High Satisfaction in Adolescent Idiopathic Scoliosis Patients on Enhanced Discharge Pathway J Pediatr Orthop. 2020 Mar; 40(3):e166-e170. . View in PubMed. Scoliosis-specific exercises: A state of the Art Review Spine Deform. 2020 Feb 24. . View in PubMed. Surgical Outcomes, Complications, and Long-Term Functionality for Free Vascularized Fibula Grafts in the Pediatric Population: A 17-Year Experience and Systematic Review of the Literature J Reconstr Microsurg. 2020 Feb 23. . View in PubMed. Comparison of Ponte Osteotomies and 3-Column Osteotomies in the Treatment of Congenital Spinal Deformity J Pediatr Orthop. 2019 Nov/Dec; 39(10):495-499. . View in PubMed. Side Plank Pose Exercises for Adolescent Idiopathic Scoliosis Patients Glob Adv Health Med. 2019; 8:2164956119887720. . View in PubMed. Stomaching the pain of spinal fusion: gastrointestinal discomfort is as severe as back pain in 50% of adolescent idiopathic scoliosis patients following posterior spinal fusion J Child Orthop. 2018 Oct 01; ...
Introduction Adolescent idiopathic scoliosis (AIS) is present in 2% to 4% of children between 10 and 16 years of age.1 It is recognized as a complex three-dimensional (3D) deformation of the spine with lateral deviation in the coronal plane, alternation of the kyphosis/lordosis in the sagittal plane and rotation of the vertebrae in the axial plane.
TY - JOUR. T1 - Comparison of the lowest instrumented, stable, and lower end vertebrae in "single overhang" thoracic adolescent idiopathic scoliosis. T2 - Anterior versus posterior spinal fusion. AU - Kuklo, Timothy R.. AU - OBrien, Michael F.. AU - Lenke, Lawrence G.. AU - Polly, David W.. AU - Sucato, Daniel S.. AU - Richards, B. Stephens. AU - Lubicky, John. AU - Ibrahim, Kamal. AU - Kawakami, Noriaki. AU - King, Andrew. PY - 2006/9. Y1 - 2006/9. N2 - STUDY DESIGN. A retrospective multicenter study. OBJECTIVE. To investigate the relationship between the lowest instrumented, stable, and lower end vertebrae in patients with "single overhang" thoracic (main thoracic) curves treated with anterior or posterior spinal fusion. SUMMARY OF BACKGROUND DATA. Previous studies have shown "saving" fusion levels with anterior spinal fusion, as opposed to posterior spinal fusion; however, to our knowledge, none of these studies evaluated the relative position to the lower end vertebra to compare study ...
In the hopes of helping parents whose infant or young children are diagnosed with progressive infantile idiopathic scoliosis, it would be a good idea for us to keep a running list of doctors who are known to treat infant/young children with serial corrective casts. If any of you are aware of more doctors, please add to the list. Many a parent whose infant child has progressed to surgery is painfully aware of the inadequacy of the status quo of watchful waiting/plastic bracing in the
In the hopes of helping parents whose infant or young children are diagnosed with progressive infantile idiopathic scoliosis, it would be a good idea for us to keep a running list of doctors who are known to treat infant/young children with serial corrective casts. If any of you are aware of more doctors, please add to the list. Many a parent whose infant child has progressed to surgery is painfully aware of the inadequacy of the status quo of watchful waiting/plastic bracing in the
Repeated radiation exposure during adolescence, specifically to the breast and thyroid gland, has been previously reported to be associated with the development of cancers; however, the exact correlation between radiation dose in children and adolescents is poorly understood. Our findings reveal a higher incidence of endometrial and breast cancer in our AIS cohort compared to the age-matched population in Denmark. Although previous studies have shown an increased breast cancer and breast cancer death in patients exposed to radiation for spinal deformities, this is the first study reporting the incidence of endometrial and breast cancer in a relatively healthy population of adolescent females after radiation exposure during the 1980s and 1990s. Looking at the total number of radiographic examinations, the patients who developed cancer had on average more…examinations than the cohort in general," the authors explain.. Further, the study showed that patients who developed endometrial cancers ...
