Assessment of Construct Validity of the Oswestry Disability Index and the Scoliosis Research Society–30 Questionnaire (SRS-30) in Patients With Degenerative Spinal Disease
ConclusionsBoth the ODI and the the SRS-30 provide valid scores in evaluating health-related quality of life and/or level of disability among patients with prolonged degenerative thoracolumbar disease. The ODI has slightly higher correlation with physical functioning. The SRS-30 seems to be better when evaluating the emotional and psychological functions.Level of EvidenceLevel III. (Source: Spine Deformity)
Source: Spine Deformity - November 13, 2019 Category: Orthopaedics Source Type: research
Difficulties in Treating Postirradiation Kyphosis in Adults: A Series of Five Cases
ConclusionThe surgical treatment of postirradiation kyphotic spinal deformity is challenging, with common postoperative complications such as infection, instrumentation failure, and pseudarthrosis. However, with modern surgical techniques and spinal instrumentation, excellent deformity correction can be achieved and maintained. We recommend performing a two-stage procedure for cervicothoracic deformity, with anterior release followed by posterior fusion and instrumentation. In thoracolumbar deformities, correction can be achieved through single-stage posterior fusion. Rigid spinopelvic fixation with sacral-alar-iliac screw...
Source: Spine Deformity - November 13, 2019 Category: Orthopaedics Source Type: research
Comparative Sacral Morphology in Spondylolisthesis Patients
ConclusionsThe SI joints in patients with spondylolisthesis were orientated closer to the sagittal plane than in the controls. An awareness of this positioning may be important in surgical implant insertion as well as rehabilitation of hip extensor weakness. The main anatomical differences found in this study were in the sagittal plane. Sacral end plate abnormalities were well visualized and consistent with radiographic findings in the literature.Level of EvidenceLevel III, diagnostic. (Source: Spine Deformity)
Source: Spine Deformity - November 13, 2019 Category: Orthopaedics Source Type: research
An Updated Algorithm for Radiographic Screening of Upper Cervical Instability in Patients With Down Syndrome
ConclusionsObtaining a single NUL radiograph is an efficient method for radiographic screening of cervical spine instability. Further evaluation may be required if abnormal measurements are identified on the NUL radiograph. We also propose new “normal” values for the common radiographic measurements used in assessing risk of cervical spine instability in patients with Down syndrome.Level of EvidenceLevel IV. (Source: Spine Deformity)
Source: Spine Deformity - November 13, 2019 Category: Orthopaedics Source Type: research
Surgical Fixation Using Screw-Rod Construct Instrumentation for Upper Cervical Instability in Pediatric Down Syndrome Patients
ConclusionsFixation for cervical instability is a critical component of the management of DS. A minority of patients receiving surgery were identified through asymptomatic screening. There was a high complication risk associated with surgery in our study; however, the addition of rigid fixation has lessened the complication rate compared with previous studies.Level of EvidenceLevel IV. (Source: Spine Deformity)
Source: Spine Deformity - November 13, 2019 Category: Orthopaedics Source Type: research
Trunk Growth in Early-Onset Idiopathic Scoliosis Measured With Biplanar Radiography
ConclusionsIn this longitudinal and cross-sectional study, trunk growth between 3 and 14 years of age was characterized, for the first time, with biplanar radiography and 3D reconstruction. The results can be useful to estimate patient growth and thus have potential application in the surgical planning of EOIS patients.Level of EvidenceLevel II, retrospective study. (Source: Spine Deformity)
Source: Spine Deformity - November 13, 2019 Category: Orthopaedics Source Type: research
Comprehensive Wound Risk Stratification of Rib-Based Distraction Instrumentation Procedures
ConclusionsKnowledge of risk factors for RBD instrumentation wound complications can be used to construct patient risk models. This can identify patients at higher risk for complications and influence clinical decision making.Level of EvidenceLevel II. (Source: Spine Deformity)
