Early-Onset Spinal Deformity: Decision-Making
|
|
- Katherine Francis
- 5 years ago
- Views:
Transcription
1 Early-Onset Spinal Deformity: Decision-Making Scott J. Luhmann, M.D. Professor Department of Orthopaedic Surgery Washington University School of Medicine Chief of Staff, Shriner s Hospital for Children St. Louis, Missouri
2 Early-Onset Spinal Deformity Highly heterogenous group Diagnosis: idiopathic, syndromic, NM, congenital Deformity Magnitude and progression Location: C, CT, T, TL, L, LS Plane of deformity: Coronal, Sagittal, Transverse planes Patient size: height & weight Neurologic status Pulmonary status Medical comorbidities
3 Early-Onset Spinal Deformity: < 10 years of age Spine Growth in Childhood Boys Girls Cm/Year Age in Years Data from Dimeglio
4 Emery JL, Mithal A (1960) Hyperplasia Hypertrophy Age Thurlbeck WM. Postnatal human lung growth (Thorax 1982) Slow increment in alveolar number between ages 4 and 8 years, and little increase thereafter.
5 Pulmonary Function Following Early Thoracic Fusion in Non-Neuromuscular Scoliosis Karol et al, JBJS pts (various dx) Surgery: Mean age 3.3 years Mean 58.7% of thoracic spine fused F/u: Mean age 14.6 years FVC: 57.8% predicted [43% of patients <50% predicted] FEV1: 54.7% predicted Diminished PFT values in: Extent of spine fused (>4 segments) Rib anomalies Proximal extent of fusion: T1-2 vs. T3-5 vs. T6 and below
6 Long-Term Follow-Up of Patients with Untreated Scoliosis Pehrsson et al, Spine patients Born Mean f/u 56 yrs Mortality risk: Changed at y/o Majority d/t respiratory failure Which diagnoses?
7 Long-Term Follow-Up of Patients with Untreated Scoliosis Pehrsson et al, Spine 1992 Increased mortality IIS JIS Post-polio Rickets Unknown dx >70 degree Cobb Age at onset Highest mortality rate: IIS 3-dimensional restrictive lung disease
8 Goals of EOS treatment Maximal T1-T12, T1-S1 distance Permit radial expansion of the ribs/chest Minimize the 3-dimensional spinal deformity Fewest number of anesthetic episodes possible Low complication rate Low number of outpatient care episodes Maximize patient activity/function
9 EOS: Treatment Options Observation Bracing Casting Surgical Distraction-based TGR MCGR VEPTR Shilla/Growth Guidance Vertebral Body Stapling Spinal Tethering Fusion: rare 2 Main Goals Control spinal deformity Permit spinal growth
10 EOS < 5 years Cotrel.Spine Casting
11 2 y/o female Initial After 1 st cast In 2 nd cast 90 o 68 o 32 o Best results: Age <2 yrs Cobb <50 o Optimal: deformity correction Minimum: delay tactic
12 Indications EOS < 5 years of age Surgical Large magnitude: >60 degrees Significant progression Deformity not responsive or patient intolerant to casting Main Options: TGR vs. MCGR Shilla rarely may be an option: pt often too small to hide implants, pedicles too small
13 Comparison of Single and Dual Growing Rod Techniques Followed Through Definitive Surgery Thompson GH, et al (Spine 2005) Results: BEST in dual growing rods Preoperative initial to postoperative final percent Cobb correction Single rod/apical fusion 23% +/- 22% Single rod 36% +/-23% Dual rod 71% +/- 22% T1-S1 spinal growth % expected Single rod/apical fusion 0.3+/-1.02 cm/yr 25% Single rod 1.04+/-0.09 cm/yr 80% Dual rod 1.7+/ cm/yr 130% Conclusions Dual rods are stronger than single rods, providing better initial correction and maintenance of correction
14 Distraction-based Technologies: TGRs, MCGRs and VEPTR Cephalad Ribs Spine Caudal Spine Iliac Sacropelvic
15 EOS < 5 years of age Surgical Options: TGR vs. MCGR Avoid segmental fusion (no iatrogenic shortening) Use rib hooks and downgoing laminar hooks Unilateral rods ARE an option Pelvis S-hooks for pelvic obliquity Saves pedicle fixation for later
16 12 m/o male; IIS 91 o
17 4+4 y/o Treatment: 9 spine castings 3 TLSOs 74 o Progression to 74 degrees (5 months earlier = 65 degrees in TLSO)
18 T to L3 MAGEC 4.5 mm x 70 mm 92o 56 o T1-T mm T1-S1 215 mm T1-T mm T1-S1 254 mm
19 18 m/o female; OI; craniosynostosis 54 o 54 o 100 o 54 o 3.5 mm SS; 4 upgoing laminar hooks B
20 7 y/o male; Developmental delay, mitochondrial d/o 81 o 40 o 4.5 mm SS; 4 upgoing laminar hooks B
