- Scoliosis diagnosis and treatment
- Spinal Fractures and Fixation Techniques
- Spine and Intervertebral Disc Pathology
- Pelvic and Acetabular Injuries
- Hip disorders and treatments
- Elbow and Forearm Trauma Treatment
- Surgical site infection prevention
- Orthopedic Surgery and Rehabilitation
- Intraoperative Neuromonitoring and Anesthetic Effects
- Congenital Diaphragmatic Hernia Studies
- Bone Tumor Diagnosis and Treatments
- Connective tissue disorders research
- Bone fractures and treatments
- Shoulder Injury and Treatment
- Cervical and Thoracic Myelopathy
- Anesthesia and Pain Management
- Spinal Dysraphism and Malformations
- Surgical Sutures and Adhesives
- Sarcoma Diagnosis and Treatment
- Histiocytic Disorders and Treatments
- Orthopedic Infections and Treatments
- Medical Imaging and Analysis
- Cardiac, Anesthesia and Surgical Outcomes
- Sports injuries and prevention
- Cerebral Palsy and Movement Disorders
Children's Hospital Colorado
2016-2025
University of Colorado Anschutz Medical Campus
2014-2025
Unifor
2025
University of Colorado Denver
2015-2024
Gandhi Medical College & Hospital
2022-2023
Mahatma Gandhi University
2023
Scoliosis Research Society
2021
Cincinnati Children's Hospital Medical Center
2020
Georgetown University
2019
University of Colorado Boulder
2015-2018
The management of anterior cruciate ligament injuries in skeletally immature patients is controversial. Conventional adult reconstruction techniques risk potential iatrogenic growth disturbance due to physeal damage. purpose this study was evaluate the results a sparing, combined intra-articular and extra-articular technique prepubescent children.Between 1980 2002, forty-four children adolescents who were Tanner stage 1 or 2 (with mean chronological age 10.3 years) underwent with use an...
BACKGROUND: The management of anterior cruciate ligament injuries in skeletally immature patients is controversial. Conventional adult reconstruction techniques risk potential iatrogenic growth disturbance due to physeal damage. purpose this study was evaluate the results a sparing, combined intra-articular and extra-articular technique prepubescent children. METHODS: Between 1980 2002, forty-four children adolescents who were Tanner stage 1 or 2 (with mean chronological age 10.3 years)...
Serial casting has demonstrated efficacy for idiopathic early-onset scoliosis (EOS). Results of in nonidiopathic (syndromic and congenital) EOS patients have not previously been well described.A total 53 underwent serial from 2005 to 2010 at a single institution. Deformity was classified as or nonidiopathic. Diagnosis, time cast, number casts, use bracing, complications, outcomes were recorded. Radiographic measures included Cobb angle thoracic height (T1-T12). Thoracic velocity calculated...
Aliment Pharmacol Ther 2010; 32: 1129–1134 Summary Background Tumour necrosis factor‐blockade with infliximab has advanced the treatment of Crohn’s disease. While is efficacious, it remains to be determined whether patients who enter clinical remission an anti‐tumour factor therapy can have their stopped and retain state remission. Aim To assess in disease obtained infliximab‐induced remission, proportion relapsed after discontinuation. Methods This longitudinal cohort study examined from a...
ABSTRACT Extracytoplasmic function (ECF) sigma factors are a heterogeneous group of alternative that regulate gene expression in response to variety conditions, including stress. We previously characterized mycobacterial ECF factor, SigE, contributes survival following several distinct stresses. A encoding closely related sigH , was cloned from Mycobacterium tuberculosis and smegmatis . single copy this is present these other fast- slow-growing mycobacteria, M. fortuitum avium While the...
Advanced imaging often is obtained in children suspected of having osteoid osteoma. We hypothesized that magnetic resonance gives a falsely aggressive appearance and computed tomography better for identifying This the first prospective blinded study comparatively assessing these studies children. Twelve preoperative scans confirmed cases osteoma were collected. Three radiologists to diagnosis reviewed images. Only clinical history skeletal pain was given. Lesions classified as benign-latent,...
The safety of delayed surgical treatment severe supracondylar elbow fractures in children remains debated. No large studies have evaluated complications injury and surgery evaluating only type 3 fractures. Our aim was to review the results our experience treating with at various time points after injury.All treated operatively for humerus from 2004 2007 a single pediatric trauma center were identified. A total 1296 had operative treatment, which 872 Clinical records reviewed identify...
