Spine
-
Radiographic analysis, outcomes analysis (pain scale, Oswestry, SRS-24), and accumulation of complications. Outcomes and complications collected prospectively. Radiographic analysis performed retrospectively. ⋯ The clinical result with pedicle subtraction osteotomy is reduced with pseudarthrosis in the thoracic or lumbar spine and subsequent breakdown adjacent to the fusion. For patients with a degenerative sagittal imbalance etiology the results were worse and the complications were higher. Central canal enlargement is critical.
-
A consecutive series of patients with adolescent idiopathic scoliosis, treated between 1968 and 1977 before age 21 years with distraction and fusion using Harrington rods (surgically treated: n = 156; 145 females and 11 males) were followed-up at least 20 years after completion of the treatment. ⋯ Minimal pain and no dysfunction occurred (mean) 23 years after fusion for adolescent idiopathic scoliosis compared with normal straight controls. Significantly more pain in the scar region occurred when bone graft from an incision over the posterior iliac crest was used for harvesting bone to the fusion compared with an incision performed as an elongation of the midline incision used for the scoliosis surgery.
-
A cross-sectional study of anthropometric parameters in adolescent idiopathic scoliosis (AIS). ⋯ Various body segmental lengths were initially significantly shorter in AIS before puberty. However, after the onset of puberty, significantly longer corrected height, arm span, and various body segments were found. And there were significant correlations between anthropometric parameters and the scoliotic curve severity. Results of this large-scale study revealed the presence of abnormal growth in AIS patients during peripubertal development.
-
Retrospective analysis with prospective outcomes. ⋯ Staged posterior surgery can be performed safely with few surgical complications and no major medical complications, as well as excellent outcomes in a population known to be at high risk. Such staging can be useful in performing complex posterior revision and osteotomy surgery while limiting hemodynamic stresses.