21 EOS > 5 years Indications for operative Treatment >50-60 degrees Progressive Not responsive or intolerant to casting Main Options: 1. Shilla (n=42) 2. MCGR (n=32) 3. TGR (n=40) Cm/Year Spine Growth in Childhood Age in Years Bo ys
22 5 ½ years s/p T3-L3 SHILLA Growth 6 y/o male 6 wks postop Guidance System: 1 reoperation 3 y postop 4 1/2 y postop s/p revision 11+5 yrs Spine growing off rod, revise if: 1. Painful 2. Lost control of deformity
23 Radiographic Outcomes of Growth Guidance System and Traditional Growing Rods through Definitive Treatment AAOS 2017; Accepted Spine Deformity Scott J. Luhmann, MD June C. Smith, MPH Anna McClung, BSN, RN Lynn McCullough, RNP, MNSc, ONC. Richard E. McCarthy, MD George Thompson, MD Growing Spine Study Group
24 Summary Reoperations: 3x higher in TGR group (3.1 vs. 9.3) Complications: /pt (NS) Major Cobb: 46-48% improvement (NS) Change in T1-T12: mm increase (NS) Change in T1-S1: mm increase (NS)
25 Ellipse Technologies: MAGEC TM MAGnetic Expansion Control In vivo lengthening may be only 50% of predicted lengthening
26 5+8 y/o female; 19.4 kg (43#) Previous TLSO tx; back pain SCM 30 o 104 o 91o T1-T mm T1-S1 215 mm
27 Immediate Postop 8 weeks halo preoperatively 58 o 40 o T1-T mm T1-S1 301 mm
28 2 years postop 46 o 104 o 91 o 40 o
29 Traditional Growing Rods Versus Magnetically Controlled Growing Rods for the Surgical Treatment of Early-Onset Scoliosis: A Case- Matched 2-Year Study Akbarnia GA, Pawelek JB, Cheung KM, et al. GSSG Spine Deformity 2014;2(6): TGR vs. 17 MCGR; Matched Results Major curve correction similar (NS) T1-S1& T1-T12 change (NS) Results Procedures TGR 73 open surgeries (56 were lengthenings) MCGR 16 open surgeries (137 noninvasive lengthenings) Unplanned revisions MCGR 3 patients TGR 4 patients
30 Conclusion EOS < 5 years Observation Casting Bracing Surgical: TGR or MCGR Use rib hooks, downgoing laminar hooks and pelvic S- hooks to avoid fusion Unilateral rods
31 Conclusion EOS > 5 years Observation Bracing Surgical: 1. Shilla 2. MCGR 3. TGR
32 Thank you
Casting. Early Onset Scoliosis: The Value of Serial Risser Casts. Serial Risser Casts 1/4/2014
VuMedi Webinar Current Concepts in EOS 6 January 2014 Casting George H.Thompson, MD Director, Pediatric Orthopaedics Rainbow Babies and Children s Hospital Case Western Reserve University Cleveland, Ohio,
More informationSPORC 2017 EOS/Congenital Talk
SPORC 2017 EOS/Congenital Talk Early Onset / Congenital Spine Deformity What Do We Know? What Are We Doing? Charles E Johnston MD TSRHC Dallas Tx Disclosures : Medtronic, Elsevier EOSD / Congenital Untreated
More informationScoliosis: Orthopaedic Perspectives
Scoliosis: Orthopaedic Perspectives Scott B. Rosenfeld, MD Division of Pediatric Orthopaedic Surgery Texas Children s Hospital Page 0 xxx00.#####.ppt 9/23/2012 8:26:24 AM I have no disclosures Disclosures
More informationCervicothoracic Congenital Scoliosis: Treatment of shoulder balance and head tilt
Cervicothoracic Congenital Scoliosis: Treatment of shoulder balance and head tilt David L. Skaggs, MD, MMM Professor and Chief of Orthopaedic Surgery University of Southern California Children s Hospital
More informationCurrent status of managing pediatric kyphosis deformity Papers divided into 3 categories
Biomechanical and Clinical Evaluation of Rib Anchors Richard H. Gross, MD Research Professor, Clemson University Clemson-MUSC Bioengineering Consortium Charleston, SC Staff surgeon, Shriners Hospital,
More informationGoals of management in early-onset scoliosis (EOS)
Rib-Based Anchors for Growing Rods in the Treatment of Early-Onset Scoliosis Daniel J. Miller, MD, and Michael G. Vitale, MD, MPH The treatment of early-onset scoliosis (EOS) has evolved substantially
More informationAdolescent Idiopathic Scoliosis
Adolescent Idiopathic Scoliosis Surgical Treatment Comparisons By: Dr. Alex Rabinovich and Dr. Devin Peterson Options 1. Pedicle Screws versus Hooks 2. Posterior versus Anterior Instrumentation 3. Open
More informationVertical Expandable Prosthetic Titanium Rib. Description
