A5008709608- Scoliosis diagnosis and treatment
- Spinal Fractures and Fixation Techniques
- Pelvic and Acetabular Injuries
- Spine and Intervertebral Disc Pathology
- Hip disorders and treatments
- Connective tissue disorders research
- Spinal Dysraphism and Malformations
- Shoulder Injury and Treatment
- Orthopedic Surgery and Rehabilitation
- Neurogenetic and Muscular Disorders Research
- Congenital Diaphragmatic Hernia Studies
- Intraoperative Neuromonitoring and Anesthetic Effects
- Orthopaedic implants and arthroplasty
- Traumatic Brain Injury and Neurovascular Disturbances
- Medical Imaging and Analysis
- Surgical site infection prevention
- Elbow and Forearm Trauma Treatment
- Hip and Femur Fractures
- Cardiac, Anesthesia and Surgical Outcomes
- Bone fractures and treatments
- Cervical and Thoracic Myelopathy
- Musculoskeletal Disorders and Rehabilitation
- Aortic Disease and Treatment Approaches
- Orthopedic Infections and Treatments
- Infectious Diseases and Tuberculosis
Boston Children's Hospital
2016-2025
Harvard University
2015-2025
Boston Children's Museum
2013-2025
Primary Children's Hospital
2023
University of Utah
2023
Orthopedic Center
2020
Rady Children's Hospital-San Diego
2016
University of California, San Diego
2016
Harvard University Press
1986-2014
Hacettepe University
2011
A total of 295 patients treated with the Boston bracing system follow-up at least 1 year after completion are reviewed. Pre-brace curves ranged from 20-59 degrees Cobb. Mean age brace initiation was 13.2 years a mean treatment time 2.9 and 1.4 years. best in-brace correction averaged 50% averaging 23% weaning brace. By discontinuance, average curve 15%. At follow-up, 11%. comparison pre-brace values major showed that 49% were unchanged +/- 5 degree, 39% achieved final 5-15 degrees, 4% 15 or...
Retrospective multicenter review.Determine the definition, indications, results, and outcomes, focusing on complications of vertebral column resection (VCR) for severe pediatric spinal deformity.The strict definition VCR procedure, numerous, potentially serious are unknown or controversial, a large review has never been performed.A total 147 patients treated by 7 deformity surgeons were reviewed-seventy-four females 73 males, with an average age 13.7 years, 1.6 (range, 1-5) vertebrae...
From July 1987 to January 1991, 59 consecutive type III supracondylar humerus fractures in children were identified at Children's Hospital, Boston. Twenty-nine patients (49%) had evidence of neurovascular compromise. The median nerve was involved 15 (52%) these and associated with posterolateral displacement 87% cases. radial eight (28%) posteromedial every case. Injuries the brachial artery occurred 11 (38%) 64% 36% We conclude that is strongly injuries. Posteromedial responsible for...
Prospective clinical trial of vertical expandable prosthetic titanium rib (VEPTR) in patients with combined spine and chest wall deformity scoliosis fused ribs.Report the efficacy safety expansion thoracostomy VEPTR surgery treatment thoracic insufficiency syndrome (TIS) associated ribs.Traditional attitudes toward early-onset assume that is best controlled by directed at deformity, often involving early spinal arthrodesis. Campbell others have heightened awareness interrelationship between...
Background: Closed reduction and percutaneous pin fixation is the treatment of choice for completely displaced (type-III) extension supracondylar fractures humerus in children, although controversy persists regarding optimal pin-fixation technique. The purpose this study was to compare efficacy lateral entry with that medial operative children. Methods: This prospective, randomized clinical trial had sufficient power detect a 10% difference rate loss between two groups. techniques were...
Perioperative surgical site infection (SSI) after pediatric spine fusion is a recognized complication with rates between 0.5% and 1.6% in adolescent idiopathic scoliosis up to 22% "high risk" patients. Significant variation the approach prophylaxis has been well documented. The purpose of this initiative develop consensus-based "Best Practice" Guideline (BPG), informed by both available evidence literature expert opinion, for high-risk patients undergoing fusion. For effort, high risk was...
