“Bone-οn-Bone” surgical reconstruction of moderate severity, flexible single curve adolescent idiopathic scoliosis: continuing improvements of the technique and results in three scoliosis centers after almost twenty years of use
The “bone-on-bone” reconstruction for adolescent idiopathic scoliosis is reviewed in this article. Extensive use over the past 18 years has identified it’s functional benefits outstanding clinical results, and very limited complications. This is an extensive update of it’s application, since it’s introduction, 18 years ago. (Source: Scoliosis)
Source: Scoliosis - March 24, 2015 Category: Orthopaedics Authors: Robert GainesKan MinDaniel Zarzycki Source Type: research
Relationship between bone density and bone metabolism in adolescent idiopathic scoliosis
This study assessed bone mineral density and bone metabolism in AIS patients using the bone metabolism markers, BAP and TRAP5b. The subjects were 49 consecutive adolescent AIS patients seen at our institutes between March 2012 and September 2013.Sixty-five percent of AIS patients had osteopenia or osteoporosis and 59% of AIS patients had high values for TRAP5b. The AIS patients with high values of TRAP5b had lower Z scores than those with normal values of TRAP5b. Higher rates of bone resorption are associated with low bone density in AIS patients. (Source: Scoliosis)
Source: Scoliosis - March 19, 2015 Category: Orthopaedics Authors: Ko IshidaYoichi AotaNaoto MitsugiMotonori KonoTakayuki HigashiTakuya KawaiKatsutaka YamadaTakanori NiimuraKanichiro KanekoYohei ItoTomoyuki KatsuhataTomoyuki Saito Source Type: research
Recommendations for research studies on treatment of idiopathic scoliosis: consensus 2014 between sosort and srs non–operative management committee
The two main societies clinically dealing with idiopathic scoliosis are the Scoliosis Research Society (SRS), founded in 1966, and the international Society on Scoliosis Orthopedic and Rehabilitation Treatment (SOSORT), started in 2004. Inside the SRS, the Non-Operative Management Committee (SRS-NOC) has the same clinical interest of SOSORT, that is the Orthopaedic and Rehabilitation (or Non-Operative, or conservative) Management of idiopathic scoliosis patients. The aim of this paper is to present the results of a Consensus among the best experts of non-operative treatment of Idiopathic Scoliosis, as represented by SOSORT...
Source: Scoliosis - March 7, 2015 Category: Orthopaedics Authors: Stefano NegriniTimothy HreskoJoseph O¿BrienNigel PriceSOSORT BoardsSRS Non-Operative Committee Source Type: research
Reviewer acknowledgement 2014
Contributing reviewersThe Editor of Scoliosis would like to thank all our reviewers who have contributed to the journal in Volume 9 (2014). (Source: Scoliosis)
Source: Scoliosis - February 22, 2015 Category: Orthopaedics Authors: Theodoros Grivas Source Type: research
Does bracing affect bone health in women with adolescent idiopathic scoliosis?
PurposeAdolescent idiopathic scoliosis (AIS) is often associated with low bone mineral content and density (BMC, BMD). Bracing, used to manage spine curvature, may interfere with the growth-related BMC accrual, resulting in reduced bone strength into adulthood. The purpose of this study was to assess the effects of brace treatment on BMC in adult women, diagnosed with AIS and braced in early adolescence.
Methods:
Participants included women with AIS who: (i) underwent brace treatment (AIS-B, n = 15, 25.6 ± 5.8 yrs), (ii) underwent no treatment (AIS, n = 15, 24.0 ± 4.0 yrs), and (iii) a healthy comparison group (...
Source: Scoliosis - February 18, 2015 Category: Orthopaedics Authors: Nasreen AkseerKimberly KishW RigbyMatthew GreenwayPanagiota KlentrouPhilip WilsonBareket Falk Source Type: research
Physical activities of Patients with adolescent idiopathic scoliosis (AIS): preliminary longitudinal case¿control study historical evaluation of possible risk factors
To our knowledge there are no publications that have evaluated physical activities in relation to the etiopathogenesis of adolescent idiopathic scoliosis (AIS) other than sports scolioses. In a preliminary longitudinal case–control study, mother and child were questioned and the children examined by one observer. The aim of the study was to examine possible risk factors for AIS. Two study groups were assessed for physical activities: 79 children diagnosed as having progressive AIS at one spinal deformity centre (66 girls, 13 boys) and a Control Group of 77 school children (66 girls, 11 boys), the selection involving six ...
Source: Scoliosis - February 18, 2015 Category: Orthopaedics Authors: Marianne McMasterAmanda LeeR Burwell Source Type: research
SEAS (Scientific Exercises Approach to Scoliosis): a modern and effective evidence based approach to physiotherapic specific scoliosis exercises
Conclusions:
SEAS is an approach to scoliosis exercise treatment with a strong modern neurophysiological basis, to reduce requirements for patients and possibly the costs for families linked to the frequency and intensity of treatment and evaluations. Therefore, SEAS allows treating a large number of patients coming from far away. Even if SEAS appears simple by requiring less physiotherapist supervision and by using fewer home exercises prescribed at a lower dose than some of the other scoliosis-specific exercise approaches, real expertise in scoliosis, exercises, and patient and family management is required. The program ...
