Spine deformity
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The objective of this study is to identify preoperative laboratory values and patient factors that are associated with postoperative respiratory complications in pediatric neuromuscular scoliosis (NMS) populations undergoing posterior spinal fusion (PSF) with instrumentation. ⋯ Level II.
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Comparative Study
Spine Deformity With Fused Ribs Treated With Proximal Rib- Versus Spine-Based Growing Constructs.
Retrospective review of prospectively collected data. ⋯ Patients underwent a mean of eight lengthening surgeries before final fusion or cessation of lengthening with a modest 2.3-cm increase in T1-T12 height. Compared with proximal rib anchors, proximal spine anchors controlled kyphosis and improved Cobb angle correction for early-onset scoliosis with rib fusions.
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Retrospective reliability study. ⋯ The PMC Cobb and VAR can be measured reliably on US images. Future studies should validate the PMC Cobb angle and to include a wider Cobb angle range on participants.
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Intraoperative neuromonitoring (IONM) is used to detect impending neurologic damage during complex spinal surgeries. Although IONM is increasingly used during pediatric scoliosis surgeries in the United States, the effect of IONM on the outcomes of such surgeries at a national level is unclear. ⋯ Reported use of IONM in this database was significantly less compared with other databases, suggesting that IONM might be underreported in the NIS database. Nevertheless, in this database, IONM was significantly associated with increased home discharge. Hospital charges and LOS were not affected by IONM. There was a trend toward lower risk of neurologic complications with IONM use, though this finding was not statistically significant.
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Retrospective cross-sectional cohort analysis. ⋯ Level III.