Source: Spine Deformity - November 13, 2019 Category: Orthopaedics Source Type: research
Proximal Anchor Constructs and Its Influence on Surgical Outcome in Growth Rod Technique; A Comparison Between Rib Hooks and Pedicle Screws
ConclusionData from our study indicate that the proximal anchors, whether spine-based or rib-based, do not differ much in their outcome and complication rates, and the success of growing-rod technique depends largely on the security of cephalad and caudal foundations.Level of EvidenceLevel IV. (Source: Spine Deformity)
Source: Spine Deformity - November 13, 2019 Category: Orthopaedics Source Type: research
Pelvic Obliquity Correction in Distraction-Based Growth Friendly Implants
ConclusionIn distraction-based growth-friendly constructs, pelvic fixation with screws achieved better correction of pelvic obliquity than S hooks. Complications were almost twice as common with S hooks than screws, though this did not reach statistical significance. (Source: Spine Deformity)
Source: Spine Deformity - November 13, 2019 Category: Orthopaedics Source Type: research
Occiput-to-Pelvis Spinal Arthrodesis: A Case Series
ConclusionsO-P arthrodesis can benefit patients with extensive spine deformity from neuromuscular or syndromic causes. Patients were young at first operation, which may suggest that younger patients are at higher risk than older patients of major progression of deformity in other spinal regions after deformity correction. Health-related quality of life and radiographic outcomes suggest that patients who underwent O-P arthrodesis had satisfactory outcomes and maintenance of correction during a mean of 8.5 years of follow-up.Level of EvidenceLevel IV, therapeutic study. (Source: Spine Deformity)
Source: Spine Deformity - November 13, 2019 Category: Orthopaedics Source Type: research
Scoliosis Progression After the Nuss Procedure for Pectus Excavatum: A Case Report
ConclusionThe purpose of this case report is to describe the features of these two patients to help with clinical decision-making in patients with moderate scoliosis (curves>25°) who are contemplating the Nuss procedure for correction of pectus excavatum. We caution patients and providers that spinal deformity could worsen with surgical intervention of the pectus excavatum via the Nuss procedure and necessitate scoliosis surgery. (Source: Spine Deformity)
Source: Spine Deformity - November 13, 2019 Category: Orthopaedics Source Type: research
Accuracy of Screw Placement in Minimally Invasive, Robot-Assisted Iliosacral Screw Insertion in Children With Early Onset Neuromuscular Scoliosis
Publication date: November 2019Source: Spine Deformity, Volume 7, Issue 6Author(s): Francois Deroussen, Michel Lefranc, Céline Klein, Richard Gouron (Source: Spine Deformity)
Source: Spine Deformity - November 13, 2019 Category: Orthopaedics Source Type: research
Rod Diameter Does Not Influence Rod Fracture Rate after Surgical Treatment using Magnetically Controlled Growing Rods
Publication date: November 2019Source: Spine Deformity, Volume 7, Issue 6Author(s): Benjamin Roye, Gerard Marciano, Hiroko Matsumoto, Megan Campbell, Klane White, Jeffery Sawyer, John Smith, Scott Luhmann, Peter F. Sturm, Paul Sponseller, Michael Vitale, Pediatric Spine Study Group (Source: Spine Deformity)
Source: Spine Deformity - November 13, 2019 Category: Orthopaedics Source Type: research
The Effectiveness of Quality Programs for Surgical Site Infections in Pediatric Spinal Surgery: A 12 Year Look Back
Publication date: November 2019Source: Spine Deformity, Volume 7, Issue 6Author(s): Bradley Hammoor, Hiroko Matsumoto, Gerard Marciano, Kevin Wang, Benjamin Roye, David P. Roye, Michael Vitale (Source: Spine Deformity)
Source: Spine Deformity - November 13, 2019 Category: Orthopaedics Source Type: research
Pediatric Device Regulation: The Case of Anterior Vertebral Body Tethering
Publication date: November 2019Source: Spine Deformity, Volume 7, Issue 6Author(s): Lisa Bonsignore-Opp, Joshua Murphy, David Skaggs, Stefan Parent, Amer Samdani, Tricia St. Hilaire, Michael Vitale (Source: Spine Deformity)
Source: Spine Deformity - November 13, 2019 Category: Orthopaedics Source Type: research