Subject: Vertical Expandable Prosthetic Titanium Rib Page: 1 of 7 Last Review Status/Date: September 2014 Vertical Expandable Prosthetic Titanium Rib Description The vertical expandable prosthetic titanium
More informationTITLE: Shilla and MAGEC Systems for Growing Children with Scoliosis: A Review of the Clinical Benefits and Cost-Effectiveness
TITLE: Shilla and MAGEC Systems for Growing Children with Scoliosis: A Review of the Clinical Benefits and Cost-Effectiveness DATE: 17 January 2013 CONTEXT AND POLICY ISSUES Early-onset scoliosis (EOS)
More informationEarly onset scoliosis: The use of growth rods
SA Orthopaedic Journal Autumn 2017 Vol 16 No 1 Page 49 Early onset scoliosis: The use of growth rods RD Govender MBBCh(Wits), FC Orth(SA) AOSpine Fellow at the Spine Surgery Unit, Groote Schuur Hospital
More informationClinical Policy: Growing Rods Spinal Surgery Reference Number: CP.MP.354
Clinical Policy: Growing Rods Spinal Surgery Reference Number: CP.MP.354 Effective Date: 06/07 Last Review Date: 10/16 Coding Implications Revision Log See Important Reminder at the end of this policy
More informationMedical technologies guidance Published: 18 June 2014 nice.org.uk/guidance/mtg18
The MAGEC system for spinal lengthening in children with scoliosis Medical technologies guidance Published: 18 June 2014 nice.org.uk/guidance/mtg18 NICE 2018. All rights reserved. Subject to Notice of
More information10/9/2017 POST OP CARE OF THE PEDIATRIC SPINE PATIENT OBJECTIVES DEFINITION OF SCOLIOSIS CAUSES TYPES
POST OP CARE OF THE PEDIATRIC SPINE PATIENT BY: JUDITH MILETTO, RN-BSN NICOLE RALSTON, RN WE HAVE NO DISCLOSURES OR CONFLICT OF INTEREST OBJECTIVES DEFINITION OF SCOLIOSIS The participant will be able
More informationFocus. N. Kabirian, B.A. Akbarnia * ORIGINAL ARTICLE Update on spine based surgical treatment of early onset scoliosis: what do we know in 2012?
50 Evolution in diagnosis and treatment of scoliosis ORIGINAL ARTICLE Update on spine based surgical treatment of early onset scoliosis: what do we know in 2012? N. Kabirian, B.A. Akbarnia * San Diego
More informationKeith Bachmann, MD UVA Department of Orthopaedic Surgery
Keith Bachmann, MD UVA Department of Orthopaedic Surgery Definition Spinal deformity secondary to either neurologic or muscle pathology. Etiology Imbalance of muscle forces Lack of truncal support Similar
More informationOriginal Policy Date
MP 7.01.90 Vertical Expandable Prosthetic Titanium Rib Medical Policy Section Surgery Issue 12/2013 Original Policy Date 12/2013 Last Review Status/Date Reviewed with literature search/12/20135:2012 Return
More informationClinical Policy: Growing Rods Spinal Surgery Reference Number: HNCA.CP.MP.354
Clinical Policy: Growing Rods Spinal Surgery Reference Number: HNCA.CP.MP.354 Effective Date: 06/07 Last Review Date: 10/18 Coding Implications Revision Log See Important Reminder at the end of this policy
More informationVertical Expandable Prosthetic Titanium Rib. Description
Subject: Vertical Expandable Prosthetic Titanium Rib Page: 1 of 8 Last Review Status/Date: September 2015 Vertical Expandable Prosthetic Titanium Rib Description The vertical expandable prosthetic titanium
More informationEarly onset scoliosis and its treatments
Find this article online at www.sauk.org.uk/scoliosis-information/eos-and-treatments Early onset scoliosis and its treatments Early onset scoliosis (EOS) is the occurrence of scoliosis before the age of
More informationPediatric scoliosis. Patient and family guide to understanding
Patient and family guide to understanding Pediatric scoliosis This brochure is not meant to replace any personal conversations that the patient and family might wish to have with the physician or healthcare
More informationEarly Onset Scoliosis
Early Onset Scoliosis GSF-0616-326 Created in collaboration with: Growing Spine Foundation 555 East Wells Street, Suite 1100 Milwaukee, WI 53202 USA P: (414) 276-6445 F: (414) 276-3349 info@growingspine.org
More informationThoracovertebral malformations
Thoracovertebral malformations Cardiopulmonary consequences and treatment 15 17 June 2016 SwissTech Convention Center Lausanne Daniel Trachsel Pulmonology & Intensive Care University Children s Hospital
