARY OF BACKGROUND DATA: Pain management after posterior spinal fusion (PSF) for patients with AIS is challenging. Although intravenous patient-controlled analgesia (PCA) is used most commonly, CEA has been found to be safe and effective...
September 1, 2013: Spine
https://read.qxmd.com/read/22661569/spinal-muscular-atrophy-manifestations-and-management
#23
REVIEW
Addisu Mesfin, Paul D Sponseller, Arabella I Leet
Spinal muscular atrophy (SMA) is an autosomal recessive disorder caused by a homozygous deletion in the SMN1 gene and is manifested by loss of the anterior horn cells of the spinal cord. Classifications of the disorder are based on age of onset and the patient's level of function. Scoliosis and hip subluxation or dislocation are two musculoskeletal manifestations associated with SMA. Severity of scoliosis correlates with age at presentation. Bracing has been unsuccessful in halting curve progression and may interfere with respiratory effort...
June 2012: Journal of the American Academy of Orthopaedic Surgeons
https://read.qxmd.com/read/23147623/pain-management-in-patients-with-adolescent-idiopathic-scoliosis-undergoing-posterior-spinal-fusion-combined-intrathecal-morphine-and-continuous-epidural-versus-pca
#24
COMPARATIVE STUDY
Matthew Ravish, Bridget Muldowney, Aimee Becker, Scott Hetzel, James J McCarthy, Blaise A Nemeth, Kenneth J Noonan
STUDY DESIGN: A retrospective case-comparison study. OBJECTIVE: Compare efficacy and safety of combined intrathecal morphine (ITM) and epidural analgesia (EPI) to that of conventional intravenous patient-controlled analgesia (IV-PCA) after posterior spinal fusion (PSF) for adolescent idiopathic scoliosis (AIS). SUMMARY OF BACKGROUND DATA: Pain control after PSF in AIS has been managed traditionally with IV-PCA. More recently studies have shown improvement in pain control with the use of continuous EPI or intraoperative ITM...
December 2012: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/22814305/neurological-outcome-and-management-of-pedicle-screws-misplaced-totally-within-the-spinal-canal
#25
JOURNAL ARTICLE
Jean-Marc Mac-Thiong, Stefan Parent, Benoit Poitras, Julie Joncas, Labelle Hubert
STUDY DESIGN: This study reports 9 cases referred to our institution after surgical correction of adolescent idiopathic scoliosis and pedicle screws misplaced totally within the spinal canal. OBJECTIVE: To assess the neurological outcome associated with pedicle screws misplaced totally within the spinal canal. SUMMARY OF BACKGROUND DATA: The prevalence of neurological complications from misplaced pedicle screws might be under-reported, and optimal management of pedicle screws misplaced totally within the spinal canal remains unclear...
February 1, 2013: Spine
https://read.qxmd.com/read/25199421/recent-advances-in-the-management-of-early-onset-scoliosis
#26
REVIEW
Peter F Sturm, Jennifer M Anadio, Ozgur Dede
As the undesired results of early spinal fusion have become apparent, "growth-friendly" management methods for early onset scoliosis have been increasing during recent years. Current literature supports the use of repeated corrective cast applications as the initial management for most early onset progressive spinal deformities as either definitive treatment or as a temporizing measure. If casting is not an option or the deformity cannot be controlled via casting, one of the growth-friendly instrumentation techniques is chosen...
October 2014: Orthopedic Clinics of North America
https://read.qxmd.com/read/25100777/pulmonary-and-radiographic-outcomes-of-veptr-vertical-expandable-prosthetic-titanium-rib-treatment-in-early-onset-scoliosis
#27
JOURNAL ARTICLE
Ozgur Dede, Etsuro K Motoyama, Charles I Yang, Rebecca L Mutich, Stephen A Walczak, Austin J Bowles, Vincent F Deeney
BACKGROUND: VEPTR (vertical expandable prosthetic titanium rib) expansion thoracoplasty is used to manage thoracic insufficiency syndrome in early-onset scoliosis. Literature regarding the effects of this technique on pulmonary function is scarce. The aim of this study was to report the intermediate-term results of VEPTR expansion thoracoplasty. METHODS: Twenty-one children with thoracic insufficiency syndrome underwent VEPTR expansion thoracoplasty from 2002 to 2012 and had complete chart data, preoperative and follow-up radiographs, and pulmonary function tests performed at the index implantation, first expansion, and last expansion...
