Distraction-based surgeries increase thoracic sagittal spine length after ten lengthening surgeries for patients with idiopathic early-onset scoliosis.

Study Design: Retrospective, comparative, multicenter.

Objectives: To determine if the choice of proximal anchor affects thoracic sagittal spine length (SSL) for children with idiopathic early-onset scoliosis (EOS). Debate exists as to whether spine growth is maintained during treatment for EOS.

Three-dimensional True Spine Length: A Novel Technique for Assessing the Outcomes of Scoliosis Surgery.

Background: Current assessment of spine growth for patients undergoing growth friendly surgical treatment for early-onset scoliosis (EOS) is the use of serial, 1-dimensional standard-of-care coronal vertical spine height (SoCVH) measurements. Any growth of the spine out of the coronal plane is missed by the SoCVH, which may underestimate the actual growth of the spine. This study set to validate the novel 3-dimensional true spine length (3DTSL) radiographic measurement technique for measuring growth of EOS patients.

Sagittal Spine Length Measurement: A Novel Technique to Assess Growth of the Spine.

Study Design: The accuracy and repeatability of a novel sagittal spine length (SSL) radiographic measurement was examined using photographic and radiographic imaging.

Objectives: To validate the new SSL technique for measuring growth in early-onset scoliosis (EOS) patients.

Summary Of Background Data: Current assessment of patient growth undergoing growth-friendly surgical treatment for EOS is the use of serial vertical spine height measurements (VH) on coronal radiographs.

Complications Associated With Epiphysiodesis for Management of Leg Length Discrepancy.

Background: Epiphysiodesis is well-established surgical treatment for the management of leg length discrepancy (LLD) in children; however, a variety of complications may occur. This study evaluates the nature, rate, and potential risk factors of complications associated with epiphysiodesis in a large patient population treated in 1 institution.

Methods: We evaluated the medical and radiographic records of 863 children who had lower extremity epiphysiodesis to manage LLD between 1980 and 2011.

Less invasive innominate osteotomy.

In 1961, Salter described the innominate osteotomy for the treatment of dysplastic acetabulum in children presenting late with developmental dysplasia of the hip. He recommended the Gigli saw as the safest instrument for the osteotomy cut and his postoperative immobilization was with a hip spica cast. These have been the standard practice.