Markus Lastikka

ORCID: 0000-0003-3241-1798
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About
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Research Areas
  • Scoliosis diagnosis and treatment
  • Spinal Fractures and Fixation Techniques
  • Pelvic and Acetabular Injuries
  • Hip and Femur Fractures
  • Spine and Intervertebral Disc Pathology
  • Hip disorders and treatments
  • Cerebral Palsy and Movement Disorders
  • Cardiac, Anesthesia and Surgical Outcomes
  • Sports injuries and prevention
  • Pediatric Pain Management Techniques
  • Cervical and Thoracic Myelopathy
  • Anesthesia and Pain Management
  • Ophthalmology and Eye Disorders
  • Shoulder Injury and Treatment
  • Metabolism and Genetic Disorders
  • Elbow and Forearm Trauma Treatment

Turku University Hospital
2017-2023

University of Turku
2017-2023

Update This article was updated on December 31, 2020, because of a previous error. On page 1460, in the “Results” section Abstract, sentence that had read “The surgical treatment group significantly better pain, activity, and self-image domain scores at 5 years postoperatively compared with untreated AIS (all p ≤ 0.014), similar self-image, activity healthy control group; function were lower (p < 0.001).” now reads however, among patients An erratum has been published: J Bone Joint Surg...

10.2106/jbjs.18.01370 article EN Journal of Bone and Joint Surgery 2019-08-21

Importance Displaced pediatric medial humeral epicondyle fractures are traditionally treated nonoperatively with casting. However, the use of surgical treatment has increased despite limited high-level evidence supporting its benefits. Objective To determine whether open reduction and internal fixation improve functional outcomes compared long arm casting in children displaced at 12 months post injury. Design, Setting, Participants This noninferiority randomized clinical trial was conducted...

10.1001/jamanetworkopen.2025.8479 article EN cc-by-nc-nd JAMA Network Open 2025-05-06

Aims It is uncertain whether instrumented spinal fixation in nonambulatory children with neuromuscular scoliosis should finish at L5 or be extended to the pelvis. Pelvic has been shown associated up 30% complication rates, but regarded by some as standard for correction of deformity these conditions. The incidence failure when comparing most caudal level instrumentation, either pelvis, using all-pedicle screw instrumentation not previously reported. In this retrospective study, we compared...

10.1302/0301-620x.102b2.bjj-2019-0772.r2 article EN The Bone & Joint Journal 2020-02-01

To compare treatment efficacy between the Boston full-time brace and Providence part-time in main thoracic adolescent idiopathic scoliosis (AIS).Patients were treated with either (n = 37) or 40). Inclusion criteria Risser grade ≤2, major curve 25° 40° apex of T7 T11 vertebrae. Two-year follow-up was available all patients unless had reached endpoint. The primary outcome measure progression to ≥45°.Median age 12.6 years median length at 25 months (interquartile range (IQR): 18-32)) no...

10.1177/2309499019860017 article EN cc-by-nc Journal of orthopaedic surgery 2019-05-01

Background: Pregabalin as part of a multimodal pain-management regimen has been shown to reduce opioid consumption after spinal surgery in adults but it is unclear whether this also true adolescents. found have neuroprotective effects and therefore could positive impact on pain deformity surgery. We conducted randomized, double-blinded, placebo-controlled clinical trial adolescent patients undergoing fusion evaluate the short-term pregabalin postoperative consumption. Methods: Adolescents...

10.2106/jbjs.19.00650 article EN Journal of Bone and Joint Surgery 2019-11-20

Study Design. A prospective, comparative study on clinical, radiographic, and health-related quality of life (HRQoL) outcomes in adolescents with acute spondylolysis treated a rigid thoracolumbar orthosis (Boston brace) or placebo (elastic lumbar support) 2-year follow-up time. Objective. To compare adolescent Summary Background Data. The benefits the use for treatment achieving bony union remains unclear. Methods. Sixty consecutive patients were prospectively enrolled. Three excluded from...

10.1097/brs.0000000000005120 article EN Spine 2024-08-15

To report indications, outcomes and complications of instrumented cervical spinal fusion in a consecutive series children at major university hospitals.A retrospective, single surgeon identified 35 with mean follow-up (FU) 2.5 years undergoing between 2005 2015.The main indications were skeletal dysplasia trauma associated instability. Surgical observed 12 (34%) patients multiple four (11%). Four (11%) required least one revision surgery, three for nonunion graft dislodgement. All fused FU....

10.1302/1863-2548.11.170115 article EN cc-by-nc Journal of Children s Orthopaedics 2017-10-23

A prospective study on clinical, radiographic, and health-related quality of life (HRQoL) outcomes in children with acute spondylolysis treated a rigid thoracolumbar orthosis or an elastic lumbar support.To compare pediatric spondylosysis hard brace support.The benefits the use treatment are not clear.Fifty-seven consecutive (mean age: 14.1 yr, range: 9-17 yr) were prospectively enrolled. Patients (Boston brace) low-profile, support. First 14 patients randomized remaining 43 chose type...

10.1097/brs.0000000000004424 article EN Spine 2022-07-14

To compare outcomes between posterior spinal fusion of juvenile idiopathic scoliosis and adolescent patients with a minimum 2-year follow-up. The were fused to the stable vertebra touched vertebra. We hypothesized that extending in would provide similar compared adolescents.A prospective comparative study 21 consecutive children (Risser 0) 84 ⩾2) (1:4 ratio) undergoing bilateral segmental pedicle screw instrumentation direct vertebral derotation follow-up.Juvenile had significantly larger...

10.1177/1457496918798193 article EN Scandinavian Journal of Surgery 2018-09-12

Introduction Medial epicondyle fracture of the humerus is a common injury in childhood. There uniform agreement that minimally displaced fractures (dislocation ≤2 mm) can be treated nonoperatively with immobilisation. Open fractures, joint incarceration or ulnar nerve dysfunction require surgery. no consensus treatment closed medial >2 mm dislocation without dysfunction. We hypothesise there difference outcomes between nonoperative and operative treatment. Methods analysis This...

10.1136/bmjopen-2020-044627 article EN cc-by-nc BMJ Open 2021-05-01

We aimed to investigate the national trends in incidence and management of slipped capital femoral epiphysis (SCFE) report need for reoperations. included all <19-year-old patients hospitalised SCFE 2004-2014 mainland Finland (n=159). Data from Finnish Care Register Health Care, Statistics Finland, Turku University Hospital patient charts were analyse 2004-2012, length stay, type surgery with respect age, gender, study year, season. The reoperations rehospitalisations analysed 2-10 years...

10.52628/89.4.9832 article EN Acta Orthopaedica Belgica 2023-12-01
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