Calcaneonavicular coalition: treatment by excision and fat graft.

Background: Symptomatic calcaneonavicular coalitions treated with resection and interposition of the extensor digitorum brevis (EDB) muscle often have unpredictable improvement of symptoms. Concerns with regard to skin cosmesis from a bony prominence on the lateral aspect of the foot and inadequate filling of the resection gap potentially causing reossification have motivated us to use fat graft interposition instead. The purpose of this study was to describe our surgical technique and report our clinical and radiographic outcomes for fat graft interposition after resection of a calcaneonavicular coalition.

Spontaneous lumbar curve correction in selective thoracic fusions of idiopathic scoliosis: a comparison of anterior and posterior approaches.

Study Design: A retrospective evaluation of adolescent idiopathic scoliosis (AIS) patients treated with selective thoracic instrumentation and fusion.

Objective: To evaluate the predictors and the effect of surgical approach (anterior versus posterior) on spontaneous lumbar curve correction (SLCC) after selective thoracic fusion in patients with structural thoracic and compensatory lumbar curves.

Summary Of Background Data: Spontaneous coronal correction of the unfused lumbar curve has been described previously; however controversy continues regarding the effect of surgical approach on SLCC.