Posterior scoliosis correction with thoracoplasty: effect on pulmonary function with a mean follow-up of 4.8 years.

Purpose: To perform a study to investigate the influence of posterior scoliosis surgery and thoracoplasty on pulmonary function.

Methods: This was a retrospective observational study of 37 patients with AIS who underwent posterior instrumented surgical correction with thoracoplasty. There was a minimum of 2 years follow-up.

Managing the cervical spine in multiple myeloma patients.

Discuss the relevant literature on surgical and nonsurgical treatments for multiple myeloma (MM) and their complementary effects on overall treatment. Existing surgical algorithms designed for neoplasia of the spine may not suit the management of spinal myeloma. Less than a fifth of metastatic, including myelomatous lesions, occur in the cervical spine but have a poorer prognosis and surgery in this area carries a higher morbidity.

Systematic Review of School Scoliosis Screening.

Objectives: The aim of this study was to review the literature on school screening and its reported effectiveness.

Summary Of Background Data: There is no worldwide consensus concerning the mandating of school screening for scoliosis. This remains a controversial issue.

Adult Degenerative Lumbar Scoliosis.

Adult degenerative lumbar scoliosis is a 3-dimensional deformity defined as a coronal deviation of greater than 10°. It causes significant pain and disability in the elderly. With the aging of the population, the incidence of adult degenerative lumbar scoliosis will continue to increase.

Mean Arterial Blood Pressure Management of Acute Traumatic Spinal Cord Injured Patients during the Pre-Hospital and Early Admission Period.

The optimization and maintenance of mean arterial blood pressure (MAP) and the general avoidance of systemic hypotension for the first 5-7 days following acute traumatic spinal cord injury (tSCI) is considered to be important for minimizing secondary spinal cord ischemic damage. The characterization of hemodynamic parameters in the immediate post-injury stage prior to admission to a specialized spine unit has not been previously reported. Here we describe the blood pressure management of 40 acute tSCI patients in the early post-injury phases of care prior to their arrival in a specialized spinal injury high dependency unit (HDU), intensive care unit (ICU), or operating room (OR).

Evidence-Based Review and Survey of Expert Opinion of Reconstruction of Metastatic Spine Tumors.

Study Design: Systematic review and consensus expert opinion.

Objective: To provide surgeons and other health care professionals with guidelines for surgical reconstruction of metastatic spine disease based on evidence and expert opinion.

Summary Of Background Data: The surgical treatment of spinal metastases is controversial.

Minimally invasive surgery in adult degenerative scoliosis: a systematic review and meta-analysis of decompression, anterior/lateral and posterior lumbar approaches.

Background: Minimally invasive approaches for the treatment of adult degenerative scoliosis have been increasingly implemented. However, little data exists regarding the safety and complication profiles of minimally invasive lumbar interbody fusion (LIF) for adult degenerative scoliosis. This study aimed to greater understand different minimally invasive surgical approaches for adult degenerative scoliosis with respect to clinical outcomes, changes in radiographic measurements, and complication profiles via meta-analytical techniques.

Percutaneous pars interarticularis screw fixation: a technical note.

Purpose: A conventional midline posterior approach is used for most of the described surgical techniques. We describe a technique of percutaneous fixation of the pars interarticularis, augmented where necessary by grafting the defect, which minimises muscle injury.

Method: A 4.

Prospective Study of Posterior Lumbar Interbody Fusion With Either Interbody Graft or Interbody Cage in the Treatment of Degenerative Spondylolisthesis.

Study Design: A prospective study of 2 different fusion techniques for the treatment of single-level degenerative spondylolisthesis.

Objective: To determine whether the addition of an intervertebral cage improves the clinical outcome and fusion rate of patients undergoing posterior lumbar interbody fusion (PLIF) after decompression for degenerative spondylolisthesis.

Summary Of Background Data: The surgical approach that should be used for degenerative spondylolisthesis is a controversial issue.

Osteochondroma of C1 causing vertebral artery occlusion.

Spinal osteochondromas constitute a small percentage of all intraspinal tumours, and are a rare cause of neurological symptoms. We describe a patient with a vertebral artery occlusion secondary to an osteochondroma of the C1 vertebra presenting with symptoms of cerebral ischaemia. This case is reported because of its extreme rarity.

Minimizing complications with single submuscular growing rods: a review of technique and results on 88 patients with minimum two-year follow-up.

Study Design: Retrospective clinical and radiologic review of consecutive series of patients treated with single submuscular growing rods from a single center with a minimum of 2-year follow-up.

Objectives: To describe the surgical technique and methods used to minimize complications and to report on the outcomes of a large consecutive series of patients treated with single submuscular growing rods for scoliosis in the immature spine from a single center.

Summary Of Background Data: Previous studies have reported on the safety and efficacy of single and dual growing-rod constructs; however, these studies have been of small patient numbers with varying results.

Skip laminectomy and laminoplasty for cervical spondylotic myelopathy: a prospective study of clinical and radiologic outcomes.

Study Design: A prospective nonrandomized study comparing the outcomes of the 2 surgical techniques used in the treatment of cervical spondylotic myelopathy.

Objective: We prospectively compared the skip laminectomy and laminoplasty in terms of extent of decompression achieved, axial pain, postoperative range of cervical motion, and patient and surgical outcomes.

Summary Of Background Data: Laminoplasty is an established procedure for the decompression of multisegmental cervical compressive myelopathy.

Intradural repair of lumbar nerve roots for traumatic paraparesis leading to functional recovery.

Study Design: Case report and a literature review of intradural nerve graft repair of traumatic lacerations of lumbar nerve roots.

Objective: Describe the technique and results of recent approach to the surgical management of traumatic lumbar nerve root injuries.

Summary Of Background Data: Lumbar nerve root injuries are associated with a poor prognosis in terms of neurologic recovery and are generally managed conservatively.