Spine deformity
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Program director survey. ⋯ This study examined the opinions of orthopedic and neurological surgery residency and spine fellowship PDs regarding current spine surgery training in the United States. A large majority of PDs thought that both orthopedic and neurological surgical trainees should complete a fellowship if they plan to perform spinal deformity surgery. These results provide a background for further efforts to optimize contemporary spine surgical training.
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Experimental study, OBJECTIVES: To document and analyze the neurophysiological changes during spinal cord monitoring when thoracic pedicle screws are intentionally placed within the spinal canal. ⋯ Neurophysiological monitoring of the spinal cord does not detect moderate compression even 20 minutes after neural compression. Only thoracic pedicle screws provoking marked displacement of the spinal cord were able to cause delayed neurophysiological changes leading to loss of spinal cord evoked potentials, which in 22% of cases did not recover after the pedicle screw was removed.
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Reproducibility study of SterEOS 3-dimensional (3D) software in large, idiopathic scoliosis (IS) spinal curves. ⋯ SterEOS 3D reconstruction spine software creates reproducible measurements in all 3 planes of deformity in curves greater than 50°. Advancements in 3D scoliosis imaging are expected to improve our understanding and treatment of idiopathic scoliosis.
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Cross-sectional assessment of inter- and intra-rater agreement. ⋯ The results for each individual radiographic parameter correspond to previous findings and support use of the SRS-Schwab classification in adult spinal deformity. The results for entire grade were considered only moderate. The authors recommend that it is not used as an individual parameter.
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Retrospective, multicenter review of the spinopelvic parameters in young children with scoliosis. ⋯ Sagittal plane spine parameters and some pelvic parameters were similar for young children with scoliosis versus age-matched normal children; however, children with scoliosis showed signs of increased pelvic tilt and decreased sacral slope. These values can be used as a baseline for both the natural history and the assessment of radiographic outcomes after surgical intervention.