Source: Scoliosis - February 5, 2015 Category: Orthopaedics Authors: Michele RomanoAlessandra NegriniSilvana ParziniMarta TavernaroFabio ZainaSabrina DonzelliStefano Negrini Source Type: research
Surgical management of moderate adolescent idiopathic scoliosis with ApiFix®: a short peri- apical fixation followed by post-operative curve reduction with exercises
Surgery in adolescent idiopathic scoliosis (AIS) is a major operative intervention where 10?12 vertebrae are instrumented and fused. A smaller motion preserving surgery would be more desirable for these otherwise healthy adolescents. The ApiFix? system is a novel less invasive short segment pedicle screw based instrumentation inserted around the apex of the main curve. The system has a ratchet mechanism that enables gradual postoperative device elongation and curve correction. The ratchet is activated by performing specific spinal exercises. The unique features of the device allow curve correction without fusion. The syste...
Source: Scoliosis - February 5, 2015 Category: Orthopaedics Authors: Yizhar FlomanGheorghe BurneiStefan GavriliuYoram AneksteinSergiu StraticiucMiklos Tunyogi-CsapoYigal MirovskyDaniel ZarzyckiTomasz PotaczekUri Arnin Source Type: research
Mechanism of right thoracic adolescent idiopathic scoliosis at risk for progression; a unifying pathway of development by normal growth and imbalance
Adolescent idiopathic scoliosis is regarded as a multifactorial disease and none of the many suggested causal etiologies have yet prevailed. I will suggest that adolescent idiopathic scoliosis has one common denominator, namely that initial curve development is mediated through one common normal physiological pathway of thoracic rotational instability. This is a consequence of gender specific natural growth of the passive structural components of thoracic spinal tissues for the adolescent female. This causes an unbalanced mechanical situation, which progresses if the paravertebral muscles cannot maintain spinal alignment. ...
Source: Scoliosis - January 27, 2015 Category: Orthopaedics Authors: Christian Wong Source Type: research
The surgical management of scoliosis: a scoping review of the literature
Conclusions:
Current research priorities are to (1) undertake high-quality knowledge synthesis and knowledge translation activities; (2) conduct a series of planning meetings to engage clinicians, patients, and methodologists; and (3) clarify outcome reporting and strategies for methodological improvement. Higher-quality studies are specifically needed to inform surgical indications, surgical approaches, surgical techniques, and implant selection. Engaging global partners may increase generalizability. (Source: Scoliosis)
Source: Scoliosis - January 9, 2015 Category: Orthopaedics Authors: Nathan EvaniewTahira DevjiBrian DrewDevin PetersonMichelle GhertMohit Bhandari Source Type: research
Reliability and validity study of measurements on digital photography to evaluate shoulder balance in idiopathic scoliosis
Conclusions:
Digital clinical photography appears to be a reliable method for objective clinical measurement of ShB. The correlation between clinical and radiological balance is statistically significant although moderate/weak. (Source: Scoliosis)
Source: Scoliosis - December 14, 2014 Category: Orthopaedics Authors: Antonia MatamalasJuan BagóElisabetta D¿AgataFerran Pellisé Source Type: research
Rasterstereographic measurement of scoliotic deformity
Conclusions:
Surface topography and, in particular, rasterstereography provide reliable and consistent results that may be used to reduce X-ray exposure. Unfortunately, the correlation of shape parameters with the radiological Cobb angle is poor. However, the wealth of additional applications substantially enhances the spectrum of clinical value. (Source: Scoliosis)
Source: Scoliosis - December 12, 2014 Category: Orthopaedics Authors: Burkhard Drerup Source Type: research
Emotional indicators in young patients with Idiopathic Scoliosis: a study through the drawing of Human Figure
Conclusions:
Patients with AIS suffer stress and general concern more frequently with the increase of age. We suggest an appropriate supportive treatment for this type of patients. (Source: Scoliosis)
Source: Scoliosis - December 12, 2014 Category: Orthopaedics Authors: Elisabetta D¿AgataManuel RigoCarles Pérez-TestorNúria PuigvíCarmina Castellano-Tejedor Source Type: research
A health economic evaluation of screening and treatment in patients with adolescent idiopathic scoliosis
Conclusions:
With the assumptions applied in the present study, screening is cost saving when performed in girls only, and when it leads to reduced treatment rates. Cost of surgery was dominating in non-screening whilst cost of bracing was dominating in screening. The economic gain of screening increases when it leads to higher rates of bracing and reduced surgical rates. (Source: Scoliosis)
Source: Scoliosis - December 6, 2014 Category: Orthopaedics Authors: Raphael AdoborPaal JorangerHarald SteenStåle NavrudJens Brox Source Type: research
Rib index
This article analyzes the double rib contour sign (DRCS) and the rib index (RI). The analyzed topics are 1. the history of presentations ? publication of DRCS-RI, 2. the study source origin: school screening for idiopathic scoliosis (IS), 3. what the DRCS and the RI are? Description, 4. the quantification of the DRCS ? RI, 5. a reliability study for RI 6. how much the rib index is affected by the distance between the radiation source and the irradiated individual, 7. the implications on IS aetiology, 8. the applications of Rib index for a. documentation of the deformity, b. assessment of physiotherapy, c. assessment of bra...
Source: Scoliosis - November 20, 2014 Category: Orthopaedics Authors: Theodoros Grivas Source Type: research