More informationGregory M Yoshida, MD. Lateral curvature of the spine in the coronal plane > 10 degrees on an upright film
Gregory M Yoshida, MD Lateral curvature of the spine in the coronal plane > 10 degrees on an upright film Measurement Angle made by the endplates of the two most tilted vertebra from horizontal Cobb angle
More informationFinancial Disclosures. The Unpredictable. Early Onset Idiopathic Scoliosis
Financial Disclosures Vertebral body stapling in children with idiopathic scoliosis < 10 years of age with curve magnitude 30-39 degrees Alexander A. Theologis, MD; Patrick Cahill, MD; Mike Auriemma, BS;
More informationScoliosis: Spinal Disorders in Children and Adults
Scoliosis: Spinal Disorders in Children and Adults Considerations in Etiology, Natural History, and Operative Care Sigurd Berven, M.D. Professor in Residence University of California San Francisco Causes
More informationNovel Approaches for Assessing the Chest Wall and Spine in the Treatment of SMA
Center for Thoracic Insufficiency Syndrome Novel Approaches for Assessing the Chest Wall and Spine in the Treatment of SMA RM Campbell, MD Director, Center for Thoracic Insufficiency Syndrome Division
More informationVEPTR TM Growing Rods for Early-onset Neuromuscular Scoliosis
Clin Orthop Relat Res (2011) 469:1335 1341 DOI 10.1007/s11999-010-1749-y SYMPOSIUM: EARLY ONSET SCOLIOSIS VEPTR TM Growing Rods for Early-onset Neuromuscular Scoliosis Feasible and Effective Klane K. White
More informationIdiopathic Scoliosis. SPORC Mar 2017 Neil Saran, MD, MHSc, FRCSC
Idiopathic Scoliosis SPORC Mar 2017 Neil Saran, MD, MHSc, FRCSC Objectives By the end of this session you will be able to 1. Recognize red flags in patients with scoliosis 2. List risk factors for progression
More informationEarly Onset Scoliosis: Defining the Extent of the Problem and Non Operative Treatment
12/15/2015 vumedi Webinar: Latest Advances in the Treatment of Early Onset Scoliosis Early Onset Scoliosis: Defining the Extent of the Problem and Non Operative Treatment Suken A. Shah, MD Division Chief,
More informationSpinal Deformity Pathologies and Treatments
Spinal Deformity Pathologies and Treatments Scoliosis Spinal Deformity 3-dimensional deformity affecting all 3 planes Can be difficult to visualize with 2-dimensional radiographs Kyphosis Deformity affecting
More informationFree Paper Session IX Spine II
Free Paper Session IX Spine II 9. Oblique Lateral Interbody Fusion for L5-S Introduction: A minimally invasive modified anterior lumbar interbody fusion technique for the lumbosacral junction is described
More informationSerial Derotational Casting in Congenital Scoliosis as a Time-buying Strategy
ORIGINAL ARTICLE Serial Derotational ing in Congenital Scoliosis as a Time-buying Strategy Halil G. Demirkiran, MD,* Senol Bekmez, MD,w Rustem Celilov, MD,* Mehmet Ayvaz, MD,* Ozgur Dede, MD,z and Muharrem
More informationSurgical Technique Guide MAGEC Remote Control Technology for the Treatment of Spine Deformities
Surgical Technique Guide MAGEC Remote Control Technology for the Treatment of Spine Deformities i MAGEC TECHNIQUE GUIDE ii MAGEC TECHNIQUE GUIDE Goal of treatment The MAGEC System is designed to brace
More informationabstract STATE-OF-THE-ART REVIEW ARTICLE
Early-Onset Scoliosis: A Review of History, Current Treatment, and Future Directions Scott Yang, MD, a,b Lindsay M Andras, MD, a Gregory J Redding, MD, c David L Skaggs, MD, MMM a Early-onset scoliosis
More informationCheung, JPY; Bow, HYC; Samartzis, D; Kwan, KYH; Cheung, KMC. Citation Journal of Orthopaedic Surgery, 2016, v. 24 n. 3, p
Title Author(s) Frequent small distractions with a magnetically controlled growing rod for early-onset scoliosis and avoidance of the law of diminishing returns Cheung, JPY; Bow, HYC; Samartzis, D; Kwan,
More informationAnalyzing Early Onset Scoliosis In 3d: How Does Growing Rod Surgery Affect The Three Planes Of Deformity?
Analyzing Early Onset Scoliosis In 3d: How Does Growing Rod Surgery Affect The Three Planes Of Deformity? Diana A. Glaser, PhD 1, Burt Yaszay, MD 1, Gregory M. Mundis, MD 2, Behrooz A. Akbarnia, MD 2.
