Evaluating the Correlation and Performance of PROMIS to SRS Questionnaires in Adult and Pediatric Spinal Deformity Patients
ConclusionsPROMIS Physical Function/Mobility, Pain Interference, and Depression domains correlate well with SRS F/A, Pain, and MH. SRS SI/A and Satisfaction are not as well captured. PROMIS showed better ceiling and floor effects than SRS.Level of EvidenceLevel III. (Source: Spine Deformity)
Source: Spine Deformity - December 24, 2018 Category: Orthopaedics Source Type: research

The Effect of Paravertebral Muscle on the Maintenance of Upright Posture in Patients With Adult Spinal Deformity
ConclusionsParavertebral muscles were crucial to keep upright posture during walking as well as standing. (Source: Spine Deformity)
Source: Spine Deformity - December 24, 2018 Category: Orthopaedics Source Type: research

Intraoperative Neuromonitoring During Adult Spinal Deformity Surgery: Alert-Positive Cases for Various Surgical Procedures
ConclusionIONM reduced the incidence of neurologic complications in ASD surgery. Spinal surgeons should recognize the type of muscle derivation and respond to such alerts by performing appropriate corrections reflecting the mechanism underlying the neural damage.Level of EvidenceLevel IV. (Source: Spine Deformity)
Source: Spine Deformity - December 24, 2018 Category: Orthopaedics Source Type: research

Multilevel Arthrodesis for Adult Spinal Deformity: When Should We Anticipate Major Blood Loss?
ConclusionPatients with ASD undergoing spinal arthrodesis of five or more levels are at risk for MBL. Three-column osteotomy, arthrodesis of ≥11 levels, malalignment in both coronal and sagittal planes, and osteoporosis appear to be risk factors for MBL.Level of EvidenceLevel III. (Source: Spine Deformity)
Source: Spine Deformity - December 24, 2018 Category: Orthopaedics Source Type: research

Postoperative Radiographic Evaluation Following Adult Spine Deformity Correction: The Impact on Subsequent Management and Associated Risk of Radiation Exposure
ConclusionThis study finds evidence to support the practice of routine postoperative radiographic evaluation of patients who come for follow-up after ASD surgery. (Source: Spine Deformity)
Source: Spine Deformity - December 24, 2018 Category: Orthopaedics Source Type: research

Spine Deformity With Fused Ribs Treated With Proximal Rib- Versus Spine-Based Growing Constructs
ConclusionsPatients underwent a mean of eight lengthening surgeries before final fusion or cessation of lengthening with a modest 2.3-cm increase in T1–T12 height. Compared with proximal rib anchors, proximal spine anchors controlled kyphosis and improved Cobb angle correction for early-onset scoliosis with rib fusions. (Source: Spine Deformity)
Source: Spine Deformity - December 24, 2018 Category: Orthopaedics Source Type: research

Perioperative Complications After Spinal Fusion in Pediatric Patients With Congenital Heart Disease
ConclusionsChildren with scoliosis who have undergone cardiac surgery to address CHD are not at an increased risk of perioperative complications within 30 days of undergoing a posterior spinal fusion. However, patients who underwent cardiac surgery for CHD who also had bronchopulmonary dysplasia or an associated neuromuscular diagnosis are at increased risk for perioperative complications. It is important for pediatric orthopedic spine surgeons to be familiar with an updated profile of potential perioperative obstacles they may face when treating these patients, as seen in a large and representative cohort.Level of Evidenc...
Source: Spine Deformity - December 24, 2018 Category: Orthopaedics Source Type: research

Sagittal Spinopelvic Parameters in Children With Achondroplasia
ConclusionIn children with achondroplasia, TLK improvement occurs primarily before age 3 years; hyperlordosis at the lumbosacral level is the compensatory mechanism. Significant changes in the sagittal spinal parameters occur early in life, suggesting the importance of attention to sagittal malalignment to prevent any possible clinical sequelae of severe hyperlordosis.Level of EvidenceLevel III, prognostic study. (Source: Spine Deformity)
Source: Spine Deformity - December 24, 2018 Category: Orthopaedics Source Type: research

Surgical Treatment of Scoliosis Developed After Extended Chest Wall Resection Due to Askin Tumor During Childhood
ConclusionsFor treatment of scoliosis secondary to extensive chest resection in the growing children with Askin tumors, distraction-based growth-friendly treatment is an available surgical option. Seven years of follow-up showed more than 50% improvement of the Cobb angle, and an average thoracic and trunk growth of 5.42 and 11 cm, respectively.Level of EvidenceLevel IV. (Source: Spine Deformity)
Source: Spine Deformity - December 24, 2018 Category: Orthopaedics Source Type: research

Do Adolescents With Idiopathic Scoliosis Have an Erroneous Perception of the Gravitational Vertical?
ConclusionOur findings demonstrate that patients with right thoracic AIS have an erroneous perception of the GV. In most AIS patients, SPV was shifted to the right, with no alteration of the SVV. AIS might be the consequence of a reoriented longitudinal body axis aligned with an erroneous vertical reference. The underlying mechanism might involve dysfunction of trunk graviceptors. The primary or secondary nature of this dysfunction remains an open question. (Source: Spine Deformity)
Source: Spine Deformity - December 24, 2018 Category: Orthopaedics Source Type: research

Masthead
Publication date: November–December 2018Source: Spine Deformity, Volume 6, Issue 6Author(s): (Source: Spine Deformity)
Source: Spine Deformity - October 21, 2018 Category: Orthopaedics Source Type: research

Editorial Board
Publication date: November–December 2018Source: Spine Deformity, Volume 6, Issue 6Author(s): (Source: Spine Deformity)
Source: Spine Deformity - October 21, 2018 Category: Orthopaedics Source Type: research

Instructions for Authors
Publication date: November–December 2018Source: Spine Deformity, Volume 6, Issue 6Author(s): (Source: Spine Deformity)
Source: Spine Deformity - October 21, 2018 Category: Orthopaedics Source Type: research

Table of Contents
Publication date: November–December 2018Source: Spine Deformity, Volume 6, Issue 6Author(s): (Source: Spine Deformity)
Source: Spine Deformity - October 21, 2018 Category: Orthopaedics Source Type: research

Gordon W. D. Armstrong, 1923–2018
Publication date: November–December 2018Source: Spine Deformity, Volume 6, Issue 6Author(s): (Source: Spine Deformity)
Source: Spine Deformity - October 21, 2018 Category: Orthopaedics Source Type: research