Publications by authors named "L Andras"
Purpose: The etiology of early-onset scoliosis (EOS) has been shown to significantly influence baseline parent-reported health-related quality of life (HrQOL). In combining these etiology groups, we obligatorily lump together many disparate diagnoses, particularly true in the neuromuscular (NM) cohort. We sought to evaluate the influence of underlying neuromuscular diagnosis on the HrQOL at 5 years following surgery for EOS.
View Article and Find Full Text PDFPostoperative ileus, the temporary cessation of gastrointestinal motility leading to accumulation of fluid and gas in the bowel, is a common complication following posterior spine fusion (PSF) in patients with neuromuscular scoliosis (NMS). Abdominal radiographs (KUBs) are often ordered to differentiate between ileus and mechanical obstruction but expose patients to radiation, add cost, and may lead to unnecessary work up. The aim of this study was to determine how often KUBs led to a change in treatment after PSF in patients with NMS.
View Article and Find Full Text PDFPurpose: The purpose of this study was to compare the LIV selection in 'tweener' patients treated with MCGR or PSF.
Methods: A multicenter pediatric spine database was queried for ambulatory patients ages 8-11 years treated by MCGR or PSF with at least 2-year follow-up. The relationship between the LIV and preoperative spinal height, curve magnitude, and implant type were assessed.
Background: Magnetic controlled growth rods (MCGR) are the most common type of implant used for operative treatment of patients with early-onset scoliosis (EOS). Rods can have either a 7-cm actuator, allowing 2.8 cm of potential expansion, or a 9-cm actuator which allows 4.
View Article and Find Full Text PDFArticle Synopsis
- The study aimed to understand the values and preferences of caregivers for children with complex medical needs, specifically focusing on surgical decisions for neuromuscular scoliosis to help develop a decision support tool.
- Qualitative interviews were conducted with caregivers from different backgrounds, analyzing their experiences to identify key themes related to treatment choices and concerns.
- The findings revealed that caregivers prioritize pain management, mobility, quality of life, peer support, and the uncertainty of outcomes, highlighting the need for better decision-making support that considers their values and addresses uncertainties in treatment.