Spine
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Bench-top and retrospective analysis to assess vertebral rotation based on the appearance of bilateral pedicle screws in patients with adolescent idiopathic scoliosis (AIS). ⋯ An accurate assessment of vertebral rotation can be performed radiographically, using screw lengths and screw tip-to-rod distances of bilateral segmental pedicle screws and a trigonometric calculation. These data support the use of a simple radiographic grading system to approximate apical vertebral rotation in AIS patients treated with bilateral apical pedicle screws.
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A measurement and analysis of the orientation of the lumbar facet joints at the L4-L5 level of different age groups. ⋯ The coronal orientation of the L4-L5 facet joints was negatively correlated to age (r = -0.456, P = 0.000), which could be one of the explanations that the aging people are prone to degenerative spondylolisthesis.
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To review diagnosis and treatment of neurogenic factors implicated in the development of progressive scoliosis. ⋯ Surveillance MRI should be undertaken for scoliosis when there are clinical indications consistent for a tethered cord, spinal cord tumor, or Chiari malformation and associated syringomyelia.
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Practice Guideline
Guidelines for management of scoliosis in Rett syndrome patients based on expert consensus and clinical evidence.
Modified Delphi technique. ⋯ Evidence- and consensus-based guidelines were successfully created and have the potential to improve care of a complex comorbidity in a rare condition and stimulate research to improve the current limited evidence base.
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Literature review. ⋯ The origin of congenital scoliosis may be environmental, genetic, or a combination of factors. Research on these various factors continues. Early identification and management of concomitant defects can improve the patient's quality of life.