Spine deformity
-
The purpose of this study was to assess L4-S1 inter-vertebral coronal motion of the unfused distal segments of the spine in patients with adolescent idiopathic scoliosis (AIS) after instrumented fusion with regards to postoperative time and fusion length, independently. ⋯ Motion in the unfused distal lumbar segments did not vary within the >10-year follow-up period. However, in patients with a primary thoracic curve and a nonstructural lumbar curve, the choice to fuse longer versus shorter may have significant consequences. The summed motion from L4 to S1 is 50% greater in patients fused longer compared with those patients with a selective fusion, in which postoperative motion is shared by more unfused segments. The implications of this focal increased motion are unknown, and further research is warranted but can be surmised.
-
Observational Study. ⋯ In one of the first studies evaluating the publication rate of podium presentation from the SRS and IMAST annual meetings, we found an overall publication rate of 44.37% (47.83% SRS, 41.53% IMAST) and 63.64% for award-nominated papers.
-
Retrospective study. ⋯ Level III.
-
Case report. ⋯ Late fracture through a long fusion mass is a rare long-term complication of spine fusion for idiopathic scoliosis. In this case report, we report successful treatment of a fracture with a long lever arm of a solid posterior fused spine with posterior instrumented fusion multiple levels above and below the fracture.
-
In surgical correction of scoliosis in pediatric patients, gastrointestinal complications including postoperative ileus can result in extended hospital stays, poorer pain management, slower progression with physical therapy, and overall decreased patient satisfaction. In patients undergoing gastrointestinal, gynecological, and urological surgery, gum chewing has been shown to reduce time to flatus and passage of feces. The authors hypothesized that chewing gum could also speed return to normal bowel function in pediatric patients undergoing surgical correction of scoliosis. ⋯ Chewing gum after posterior spinal fusion for scoliosis is safe and may speed return of normal bowel function. Chewing gum after surgical correction of scoliosis facilitates an earlier return to normal bowel function, which may improve patient satisfaction in the early postoperative period.