Publications by authors named "P E Thornley"
Article Synopsis
- A 4-year-old girl with juvenile idiopathic arthritis (JIA) developed a severe angular deformity in her left wrist after 2 years of inflammation in her joints.
- She had surgery to correct the deformity (a left distal radius osteotomy) and received a bone graft to help with healing and function.
- Six years later, she has almost normal wrist shape and full functionality, highlighting the effectiveness of surgical intervention for serious deformations in JIA patients.
Purpose: To determine whether postoperative neck pain in the first 4 weeks following multi-level posterior cervical fusion (PCF) with orthosis is equivalent to multi-level PCF without orthosis.
Methods: Patients were randomly assigned in a 1:1 ratio to postoperative orthosis (CO) for 6 weeks or no orthosis (NO). Randomization was stratified by indication (traumatic vs.
Article Synopsis
- The surgical management of scoliosis in patients with osteogenesis imperfecta (OI) is complicated by factors such as rigid spinal curves, short stature, and fragile bones, prompting a study on various treatment methods.
- A retrospective review of 30 OI patients (average age 14.1 years) who underwent posterior spinal fusion revealed significant improvements in major curve correction and other spinal parameters after a minimum follow-up of 2 years.
- Complications were minimal, with only two patients experiencing issues like proximal junctional kyphosis, indicating the approach's effectiveness and safety in addressing severe scoliosis in OI patients.
Background: Socioeconomic status (SES), race, and insurance type correlate with initial curve severity for patients with idiopathic scoliosis, but less is known regarding how these variables impact surgical outcomes. The objectives of this study were to determine the influence of SES, race, and insurance on preoperative appointment attendance, likelihood of obtaining a preoperative second opinion, brace prescription, missed 6 or 12-month postsurgical appointments, incidence of emergency department visits 0 to 90 days after surgery, and major complications within a year of surgery.
Methods: A review of 421 patients diagnosed with idiopathic scoliosis who underwent surgery at a single high-volume pediatric spinal deformity institution between May 2015 and October 2021 was conducted.
Background: The benefit of surgical intervention over conservative treatment for degenerative lumbar spondylolisthesis (DLS) patients with neurologic symptoms is well-established. However, it is currently unclear what breadth of available evidence exists on regional and global sagittal alignment in DLS surgery. As such, the purpose of the current study is to conduct a scoping review to map and synthesize the DLS literature regarding the current radiographic assessment of sagittal spinal alignment in DLS surgery.
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