A5021634279- Scoliosis diagnosis and treatment
- Spinal Fractures and Fixation Techniques
- Pelvic and Acetabular Injuries
- Hip disorders and treatments
- Spine and Intervertebral Disc Pathology
- Bone fractures and treatments
- Cardiac, Anesthesia and Surgical Outcomes
- Orthopedic Surgery and Rehabilitation
- Orthopaedic implants and arthroplasty
- Neurogenetic and Muscular Disorders Research
- Musculoskeletal Disorders and Rehabilitation
- Hip and Femur Fractures
- Anesthesia and Pain Management
- Pediatric Pain Management Techniques
- Connective tissue disorders research
- Surgical site infection prevention
- Pharmaceutical industry and healthcare
- Foot and Ankle Surgery
- Trauma and Emergency Care Studies
- Orthopedic Infections and Treatments
- Child and Adolescent Health
- Medical Imaging and Analysis
- Bone and Joint Diseases
- Bone Tumor Diagnosis and Treatments
- Congenital Diaphragmatic Hernia Studies
Case Western Reserve University
2015-2024
Rainbow Babies & Children's Hospital
2015-2024
University of California, Davis
2024
University Hospitals of Cleveland
1983-2023
University Hospitals Cleveland Medical Center
2008-2022
Adult and Pediatric Dermatology
2011-2022
University School
1983-2021
Development Fund
2021
University of Florida
2017
Hydro One (Canada)
2017
Background: Previous reports have indicated high complication rates associated with non-fusion surgery in patients early-onset scoliosis. This study was performed to evaluate the clinical and radiographic complications growing-rod treatment. Methods: Data from multicenter Growing Spine Study Group database were evaluated. Inclusion criteria treatment for scoliosis a minimum of two years follow-up. Patients divided into groups according rod type (single or dual) location (subcutaneous...
Background: Early-onset scoliosis is a heterogeneous condition, with highly variable manifestations and natural history. No standardized classification system exists to describe group patients, guide optimal care, or prognosticate outcomes within this population. A for early-onset thus necessary prerequisite the timely evolution of care these patients. Methods: Fifteen experienced surgeons participated in nominal technique designed achieve consensus-based scoliosis. comprehensive list...
From previous experimental investigations of a model Legg-Calvé-Perthes disease in young pigs, it was speculated that the early radiographic phenomenon subchondral crescentic-shaped radiolucent line is pathological fracture and, furthermore, this initiates stage resorption. Being painful, also heralds clinical onset disease. these laboratory investigations, plus preliminary investigation children, has been observed only portion epiphysis underlying resorbed. The 1,057 children (1,264...
In Brief Study Design. Retrospective analysis of patients treated with single and dual growing rods who had completed their course treatment, definitive fusion, a minimum 2 years follow-up. Objectives. To determine which technique was the most effective in management severe spinal deformity young children: control deformity, growth, incidence complications. Summary Background Data. Growing rod techniques provide proximal distal segmental “claw” foundations, but overall results through fusion...
Background The surgical treatment of severe early-onset scoliosis (EOS) is controversial. Obtaining and maintaining deformity correction, achieving adequate spinal growth, allowing lung development, the high complication rate make very challenging. Growing rods are most common method management. Methods Currently, there 3 systems being used for EOS: single growing rod, dual rods, vertical expandable titanium prosthetic rib implant. Each system has its advantages disadvantages. These...
We retrospectively analyzed the postoperative neurological complications in 137 patients who underwent a posterior spine fusion for scoliosis and had concomitant somatosensory cortical evoked-potential spinal-cord monitoring. The were divided into three specific operative groups: group 1, forty-nine Harrington rod with segmental wiring (segmental spinal instrumentation); 2, twenty Luque instrumentation; 3, sixty-eight without instrumentation. There twelve (17 per cent) of sixty-nine groups 1...
Growing-rod spinal instrumentation systems are a valuable tool for managing severe early-onset scoliosis. There is little information about the end point of treatment.A multicenter early-onset-scoliosis database was searched to identify patients who had undergone treatment with growing rods and either final operative procedure or were still being treated after reaching skeletal maturity (defined as fourteen years age older). Clinical, radiographic, data analyzed.Ninety-nine met inclusion...
Review of a prospectively collected growing rod database.To define risk factors for and characterize the nature fractures.Rod fracture is common complication treatment. The project sought to analyze breakage develop preventive strategies.Records 327 patients in database were studied. Risk studied as patient-related rod-related. Multivariate analysis was performed.Eighty-six fractures occurred 49 (49 327, 15%). Sixteen had repeat with eight having more than two (maximum six). most locations...
Retrospective, case series.To determine the prevalence of major complications and to identify factors that increase risk in patients undergoing surgery for neuromuscular scoliosis.Complications after scoliosis are more prevalent than idiopathic scoliosis. However, associated have not been statistically significant.Our computerized Pediatric Orthopedic Spine Database identified 131 consecutive with scoliosis, excluding those myelodysplasia, who underwent had a minimum 2 years follow-up....
