Spine
-
Review Historical Article
Historical contributions from the Harvard system to adult spine surgery.
Literature review. ⋯ Despite humble beginnings, the surgeons and scientists at Harvard have influenced nearly every facet of spine surgery over the course of the last two centuries.
-
Comparative Study
Development of a short form of the Örebro Musculoskeletal Pain Screening Questionnaire.
A longitudinal design where the questionnaire was completed at a pretest and predictive ability evaluated with a 1-year follow-up. A second sample was employed to provide a replication. ⋯ The short form of the ÖMSPQ is appropriate for clinical and research purposes, since it is nearly as accurate as the longer version.
-
Analysis of a prospective series of 300 consecutive cases undergoing intraoperative monitoring in pediatric orthopedic spinal surgery, of which 10% were children younger than 4 years. ⋯ In some cases of kyphoscoliosis, during a posterior-based vertebral column resection, monitoring changes were corrected by positioning a rod that allowed correction of the position of the spine in the sagittal plane. Intraoperative spinal cord monitoring can be performed in children younger than 4 years and allows real-time assessment of spinal functional integrity.
-
Multicenter Study Clinical Trial
Lumbar vertebral growth is governed by "chondral growth force response curve" rather than "Hueter-Volkmann law": a clinico-biomechanical study of growth modulation changes in childhood spinal tuberculosis.
Vertebral defects were created in a validated 3D finite element model (FEM) to simulate destructive tubercular lesions of increasing severity. Forces in various parts of the spine were then calculated and correlated to deformity progression and growth modulation (GM) changes. ⋯ This is the first study in the current literature to demonstrate that spinal growth follows CGFRC rather than HVL. This observation opens a potential window of opportunity to treat spinal deformities by mechanical GM.
-
Analysis of population-based national hospital discharge data collected for the National Inpatient Sample. ⋯ Despite being performed in generally younger and healthier patients, APSF and ASF are associated with increased morbidity and mortality. Our findings can be used for the purposes of risk stratification, accurate patient consultation, and hypothesis formation for future research.