Study design: Case-Control Study Objectives: To analyse global sagittal alignment including the cranial center of mass (CCOM) and proximal junctional kyphosis (PJK) in Adolescent Idiopathic Scoliosis (AIS) patients treated with posterior instrumentation. Summary of background data: PJK plays an important role in the global sagittal alignment in AIS patients. Maintaining the head above the pelvis allows for a minimization of energy expense in ambulation and upright posture. Numerous studies have been performed to understand PJK phenomena in AIS patients. However, to our knowledge, no study performed on AIS patients included the head in the analysis of global sagittal alignment and PJK. Methods: This study included 85 AIS patients and 51 asymptomatic adolescents. Low-dose bi-planar X-rays were acquired for each subject preoperatively and at two years follow up. Two global sagittal alignment parameters were calculated, i.e. the angle between the vertical and the line joining the center of the ...
Adolescent idiopathic scoliosis is the most common form of scoliosis, affecting approximately 2% to 4% of adolescents. The incidence of scoliosis is about the same in males and females; however, females have up to a 10-fold greater risk of curve progression. Although most youths with scoliosis will not develop clinical symptoms, scoliosis can progress to rib deformity and respiratory compromise, and can cause significant cosmetic problems and emotional distress for some patients. For decades, scoliosis screenings were a routine part of school physical examinations in adolescents. The U.S. Preventive Services Task Force and American Academy of Family Physicians recommend against routine scoliosis screening in asymptomatic adolescents, concluding that harm from screening outweighs the benefit because screenings expose many low-risk adolescents to unnecessary radiographs and referrals. In contrast, the Scoliosis Research Society, American Academy of Orthopaedic Surgeons, American Academy of Pediatrics, and
The Scoliosis Research Society (SRS) continues to be fully committed to education with great efforts to promote our societys international presence and our members expertise in all we do. There have been significant efforts over the past year and these are highlighted below. As the Education Council Chairman, I have been proud to watch all of the great accomplishments that have taken place in the committees under this council: Awards & Scholarships, CME, Education, E-Text, Global Outreach, IMAST, Patient Education, Program, Website, World Wide Conferences and committees. Separate reports from the Global Outreach and IMAST committees are in the current newsletter.. The Awards Committee, chaired by Stephen J. Lewis, MD, MSc, FRCSC carried on the SRS tradition of recognizing important contributors to the society and to the field of spinal deformity surgery. This years Lifetime Achievement award winners were Vernon T. Tolo, MD and Robert B. Winter MD; two icons in the field of spine deformity. ...
The temporary muscular paralysis of the PM leads to radiological changes in the spinal deformity of thoracolumbar AIS. These radiographic changes were a significant improvement (lesser curve) in thoracic and lumbar Cobbs angle and a non-significant thoracic and significant lumbar derotation (changes in Nash and Moes classification), and a non-significant small average change in rib vertebra angles with an improvement on the convex side and a deterioration on the concave side. These changes were as expected better in the lumbar region, since the primary effect is in the lumbar region, thus having subsequent less change in the thoracic region as seen in Fig. 2. This implies that the spine muscles do play a role in maintaining the human adolescent idiopathic scoliosis by the muscle contraction or pull by the PM, which was to be expected if the muscle pull by contraction was released in the lumbar area with subsequent effect in the thoracic area as hypnotized earlier. We prescribed the ...
I hope all of you in our great society have a happy holiday season, and have the opportunity this month to spend time relaxing with those who are close to you. Let me take a moment to thank you for this opportunity to serve as your 41st Scoliosis Research Society President. This is a tremendous honor for me to have this chance to work with outstanding society leadership, and to make every effort to maximize this societys effectiveness. With this years Presidential Line, Board of Directors, committee members, and outstanding administrative staff, SRS will continue to make great strides in fulfilling its mission statement, that being "to provide optimal care for all patients with spinal deformity.". I want to personally thank our Immediate Past President Lawrence G. Lenke, MD for his work, leadership, and friendship over this past year. Dr. Lenke was extraordinary in his energy and vision and, as a result, moved our society forward. His globalization retreat in February provided clarity to the ...
OBJECTIVE: This report of one case illustrates the potential effect of chiropractic manipulative therapy on back pain and curve progression in the at-risk, skeletally immature patient with adolescent idiopathic scoliosis.. CLINICAL FEATURES: A 15-year-old girl experienced right thoracic scoliosis for 4 years. She received regular (medical) rehabilitation and brace treatment for 4 years, but the curvature of the thoracic spine still progressed. The Cobb angle was 46 degrees and surgical intervention was suggested to prevent significant deformity, which may be accompanied by cardiopulmonary compromise.. INTERVENTION AND OUTCOME: This patient was treated with spinal manipulation two times per week for 6 weeks at the outset, which was gradually decreased in frequency. After 18 months of consecutive treatment, follow-up radiographs and examinations were conducted. The Cobb angle decreased by 16 degrees. Meanwhile, the patients lower backache eased and there was also an improvement in defecation ...