More informationSegmental Pedicle Screw Fixation for a Scoliosis Patient with Post-laminectomy and Post-irradiation Thoracic Kyphoscoliosis of Spinal Astrocytoma
Segmental Pedicle Screw Fixation for a Scoliosis Patient with Post-laminectomy and Post-irradiation Thoracic Kyphoscoliosis of Spinal Astrocytoma a* a a a b a a b ʼ 2 ʼ August 2012 Spinal Deformity with
More informationCongenital Spine Deformity: Surgical Treatment Options. Spine Masters. Fri May , 4:10-4:25 Paul Sponseller MD
Congenital Spine Deformity: Surgical Treatment Options Spine Masters Fri May19 2017, 4:10-4:25 Paul Sponseller MD Disclosures Medical Education Reviews JBJS Depuy Synthes Spine: Research, royalties Globus:
More informationAdult Spinal Deformity Robert Hart. Dept. Orthopaedics and Rehab OHSU
Adult Spinal Deformity 2010 Robert Hart Dept. Orthopaedics and Rehab OHSU What is Adult Spinal Deformity? Untreated Idiopathic Scoliosis Flat Back Syndrome Adjacent Segment Stenosis Non-Union Degenerative
More informationM ASTER S T ECHNIQUES: VCR & GROWING R ODS
M ASTER S T ECHNIQUES: VCR & GROWING R ODS LAWRENCE G. LENKE, MD The Jerome J. Gilden Distinguished Professor of Orthopaedic Surgery Professor of Neurological Surgery Chief, Spinal Surgery Co-Director,
More informationCost Analysis of Magnetically Controlled Growing Rods Compared with Traditional
Cost Analysis of Magnetically Controlled Growing Rods Compared with Traditional Growing Rods for Early Onset Scoliosis in the United States: An Integrated Healthcare Delivery System Perspective TECHNICAL
More informationPrevention of PJF: Surgical Strategies to Reduce PJF. Robert Hart, MD Professor OHSU Orthopaedics Portland OR. Conflicts
Prevention of PJF: Surgical Strategies to Reduce PJF Robert Hart, MD Professor OHSU Orthopaedics Portland OR Conflicts Consultant Depuy Spine, Medtronic Royalties Seaspine, Depuy Research/Fellowship Support
More informationName of Policy: Vertical Expandable Prosthetic Titanium Rib
Name of Policy: Vertical Expandable Prosthetic Titanium Rib Policy #: 299 Latest Review Date: June 2013 Category: Surgery Policy Grade: C Background/Definitions: As a general rule, benefits are payable
More informationVertical Expandable Prosthetic Titanium Rib (VEPTR)
Vertical Expandable Prosthetic Titanium Rib (VEPTR) Policy Number: 7.01.110 Last Review: 10/2017 Origination: 9/2007 Next Review: 10/2018 Policy Blue Cross and Blue Shield of Kansas City (Blue KC) will
More informationScrews versus hooks: implant cost and deformity correction in adolescent idiopathic scoliosis
J Child Orthop (2012) 6:137 143 DOI 10.1007/s11832-012-0400-8 ORIGINAL CLINICAL ARTICLE Screws versus hooks: implant cost and deformity correction in adolescent idiopathic scoliosis Bradley P. Jaquith
More informationMaintenance of Thoracic Kyphosis in the 3D Correction of Thoracic Adolescent Idiopathic Scoliosis Using Direct Vertebral Derotation
www.spine-deformity.org Spine Deformity 1 (2013) 46e50 Maintenance of Thoracic Kyphosis in the 3D Correction of Thoracic Adolescent Idiopathic Scoliosis Using Direct Vertebral Derotation Satoru Demura,
More informationIdiopathic scoliosis Scoliosis Deformities I 06
What is Idiopathic scoliosis? 80-90% of all scolioses are idiopathic, the rest are neuromuscular or congenital scolioses with manifest primary diseases responsible for the scoliotic pathogenesis. This
More informationFusionless Surgery for Scoliosis
49 Fusionless Surgery for Scoliosis Stuart H. Hershman, M.D., Justin J. Park, M.D., and Baron S. Lonner, M.D. Abstract Scoliosis is a very common condition, affecting approximately 7 million children in
More informationAdult Spinal Deformity: Principles of Surgical Correction
Adult Spinal Deformity: Principles of Surgical Correction S. Samuel Bederman, MD PhD FRCSC Department of Orthopaedic Surgery California Orthopaedic Association, Indian Wells, CA April 25, 2015 2 3 4 Adult
More information18th International Scientific Meeting of the VCFS Educational Foundation Steven M. Reich, MD. July 15-17, 2011 New Brunswick, New Jersey USA
18th International Scientific Meeting of the VCFS Educational Foundation Steven M. Reich, MD July 15-17, 2011 New Brunswick, New Jersey USA SCOLIOSIS AND ITS TREATMENT Steven M. Reich, MD Assistant Clinical
More informationSurgery for Idiopathic Scoliosis: Currently Applied Techniques
REVIEW Surgery for Idiopathic Scoliosis: Currently Applied Techniques Toru Maruyama 1 and Katsushi Takeshita 2 1 Department of Orthopaedic Surgery, Saitama Medical Center, Saitama Medical University Saitama,
More informationNutritional improvement following growing rod surgery in children with early onset scoliosis
Nutritional improvement following growing rod surgery in children with early onset scoliosis The Harvard community has made this article openly available. Please share how this access benefits you. Your
More informationAIS. Objectives. Early onset scoliosis (0-9) Scoliosis 9/12/2018. Scoliosis Nigel Price, MD John T. Anderson, MD. Purpose/Objectives:
Scoliosis Nigel Price, MD John T. Anderson, MD Children s Mercy Kansas City University of Missouri-Kansas City School of Medicine Department of Orthopaedic Surgery Section of Spine Surgery Opening Disclosure
More informationOriginal Policy Date
MP 2.01.55 Interventions for Progressive Scoliosis Medical Policy Section Medicine Issue 12:2013 Original Policy Date 12:2013 Last Review Status/Date Reviewed with literature search/12:2013 Return to Medical
More informationModulating Asymmetrical growth of scoliotic spine is the key to success treatment of scoliosis in growth children
Modulating Asymmetrical growth of scoliotic spine is the key to success treatment of scoliosis in growth children Qibin Ye, Zhengda Kuang,Guanjun Wang Xinyu, Zhang., Ming kui Du Dept of Orthopaedic surgery,
More informationCongenital deformity of the spine-therapy. Werner Lack*, Georg Grabmeier**
Congenital deformity of the spine-therapy Werner Lack*, Georg Grabmeier** *free spine surgeons of Austria, **SMZ-East, Vienna Conservative therapy in clear cases of progression (2 hemi vertebrae, unilateral
More informationPedicle subtraction osteotomy for the treatment of fixed sagittal imbalance: Surgical technique.
