Spine Deformity




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16th International Congress on Early Onset Scoliosis

doi : 10.1007/s43390-022-00597-3

Volume 10, supplement issue 1, November 2022

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Use of graft materials and biologics in spine deformity surgery: a state-of-the-art review

Ki-Eun Chang, Mohamed Kamal Mesregah, Zoe Fresquez, Eloise W. Stanton, Zorica Buser & Jeffrey C. Wang

doi : 10.1007/s43390-022-00529-1

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The preliminary outcomes of vertebral body tethering in treating adolescent idiopathic scoliosis: a systematic review

Huafeng Zhang, Yonggang Fan, Shuangfei Ni & Guofu Pi

doi : 10.1007/s43390-022-00546-0

VBT is a novel alternative to spinal fusion surgery to treat skeletally immature AIS and was approved to correct idiopathic scoliosis in August 2019 by US Federal Drug Administration (FDA). To systemically review the preliminary outcomes of vertebral body tethering (VBT) in treating adolescent idiopathic scoliosis.

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Systematic review and meta-analysis for the impact of rod materials and sizes in the surgical treatment of adolescent idiopathic scoliosis

Dawn Bowden, Annalisa Michielli, Michelle Merrill & Steven Will

doi : 10.1007/s43390-022-00537-1

To assess surgical and safety outcomes associated with different rod materials and diameters in adolescent idiopathic scoliosis (AIS) surgery.

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Systematic review and meta-analysis for the impact of rod materials and sizes in the surgical treatment of adult spine deformity

Dawn Bowden, Annalisa Michielli, Michelle Merrill & Steven Will

doi : 10.1007/s43390-022-00556-y

To assess clinical and safety outcomes associated with different rod materials and diameters in adult spinal deformity (ASD) surgery.

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S2 alar-iliac screw versus traditional iliac screw for spinopelvic fixation: a systematic review of comparative biomechanical studies

Takashi Hirase, Caleb Shin, Jeremiah Ling, Brian Phelps, Varan Haghshenas, Comron Saifi & Darrell S. Hanson

doi : 10.1007/s43390-022-00528-2

To review and compare biomechanical properties between S2 alar-iliac (S2AI) screws and traditional iliac screws for spinopelvic fixation.

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Contraindications to magnetically controlled growing rods: consensus among experts in treating early onset scoliosis

Hiroko Matsumoto, Rishi Sinha, Benjamin D. Roye, Jacob R. Ball, Kira F. Skaggs, Jaysson T. Brooks, Michelle C. Welborn, John B. Emans, Jason B. Anari, Charles E. Johnston, Behrooz A. Akbarnia, Michael G. Vitale, Robert F. Murphy & Pediatric Spine Study Group

doi : 10.1007/s43390-022-00543-3

The purpose of this study was to describe contraindications to the magnetically controlled growing rod (MCGR) in patients with early onset scoliosis (EOS) by establishing consensus amongst expert surgeons who treat these patients frequently.

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Validity of sagittal thoracolumbar curvature measurement using a non-radiographic surface topography method

Erin Hannink, Helen Dawes, Thomas M. L. Shannon & Karen L. Barker

doi : 10.1007/s43390-022-00538-0

To estimate the criterion validity of sagittal thoracolumbar spine measurement using a surface topography method in a clinical population against the gold standard and to estimate concurrent validity against two non-radiographic clinical tools.

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Spinal deformity surgery is accompanied by serious complications: report from the Morbidity and Mortality Database of the Scoliosis Research Society from 2013 to 2020

Louis J. Bivona, John France, Conor S. Daly-Seiler, Douglas C. Burton, Lori A. Dolan, J. Justin Seale, Marinus de Kleuver, Emmanuelle Ferrero, David P. Gurd, Deniz Konya, William F. Lavelle, Vishal Sarwahi, Sanjeev J. Suratwala, Caglar Yilgor & Ying Li

doi : 10.1007/s43390-022-00548-y

The Morbidity and Mortality (M&M) report of the Scoliosis Research Society (SRS) has been collected since 1965 and since 1968 submission of complications has been required of all members. Since 2009, the SRS has collected information on death, blindness, and neurological deficit, with acute infection being added in 2012 and unintentional return to the operating room (OR) being added in 2017.

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Readability assessment of patient educational materials for pediatric spinal deformity from top academic orthopedic institutions

Christopher Michel, Christopher Dijanic, George Abdelmalek, Suleiman Sudah, Daniel Kerrigan, George Gorgy & Praveen Yalamanchili

doi : 10.1007/s43390-022-00545-1

Cross-sectional analysis of patient educational materials from top pediatric orthopedic hospital websites.

