A5054527535- Scoliosis diagnosis and treatment
- Spinal Fractures and Fixation Techniques
- Pelvic and Acetabular Injuries
- Spine and Intervertebral Disc Pathology
- Hip disorders and treatments
- Blood transfusion and management
- Pediatric Pain Management Techniques
- Anesthesia and Pain Management
- Connective tissue disorders research
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Spinal Hematomas and Complications
- Medical Imaging and Analysis
- Cerebral Palsy and Movement Disorders
- Botulinum Toxin and Related Neurological Disorders
- Organ Transplantation Techniques and Outcomes
- Pancreatic and Hepatic Oncology Research
- Bone fractures and treatments
- Ultrasound Imaging and Elastography
- Hepatitis B Virus Studies
- Traumatic Brain Injury and Neurovascular Disturbances
- Hospital Admissions and Outcomes
- Cardiac, Anesthesia and Surgical Outcomes
- Cytomegalovirus and herpesvirus research
- Nerve Injury and Rehabilitation
- Trauma, Hemostasis, Coagulopathy, Resuscitation
Nemours Children's Health System
2022-2025
Rogers (United States)
2024
University of South Alabama
2024
VLNComm (United States)
2023
Alfred I. duPont Hospital for Children
2011-2021
Dupont Hospital
2012-2018
Seattle Children's Hospital
2018
Retrospective case series.This study aimed to validate the Sanders Skeletal Maturity Staging System and assess its correlation curve progression in idiopathic scoliosis.The has been used predict scoliosis. This intended that initial with a larger sample size.We retrospectively reviewed 1100 consecutive patients scoliosis between 2005 2011. Girls aged 8 14 years (<2 yr postmenarche) boys 10 16 who had obtained at least 1 hand spine radiograph on same day for evaluation of skeletal age...
In Brief Study Design. Therapeutic comparative study. Objective. To evaluate the safety and efficacy of antifibrinolytic (AF) agents in reducing blood loss transfusions during posterior spinal fusion (PSF) children with cerebral palsy (CP) scoliosis. Summary Background Data. Scoliosis surgery CP is associated substantial loss. Few reports on role AFs exist. Methods. A multicenter, retrospective review a prospectively collected database 84 consecutively enrolled patients CF (age < 18 years)...
In Brief Study Design. Retrospective case series. Objective. To report the effect of repeated growing rod (GR) lengthenings on sagittal and pelvic profile in patients with early-onset scoliosis. Summary Background Data. Posterior distraction-based GRs have gained popularity as a technique for surgical management However, there are no published studies serial GR balance, thoracic kyphosis (TK), lumbar lordosis (LL), parameters. Methods. We retrospectively reviewed data from multicenter...
Physicians play a role in the current prescription drug-abuse epidemic. Surgeons often prescribe more postoperative narcotic pain medication than patients routinely need. Although narcotics are effective for severe, acute, pain, few evidence-based guidelines exist regarding required amount and duration of use post-hospital discharge.Patients prospective cohort undergoing posterior spinal fusion idiopathic scoliosis were asked preoperatively to rate their level, level expected each week...
Study Design. Retrospective controlled cohort. Objective. To evaluate the effect of intraoperative liposomal bupivacaine (LB) infiltration on postsurgical pain management in adolescent idiopathic scoliosis (AIS) patients by analyzing postoperative opioid consumption, ambulation, and length stay (LOS). Summary Background Data. Optimal control for AIS undergoing posterior spinal fusion (PSF) is challenging. Multimodal protocols provide adequate analgesia while decreasing consumption. LB was...
Modern treatment of early onset scoliosis (EOS) includes implantation traditional growing rods (TGR) or magnetically controlled (MCGR) for posterior-based distraction if nonoperative plans failed. The recent MCGR innovation has largely been expected to improve patient and family burden by avoiding frequent return the operating room. At least one study shown no HRQoL difference between TGR MCGR, but none have specifically investigated a cohort conversion patients whose families experienced...
