Comparison of Ponte Osteotomies and 3-Column Osteotomies in the Treatment of Congenital Spinal Deformity.

Background: Congenital spinal deformity (CSD) has traditionally been treated with 3-column osteotomies [hemivertebrectomy (HV) or vertebral column resection (VCR)] to address rigid deformities. Alternatively, multiple Ponte osteotomies (PO) may provide correction while minimizing risk. The purpose of this study was to compare safety and outcomes of patients undergoing surgical treatment for CSD with these 3 procedures.

A Comparison of Maximal Voluntary Ventilation and Forced Vital Capacity in Adolescent Idiopathic Scoliosis Patients.

Study Design: Prospective, single center.

Objective: To compare maximal voluntary ventilation (MVV) and forced vital capacity (FVC) testing in the outpatient scoliosis clinic to determine their relative feasibility and sensitivity in assessing pulmonary function in the AIS population.

Summary Of Background Data: Evidence of compromised pulmonary function in patients with severe AIS is well established.

High Satisfaction in Adolescent Idiopathic Scoliosis Patients on Enhanced Discharge Pathway.

Background: Recently, there have been several reports of using an enhanced discharge pathway following posterior spinal fusion (PSF) in patients with adolescent idiopathic scoliosis (AIS). No previous studies have prospectively examined patient satisfaction of patients with AIS using an enhanced discharge pathway. The purpose of this study was to evaluate patient satisfaction with an enhanced discharge pathway for PSF and whether patients felt that their length of stay was appropriate.

Outcomes of salvage hip surgery in children with cerebral palsy.

This study compared the outcomes of four salvage procedures in treating painful dislocated hips in patients with cerebral palsy: Schanz osteotomy, Girdlestone, Castle, and McHale procedures. A retrospective review of cerebral palsy patients treated between 1990 and 2014 with minimum 6-month follow-up was carried out. Of 69 hips (62 patients), there were 36 McHales, 24 Castles, four Girdlestones, and five Schanz procedures at a mean age of 13.

Gomco Versus Mogen? No Effect on Circumcision Revision Rates.

Objectives: Elective newborn circumcision, one of the most common surgical procedures in the world, is often performed with either the Gomco clamp or the Mogen clamp. Our aims were to determine differential circumcision revision and complication rates due to surgical technique and differences in outcomes when residents versus attending physicians performed the procedure.

Methods: We conducted a retrospective chart review of newborns who underwent elective circumcision at our children's hospital from January 2013 to June 2017 using codes for newborn circumcision and repair of an incomplete circumcision.

Raising Mean Arterial Pressure Alone Restores 20% of Intraoperative Neuromonitoring Losses.

Study Design: Multicenter prospective.

Objective: To assess the effect of intraoperative interventions in restoring intraoperative neuromonitoring (IONM) signals in pediatric spine surgery.

Summary Of Background Data: No prior studies have prospectively examined the rate of return of IONM signals by increasing blood pressure (BP) alone.

Pain is the Greatest Preoperative Concern for Patients and Parents Before Posterior Spinal Fusion for Adolescent Idiopathic Scoliosis.

Study Design: Prospective cross-sectional study.

Objective: To evaluate patients' and parents' concerns so they can be addressed with appropriate preoperative counseling.

Summary Of Background Data: Despite much research on outcomes for posterior spinal fusion (PSF) in adolescent idiopathic scoliosis (AIS), little is available about preoperative fears or concerns.

Benign Natural History of Spondylolysis in Adolescence With Midterm Follow-Up.

Study Design: Retrospective chart review.

Objectives: To use the Micheli Functional Scale to assess adolescent patients with spondylolysis treated conservatively at midterm follow-up.

Summary Of Background: Spondylolysis is a common source of back pain for adolescents and is generally managed with bracing and physical therapy.