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Socioeconomic and geographic disparities in pediatric scoliosis surgery

Zachary L. Boozé, Hai Le, Marcus Shelby, Jenny L. Wagner, Jeffrey S. Hoch & Rolando Roberto

doi : 10.1007/s43390-022-00551-3

To compare the population of pediatric patients undergoing surgery for scoliosis in California by gender, race, and ethnicity and identify any underlying differences in social determinants of health as measured by the child opportunity index (COI), social deprivation index (SDI), and insurance category among them.

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Long-term outcome of patients with adolescent idiopathic scoliosis seeking nonoperative treatment after a mean follow-up of 42 years

Mazda Farshad, Tobias Götschi, David E. Bauer, Thomas Böni, Christoph J. Laux & Method Kabelitz

doi : 10.1007/s43390-022-00541-5

Adolescent idiopathic scoliosis (AIS) affects up to 3% of otherwise healthy adolescents. The extreme long-term outcomes of nonoperative treatment are underreported. This study aimed to investigate the long-term outcome of nonoperative-treated AIS patients. Comparison between a bracing and an observation approach were performed.

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Complication risks and costs associated with Ponte osteotomies in surgical treatment of adolescent idiopathic scoliosis: insights from a national database

Mohammed Shaheen, Jayme C. B. Koltsov, Samuel A. Cohen, Joanna L. Langner, Japsimran Kaur, Nicole A. Segovia & John S. Vorhies

doi : 10.1007/s43390-022-00534-4

Risks of Ponte osteotomies (POs) used for posterior spinal fusion (PSF) for Adolescent Idiopathic Scoliosis (AIS) are challenging to assess because of the rarity of complications. Using a national administrative claims database, we evaluated trends, costs and complications associated with PO used in PSF for AIS patients.

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Bracing for juvenile idiopathic scoliosis: retrospective review from bracing to skeletal maturity

Amanda T. Whitaker, Michael Timothy Hresko, Patricia E. Miller, Bram P. Verhofste, Alexandra Beling, John B. Emans, Lawrence I. Karlin, Daniel J. Hedequist & Michael P. Glotzbecker

doi : 10.1007/s43390-022-00544-2

Juvenile idiopathic scoliosis (JIS) outcomes with brace treatment are limited with poorly described bracing protocols. Between 49 and 100% of children with JIS will progress to surgery, however, young age, long follow-up, and varying treatment methods make studying this population difficult. The purpose of this study is to report the outcomes of bracing in JIS treated with a Boston braceâ„¢ and identify risk factors for progression and surgical intervention.

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1- vs. 2-year follow-up after posterior spinal fusion for AIS: what additional information is gained?

K. Aaron Shaw, Keith Orland, Tracey P. Bastrom, Peter O. Newton, Harms Study Group & Nicholas D. Fletcher

doi : 10.1007/s43390-022-00555-z

Traditionally, 2-year follow-up data have been the established standard for reporting clinical outcomes following spinal deformity surgery. However, previous studies indicate that 2-year follow-up does not represent long-term outcomes.

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Return to sport after posterior spinal fusion for adolescent idiopathic scoliosis: what variables actually have an influence? A retrospective study

Alberto Ruffilli, Francesca Barile, Giovanni Viroli, Marco Manzetti, Matteo Traversari, Marco Ialuna, Bartlomiej Dobromir Bulzacki Bogucki & Cesare Faldini

doi : 10.1007/s43390-022-00535-3

To retrospectively evaluate a cohort of athletically active patients who underwent surgery for adolescent idiopathic scoliosis (AIS), and to determine which clinical, surgical and anthropometric variables influenced their return to sport after surgery.

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Cellular immunophenotype of major spine surgery in adults

Isaiah R. Turnbull, Annie Hess, Anja Fuchs, Elfaridah P. Frazier, Sarbani Ghosh, Shin-Wen Hughes & Michael P. Kelly

doi : 10.1007/s43390-022-00524-6

ASD reconstructions are a major, sterile traumatic insult, likely causing perturbations to the immune systems. The immune response to surgery is associated with outcomes. The purpose of this study was to examine for a detectable immune signature associated with ASD surgery.

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Indications and timing of revision spine surgery in adults after adolescent surgery for idiopathic scoliosis

Andrew Diederich, Jace Erwin, Brandon Carlson, Joshua Bunch, Robert Sean Jackson & Douglas Burton

doi : 10.1007/s43390-022-00525-5

To characterize the indications and timing of revision spine surgery in adulthood after adolescent surgery for idiopathic scoliosis.

