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State of the art review of new technologies in spine deformity surgery–robotics and navigation
J. Alex Sielatycki, Kristen Mitchell, Eric Leung & Ronald A. Lehman
doi : 10.1007/s43390-021-00403-6
The goal of this article is to review the available evidence for computerized navigation and robotics as an accuracy improvement tool for spinal deformity surgery, as well as to consider potential complications, impact on clinical outcomes, radiation exposure, and costs.
Does intraoperative CT navigation increase the accuracy of pedicle screw placement in pediatric spinal deformity surgery? A systematic review and meta-analysis
Keith D. Baldwin, Manasa Kadiyala, Divya Talwar, Wudbhav N. Sankar, John (Jack) M. Flynn & Jason B. Anari
doi : 10.1007/s43390-021-00385-5
Although pediatric spinal deformity correction using pedicle screws has a very low rate of complications, the long-term consequences of screw malposition is unknown. CT navigation has been proposed to improve screw accuracy. The aim of this study was to determine whether intraoperative navigation during pedicle screw placement in pediatric scoliosis makes screw placement more accurate. We also examined radiation exposure, operative time blood loss and complications with and without the use of CT navigation in pediatric spinal deformity surgery.
Congenital spine deformities: timing of insult during development of the spine in utero
Naveed Nabizadeh & John R. Dimar
doi : 10.1007/s43390-021-00395-3
The development of the spine and spinal cord occurs at the earliest weeks of gestation. Their development not only affects each other but also are most likely associated with anomalies in other systems.
Spanish language resources for patients with adolescent idiopathic scoliosis
Siobhán Mitchell & Ishaan Swarup
doi : 10.1007/s43390-021-00404-5
Despite an increasing Spanish-speaking population, United States health care remains English dominant. The purpose of this study was to analyze the availability and readability of written patient education materials on adolescent idiopathic scoliosis (AIS) provided by the top pediatric orthopedic hospitals and the major professional societies.
Factors associated with increased back pain in primary thoracic adolescent idiopathic scoliosis 10Â years after surgery
Tracey P. Bastrom, Masayuki Ohashi, Carrie E. Bartley, Michelle C. Marks, Burt Yaszay, Baron S. Lonner, Paul D. Sponseller & Peter O. Newton
doi : 10.1007/s43390-021-00384-6
To identify the prevalence and predictors of nonspecific back pain in primary thoracic adolescent idiopathic scoliosis (AIS) patients at 10Â years after surgery.
Baseline patient reported outcome measurement information system (PROMIS) scores in children with idiopathic scoliosis and their relation to the SRS-22
Daniel Bouton, Graham Fedorak, Donna Jean Oeffinger, Pernendu Gupta, Scott Luhmann, Peter Stasikelis, Michal Szczodry, Vishwas Talwalkar & Man Hung
doi : 10.1007/s43390-021-00388-2
PROMIS is becoming the most commonly utilized patient-reported outcome measure (PROM) in adult orthopaedics, but its adoption has lagged in pediatrics. Limited baseline data exists in pediatric-specific orthopaedic diagnoses. The objective of this study was to determine baseline PROMIS scores in patients with idiopathic scoliosis and to evaluate for correlations with the SRS-22.
A perception bias of the gravitational vertical is confirmed in Adolescent Idiopathic Scoliosis
Jean-François Catanzariti, Monique Coget & Anthony Brouillard
doi : 10.1007/s43390-021-00390-8
Adolescent Idiopathic Scoliosis (AIS) is the most frequent spine deformity in adolescence. The cause of AIS remains unknown. Several studies show that AIS can be associated with a perception bias of gravitational vertical.
Intra- and inter-observer reliability of Cobb angle measurements in patients with adolescent idiopathic scoliosis
F. G. Prestigiacomo, M. H. H. M. Hulsbosch, V. E. J. Bruls & J. J. Nieuwenhuis
doi : 10.1007/s43390-021-00398-0
The Cobb angle method is used to determine the severity of scoliosis. Therapeutic decisions for adolescent idiopathic scoliosis (AIS) are guided by the Cobb angle.
