Publications by authors named "J Spilsbury"

Article Synopsis
  • The study investigated how neighborhood factors linked to child maltreatment in urban areas also impact rural areas, using child welfare data from Michigan.
  • Researchers employed factor analysis to explore relationships between economic disadvantage, residential instability, and childcare burden in both metro and nonmetro census tracts.
  • Results indicated some similarities in factors affecting child maltreatment, like neighborhood poverty and single-parent households, while also highlighting unique aspects in rural areas that need further exploration.
View Article and Find Full Text PDF
Article Synopsis
  • - The study examines the use of a temporary high-dependency unit (POPUP-HDU) versus the pediatric intensive care unit (PICU) for post-operative care of children undergoing spinal surgeries for scoliosis, aiming to assess the safety and effectiveness of POPUP-HDU in situations where PICU resources are limited.
  • - Out of 111 children analyzed, 49 were treated in the PICU and 62 in the POPUP-HDU, with the two groups matched on various health-related metrics; results showed similar readmission rates to PICU and a shorter overall hospital stay for the POPUP-HDU group.
  • - Complications were noted in both groups, with a slightly lower incidence in the PICU, indicating that while POP
View Article and Find Full Text PDF

Purpose: Report the rate and severity of degenerative disc disease (DDD) in non-surgical adolescent idiopathic scoliosis (AIS) patients and correlate these findings with patient-reported symptomatology scores. Additionally, to quantify the rate of concurrent pathological radiological findings in this group.

Methods: This was a retrospective chart review study at a single tertiary centre.

View Article and Find Full Text PDF

Purpose: Childhood adversity plays a fundamental role in predicting youth cardiometabolic health. Our understanding of how adverse experiences in childhood should best be conceptualized remains elusive, based on one-dimensional measures of adversity. The present study fills a major gap in existing research by examining two distinct forms of threat and instability-related exposures that may impact cardiometabolic risk (CMR) in adolescence.

View Article and Find Full Text PDF

Background: Debate exists as to whether anterior-posterior spinal fusion (APSF), rather than posterior-only spinal fusion (PSF), provides benefit for treating severe thoracic adolescent idiopathic scoliosis (AIS). This systematic review and meta-analysis compare (1) Cobb angle correction, (2) complication and reoperation rate, (3) pulmonary function, (4) number of fused segments, and 5) patient-reported outcome measures (PROMs) in both groups.

Methods: Electronic databases were searched to identify studies that met the following inclusion criteria: comparative studies (level 3 or above), severe thoracic curves (≥ 70°), age ≤ 16, AIS aetiology, Lenke 1-4 curves and follow-up ≥ 1 year for ≥ 95% of patient population.

View Article and Find Full Text PDF