Washington University School of Medicine Digital Commons@Becker Open Access Publications 3-1-2004 Pedicle subtraction osteotomy for the treatment of fixed sagittal imbalance: Surgical technique. Keith
More informationVertical Expandable Prosthetic Titanium Rib (VEPTR)
Vertical Expandable Prosthetic Titanium Rib (VEPTR) Policy Number: 7.01.110 Last Review: 10/2018 Origination: 9/2007 Next Review: 10/2019 Policy Blue Cross and Blue Shield of Kansas City (Blue KC) will
More informationThere is No Remarkable Difference Between Pedicle Screw and Hybrid Construct in the Correction of Lenke Type-1 Curves
DOI: 10.5137/1019-5149.JTN.20522-17.1 Received: 11.04.2017 / Accepted: 12.07.2017 Published Online: 21.09.2017 Original Investigation There is No Remarkable Difference Between Pedicle Screw and Hybrid
More informationDisclosure. Disclosures regarding VBT 04/27/2017. Adolescent Idiopathic Scoliosis -Vertebral Body Tethering. Orthopediatrics.
Adolescent Idiopathic Scoliosis -Vertebral Body Tethering 4/7/2017 Dan Hoernschemeyer MD Chief of Pediatric Orthopedics University of Missouri Health System Disclosure Orthopediatrics Consultant, SAB,
More informationThe Kickstand Rod technique for correction of coronal imbalance in patients with adult spinal deformity: theory and technical considerations
Case Report The Kickstand Rod technique for correction of coronal imbalance in patients with adult spinal deformity: theory and technical considerations Melvin C. Makhni 1, Meghan Cerpa 2, James D. Lin
More informationTransformation of Spinal Deformity Treatment
FALL 2014 Transformation of Spinal Deformity Treatment Christopher R. Good, M.D., F.A.C.S. and Blair K. Simonetti, P.A.-C. Abstract Treatment of spinal conditions dates back to ancient times. There has
More informationSubmuscular growing rods (GR) have been demonstrated
SPINE Volume 41, Number 9, pp 792 797 ß 2016 Wolters Kluwer Health, Inc. All rights reserved DEFORMITY Low Pelvic Incidence Is Associated With Proximal Junctional Kyphosis in Patients Treated With Growing
More informationSpinal Deformity Surgery Department, Rizzoli Orthopaedic Institute, Bologna, Italy. European Meeting for VEPTR Users March 18/
The halo traction and anterior arthrodesis are today still indispensable in the treatment of severe scoliosis? There may be any innovative proposal with Magnetic rod? TIZIANA GREGGI Elena Maredi, Francesco
More informationCheung, KMC; Cheung, JPY; Samartzis, D; Mak, KC; Wong, YW; Cheung, WY; Akbarnia, BA; Luk, KDK. Citation The Lancet, 2012, v. 379 n. 9830, p.
Title Magnetically controlled growing rods for severe spinal curvature in young children: A prospective case series Author(s) Cheung, KMC; Cheung, JPY; Samartzis, D; Mak, KC; Wong, YW; Cheung, WY; Akbarnia,
More informationSCIENTIFIC PROGRAMME
SCIENTIFIC PROGRAMME LEARNING OUTCOMES: SESSION 1 PRINCIPLES OF SPINAL DEFORMITY Scoliosis: Aetiology & Prognostic Factors Describe the aetiology and prognostic factors associated with o idiopathic scoliosis
More informationTreatment Alternatives for Pediatric Femoral Fractures
Treatment Alternatives for Pediatric Femoral Fractures Gregory A. Schmale, MD Seattle Children's Hospital, USA, gregory.schmale@seattlechildrens.org version 2 I have no conflicts of interest to report
More informationComparison of single and dual growing rods in the treatment of early onset scoliosis: a meta-analysis
Xu et al. Journal of Orthopaedic Surgery and Research (2016) 11:80 DOI 10.1186/s13018-016-0413-y RESEARCH ARTICLE Open Access Comparison of single and dual growing rods in the treatment of early onset
More informationComplications in Adult Spinal Deformity Surgery
Complications in Adult Spinal Deformity Surgery Jacob M. Buchowski, M.D., M.S. Professor of Orthopaedic and Neurological Surgery Director, Washington University Spine Fellowship Director, Center for Spinal
More informationPosterior spinal fusion in patients with Ehlers Danlos syndrome: a report of six cases
J Child Orthop (2012) 6:131 136 DOI 10.1007/s11832-012-0393-3 ORIGINAL CLINICAL ARTICLE Posterior spinal fusion in patients with Ehlers Danlos syndrome: a report of six cases Brien Michael Rabenhorst Sumeet
More informationScoliosis David S. Feldman, MD
Scoliosis David S. Feldman, MD Chief of Pediatric Orthopedic Surgery Professor of Orthopedic Surgery & Pediatrics NYU Langone Medical Center & NYU Hospital for Joint Diseases Overview Idiopathic scoliosis
More informationVertical Expandable Prosthetic Titanium Rib (VEPTЮ Technique
Med. J. Cairo Univ., Vol. 85, No. 3, June: 1013-1019, 2017 www.medicaljournalofcairouniversity.net Vertical Expandable Prosthetic Titanium Rib (VEPTЮ Technique ISLAM ABOU-YOUSSEF, M.D.*; MOSTAFA EZZAT,
More informationChapter 24. Kyphoscoliosis. Mosby items and derived items 2011, 2006 by Mosby, Inc., an affiliate of Elsevier Inc.