The first aim of this Database Registry is to maintain a prospective multicenter series of patients treated surgically for adolescent idiopathic scoliosis. Patients from multiple scoliosis centers around the U.S., as well as a center in Germany, will be enrolled with comprehensive analysis of the curve pattern being treated, as well as the type of surgery performed. The outcome of each surgical treatment will be analyzed. This will allow the frequency of various curve types to be determined, as well as the frequency of various surgical approaches utilized for each curve pattern ...
The Scoliosis Research Society honored Juergen Harms, MD, and Alberto Ponte, MD, with the 2019 SRS Lifetime Achievement Award on Sept. 19.
13 year old female with thoracic and lumbar pain from Adolescent Idiopathic Scoliosis. The patient had a significant rib hump due to the spinal curvature. Dr Robert Pashman performed posterior spinal fusion.
Adolescent Idiopathic Scoliosis (AIS) is a prevalent condition mainly affecting females with disease onset at early puberty. It can lead to serious health problems and is associated with low bone mass which can persist with growth. Osteopenia is found to be an important prognostic factor for curve progression in AIS. Nutritional studies indicated AIS subjects had low dietary calcium intake. Evidences suggested that Vit D insufficiency could be present in AIS. Calcium and vitamin D supplementation can therefore be a viable treatment option for low bone mass in AIS subjects. The primary objective of this prospective randomized double-blinded placebo-controlled trial is to find out whether calcium and vitamin D supplementation can improve bone mineral density (BMD) in osteopenic AIS subjects. The secondary objective of this study is to evaluate whether the supplementation is effective in controlling curve progression in AIS ...
Abstract: Adolescent Idiopathic Scoliosis (AIS) is defined as curvature of spine in the coronal plane with a Cobb angle of more than 10°. AIS affects 1-3% of children younger than 16 years of age. Less than 20% of those children will progress to severe deformity requiring interventions. Screening with clinical examination and selective radiographic assessment seems to be a cost-effective approach to filter specialist referrals but current literature is controversial. Evidence supports brace management of AIS for skeletally immature patients with primary scoliosis measuring 25°-40. The risk reduction for progression to the surgical range (deformity greater than 50 degrees) is 56%. Timely diagnosis and evidence-based brace management of AIS seem likely to reduce the surgical burden. The implementation of screening guidelines at the primary care level is a critical step ...
14-year-old female adolescent idiopathic scoliosis. Patient had a severe thoracic scoliosis and huge right thoracic hump. Normal neurological examination.
Experts in the diagnosis and treatment of adolescent idiopathic scoliosis comment on the positive effects of compliance counseling that motivated kids to wear their braces.
This 18-year-olds lateral x-ray shows a 102-degree kyhpotic curve related to severe adolescent idiopathic scoliosis. The actual degree of the kyphotic curvature is probably underestimated, because the rotation of the spine (scoliosis-related) makes it difficult to see the vertebral bodies.
Cheng, H.H.Y., Huang, Z.W., Cheung, J.C.C., Zheng, Y.P., Chow, D.H.K. (2013, February). The application of asymmetric loading for spine curvature correction in subjects with adolescent idiopathic scoliosis. ISPO World Congress 2013, Hyderabad, India ...
In a case-control study a statistically significant association was recorded between the introduction of infants to heated indoor swimming pools and the development of adolescent idiopathic scoliosis (AIS). In this paper, a neurogenic hypothesis is formulated to explain how toxins produced by chlorine in such pools may act deleteriously on the infants immature central nervous system, comprising brain and spinal cord, to produce the deformity of AIS. Through vulnerability of the developing central nervous system to circulating toxins, and because of delayed epigenetic effects, the trunk deformity of AIS does not become evident until adolescence. In mature healthy swimmers using such pools, the circulating neurotoxins detected are chloroform, bromodichloromethane, dibromochloromethane, and bromoform. Cyanogen chloride and dichloroacetonitrile have also been detected. In infants, the putative portals of entry to the blood could be dermal, oral, or respiratory; and entry of such circulating small molecules
The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for adolescent idiopathic scoliosis in children and adolescents aged 10 to 18 years.