August 6, 2014: Journal of Bone and Joint Surgery. American Volume
https://read.qxmd.com/read/24990978/utility-of-postoperative-radiographs-for-pediatric-scoliosis-association-between-history-and-physical-examination-findings-and-radiographic-findings
#28
JOURNAL ARTICLE
David N Shau, Jesse E Bible, Stephen P Gadomski, Richard Samade, Sheyan Armaghani, Gregory A Mencio, Clinton J Devin
BACKGROUND: Postoperative radiographs are routinely obtained following surgery for the correction of scoliosis in pediatric patients. The purpose of this study was to comprehensively evaluate the utility of obtaining routine postoperative radiographs in the management of these patients. METHODS: A total of 1969 clinic notes and corresponding radiographs regarding 451 consecutive patients with scoliosis (age range, ten to eighteen years) who had surgical correction over a ten-year period at a single institution were retrospectively reviewed...
July 2, 2014: Journal of Bone and Joint Surgery. American Volume
https://read.qxmd.com/read/24599203/functional-outcomes-in-duchenne-muscular-dystrophy-scoliosis-comparison-of-the-differences-between-surgical-and-nonsurgical-treatment
#29
COMPARATIVE STUDY
Kyung Soo Suk, Byung Ho Lee, Hwan Mo Lee, Seong Hwan Moon, Young Chul Choi, Dong Eun Shin, Jung Won Ha, Kwang Min Song, Hak Sun Kim
BACKGROUND: While most studies of Duchenne muscular dystrophy scoliosis focus on technical and radiographic indices, functional status is a more important factor to consider in the management of Duchenne muscular dystrophy. The objectives of the current study were to compare the pulmonary function, radiographic outcome, and functional recovery, with use of validated questionnaires, in surgically and nonsurgically treated patients with Duchenne muscular dystrophy who have scoliosis. METHODS: Sixty-six patients (forty treated surgically and twenty-six treated nonsurgically) with a minimum follow-up of two years were included in this study...
March 5, 2014: Journal of Bone and Joint Surgery. American Volume
https://read.qxmd.com/read/25143496/development-and-initial-validation-of-the-classification-of-early-onset-scoliosis-c-eos
#30
JOURNAL ARTICLE
Brendan A Williams, Hiroko Matsumoto, Daren J McCalla, Behrooz A Akbarnia, Laurel C Blakemore, Randal R Betz, John M Flynn, Charles E Johnston, Richard E McCarthy, David P Roye, David L Skaggs, John T Smith, Brian D Snyder, Paul D Sponseller, Peter F Sturm, George H Thompson, Muharrem Yazici, Michael G Vitale
BACKGROUND: Early-onset scoliosis is a heterogeneous condition, with highly variable manifestations and natural history. No standardized classification system exists to describe and group patients, to guide optimal care, or to prognosticate outcomes within this population. A classification system for early-onset scoliosis is thus a necessary prerequisite to the timely evolution of care of these patients. METHODS: Fifteen experienced surgeons participated in a nominal group technique designed to achieve a consensus-based classification system for early-onset scoliosis...
August 20, 2014: Journal of Bone and Joint Surgery. American Volume
https://read.qxmd.com/read/23553303/intensive-care-unit-versus-hospital-floor-a-comparative-study-of-postoperative-management-of-patients-with-adolescent-idiopathic-scoliosis
#31
COMPARATIVE STUDY
Le-Qun Shan, David L Skaggs, Christopher Lee, Catherine Kissinger, Karen S Myung
BACKGROUND: Patients undergoing posterior spinal instrumentation and fusion surgery for adolescent idiopathic scoliosis were admitted to the intensive care unit until two years ago, at which time we changed our protocol to admit these patients to the general hospital floor following a brief stay in a postanesthesia care unit. This study compared postoperative management on a hospital floor with that in the intensive care unit for patients with adolescent idiopathic scoliosis undergoing posterior spinal fusion...