Chapter 24 Kyphoscoliosis 1 A Figure 24-1. Kyphoscoliosis. Posterior and lateral curvature of the spine causing lung compression. Excessive bronchial secretions (A) and atelectasis (B) are common secondary
More informationWhat s New in Pediatric Orthopedics?
What s New in Pediatric Orthopedics? Jared W. Daniel, MD Des Moines Orthopaedic Surgeons Pediatric Orthopaedic Surgeon April 27 th, 2017 Disclosure I have no conflicts of interest regarding this presentation.
More informationPreserve or improve gait efficiency Early identification and stabilization or correction of lower extremity deformities
ORTHOPEDICS Primary Outcomes Maintenance of a stable and balanced spine. Optimize pulmonary function. Avoid restrictive pulmonary disease. Optimize spinal growth. Avoid or facilitate healing of sacral/ischial
More informationWhat Every Spine Surgeon Should Know About Neurosurgical Issues
What Every Spine Surgeon Should Know About Neurosurgical Issues Amer Samdani, MD Chief of Surgery Shriners Hospitals for Children Philadelphia, PA Objectives Main intraspinal lesions Chiari malformation
More informationLESS IS MORE SIGNFICANT CORONAL CORRECTION OF AIS DEFORMITY PREDICTS THORACIC HYPOKYPHOSIS
LESS IS MORE SIGNFICANT CORONAL CORRECTION OF AIS DEFORMITY PREDICTS THORACIC HYPOKYPHOSIS Oded Hershkovich, MD, MHA 1, Areena D Souza MBBS, MS ORTHO, ASSI Spine 1, Paul R. P. Rushton BMedSci, BMBS, MRCSEd,
More informationPediatric Spinal Evaluation for Scoliosis and Back Pain
Pediatric Spinal Evaluation for Scoliosis and Back Pain Jill E. Larson, MD September 29, 2018 Ann & Robert H. Lurie Children s Hospital of Chicago Division of Pediatric Orthopedic Surgery and Sports Medicine
More informationIndex. orthopedic.theclinics.com. Note: Page numbers of article titles are in boldface type.
Note: Page numbers of article titles are in boldface type. A Acetabular fractures pediatric, 494 498 classification of, 494 diagnostic imaging of, 494, 496 497 epidemiology of, 494 treatment of, 494 498
More informationScoliosis Surgery The Definitive Patients Reference
Scoliosis Surgery The Definitive Patients Reference 1 / 6 2 / 6 3 / 6 Scoliosis Surgery The Definitive Patients Signs and Symptoms of Scoliosis. Symptoms commonly appear during adolescent years, especially
More informationFreih Odeh Abu Hassan
Scoliosis Freih Odeh Abu Hassan FRCS(Eng) F.R.C.S.(Eng.), FRCS(Tr&Orth F.R.C.S.(Tr.& Orth.). Professor of Orthopedics University of Jordan Hospital - Amman 1 1-Idiopathic Infantile (0-3 years) Juvenile
More informationComputed tomography analysis of L5-S1 fusion in Adult spinal deformity
Eurospine 2018 Barcelona Computed tomography analysis of L5-S1 fusion in Adult spinal deformity Comparison of whether spinopelvic fixation, ALIF vs PLIF, and cage design Jung-Hee Lee MD, Kyung-Chung Kang
More informationNHS England. Evidence review: Vertebral Body Tethering for Treatment of Idiopathic Scoliosis
NHS England Evidence review: Vertebral Body Tethering for Treatment of Idiopathic Scoliosis 1 NHS England Evidence review: First published: June 2018 Updated: Not applicable Prepared by: Commissioning
More informationThoracic or lumbar spinal surgery in patients with Parkinson s disease -A two-center experience of 32 cases-
Thoracic or lumbar spinal surgery in patients with Parkinson s disease -A two-center experience of 32 cases- Department of Orthopedic Surgery, Graduate School of Medicine, Kyoto university Hiroaki Kimura,
More informationPostoperative standing posteroanterior spine
)376( COPYRIGHT 2016 BY THE ARCHIVES OF BONE AND JOINT SURGERY RESEARCH ARTICLE Assessment of Coronal Radiographic Parameters of the Spine in the Treatment of Adolescent Idiopathic Scoliosis Abstract Mohsen
More informationCasting for Early Onset Scoliosis Jim Sanders, MD University of Rochester. Background:
Casting for Early Onset Scoliosis Jim Sanders, MD University of Rochester Background: The primary purpose in treating early onset scoliosis is prevention of long-term pulmonary problems. Each of the technologies
More informationAbout Scoliosis - symptoms, causes, treatment
www.scoliosis-australia.org About Scoliosis - symptoms, causes, treatment Information for Patients and Parents WHAT IS SCOLIOSIS? Scoliosis was originally a Greek word meaning curved or bent. Today it
More informationNatural history of adolescent idiopathic scoliosis: a tool for guidance in decision of surgery of curves above 50
J Child Orthop (2013) 7:37 41 DOI 10.1007/s11832-012-0462-7 CURRENT CONCEPT REVIEW Natural history of adolescent idiopathic scoliosis: a tool for guidance in decision of surgery of curves above 50 Aina
More informationAs edited by Dr. Oheneba Boachie-Adjei, Dr. Matthew Cunningham, Dr. John Kostuik, Dr. Raymund Woo and the Complex Spine Study Group et al
As edited by Dr. Oheneba Boachie-Adjei, Dr. Matthew Cunningham, Dr. John Kostuik, Dr. Raymund Woo and the Complex Spine Study Group et al RANGE Spinal System A fusion of DENALI and MESA, offering a complete
More information4.5 System. Surgical Technique. This publication is not intended for distribution in the USA.
