Object: The ideal surgical management of high-grade spondylolisthesis remains unclear. Concerns regarding the original Bohlman transsacral interbody fusion technique with stand-alone autologous fibular strut include late graft fracture and incomplete reduction of lumbosacral kyphosis. The authors' goal was to evaluate the radiographic and surgical outcomes of patients treated for high-grade spondylolisthesis with either transsacral S-1 screws or standard pedicle screw fixation augmenting the Bohlman posterior transsacral interbody fusion technique.
View Article and Find Full Text PDFBackground: Although arthrogryposis multiplex congenital (AMC) is a rare condition, rapidly progressive scoliosis is common in children with AMC. Only a limited number of studies characterize the nature of these curves, and even fewer describe surgical outcomes. To determine efficacy or rib-based distraction in these patients, we reviewed the outcomes of the use of the Vertical Expandable Prosthetic Titanium Rib (VEPTR) device in what we believe is the first study to report this.
View Article and Find Full Text PDFStudy Design: Retrospective, multicenter review of the spinopelvic parameters in young children with scoliosis.
Objectives: To describe sagittal alignment of the spine and pelvis in young children with scoliosis.
Summary Of Background Data: The natural history of spinopelvic parameters has been defined for the first 10 years of life in normal children; however, they have not been described for children with scoliosis.
Study Design: A case of acute celiac artery compression syndrome after spinal fusion in a patient with Scheuermann kyphosis is reported.
Objective: To describe the unusual complication of acute celiac artery compression after surgical kyphosis correction, to outline diagnostic methods, and to review the pertinent literature.
Summary Of Background Data: Chronic celiac artery compression syndrome is well described, yet there is only 1 reported case of acute celiac artery compression after surgical correction of kyphosis.
Study Design: Literature review.
Objective: To establish consistent parameters for future adolescent idiopathic scoliosis bracing studies so that valid and reliable comparisons can be made.
Summary Of Background Data: Current bracing literature lacks consistency for both inclusion criteria and the definitions of brace effectiveness.