Growing rod surgery is a modern alternative treatment for young children with early onset scoliosis. This the first study focused on its use in progressive congenital spinal deformities.A retrospective of 19 patients from international multicenter Spine Study Group deformities undergoing growing who had minimum 2 years follow-up. We analyzed demographic and radiographic data including age at initial surgery, number abnormal vertebrae per patient, lengthenings postoperatively, Cobb angle...
Background: Deep surgical site infection may change the course of growing-rod treatment early-onset scoliosis. Our goal was to assess effect this complication on subsequent treatment. Methods: A multicenter international database retrospectively reviewed; 379 patients treated with surgery and followed for a minimum two years were identified. defined as any requiring intervention. Results: Forty-two (11.1%; twenty-five males seventeen females) developed at least one deep infection. The mean...
In Brief Study Design. A prospective, randomized, double-blind Institutional Review Board-approved study evaluating the efficacy of Amicar (epsilon aminocaproic acid), an antifibrinolytic agent, in decreasing perioperative blood loss idiopathic scoliosis. Objectives. To compare (intraoperative and postoperative) need for autologous homologous replacement two groups essentially identical patients undergoing a posterior spinal fusion Summary Background Data. Reducing transfusion surgery is...
Summary of Background Data Growing rods are a commonly used form growth guidance for patients with early onset scoliosis, but no studies exist to characterize their use among large group surgeons. Methods A survey regarding growing rod preferences and case-based scoliosis were completed by an international Two hundred sixty-five treated over 4.7±2.1 years in the Spine Study Group database analyzed actual practice compare it results. All had at least 2 treatment. Results In survey, there was...
This is a retrospective cohort study comparing the effectiveness of thoracolumbosacral orthosis (TLSO) and Providence in treatment adolescent idiopathic scoliosis (AIS) using new Scoliosis Research Society (SRS) Committee on Bracing Nonoperative Management inclusion assessment criteria for bracing studies. These will make future studies comparable more valid accurate.We have used custom TLSO (duration, 22 hours/day) 8-10 hours/night) to control progressive AIS curves. Only 83 160 patients...
Retrospective analysis of patients with spinal muscular atrophy (SMA) treated growing rod (GR) instrumentation for scoliosis.To evaluate structural effectiveness, complications, and length hospital stay associated GRs scoliosis in SMA to compare values those infantile juvenile idiopathic (IIS/JIS).Most studies GR effectiveness all patients. We specifically examined IIS/JIS.We searched a multicenter database found 15 54 ± 33 months. Radiographic measurements, durations were compared 80...
Definitive "final" surgical fusion is the common end point for growing-rod treatment of early-onset scoliosis. However, final may be unnecessary patients who have reached skeletal maturity with good alignment. This study characterizes completed but did not undergo fusion.Using a multicenter early-onset-scoliosis database, we identified 167 received from 1995 through 2010, maturity, and had minimum 2-year follow-up after their last surgery. Thirty (observation group) were compared clinically...
Ipsilateral fractures of the humerus and forearm are uncommon injuries in children. The incidence compartment syndrome association with these is controversial. authors reviewed 978 consecutive children admitted to hospital upper extremity long bone during a 13-year period. Forty-three ipsilateral were identified. Of 33 supracondylar fracture fracture, three (7%) had develop required fasciotomies. All cases occurred among nine displaced extension fractures; was 33% this group. These findings...
Study Design. A prospective study evaluating the efficacy of ε-aminocaproic acid (EACA) in decreasing perioperative blood loss idiopathic scoliosis. Objectives. To compare and need for replacement two groups patients undergoing surgery One group received intraoperative EACA; other did not served as controls. Summary Background Data. Excessive increases operative time, risk product disease transmission, postoperative complications, costs associated with posterior spinal fusion...
We evaluated the results of surgery for resistant congenital talipes equinovarus deformity in 164 children (244 feet). No patient was followed less than two years. They were divided into three groups analysis, based on their treatment. Group 1 consisted seventy-five (112 feet) who had incomplete releases only; 2 twenty-three (thirty-nine a failed release by one-stage complete posteromedial plantar release, without internal fixation, and serial application casts; 3 sixty-six (ninety-three as...
In Brief Study Design. Retrospective review. Objective. To analyze outcomes and complications of growing rods fixed to the pelvis. Summary Background Data. Growing systems with pelvic foundations are used for neuromuscular/syndromic scoliosis. There is little data comparing different constructs. This project analyzed this population. Methods. Records/radiographs 36 patients from Spine database anchored in pelvis were studied. Diagnoses included spinal muscular atrophy-6, cerebral palsy-5,...
In Brief Study Design. Retrospective analysis. Objective. To evaluate, in children with cerebral palsy, the following aspects of growing rod (GR) treatment for scoliosis: structural effectiveness, effect pelvic fixation, hospital stay duration, and complications. Summary Background Data. Children palsy frequently develop severe spinal deformity obliquity (PO). Growth-preserving strategies are attractive, but comorbidities raise risk/benefit ratio. our knowledge, no previous studies have...