4.5 System Surgical Technique This publication is not intended for distribution in the USA. Contents EXPEDIUM 4.5 Spine System 2 Features and Benefits 3 Surgical Technique Extended Tandem Connector 4 Placement
More informationClinical Evaluation. 2.1 Medical History. 2.2 Physical Examination. Dror Ovadia
Clinical Evaluation Dror Ovadia.1 Medical History Evaluation of a child with scoliosis should begin with a comprehensive and complete history followed by physical examination. The history should begin
More informationEarly-Onset Scoliosis?
Are Magec Growing Rods The Answer To Early-Onset Scoliosis? Early-onset scoliosis (EOS) is only diagnosed in children under the age of 10 1, who have not yet reached skeletal maturity. At this point in
More informationEarly surgical treatment may be necessary for children. Magnetically Controlled Devices Parallel to the Spine in Children with Spinal Muscular Atrophy
Magnetically Controlled Devices Parallel to the Spine in Children with Spinal Muscular Atrophy Heiko M. Lorenz, MD, Batoul Badwan, Marina M. Hecker, Konstantinos Tsaknakis, MD, Katharina Groenefeld, DDS,
More informationvertebra associated with dura) ectasia in
e287 Case Report Grade 4 spondylolisthesis of the L5 vertebra associated with dura) ectasia in neurofibromatosis Modi H N, Srinivasalu S, Suh S W, Yang J H ABSTRACT Spondylolisthesis associated with neurofibromatosis
More informationEffect of direct vertebral body derotation on the sagittal profile in adolescent idiopathic scoliosis
Eur Spine J (2012) 21:31 39 DOI 10.1007/s00586-011-1991-3 ORIGINAL ARTICLE Effect of direct vertebral body derotation on the sagittal profile in adolescent idiopathic scoliosis Steven W. Hwang Amer F.
More informationPelvic Fixation. Disclosures 5/19/2017. Rationale for Lumbo-pelvic Fixation
Pelvic Fixation Joseph M Zavatsky, MD Spine & Scoliosis Specialists Tampa, FL Disclosures Consultant - DePuy Synthes Spine, Zimmer Biomet, Amendia, Stryker Stock - Innovative Surgical Solutions, Vivex
More informationDr. Theodoros B Grivas MD, PhD
11 th International Conference on Conservative Management of Spinal Deformities 4 th SOSORT Educational Course, 6-7 May 2014, Wiesbaden (Germany) Idiopathic Scoliosis definitions, detection, clinical picture
More informationPROGRAMME. IRCAD/EITS 1 Place de l Hôpital Strasbourg, France
MODULE 3 SPINAL DEFORMITIES 14 & 15 June 2016 PROGRAMME QUICK FACTS WHEN: WHERE: MAXIMUM ATTENDEES: REGISTRATION FEE: CME CREDITS: LANGUAGE: DRESS: IMPORTANT NOTES: 14 & 15 June 2016 Strasbourg, France
More informationPresented at the 2013 Joint Spine Section Meeting. Shriners Hospitals for Children, Philadelphia, Pennsylvania
J Neurosurg Spine 19:658 663, 2013 AANS, 2013 The posterior pedicle screw construct: 5-year results for thoracolumbar and lumbar curves Presented at the 2013 Joint Spine Section Meeting Clinical article
More informationSacropelvic Fixation. Ahmet Alanay M.D. Professor. Acıbadem Maslak Hospital Comprehensive Spine Center Istanbul TURKEY
Sacropelvic Fixation Ahmet Alanay M.D. Professor Acıbadem Maslak Hospital Comprehensive Spine Center Istanbul TURKEY Conflict of Interest Grant Depuy & Synthes Definition Sacropelvic fixation Long spinal
More information