European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
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This study sought to quantify the frequency of previously unidentified spinal cord anomalies identified by routine preoperative magnetic resonance imaging (MRI), in patients planned for surgical scoliosis correction. ⋯ The high frequency of spinal cord abnormalities unidentified by preoperative neurological examination, and the frequent need for subsequent neurosurgical intervention, suggests that MRI assessment prior to deformity correction is important in the management of idiopathic scoliosis.
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This study aims to investigate the use of biplanar radiography for assessing congenital scoliosis due to hemivertebra in 3D. ⋯ Biplanar radiography can be considered an interesting tool for clinical follow-up of congenital scoliosis as it overcomes some limitations of the analyses based on CT or anteroposterior X-ray: head to feet acquisition, low radiation dose and provides a set of automatically computed postural and morphological parameters in 3D.
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To investigate whether rs11190870 near LBX1 correlates with the susceptibility or curve progression of adolescent idiopathic scoliosis (AIS) in a Han Chinese population. ⋯ The SNP rs11190870 near LBX1 is associated with both susceptibility and curve progression of AIS.
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Direct apical vertebral rotation represents an important goal of posterior surgery for thoracic adolescent idiopathic scoliosis (AIS), so as to obtain a better cosmetic effect and to avoid posterior thoracoplasty. However, the real effectiveness in correction of vertebral rotation, using posterior only procedures, is still open to debate. The aim of the present study is to compare the correction of axial apical rotation obtained with direct rotation procedure versus simple concave rod rotation, in patients treated by posterior fusion for thoracic AIS using pedicle screw-only construct. ⋯ The direct vertebral rotation obtained significantly better final results, when compared to simple concave rod rotation, both concerning correction of apical vertebral rotation and magnitude of MT curve. On the other hand, the DR group presented a little reduction in T5-T12 kyphosis at follow-up, in comparison with concave rod rotation procedure. Both procedures were found to be satisfying from patients' perspective. Nevertheless overall complication rate was higher in the simple concave rod rotation group, related mainly to thoracoplasty (2 cases), which was never necessary in direct rotation patients.
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Adolescent scar contracture kyphoscoliosis is a very rare disease. ⋯ Based this grand round case and relevant literature, we discuss the different options for the treatment of adolescent scar contracture scoliosis.