The descriptor idiopathic provides ample evidence that risk factors or prevention strategies for developing adolescent idiopathic scoliosis (AIS) are limited.
TY - JOUR. T1 - Incidence, risk factors, and natural course of proximal junctional kyphosis. T2 - Surgical outcomes review of adult idiopathic scoliosis. minimum 5 years of follow-up. AU - Yagi, Mitsuru. AU - King, Akilah B.. AU - Boachie-Adjei, Oheneba. PY - 2012/8/1. Y1 - 2012/8/1. N2 - STUDY DESIGN. A retrospective case series of surgically treated patients with adult scoliosis. OBJECTIVE. The purpose of this study was to evaluate the incidence, risk factors, and natural course of proximal junctional kyphosis (PJK) in a long-term follow-up of patients with adult idiopathic scoliosis undergoing long instrumented spinal fusion. SUMMARY OF BACKGROUND DATA. Although recent reports have showed the prevalence, clinical outcomes, and the possible risk factors of PJK, quite a few reports have showed long-term follow-up outcome. MATERIALS AND METHODS. This is a retrospective review of the charts and radiographs of 76 consecutive patients with adult scoliosis treated with long instrumented spinal ...
Diagnosis Code M41.02 information, including descriptions, synonyms, code edits, diagnostic related groups, ICD-9 conversion and references to the diseases index.
Summary: The SAQ is a valid measure of self‐image in patients with adolescent idiopathic scoliosis. It has higher correlation coefficient to curve magnitude than the SRS Appearance domain and total score. It also discriminates between patients who require surgery from those who do not.. Introduction: The Scoliosis Appearance Questionnaire (SAQ) was originally developed from the Walter Reed Visual Assessment Scale. Although the SAQ has been administered to a large sample of patients with adolescent idiopathic scoliosis (AIS) treated surgically, its psychometric properties have only been studied in a small sample of patients. The purpose of this study is to evaluate the validity of the SAQ.. Methods: The SAQ was administered to patients seen in the clinic for evaluation of AIS. This included patients who were being observed, braced or scheduled for surgical treatment of their curves. The SAQ was administered concurrently with the Scoliosis Research Society‐22 (SRS‐22) questionnaire. Standard ...
BACKGROUND: The feasibility of conducting a definitive randomised controlled trial (RCT) evaluating the clinical effectiveness and cost-effectiveness of scoliosis-specific exercises (SSEs) for adolescent idiopathic scoliosis (AIS) is uncertain. OBJECTIVES: The aim of this study was to assess the feasibility of conducting a large, multicentre trial of SSE treatment for patients with AIS, in comparison with standard care, and to refine elements of the study design. The objectives were to (1) update a systematic review of controlled trials evaluating the efficacy of SSE in AIS; (2) survey UK orthopaedic surgeons and physiotherapists to determine current practice, patient populations and equipoise; (3) randomise 50 adolescents to a feasibility trial of either usual care or SSE interventions across a range of sites; (4) develop, document and assess acceptability and adherence of interventions; (5) assess and describe training requirements of physiotherapists; and (6) gain user input in all relevant stages of
Ahmad, T.S. (2011) Mahmood Merican Award for Masters in Orthopaedic Surgery Trainees in Malaysia. Malaysian Orthopaedic Journal, 5 (3). pp. 35-37.. Boo, L.; Sofiah, S.; Selvaratnam, L.; Tai, C.C.; Belinda, P.M.; Kamarul , T. (2009) A preliminary study of human amniotic membrane as a potential chondrocyte carrier. Malaysian Orthopaedic Journal, 3 (2). pp. 16-23.. Chan, C.K.; Goh, J.H.; Ng, W.M.; Kwan, M.K.; Merican, A.M.; Soong, K.L. (2010) Staged surgery for severe soft tissue and bone loss of the knee. Malaysian Orthopaedic Journal, 4 (2). pp. 40-43. ISSN 1985-2533. Chan, C.K.; Merican, A.M.; Nawar, A.M.; Hanifah, Y.A.; Thong, K.L. (2010) Necrotising Fasciitis of the Lower Limb caused by Community-Acquired Methicillin-Resistant Staphylococcus aureus. Malaysian Orthopaedic Journal, 4 (3). pp. 36-38. ISSN 1985-2533. Chan, C.Y.; Saw, L.B.; Kwan, M.K. (2009) Comparison of Srs-24 and Srs-22 Scores in thirty eight adolescent idiopathic scoliosis patients who had undergone surgical correction. ...
