We describe a modification to a standard labral repair technique that uses a knotless suture anchor. This technique modification allows for improved suture management and maneuverability during suture passing and tensioning. This technique can be reproduced and has the potential to be implemented in other procedures.
View Article and Find Full Text PDFBackground: There is increasing concern of iatrogenic hip instability after capsulotomy during surgery. Greater emphasis is now being placed on capsular closure during surgery. There are no prospective studies that address whether capsular closure has any effect on outcomes.
View Article and Find Full Text PDFStudy Design: Retrospective review of magnetic resonance imaging (MRI) and computed tomographic (CT) scan imaging modalities.
Objective: To determine MRI's capability of identifying pedicle morphology.
Summary Of Background Data: Understanding pedicle morphology is important for accurate placement of pedicle screws.
Study Design: In vivo analysis in swine model.
Objective: The purpose of this study was to determine the accuracy of triggered EMG (t-EMG) and its reliability in lateral lumbar interbody fusions surgery. We also aim to document changes in psoas muscle produced during the approach.
Study Design: Original research.
Objective: To evaluate perioperative risk factors associated with obesity in children undergoing posterior spinal fusion for adolescent idiopathic scoliosis. The authors hypothesized that patients with a high body mass index (BMI) percentile would be associated with increased morbidity as measured by various intraoperative parameters.
Background: A thorough understanding of pedicle morphology is necessary for pedicle screw placement. Previous studies classifying pedicle morphology, to our knowledge, have neither discussed the range of abnormal morphology nor correlated patient or curve characteristics with abnormal morphology to identify at-risk pedicles.
Methods: With the use of computed tomography (CT) images, we analyzed a total of 6116 pedicles from ninety-five patients without spinal deformity (forty-two females and fifty-three males) and ninety-one patients with adolescent idiopathic scoliosis (AIS) (sixty-eight females and twenty-three males).
Study Design: Retrospective study of surgically treated patients with adolescent idiopathic scoliosis.
Objective: To determine the change in lung volume after the surgical correction of scoliosis using a volumetric reconstruction of lung volume from computed tomographic (CT) scans.
Summary Of Background Data: Previously published studies have shown that pulmonary function tests improve after scoliosis correction; however, these results are not consistent.
Study Design: Retrospective review of patients with adolescent idiopathic scoliosis (AIS).
Objective: The objective of the study was to compare perioperative parameters and outcomes between pedicle screw and hybrid instrumentation for the treatment of AIS.
Summary Of Background Data: Pedicle screws have been shown to allow for better correction and fewer revisions than hybrid systems.
Minimally invasive spine surgery is becoming more common in the treatment of adult lumbar degenerative disorders. Minimally invasive techniques have been utilized for multilevel pathology, including adult lumbar degenerative scoliosis. The next logical step is to apply minimally invasive surgical techniques to the treatment of adolescent idiopathic scoliosis (AIS).
View Article and Find Full Text PDFObjective: To assess the opinions and current practice of pediatric rheumatologists regarding treatment of chronic pain in children with juvenile idiopathic arthritis (JIA).
Methods: Standardized questionnaires were distributed to pediatric rheumatologists who are members of the Children's Arthritis and Rheumatology Research Alliance. Demographic data, opinions, and attitudes were solicited about pain assessment, current treatment of JIA with residual pain, and actual use of opioids to treat pain in children with JIA.