April 3, 2013: Journal of Bone and Joint Surgery. American Volume
https://read.qxmd.com/read/12223971/-imaging-of-chilhood-and-adolescent-scoliosis
#32
REVIEW
F Diard, J F Chateil, O Hauger, M Moinard, H Ducou-Lepointe
Scoliosis is frequent, especially during the peripubertal period, which corresponds to the period of greatest activity. About 75% of scoliosis are idiopathic, while the remaining 25% can be divided into neuromuscular, congenital and miscellaneous etiologies. When it is associated with pain, a comprehensive work up should be undertaken to identify the underlying etiology of the scoliosis. Idiopathic scoliosis is typically evaluated using standard radiographs. The number of follow-up radiographs and radiation exposure must be maintained to a minimum...
September 2002: Journal de Radiologie
https://read.qxmd.com/read/19652574/interobserver-and-intraobserver-variability-in-the-identification-of-the-lenke-classification-lumbar-modifier-in-adolescent-idiopathic-scoliosis
#33
JOURNAL ARTICLE
Luc Duong, Farida Cheriet, Hubert Labelle, Kenneth M C Cheung, Mark F Abel, Peter O Newton, Richard E McCall, Lawrence G Lenke, Ian A F Stokes
STUDY DESIGN: Interobserver and intraobserver reliability study for the identification of the Lenke classification lumbar modifier by a panel of experts compared with a computer algorithm. OBJECTIVES: To measure the variability of the Lenke classification lumbar modifier and determine if computer assistance using 3-dimensional spine models can improve the reliability of classification. SUMMARY OF BACKGROUND DATA: The lumbar modifier has been proposed to subclassify Lenke scoliotic curve types into A, B, and C on the basis of the relationship between the central sacral vertical line (CSVL) and the apical lumbar vertebra...
August 2009: Journal of Spinal Disorders & Techniques
https://read.qxmd.com/read/20824404/variability-of-expert-opinion-in-treatment-of-early-onset-scoliosis
#34
JOURNAL ARTICLE
Michael G Vitale, Jaime A Gomez, Hiroko Matsumoto, David P Roye
BACKGROUND: In contrast with treatment recommendations for adolescent idiopathic scoliosis, there are no clear algorithms for treating patients with early-onset scoliosis. There has been rapid expansion of treatment options for children with early-onset scoliosis, including casting, growth rods, the vertical expandable prosthetic titanium rib, and anterior vertebral stapling. QUESTIONS/PURPOSES: Given the range of treatment options, we assessed variability in decision making regarding treatment of patients with early-onset scoliosis...
May 2011: Clinical Orthopaedics and related Research
https://read.qxmd.com/read/20393395/a-decision-tree-can-increase-accuracy-when-assessing-curve-types-according-to-lenke-classification-of-adolescent-idiopathic-scoliosis
#35
JOURNAL ARTICLE
Philippe Phan, Neila Mezghani, Marie-Lyne Nault, Carl-Eric Aubin, Stefan Parent, Jacques de Guise, Hubert Labelle
STUDY DESIGN: The assignment of adolescent idiopathic scoliosis (AIS) curves into curve types (1-6), as described by Lenke et al, was evaluated by 12 independent observers using the original description versus a decisional tree algorithm. OBJECTIVE: To determine whether a decision tree algorithm can improve classification accuracy using the Lenke classification for AIS. SUMMARY OF BACKGROUND DATA: Curve type classification in AIS relies on several parameters to consider, and its relative complexity has lead to conflicting studies that reported fair-to-excellent interobserver reliability...