p,The purpose of this thesis was to quantify spinal deformity (nature and extent), pulmonary impairment (mechanical and gas exchanging properties), disability (working capacity) and handicap (exertional symptoms) in a large group of subjects with idiopathic scoliosis, so that the relationships between these elements could be determined. It was anticipated that these relationships would be more variable (weaker) than is commonly implied. A further aim therefore, was to identify additional factors which contribute to pulmonary impairment, disability and exertional symptoms in these subjects. The influences of respiratory muscle, peripheral muscle and cardiac factors on these relationships were considered to be potentially important.,/p, ,p,Seventy-nine subjects (M:F 13:66; age 21 (SD 10.1)) with mild-moderate idiopathic thoracic scoliosis (Cobb angle 45° (SD 18.4)) were studied.,/p, ,p,Pulmonary impairment in the group as a whole was moderate, with the vital capacity being reduced to 79% of ...
Scoliosis is a condition characterized by the abnormal curvature of the back. Complications of this condition include nerve or spinal cord compression (with possible pain, numbness, tingling, weakness resulting), bone degeneration and abnormal cerebrospinal fluid circulation around the spinal cord. In extreme cases of severe abnormal curves, the organs in the thoracic (chest) cavity, heart and lungs, may have compromised function. Scoliosis is divided into four major categories: infantile idiopathic scoliosis, juvenile idiopathic scoliosis, adolescent idiopathic scoliosis, and acquired/degenerative scoliosis ...
In the absence of any generally accepted scientific theory for the etiology of idiopathic scoliosis, treatment remains pragmatic with a very incomplete scientific basis. The International Federated Body on Scoliosis Etiology (IBSE) [1] introduced the Electronic Focus Group (EFG) as a means of increasing debate of knowledge on important topics. The text for this debate was written by Dr Ian Stokes who addresses the concept of mechanical modulation of vertebral body growth in the pathogenesis of progressive adolescent scoliosis generally attributed to the Hueter-Volkmann or Delpech effect [1-25] in which constant pathologic strong pressure inhibits endochondral longitudinal growth while reduced compression accelerates growth [2-4]; pressure exerted eccentrically causes an active change in the direction of growth [2, 5-7]. Brace treatment is based on this effect although the efficacy of bracing continues to be debated and questioned [26-39] while exercises are not even considered by many ...
Observation is the most widely used treatment for scoliosis curves below 20°. Bracing is usually prescribed once a curve has progressed to 25° or greater, as are physiotherapeutic scoliosis-specific exercises.. Recently, a preliminary study conducted in Hong Kong focused on evaluating the effectiveness of Schroth scoliosis-specific exercises performed by idiopathic scoliosis patients with high-risk curves, whilst receiving brace treatment. The primary outcome measure for the study for all major curves was an improvement/decrease in the Cobb angle of 6° or more; unchanged/stable as ± 5°; and progressed/worsened by 6° or more.. Patients in the experimental group who were compliant with their exercise program had a higher rate of Cobb angle improvement. The study shows that the effectiveness of bracing can be improved with the addition of Schroth Method scoliosis-specific exercise program, providing there is a strong compliance to both.. For more information about adolescent idiopathic ...
Scoliosis is a musculoskeletal disorder that adversely affects the shape of the spine (backbone). A scoliotic spine (when viewed from behind) will not be straight and may instead look like the letter "C" or "S", due to a side-to-side (right-to-left) curvature. Congenital means the scoliosis is present at birth. A congenital condition is present at birth because of a problem during development. For congenital scoliosis, the abnormal curvature of the spine develops before birth. This is thought to occur early in fetal development (during first 4-6 weeks). Although congenital scoliosis is present at birth, it may not be discovered until a child grows.. Compared to idiopathic scoliosis, the abnormal curves in congenital scoliosis are generally more resistant to correction. It is estimated that between 10-25% of congenital scoliotic curves will never progress (get worse). Unfortunately, the majority of congenital scoliotic curves do progress (get worse) and require active treatment. Generally, ...