Modified Clavien–Dindo–sink classification system for adolescent idiopathic scoliosis
Ndéye F. Guissé, Joseph D. Stone, Lukas G. Keil, Tracey P. Bastrom, Mark A. Erickson, Burt Yaszay, Patrick J. Cahill, Stefan Parent, Peter G. Gabos, Peter O. Newton, Michael P. Glotzbecker, Michael P. Kelly, Joshua M. Pahys & Nicholas D. Fletcher
doi : 10.1007/s43390-021-00394-4
The Clavien–Dindosink (CDS) classification system provides more treatment-focused granularity than subjective methods of describing surgical complications; however, it has not been validated in posterior spinal fusion (PSF) for adolescent idiopathic scoliosis (AIS).
Inter- and intra-rater reliability and accuracy of Sanders Skeletal Maturity Staging System when used by surgeons performing vertebral body tethering
Lauren M. Swany, A. Noelle Larson, Todd A. Milbrandt, James O. Sanders, Kevin M. Neal, Laurel C. Blakemore, Peter O. Newton, Joshua M. Pahys, Patrick J. Cahill & Ahmet Alanay
doi : 10.1007/s43390-021-00386-4
Pediatric orthopedic surgeons must accurately assess the skeletal stage of adolescent idiopathic scoliosis (AIS) patients for selection and timing of optimal treatment. Successful treatment using vertebral growth modulation is highly dependent on skeletal growth remaining. We sought to evaluate the current-state use of the Sanders Skeletal Maturity System (SSMS) in regard to precision and accuracy.
High- versus low-dose tranexamic acid as part of a Patient Blood Management strategy for reducing blood loss in patients undergoing surgery for adolescent idiopathic scoliosis
Sundeep Tumber, Adam Bacon, Casey Stondell, Sampaguita Tafoya, Sandra L. Taylor, Yashar Javidan, Eric Klineberg & Rolando Roberto
doi : 10.1007/s43390-021-00387-3
The administration of tranexamic acid (TXA) has been shown to be beneficial in reducing blood loss during surgery for adolescent idiopathic scoliosis (AIS), but optimal dosing has yet to be defined. This retrospective study compared high- versus low-dose TXA as part of a Patient Blood Management strategy for reducing blood loss in patients undergoing posterior spine fusion surgery.
Allogeneic blood transfusion and AIS surgery: how the NSQIP database can improve patient safety
Hady Eltayeby, Catherine Brown, Brendan T. Campbell, Craig Bonanni, Mark Indelicato, Nada Shokry, Jeffrey D. Thomson & Mark C. Lee
doi : 10.1007/s43390-021-00389-1
Describe the experience of one institution in modifying allogeneic blood transfusion protocols for AIS surgery in response to the results of ACS-NSQIP-PEDS comparative data in a retrospective cohort study.
Sagittal age-adjusted score (SAAS) for adult spinal deformity (ASD) more effectively predicts surgical outcomes and proximal junctional kyphosis than previous classifications
Renaud Lafage, Justin S. Smith, Jonathan Elysee, Peter Passias, Shay Bess, Eric Klineberg, Han Jo Kim, Christopher Shaffrey, Douglas Burton, Richard Hostin, Gregory Mundis, Christopher Ames, Frank Schwab & Virginie Lafage on behalf of International Spine Study Group (ISSG)
doi : 10.1007/s43390-021-00397-1
Several methodologies have been proposed to determine ideal ASD sagittal spinopelvic alignment (SRS–Schwab classification) global alignment and proportion (GAP) score, patient age-adjusted alignment).
Impact of the flexibility of the spinal deformity on low back pain and disc degeneration in adult patients nonoperatively treated for adolescent idiopathic scoliosis with thoracolumbar or lumbar curves
Masayuki Ohashi, Kei Watanabe, Toru Hirano, Kazuhiro Hasegawa, Keiichi Katsumi, Hideki Tashi, Yohei Shibuya & Hiroyuki Kawashima
doi : 10.1007/s43390-021-00402-7
To evaluate the impact of the flexibility of thoracolumbar or lumbar (TL/L) curves on low back pain (LBP) and disc degeneration in adult patients nonoperatively treated for adolescent idiopathic scoliosis (AIS).
