Spine deformity
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This is a prospective study of magnetically controlled growing rod (MCGR) patients with particular focus on the timing of rod slippage as it pertains to rod lengthening in early onset scoliosis. Findings suggest that early rod lengthening is related to older patients and reduced distance between magnets. Diminishing length gains were observed after a period of rod usage and returns to baseline after rod exchange.
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Retrospective analysis of the prospectively collected data. ⋯ Spontaneous lumbar curve rotation correction correlated to the fused and unfused spinal parameters in the three anatomic planes. The relationship between thoracic and lumbar rotation persist up to two years after STF. Thoracic derotation is an important factor determining the lumbar rotation correction at two years after STF.
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Prospectively enrolled AIS patients who underwent spinal fusion, with 2 year follow-up. ⋯ Vo2max in patients with AIS is within normal range both pre- and postfusion. Pulmonary limitations are accommodated for with a slightly increased breathing rate and a slightly reduced overall workload. Activity level rather than curve severity affects Vo2max outcomes following fusion in AIS.
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Does Intrathecal Baclofen Therapy Increase Prevalence and/or Progression of Neuromuscular Scoliosis?
Retrospective, case-matched review. ⋯ We continue to recommend ITB pump therapy for individuals with severe spasticity associated with CP (GMFCS IV and V). There is a significant risk of complications for individuals in general. The risk of neuromuscular scoliosis is relatively high in this population. Our findings suggest that individuals with CP who have ITB pumps and who do or do not have preexisting scoliosis should be monitored closely for either developing new neuromuscular scoliosis or progression of preexisting scoliosis.