Scoliosis Research Society scores were obtained in 75% of the idiopathic scoliosis group (18/24). Pre-operative scores averaged 75.91 (53.0-94.0±13.9), and post-operative scores averaged 84.72 (70.0-94.6±7.6). A total of 93.8% were satisfied/very satisfied with their treatment, and 87.5% would probably/definitely have the same treatment again.. Discussion. Instrumented anterior spinal fusion allows excellent curve correction and greater correction of rotational deformity while preserving more distal motion segments compared to the posterior approach.2,8 On average one to three distal motion segments can be preserved which may reduce the risk of late degenerative changes caudal to the fusion."1. Other potential advantages of instrumented anterior spinal fusion include a reduced incidence of proximal junctional kyphosis, reduced implant prominence and denervation of posterior spinal extensor muscles, and reduced instrumentation costs.2,12 For these reasons anterior instrumented fusion has ...
Farshad, Mazda; Sdzuy, Christoph; Min, Kan (2013). Late implant removal after posterior correction of AIS with pedicle screw instrumentation - A matched case control study with 10-year follow-up. Spine Deformity, 1(1):68-71. ...
Adolescent idiopathic scoliosis (AIS) is a structural spinal deformity characterised by decompensation of the normal vertebral alignment during rapid skeletal growth in otherwise healthy children. The deformity can be described in terms of altered sagittal and coronal balance as well as abnormal vertebral rotation. This monograph focuses on AIS, as this form of idiopathic scoliosis accounts for the vast majority (approximately 90%) of cases. [1] Parent S, Newton PO, Wenger DR. Adolescent idiopathic scoliosis: etiology, anatomy, natural history, and bracing. Instr Course Lect. 2005;54:529-536. http://www.ncbi.nlm.nih.gov/pubmed/15948477?tool=bestpractice.com ...
Findings-Through searching the literature prominent physiological, psychological and social implications of AIS have been established. As a result of the spinal deformity individuals can develop a prominent rib hump, shoulder imbalance and trunk rotation. This physical deformity can cause back pain and in severe cases of untreated AIS, individuals can suffer from reduced pulmonary function and mobility. Additionally the visible disfigurement can impact on adolescents psychologically causing problems with physical appearance and self-esteem, subsequently affecting young people socially as a result of social isolation. Consent to treatment and lack of follow up are prominent issues regarding AIS which are examined in the dissertation. Additionally a further discussion point arose regarding the concept of chronic conditions ...
Review question We reviewed the evidence about the effect of bracing on pulmonary disorders (lung diseases), disability, back pain, quality of life, and psychological and cosmetic issues in adolescent with idiopathic scoliosis. We found seven studies. We looked at randomized controlled trials (RCTs) and prospective controlled cohort studies (CCTs).. Background Scoliosis is a condition where the spine is curved in three dimensions (from the back the spine appears to be shaped like an s and the trunk is deformed). It is often idiopathic, which means the cause is unknown. The most common type of scoliosis is generally discovered around 10 years of age or older, and is defined as a curve that measures at least 10° (called a Cobb angle; measured on x-ray). Because of the unknown cause and the age of diagnosis, it is called adolescent idiopathic scoliosis (AIS).. While there are usually no symptoms, the appearance of AIS frequently has a negative impact on adolescents. Increased curvature of the ...
SSISA invites you to join a clinical webinar discussion on Scoliosis, Wednesday 01 July at 18h30. The webinar theory will be discussed by guest speaker Angie Lander. Angie runs a practice that specialises in the rehabilitation of Scoliosis and severe spinal conditions. A certified Schroth therapist, Angie has attended numerous International Spinal & Scoliosis Congresses and has lectured for the UCT. Attendees will be invited to join a Q & A session afterwards, with added insight from guest panelist, Malcolm Freedman. Malcolm has practiced as a clinical Othotist and Prosthetist since 1999 and has a special interest in Orthotic management of spinal deformaties. CPD accredited workshop.
Patient History16-year-old femaleFollowed for scoliosis for quite some time.Curve progressed despite wearing a brace.Progressive spinal deformity and significant thoracolumbar pain.She reports neck, back pain with radiation intermittently to the leftarm, bilateral upper extremity numbness, tingling in spinal area, lowback and left arm although this is not constant. She has no othernon-idiopathic concordant signs for scoliosis.Shoulders and hips are level. She is slightly decompensated in thecoronal plane but well-balanced in the sagittal plane.Significant left-sided elevation of her flank and slight right rib hump ...
BioMed Research International is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies covering a wide range of subjects in life sciences and medicine. The journal is divided into 55 subject-specific sections.