One hundred forty-three displaced (type III) supracondylar fractures of the humerus in children were treated over a 5.5-year period with 17 (11.9%) having signs vascular impairment at time presentation. Rapid reduction and Kirschner wire stabilization without arteriogram was performed each case. In three cases which satisfactory blood supply to hand not present after reduction, circulation restored exploration brachial artery revealed two intimal tears one arterial entrapment. The remaining...
Background: The reported prevalence of non-neurologic complications following corrective surgery for adolescent idiopathic scoliosis ranges from 0% to 10%. However, most studies were retrospective evaluations treatment techniques and did not focus solely on complications. purpose this study was determine the identify preoperative operative factors that can increase risk. Methods: demographic data, medical surgical histories, reviewed in a prospective cohort 702 patients who had undergone...
In Brief Study Design. A retrospective case series. Objective. To determine if implant retention is possible in spinal deformity cases which present as a delayed (greater than 3 months) surgical site infection. Summary of Background Data. The implants surgery with an acute Currently, the decision whether or not to retain infection unclear. Methods. review 26 infections after surgery. Data and information was recorded regarding initial management infection, number operations performed related...
In Brief Study Design. Prospective, sequential enrollment. Objective. We report the development and testing of Spinal Appearance Questionnaire (SAQ) for reliability, validity, responsiveness in patients with idiopathic scoliosis. Summary Background Data. The SAQ was designed to measure patients' their parents' perception spinal deformity's appearance using standardized drawings questions. This study test instrument's psychometric properties. Methods. administered as a test-retest scoliosis...
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...
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: Tranexamic acid (TXA) is an antifibrinolytic drug that reduces surgical blood loss. Evidence supporting its efficacy in surgery for adolescent idiopathic scoliosis not robust. This trial was designed to validate the clinical of TXA scoliosis. Methods: institutional review board-approved prospective double-blinded involved 111 patients with who were randomized receive either a placebo or (50-mg/kg loading dose and 10-mg/kg/h infusion). Power analysis indicated 50 per group would...
The goal of early-onset scoliosis (EOS) treatment is to improve health-related quality life (HRQoL) for patients and reduce the burden on their parents or caregivers. purpose this study develop finalize 24-item Early-Onset Scoliosis Questionnaire (EOSQ-24), examine validity, reliability, responsiveness EOSQ-24 in measuring patients' HRQoL, caregivers, caregiver's finances. also established aged-matched normative values EOSQ-24.The was administered caregivers male female aged 0 18 years with...
A retrospective assessment of the effectiveness lumbar pedicle screws versus laminar hooks in curve correction with double major curves adolescent idiopathic scoliosis.To determine if screw fixation spine has any advantage compared multiple hook instrumentation treatment scoliosis.Although have been used most commonly, may offer advantages and maintenance reduction scoliosis.A consecutive series 39 patients underwent thoracic by a single surgeon. Lumbar were 20 (Group S) 19 only H). Thoracic...
Background: Closed reduction and percutaneous pin fixation is the treatment of choice for completely displaced (type-III) extension supracondylar fractures humerus in children, although controversy persists regarding optimal pin-fixation technique. The purpose this study was to compare efficacy lateral entry with that medial operative children. Methods: This prospective, randomized clinical trial had sufficient power detect a 10% difference rate loss between two groups. techniques were...
We retrospectively reviewed the magnetic resonance imaging studies that had been made for ninety-five patients who idiopathic scoliosis. wished to determine if we could identify any criteria should be met before these are performed. The study group included thirty-one male and sixty-four female patients. average age at time of was thirteen years (range, one twenty-eight years). curve 41 degrees 11 95 degrees). Fourteen were seen have an intraspinal abnormality on study: twelve a syrinx,...
Thirty-two adolescent girls braced for late onset idiopethic scoliosis at Children's Hospital, Boston were compared with thirty-two untreated from Our Lady's Hospital Sick Children, Dublin, Ireland peired on the basis of curve size and site age diagnosis. All Risser O Study period group was brace initiation to part-time wearing and, controls, diagnosis last review. There no statistically significant difference between groups any parameter progression. This study raises questions about...