May 1, 2010: Spine
https://read.qxmd.com/read/24681492/superior-mesenteric-artery-syndrome-following-surgery-for-adolescent-idiopathic-scoliosis-a-case-series-review-of-the-literature-and-an-algorithm-for-management
#36
REVIEW
Derrick J L Lam, Joel Z J Lee, Joyce H Y Chua, York T Lee, Kevin B L Lim
Superior mesenteric artery (SMA) syndrome is a rare but potentially fatal complication following spinal fusion for scoliosis. The aims of our study were to identify clinical features and evaluate their importance in SMA syndrome following posterior spinal fusion (PSF) in adolescent idiopathic scoliosis (AIS) patients and to recommend a simple approach for the recognition and management of SMA syndrome. This is an IRB-approved study. Three patients in our series and 11 patients from other published case reports who underwent PSF for adolescent idiopathic scoliosis were included in our study...
July 2014: Journal of Pediatric Orthopedics. Part B
https://read.qxmd.com/read/24664428/disagreements-in-surgical-planning-still-exist-between-spinal-surgeons-in-adolescent-idiopathic-scoliosis-a-multisurgeon-assessment
#37
JOURNAL ARTICLE
H Yener Erken, Halil Burc, Gursel Saka, Mehmet Aydogan
PURPOSE: Determining a surgical plan for the treatment of adolescent idiopathic scoliosis (AIS) can be challenging. Despite treatment recommendations and classification systems (such as the Lenke classification system) there is still no consensus on the optimal surgical plan for each curve type. The main objective of this study is to analyze the disagreements in surgical planning between spinal surgeons in AIS. METHODS: In a monthly meeting, four orthopaedic spine surgeons from different institutions analyzed a consecutive series of AIS patients...
June 2014: European Spine Journal
https://read.qxmd.com/read/24480957/utility-of-early-postoperative-radiographs-after-posterior-spinal-fusion-for-adolescent-idiopathic-scoliosis
#38
JOURNAL ARTICLE
Michael J Pensak, Mark C Lee, Jennifer A Bayron, Jeffrey D Thomson
STUDY DESIGN: Retrospective. OBJECTIVE: Evaluate the ability of serial full-length spine radiographs to detect clinically significant implant-related (IR) and non-implant-related (NIR) radiographical abnormalities in the first 6 months after routine posterior spinal fusion for adolescent idiopathic scoliosis (AIS). SUMMARY OF BACKGROUND DATA: Patients with AIS are exposed to repeated doses of ionizing radiation during the course of their treatment with potential consequences for their long-term health...
April 1, 2014: Spine
https://read.qxmd.com/read/23188161/pre-and-post-operative-sagittal-balance-in-idiopathic-scoliosis-a-comparison-over-the-ages-of-two-cohorts-of-132-adolescents-and-52-adults
#39
COMPARATIVE STUDY
Pierre Roussouly, Hubert Labelle, Jihane Rouissi, Arnaud Bodin
STUDY DESIGN: Retrospective study of a prospective clinical and radiological database of subjects with adolescent (AIS) and adult (AS) idiopathic scoliosis undergoing surgical correction by posterior approach. OBJECTIVES: To evaluate the differences in sagittal alignment of the spine and pelvis in AIS and AS before surgery and changes after surgery in both populations. The relationship between the spine and pelvis highly influences the sagittal balance in adults and adolescents...
March 2013: European Spine Journal
https://read.qxmd.com/read/25066033/scoliosis-research-society-srs-criteria-and-society-of-scoliosis-orthopaedic-and-rehabilitation-treatment-sosort-2008-guidelines-in-non-operative-treatment-of-idiopathic-scoliosis
#40
REVIEW
Krzysztof Korbel, Mateusz Kozinoga, Łukasz Stoliński, Tomasz Kotwicki
According to the Scoliosis Research Society (SRS), idiopathic scoliosis (IS) is a curvature of more than 10° Cobb angle, affecting 2-3% of pediatric population. Idiopathic scoliosis accounts for 80% of all scoliosis cases. Non-operative principles in the therapy of idiopathic scoliosis, including Scoliosis Research Society (SRS) criteria and guidelines proposed by the experts of the Society on Scoliosis Orthopedic and Rehabilitation Treatment (SOSORTS) were presented. The possibility to carry out quality of life assessments in a conservative procedure was also demonstrated...
July 28, 2014: Polish Orthopedics & Traumatology
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