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Preoperative duration of pain is associated with chronic opioid use after adult spinal deformity surgery

Kevin C. Mo, Rahul Sachdev, Bo Zhang, Amar Vadhera, Mark Ren, Nicholas S. Andrade, Khaled M. Kebaish, Richard L. Skolasky & Brian J. Neuman

doi : 10.1007/s43390-022-00531-7

Few studies have explored the association between preoperative patient-reported measures and chronic opioid use following adult spinal deformity (ASD) surgery. We sought to explore the association between preoperative duration of pain, as well as other patient-reported factors, and chronic opioid use after ASD surgery.

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Randomized, controlled trial of two tranexamic acid dosing protocols in adult spinal deformity surgery

John C. F. Clohisy, Lawrence G. Lenke, Mostafa H. El Dafrawy, Rachel C. Wolfe, Elfaridah Frazier & Michael P. Kelly

doi : 10.1007/s43390-022-00539-z

Tranexamic acid (TXA) is an anti-fibrinolytic effective in reducing blood loss in orthopedic surgery. The appropriate dosing protocol for adult spinal deformity (ASD) surgery is not known. The purpose of this study was to evaluate two TXA protocols [low dose (L): 10 mg/kg bolus, 1 mg/kg/hr infusion; high dose (H): 50 mg/kg, 5 mg/kg/hr] in complex ASD surgery.

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Lordosis loss in degenerative spinal conditions

Will K. M. Kieffer, Angus Don, Antony Field & Peter A. Robertson

doi : 10.1007/s43390-022-00533-5

To establish whether common degenerative lumbar spine conditions have a predictable sagittal profile and associated range of lordosis.

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Feeding tube use is associated with severe scoliosis in patients with cerebral palsy and limited ambulatory ability

Nicholas Yoo, Brian Arand, Junxin Shi, Jingzhen Yang, Garey Noritz & Amanda T. Whitaker

doi : 10.1007/s43390-022-00540-6

Cerebral palsy (CP) is the most common motor disorder in childhood. Scoliosis is a common complication of CP that can reach clinically severe levels, but predictors for scoliosis in CP are not well understood.

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Definitive fusion for scoliosis in late juvenile cerebral palsy patients is durable at 5 years postoperatively

Roland Howard, Paul D. Sponseller, Suken A. Shah, Firoz Miyanji, Amer F. Samdani, Peter O. Newton, Harms Study Group Investigators & Burt Yaszay

doi : 10.1007/s43390-022-00530-8

Given the challenges associated with managing progressive scoliosis in patients with cerebral palsy (CP), the purpose of this study was to evaluate deformity correction and HRQOL 5 years post-spinal fusion in CP patients who were skeletally immature at the time of surgical correction.

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No difference in postoperative complication rates or cardiopulmonary function for early versus late scoliosis correction in Duchenne muscular dystrophy

Ali Asma, Armagan Can Ulusaloglu, Michael Wade Shrader, William G. Mackenzie, Robert Heinle, Mena Scavina & Jason J. Howard

doi : 10.1007/s43390-022-00532-6

Given reduced rates of both pulmonary function decline and scoliosis progression with steroid treatment in Duchenne muscular dystrophy (DMD), the role of early scoliosis surgery has been questioned. The purpose of this study was to compare the postoperative complication rates of early versus late scoliosis correction in DMD.

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Risk of distal junctional kyphosis in scheuermann’s kyphosis is decreased by selecting the LIV as two vertebrae distal to the first lordotic disc

Andrew Luzzi, Zeeshan Sardar, Meghan Cerpa, Xavier Ferrer, Josephine Coury, William Crockatt, Alex Ha, Benjamin Roye, Michael Vitale, Lawrence Lenke & Harms Study Group

doi : 10.1007/s43390-022-00542-4

To determine whether (1) distal junctional kyphosis (DJK) is decreased by selecting the stable sagittal vertebra (SSV), versus the vertebra below the 1st lordotic disc (1stLD), as the lowest instrumented level (LIV); (2) DJK is decreased if the LIV is two versus one vertebrae distal to the 1stLD.

