Background: We looked at long-term follow-up of spine stapling with Nitinol Staples. This was a cohort of all adolescent idiopathic scoliosis (AIS) patients with curves at high risk to progress based on curve magnitude, premenarchal status in all females, failure of brace treatment, and skeletal immaturity.
Methods: This is a single surgeon retrospective review of consecutive AIS patients treated with Nitinol staples for progressive scoliosis. Fourteen patients, 16 curves from 2005 to 2008 were eligible. Minimum curve for stapling was 30 degrees. Standard preoperative, intraoperative, and postoperative data were collected. All patients were followed for a minimum of 36 months and to skeletal maturity. Three groups were: improved (group 1), correction of any amount; minimal progression (group 2), progression ≤10 degrees; and failure (group 3), ≥10 degrees of progression.
Results: A total of 13 thoracic curves and 2 compensatory lumbar curves met the inclusion criteria (94%). Average follow-up was 61 months. The mean preoperative main thoracic curve was 35 degrees. All but 1 patients progressed at least 9 degrees in a brace prior to stapling. Females were all premenarchal, 10 patients were Risser 0 and 3 Risser 1. The average number of vertebrae stapled per curve was 6. Group 1 included 6 curves (40%). Group 2, 5 curves (33%). Group 3, 4 curves (27%). Three patients went on to uncomplicated fusion. Final curve measurement at the end of follow-up or before fusion (P=0.0037), curve progression (P≤0.001), and percentage of coronal correction on first postoperative standing radiograph (P=0.042) were the significant differences between groups 1+2 (successful) versus group 3 (failures). In total, 73% of this group either progressed ≤10 degrees or improved.
Conclusions: This is the first study that follows AIS patients treated with spine stapling to skeletal maturity. Staples likely changed natural history in some of our patients. Initial percentage of correction on first standing postoperative PA x-rays was the only predictor of success. Stapling was safe without any long-term complications.
Level Of Evidence: Level III-retrospective study.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1097/BPO.0000000000001389 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Biomechanical performance of ATOZ expander: Finite-element analysis.
Am J Orthod Dentofacial Orthop
December 2024
Department of Mechanical, Materials and Aerospace Engineering, West Virginia University, Morgantown WVa. Electronic address:
Introduction: Microimplant-assisted rapid palatal expansion appliances have been used for the treatment of orthodontic patients with maxillary deficiency. A new design named ATOZ (applicable from A to Z) was recently introduced to expand the scope of treatment in early permanent dentition. The objective of this study was to analyze the biomechanical performance of the ATOZ expander with various microimplants configurations using finite-element method.
View Article and Find Full Text PDFSimulated spinal durotomy repair for orthopaedic resident training: a perfusion-based porcine cadaveric specimen as an in vitro animal model.
BMC Med Educ
November 2024
Department of Orthopaedic Surgery, Tri-Service General Hospital, National Defense Medical Center, No. 325, Cheng-Kung Road Section 2, Taipei, 114, Taiwan, R.O.C..
Background: Training in delicate spinal dura mater suturing techniques poses significant challenges due to patient safety and medicolegal concerns, driving the need for alternative training methods beyond traditional mentorship models. This study aimed to introduce and validate a training model for orthopaedic residents using perfusion-based porcine spines to simulate intraoperative durotomy and subsequent repair.
Methods: Nine junior orthopaedic residents were invited to participate.
Safety of Outpatient Anterior Lumbar Interbody Fusion Surgery: A Systematic Review With Meta-Analyses.
Int J Spine Surg
November 2024
Department of Neurosurgery, University of Nebraska Medical Center, Omaha, NE, USA.
Background: Due to rapidly rising health care costs, leveraging outpatient surgery to reduce hospital inpatient burden is being explored. This study provides a systematic review of the literature on outpatient anterior lumbar interbody fusion (ALIF) with pooled analysis to determine its safety and feasibility.
Methods: Embase (Elsevier), MEDLINE (National Library of Medicine), CINAHL (EBSCO), and the Cochrane Library (Wiley) were searched on 8 April 2024 for articles mentioning the following search concepts: (1) ambulatory; (2) outpatient; and (3) ALIF surgery.
Atypical Multi-ligamentous Knee Injury (MLKI): Binary Injury with Avulsion of One Cruciate and Tear of the Other, or Bi-cruciates Avulsion with or Without Collateral Ligament Injury Following Road Traffic Accidents (RTA).
Indian J Orthop
November 2024
Department of Orthopaedics and Spine Surgery, Ganga Medical Center & Hospital, Coimbatore, India.
Background: Multi-ligamentous knee injuries (MLKI) fall within a narrow spectrum, accounting for around 11% of all knee injuries. Atypical MLKI involve binary injury: avulsion of one cruciate and tear of the other, or both cruciates avulsion with or without collateral ligament injury.
Purpose: The purpose of this study is to analyse the clinical and radiological outcomes of patients diagnosed with atypical MLKI, and to assess the differences in outcomes between patients with collateral injury and those without.
Evaluation of V-type titanium cable internal fixation for the treatment of young adult fifth lumbar spondylolysis: technical notes and a retrospective clinical study.
J Orthop Surg Res
November 2024
Department of Spine Surgery, General Hospital of Xinjiang Military Command, Urumqi, Xinjiang, China.
Article Synopsis
- The study explores a new V-shaped titanium cable and pedicle screw fixation system for treating lumbar spondylolysis in young adults, addressing limitations of existing strategies.* -
- Twenty-one patients were treated at a military hospital, and various metrics like surgery duration and blood loss were recorded, along with long-term recovery assessments using different evaluation scales.* -
- After one year, all patients completed follow-ups, with one experiencing minor complications, and results indicated significant improvements in pain and function post-surgery.*
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!