Study Design. Retrospective cohort study of a prospectively collected multicenter database. Objective. To identify risk factors for developing distal junctional kyphosis (DJK) and elucidate optimal selection the lowest instrumented vertebra (LIV) utilizing sagittal stable (SSV) preoperative angle (DJA) to prevent DJK. Summary Background Data. While including SSV may minimize DJK following posterior spinal fusion (PSF) adolescent idiopathic scoliosis, relying solely on criteria can...
Background: Sanders maturation stages (SMS) 2 to 4 represent periods of rapid growth and are considered ideal candidates for modulation surgery, such as anterior vertebral body tethering. A detailed assessment spine during these is essential but limited. This study aimed clarify the differences in rates total height across SMS 2, 3A, 3B, 4, well assess cumulative until skeletal maturity stages. Methods: single-center, retrospective, case-control longitudinal evaluated consecutive patients...
Brace compliance measurement in adolescent idiopathic scoliosis (AIS) has been the subject of a few recent studies. Various sensors have developed to measure compliance. We temperature-based data logger-the Cricket-specifically for braces, with associated custom software, that is embedded directly brace. The purpose this study was analyze patterns brace wear and patient among children AIS using Cricket.Fifty-five patients prescribed various brace-time regimens were monitored Cricket. All...
Background: ScoliScore is a DNA-based prognostic test, designed and used to help predict the risk of curve progression in patients with adolescent idiopathic scoliosis. The role this test clinical practice remains unclear as published results have not been validated independently. purpose study was determine if effectively predicted mild moderate scoliosis two urban academic medical centers. Methods: One hundred twenty-six who met inclusion criteria at centers were administered test. Two...
In the treatment of early onset scoliosis (EOS), there has been a trend to use magnetically controlled growing rods (MCGR) in order reduce number surgeries. To confirm amount lengthening, spine radiographs were required. Recently, ultrasound (US) added monitor lengthening MCGR avoid radiation exposure. Our aim was determine whether US is as accurate plain radiography (x-ray) determining length achieved at individual episodes.Retrospective study; inclusion criteria: EOS cases with dual...
Lengthening of the lower limb is a complex procedure in which pain management and complications such as pin-site infections muscle contractures impact family affect child's quality life. As result, paralytic antinociceptive actions neurotoxins may be indicated managing these complications; however, few studies have explored ways to improve outcomes after lengthenings. The objective this study was evaluate safety efficacy botulinum toxin A (BTX-A) children undergoing lengthenings deformity...
Socioeconomic status (SES), race, and insurance type correlate with initial curve severity for patients idiopathic scoliosis, but less is known regarding how these variables impact surgical outcomes. The objectives of this study were to determine the influence SES, on preoperative appointment attendance, likelihood obtaining a second opinion, brace prescription, missed 6 or 12-month postsurgical appointments, incidence emergency department visits 0 90 days after surgery, major complications...
Abstract Purpose This study aimed to clarify the differences in spine and total body height growth curve progression between Sanders maturation stage (SMS) 7A 7B patients with adolescent idiopathic scoliosis (AIS). Methods retrospective case–control involving AIS at SMS 7 evaluated differential gains (T1-S1) 7B. A validated formula was used calculate corrected height, accounting for loss due scoliosis. multivariable non-linear logistic regression model applied assess distinct patterns...
A single-center retrospective case-control study.
ABSTRACT Introduction Traditional thoracolumbosacral orthosis fabrication involves truncal casting (traditionally fabricated [TF] Wilmington brace [WB]), whereas the newer Chêneau-style (computer-aided design [CAD]) three-dimensional scanning technology. We sought to evaluate how these two styles affect position of spine in coronal and sagittal plane. Materials Methods Inclusion criteria included adolescent idiopathic scoliosis treated with WB or CAD brace, major curve Cobb angle 20°–45°,...
Introduction: The surgical management of severe scoliosis in patients with osteogenesis imperfecta (OI) is challenging because curve rigidity, small stature, and inherent bone fragility. This study evaluated the midterm outcomes our multimodal approach to address these issues, integrating perioperative bisphosphonate therapy, preoperative/intraoperative traction, various osteotomies, segmental pedicle screw instrumentation cement augmentation, morphogenetic protein-2 application. Methods: A...