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Improvement of the sagittal alignment of the spine in patients with achondroplasia after subtrochanteric femoral lengthening

Rosa M. Egea-Gámez, María Galán-Olleros, Javier Alonso-Hernández, Carlos Miranda-Gorozarri, Ignacio Martínez-Caballero, �ngel Palazón-Quevedo & Rafael González-Díaz

doi : 10.1007/s43390-022-00523-7

Limb-lengthening surgery to treat short stature has undergone great development in recent years with the use of intramedullary telescopic nails (TIMNs). A limited number of studies have explored the impact of lower limb lengthening on the spine, though their conclusions are not consistent. The aim of this research is to analyze changes in spinopelvic sagittal alignment and balance after lower limb lengthening in achondroplastic patients.

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Surgical outcome of scoliosis in patients with Marfan syndrome

Chatupon Chotigavanichaya, Panjapol Vatidvarodom, Thanase Ariyawatkul, Monchai Ruangchainikom, Sirichai Wilartratsami, Areesak Chotivichit, Surin Thanapipatsiri, Borriwat Santipas, Nath Adulkasem & Panya Luksanapruksa

doi : 10.1007/s43390-022-00547-z

To evaluate clinical and radiographic outcomes after surgical scoliosis correction and posterior instrumented fusion in SMF patients.

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Innovative technique for early-onset scoliosis casting using Jackson table

Blake K. Montgomery, Kali Tileston, Japsimran Kaur, Dan Kym, Nicole A. Segovia, Meghan Imrie, James Policy, Lawrence Rinsky & John Vorhies

doi : 10.1007/s43390-022-00526-4

Early-onset scoliosis (EOS) can have harmful effects on pulmonary function. Serial elongation, derotation, and flexion (EDF) casting can cure EOS or delay surgical intervention.

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Risk of ventriculoperitoneal shunt malfunction in operatively treated early onset spinal deformity

Mitchell A. Johnson, Carina Lott, Benjamin C. Kennedy, Gregory G. Heuer, Patrick J. Cahill & Jason B. Anari

doi : 10.1007/s43390-022-00527-3

Ventriculoperitoneal (VP) shunt placement is a common neurosurgical procedure performed in patients with early onset scoliosis (EOS). To provide insight into the risks of spine lengthening operations, we investigate the rate of VP shunt complications in patients with EOS undergoing spinal deformity correction interventions.

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Reduced complication rate with simultaneous detethering and spinal deformity correction surgery compared to staged surgeries in patients with early onset scoliosis

Jennifer Kunes, Theodore Quan, Rajiv Iyer, Adam N. Fano, Hiroko Matsumoto, Mark Erickson, Richard McCarthy, Douglas Brockmeyer, Richard C. E. Anderson, Michael G. Vitale & Pediatric Spine Study Group

doi : 10.1007/s43390-022-00550-4

In patients with early onset scoliosis (EOS) and intraspinal anomalies, surgery may be necessary for both the tethered spinal cord (TSC) and spinal deformity. The purpose of this study was to determine if there is a difference in complications when TSC release and surgery for spinal deformity correction (SDC) are performed separately compared simultaneously.

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Complications of single growing rod constructs in the treatment of severe early-onset scoliosis: a lesson relearned

Hossein Nematian, Andrew Clarke, Ehsan Hedayat, Zahra Vahdati, Nesa Milan, Saeed Reza Mehrpour, Mohammad Hossein Nabian & Keyvan Mazda

doi : 10.1007/s43390-022-00554-0

Early-onset scoliosis (EOS) is one of the most challenging areas of orthopedic management. Previous studies have reported that EOS patients were associated with high risk of complications following growth-friendly surgery. This study was performed to evaluate the complications of single traditional growing rods (TGRs) in the treatment of EOS.

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Neuromuscular lordoscoliosis: an unusual response to post-operative halo-gravity traction

Mariano Augusto Noel, Néstor Ricardo Davies, Carlos Alberto Tello, Rodrigo German Remondino, Lucas Piantoni, Eduardo Galaretto, Ida Alejandra Francheri Wilson & Ernesto Salomón Bersusky

doi : 10.1007/s43390-022-00536-2

To report the results of prolonged post-operative halo-gravity traction in a patient in whom the surgery had to be interrupted unexpectedly and for whom subsequently specific clinical circumstances contraindicated completion of the surgical procedure.

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Correction: Does the anterior column realignment technique influences the stresses on posterior instrumentation in sagittal imbalance correction? A biomechanical, finite-element analysis of L5–S1 ALIF and L3–4 lateral ACR

Matteo Panico, Marco Bertoli, Tomaso Maria Tobia Villa, Fabio Galbusera, Matteo Messori, Giovanni Andrea La Maida, Bernardo Misaggi & Enrico Gallazzi

doi : 10.1007/s43390-022-00591-9

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