Chitin Oligosaccharide COS Reduces Antibiotics Dose and Prevents Antibiotics-Caused Side Effects in Adolescent Idiopathic Scoliosis AIS Patients with Spinal Fusion Surgery. . Biblioteca virtual para leer y descargar libros, documentos, trabajos y tesis universitarias en PDF. Material universiario, documentación y tareas realizadas por universitarios en nuestra biblioteca. Para descargar gratis y para leer online.
A retrospective comparative study of prospectively collected data. To compare clinical, radiographic, and health-related quality of life (Scoliosis Research Society [SRS]-24) outcomes in patients undergoing hemivertebra excision by simultaneous
TY - JOUR. T1 - Variability of expert opinion in treatment of early-onset scoliosis. AU - Vitale, Michael G.. AU - Gomez, Jaime A.. AU - Matsumoto, Hiroko. AU - Roye, David P.. AU - Betz, Randal R.. AU - Campbell, Robert M.. AU - Emans, John B.. AU - Flynn, John M.. AU - Ramirez-Lluch, Norman. AU - Snyder, Brian. AU - Sturm, Peter F.. AU - Song, Kit M.. AU - Smith, John T.. AU - Shilt, Jeffrey S.. PY - 2011/5. Y1 - 2011/5. N2 - Background: In contrast with treatment recommendations for adolescent idiopathic scoliosis, there are no clear algorithms for treating patients with early-onset scoliosis. There has been rapid expansion of treatment options for children with early-onset scoliosis, including casting, growth rods, the vertical expandable prosthetic titanium rib, and anterior vertebral stapling. Questions/purposes: Given the range of treatment options, we assessed variability in decision making regarding treatment of patients with early-onset scoliosis. Methods: We presented 12 clinical and ...
Dr. Alexis P. Shelokov, M.D., is the Medical Director of the Baylor Scoliosis center and president of Consulting Orthopedics. He is an orthopedic spine surgeon who treats pediatric and adult scoliosis and kyphosis. In practice for more than 18 years, he has performed more than 6,000 spinal operations. Shelokov is one of only a few dozen surgeons in the United States who regularly perform scoliosis revision surgery on children and adults who have had unsuccessful treatment in the past. Shelokov is board certified by both the American Board of Orthopedic Surgeons and the American Board of Spine Surgeons. He is also a member of the Scoliosis Research Society, the North American Spine Society, the Texas Spine Society, the American College of Physician Executives, the American Medical Association and the Dallas Medical Society ...
No clear MRI screening guidelines exist for patients with idiopathic scoliosis. Recommended indications for MRI in the literature include pain, rapid progression, left thoracic deformity, neurologic disorder [1], early onset [910], double thoracic curvature [1112], and male sex [13]. Several studies have reported the incidence of intracanal impairments in patients with idiopathic scoliosis, some of which are briefly cited below.. Gupta et al. [14] reported that 18% to 20% of 98 patients with idiopathic scoliosis had neuroaxial problems. However, the effects of age, sex, and type of curve were not assessed. Ouellet et al. [15] studied 93 patients but did not report the incidence neuroaxial abnormalities; however, a relationship was reported between neuroaxial abnormalities, male sex, and a left curve, but not with age.. Nakahara et al. [16] reported that 3.8% of 472 patients had neuroaxial abnormalities, which was directly related to factors, such as early onset ,11 years of age, male sex, ...
Clinical Value of Routine Preoperative Magnetic Resonance Imaging in Adolescent Idiopathic Scoliosis. Do, Twee; Fras, Christian; Burke, Stephen; Widmann, Roger F.; Rawlins, Bernard; Boachie-Adjei, Oheneba // Journal of Bone & Joint Surgery, American Volume;Apr2001, Vol. 83-A Issue 4, p577 Background: The prevalence of intraspinal pathology associated with scoliosis has been reported to be as high as 26% in some series, and, on the basis of this finding, preoperative magnetic resonance imaging is used in the screening of patients with adolescent idiopathic scoliosis. However, this... ...
Conclusion. Anxiety and mood are potentially modifiable risk factors that have the greatest impact on pre- and postoperative pain. These results can be used to identify higher-risk patients and develop preoperative therapeutic protocols to improve postoperative outcomes. Level of Evidence: 3...
Patient history Includes menstrual history, birth and developmental history, and inquiry regarding family history of scoliosis PHYSICAL EXAMINATION Height and