Comparison of the postoperative changes in trunk and lower extremity muscle activities between patients with adult spinal deformity and age-matched controls using surface electromyography
Tomohiro Banno, Yu Yamato, Osamu Nojima, Tomohiko Hasegawa, Go Yoshida, Hideyuki Arima, Shin Oe, Hiroki Ushirozako, Tomohiro Yamada, Koichiro Ide, Yu Watanabe, Katsuya Yamauchi & Yukihiro Matsuyama
doi : 10.1007/s43390-021-00396-2
To investigate the paravertebral and lower extremity muscle activities using surface electromyography (S-EMG) in patients with adult spinal deformity (ASD) comparing with those of age-matched controls.
Does nutrition consultation in the year leading up to neuromuscular scoliosis surgery result in significant weight gain, or just a larger magnitude curve?
Ariana T. Meltzer-Bruhn, Matthew R. Landrum, David A. Spiegel, Patrick J. Cahill, Jason B. Anari & Keith D. Baldwin
doi : 10.1007/s43390-021-00401-8
Patients with neuromuscular scoliosis undergoing posterior instrumented spinal fusion can be underweight, malnourished, and have higher complication rates. A nutrition consult is common in this population and it is unclear if weight gain occurs from the consult or surgery.
Anatomical changes in vertebra in dystrophic scoliosis due to neurofibromatosis and its implications on surgical safety
B. T. Pushpa, S. Rajasekaran, K. S. Sri Vijay Anand, Ajoy Prasad Shetty & Rishi Mugesh Kanna
doi : 10.1007/s43390-021-00392-6
To document anatomical changes jeopardizing instrumentation safety in Neurofibromatosis deformity correction surgeries.
Are we neglecting long-term effects of vertebral shortening on pulmonary function in spinal tuberculosis?
Tushar N. Rathod, Nandan A. Marathe, Kalaivanan Masilamani, Abhinav D. Jogani, Shubhranshu S. Mohanty, Abhinandan Reddy Mallepally & Ashwin H. Sathe
doi : 10.1007/s43390-021-00400-9
In developing part of the world, it is common to see complete destruction of vertebral bodies in tuberculosis. Our study aims to assess the effect of spinal tuberculosis with vertebral shortening on pulmonary function.
How much does depth matter? Magnetically controlled growing rod distraction directly influenced by rod tissue depth
Christopher P. Seidel, Sarah E. Gilday, Viral V. Jain & Peter F. Sturm
doi : 10.1007/s43390-021-00399-z
Magnetically controlled growing rod (MCGR) for the treatment of early-onset scoliosis (EOS) is a relatively innovative technique. MCGR benefits over traditional growing rods are known but limitations and complications are being revealed. The purpose of this study was to examine the importance of tissue depth on rod lengthening.
Evaluation of shoulder balance in early onset scoliosis after definitive fusion and comparison with adolescent idiopathic scoliosis shoulder balance
Swamy Kurra, Patrick J. Cahill, Stephen A. Albanese, Randal R. Betz, Thomas Toole & William F. Lavelle
doi : 10.1007/s43390-021-00393-5
The Children Spine Study Group registry was queried for early onset scoliosis (EOS) patients who had final definitive spinal fusion after their scoliosis was managed with either growing rods or VEPTR. The Harms Study Group registry was queried for adolescent idiopathic scoliosis (AIS) patients who had definitive fusion
Extensive cervicothoracic posterior arch defects from C1 to T6 leading to myelopathy due to thoracic kyphosis in an adolescent boy
Ashok Rathod, Rishi Aggarwal, Vinod J. Laheri & Kshitij Chaudhary
doi : 10.1007/s43390-021-00383-7
Limited dorsal myeloschisis, a form of cervical spinal dysraphism, is a rare anomaly and is typically associated with spinal cord tethering. The objective is to illustrate a rare dysraphic anomaly in the cervicothoracic spine causing myelopathy, not due to tethering but secondary to progressive kyphosis. To our knowledge, such an anomaly has not been described in the literature.
Congenital kyphosis due to a body agenesis from Ancient Egypt
Albert Isidro, Ivan Diez-Santacoloma, Sergio Loscos & Roger Seiler
doi : 10.1007/s43390-021-00391-7
In Paleopathology, total lack of a vertebral body is a rare finding, mostly due to infectious diseases or tumors.
15th International Congress on Early Onset Scoliosis and the Growing Spine
