Do Patients With Neck of Femur Fractures (NOFF) Experience Long Pre-Hospital Delays in the United Kingdom?

Background and objective It is well documented that prolonged preoperative delay is associated with increased morbidity and mortality among patients presenting with neck of femur fractures (NOFF). The target time from arrival to the emergency department (ED) to be transported to the theatre for these patients in England is 36 hours. However, the time before the patient arrives at the hospital is not often considered.

Is it mandatory to routinely use image intensifier during scoliosis surgery? - Results of an email survey.

Background: It is now considered standard of care to use Spinal cord monitoring during scoliosis surgery. Use of Image intensifier during scoliosis surgery, on the other hand, is highly variable in United Kingdom (UK) spine centres. Our objective was to evaluate the use of image intensifier during scoliosis surgery in UK spine centres.

Prediction of Scoliosis Curve Correction Using Pedicle Screw Constructs in AIS: A Comparison of Fulcrum Bend Radiographs and Traction Radiographs Under General Anesthesia.

Study Design: Retrospective radiographic review.

Objectives: Our objectives were to (1) compare the ability of fulcrum bend radiographs and traction radiographs under general anesthesia to predict correction of adolescent idiopathic scoliosis (AIS) using pedicle screw only constructs and (2) compare the fulcrum bend correction index (FBCI) with a new measurement: the traction correction index (TCI).

Methods: This is a retrospective radiographic review of 80 AIS patients (62 female and 18 male), who underwent scoliosis correction with pedicle screw only constructs.

C7 decancellisation closing wedge osteotomy for the correction of fixed cervico-thoracic kyphosis.

Our objective is to report on the clinical and radiological outcome following a decancellisation closing wedge osteotomy for the correction of fixed cervico-thoracic kyphosis in patients with ankylosing spondylitis. The only treatment available for severe fixed flexion deformity of the cervical spine in these patients is an extension osteotomy. Traditionally an anterior opening, posterior closing wedge osteotomy is performed with or without internal fixation.

Is there a role for selective anterior instrumentation in neuromuscular scoliosis?

Our objective was to report on the clinical and radiological outcome from a cohort of patients with neuromuscular scoliosis who underwent selective anterior single rod instrumentation for correction of thoraco-lumbar and lumbar scoliosis. Traditionally combined anterior release with long posterior instrumentation has been advocated for the treatment of neuromuscular scoliosis. Neuromuscular curves tend to be long and may have significant pelvic obliquity.