Background: Radically different conclusions exist in the pediatric orthopaedic and vascular literature regarding management of patients with a pink hand but no palpable radial pulse association supracondylar humeral fracture. Methods: One thousand two hundred ninety-seven consecutive, operatively treated fractures presenting to level-I trauma center from January 2003 through December 2007 were studied retrospectively. Clinical records reviewed determine neurological examination findings,...
Background: Delayed-onset neurologic changes (DONCs) following spinal deformity surgery are poorly understood and often devastating. Methods: A retrospective review of cases from 12 hospitals was performed. The clinical radiographic parameters patients who experienced a new DONC after correction were evaluated. Results: Eighteen patients, with mean preoperative major Cobb angle 75° ± 24°, included. age at 13 2 years, 6 (33%) male. Seven had temporary intraoperative neuromonitoring changes....
Aneurysmal bone cyst (ABC) is a benign but locally aggressive tumor-like condition. Treating children with spinal involvement poses special hazards due to the proximity of lesion cord and need preserve stability balance after surgery. Twelve ABC treated between 1990 2002 at tertiary pediatric musculoskeletal tumor center using modern surgical techniques technology were retrospectively reviewed. A technique four-step approach intralesional curettage, high-speed bur, electrocautery, grafting...
Approximately 5% of supracondylar humerus fractures in children are associated with an ipsilateral forearm fracture, often referred to as a floating elbow when both injuries displaced. Historically, these patients have higher complication rates than isolated fracture. The purpose this study was review the acute neurologic and vascular ipsilateral, operative compare findings cohort isolated, fractures.We performed IRB-approved, retrospective all pediatric from single institution compared our...
Background: Severe adolescent idiopathic scoliosis (AIS) can be treated with instrumented fusion, but the number of anchors needed for optimal correction is controversial. Methods: We conducted a multicenter, randomized study that included patients undergoing spinal fusion single thoracic curves between 45° and 65°, most common form operatively AIS. Of 211 randomized, 108 were assigned to high-density screw pattern 103, low-density pattern. Surgeons instructed use ≥1.8 implants per level...
Non-compliance with foot abduction bracing in children clubfeet treated the Ponseti method is leading risk factor for deformity recurrence. A dynamic orthosis believed to result improved compliance, fewer skin complications, and recurrences. case-control trial was conducted test this hypothesis.A prospective cohort of idiopathic clubfoot using a brace compared historical control group standard orthosis. Compliance, recurrence, need surgical soft tissue release were between groups at...
Background: Because of the changing referral patterns, operative pediatric supracondylar humerus fractures are increasingly being treated at tertiary centers. To expedite patient flow, type II sometimes pinned in a delayed manner. We sought to determine if delay surgical treatment modified Gartland would affect rate complications following closed reduction and percutaneous pinning. Methods: performed retrospective review consecutive series 399 operatively center over 4 years. Mean age group...
In Brief Study Design. Cross-sectional retrospective analysis. Objective. To examine the degree of correlation between thoracic dimension outcome measures and pulmonary function in early-onset scoliosis (EOS). Summary Background Data. Change (TD) measurements spine length are commonly reported after treatment for EOS. Although ultimately improving or maintaining is goal EOS strategies, it unclear whether 2-dimensional TD represent good predictors function. Methods. A cross-sectional analysis...
Supracondylar humerus fractures are the most common operative in children; however, no studies describe older child with this injury. The purpose of study was to compare Gartland type III supracondylar children than 8 years age those younger 8. We hypothesized that there would be more complications children, reflecting a higher-energy injury mechanism.A retrospective chart review managed at single level I pediatric trauma institution from 2004 2007 performed. Patients were divided into...
Background Nearly all pediatric humeral shaft fractures can be successfully treated with closed methods. Some patients, however, require internal fixation either because of an inability to maintain adequate reduction, significant soft tissue injury, or concomitant fractures. Methods This is a retrospective review traumatic at our hospitals between 1999 and 2006. Thirteen patients ranging in age from 4.8 16.7 years (mean 12.0 years) were surgically titanium elastic nails (TENs). Relative...
The Classification for Early-onset Scoliosis (C-EOS) was developed by a consortium of early-onset scoliosis (EOS) surgeons. This study aims to examine if the C-EOS classification correlates with speed (failure/unit time) proximal anchor failure in EOS surgery patients.A total 106 patients were retrospectively queried from an database. All treated vertical expandable prosthetic titanium rib and experienced failure. Patients classified C-EOS, which includes term etiology [C: Congenital...