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MedWorm.com provides a medical RSS filtering service. Over 7000 RSS medical sources are combined and output via different filters. This feed contains the latest news and research in the Back Curves category.



Last Build Date: Tue, 22 Mar 2016 08:27:15 +0100

 



Novel System Offers Less Invasive Treatment for Early-Onset Scoliosis

Sat, 19 Mar 2016 01:34:54 +0100

No abstract available (Source: Lippincott's Bone and Joint Newsletter)

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Evaluating the sagittal spinal and pelvic parameters in Marfan syndrome patients affected with scoliosis

Sat, 19 Mar 2016 01:34:48 +0100

BACKGROUND CONTEXT: Spinal deformities present a common finding in patients affected with Marfan syndrome (MFS). More specifically, sagittal spine imbalances reflect the typical finding of such deformities within this population. Observing the spinal radiographs of such patients, we focused on eliciting any correlation between the pelvic incidence (PI) and thoracolumbar kyphosis measurements, and categorising them according to a sagittal spinal classification system. (Source: The Spine Journal)



The use of transitional flexible rods in long posterior instrumentation to correct adult degenerative kyphoscoliosis—short-term results

Sat, 19 Mar 2016 01:34:48 +0100

BACKGROUND CONTEXT: Proximal junctional kyphosis (PJK) and proximal junctional failure (PJF) are recognised complications of long segment instrumentation for the correction of adult spinal deformity. (Source: The Spine Journal)



Two stage anterior/posterior scoliosis deformity correcting surgery is a powerful tool in selective lumbar fusion for stiff double major curves by saving distal motion segments

Sat, 19 Mar 2016 01:34:48 +0100

BACKGROUND CONTEXT: Selective proximal lumbar fusion has clinical benefits to the patient. It is recognised that the inherent flexibility of the main thoracic (MT) curve in scoliosis is a significant predictor of final outcome of single major curves. A supine bending radiograph (SBR) can be utilised to stratify the flexibility of the thoracolumbar (TL) and MT curves in double major adolescent idiopathic scoliosis (AIS). Utilising a two-stage anterior/posterior technique can save lumbar motion segments by choosing a more proximal “lowest instrumented vertebra” (LIV) compared to the traditional Harrington stable vertebra (HSV). (Source: The Spine Journal)



Intrathecal baclofen pumps do not accelerate progression of scoliosis in quadriplegic spastic cerebral palsy

Sat, 19 Mar 2016 01:34:48 +0100

BACKGROUND CONTEXT: The literature is unclear whether intrathecal baclofen (ITB) pumps accelerate scoliosis progression in cerebral palsy. (Source: The Spine Journal)



The effect of magnetically controlled growing rod on the sagittal profile in early-onset scoliosis patients

Sat, 19 Mar 2016 01:34:48 +0100

BACKGROUND CONTEXT: Magnetically controlled growing rods (MCGR) have a straight central housing portion that cannot be bent. The effects of gradual lengthening on the regional and overall sagittal profile in early-onset scoliosis (EOS) are unknown. (Source: The Spine Journal)

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Upright, prone and supine spinal morphology in adolescent idiopathic scoliosis

Sat, 19 Mar 2016 01:34:48 +0100

BACKGROUND CONTEXT: Adolescent idiopathic scoliosis (AIS) patients are exposed to ten times more radiation as compared to healthy adolescents; this leads to an increased risk of developing malignancies. In order to minimise the radiation exposure, non-ionising imaging modalities (magnetic resonance imaging [MRI]) can be used. (Source: The Spine Journal)



Gentamicin fleece and the incidence of surgical site infections following spinal deformity surgery for adolescent idiopathic scoliosis

Sat, 19 Mar 2016 01:34:48 +0100

BACKGROUND CONTEXT: The incidence of surgical site infection (SSI) after spinal deformity surgery for adolescent idiopathic scoliosis ranges from 0.5% to 6.7%. Local application of antibiotics to the wound has been shown to reduce rates of SSI after spinal fusion. (Source: The Spine Journal)



Posterior instrumented fusion for thoracolumbar kyphosis in mucopolysaccharidoses type 1

Sat, 19 Mar 2016 01:34:48 +0100

BACKGROUND CONTEXT: Management of this condition is not well represented in the literature. Isolated reports on the surgical management of this disorder appear. It has previously been thought that posterior-only fixation is not appropriate in this cohort of patients. (Source: The Spine Journal)



Analysis of segmental mobility following a novel posterior apical short-segment correction for adolescent idiopathic scoliosis

Sat, 19 Mar 2016 01:34:48 +0100

BACKGROUND CONTEXT: The consequence of a spinal fusion is an abnormal load on adjacent levels with increased risk of future adjacent segment degeneration. (Source: The Spine Journal)



Surgical outcome of scoliosis correction in Duchenne muscular dystrophy (DMD) using different instrumentation constructs

Sat, 19 Mar 2016 01:34:48 +0100

BACKGROUND CONTEXT: With the advent of newer instrumentation systems, ie, pedicle screw (PS), there has been a recent trend towards its use in neuromuscular scoliosis and DMD. However sublaminar wire (SW) is still widely used; we therefore compared our results with these two techniques. (Source: The Spine Journal)

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Is there a correlation between gross motor function classification system (GMFCS) level and scoliosis in patients with cerebral palsy (CP)? A systematic review

Sat, 19 Mar 2016 01:34:48 +0100

BACKGROUND CONTEXT: Gross motor function classification system (GMFCS) is now an established standardised assessment tool used to classify cerebral palsy (CP) children to levels I–V according to their gross motor function skills. Studies predating GMFCS have shown scoliosis prevalence to be associated with poor motor function. Prevalence of other secondary musculoskeletal complications is associated with increased GMFCS level. (Source: The Spine Journal)



Estimated X-ray exposure and additional cancer risk during surgical treatment of scoliosis in the growing spine

Sat, 19 Mar 2016 01:34:48 +0100

BACKGROUND CONTEXT: Clinicians must weigh the benefits of radiological imaging against the risks of X-ray exposure in the diagnosis and treatment of scoliosis. (Source: The Spine Journal)



Comparison of primary and conversion surgery with magnetically controlled growing rods in children with early onset scoliosis (EOS)

Sat, 19 Mar 2016 01:34:48 +0100

BACKGROUND CONTEXT: It is not known how effective the magnetically controlled growing rods (MCGR) technique is in previously operated children. (Source: The Spine Journal)



Sacral osteotomies for correction of high pelvic incidence

Sat, 19 Mar 2016 01:34:48 +0100

BACKGROUND CONTEXT: The limits of osteotomy are generally reached when the degree of lumbar lordosis exceeds the capabilities of the technique in cases of very high pelvic incidence (PI>90°). In these cases, the best place for an osteotomy is between the sacral plateau and femoral heads, in order to decrease the PI. (Source: The Spine Journal)



Health-related quality of life in patients undergoing cervicothoracic osteotomies for fixed cervicothoracic kyphosis in patients with ankylosing spondylitis

Sat, 19 Mar 2016 01:34:48 +0100

BACKGROUND CONTEXT: Ankylosing spondylitis (AS) can result in severe cervicothoracic kyphotic deformity (CTKD). Few studies have addressed the relationship between cervical osteotomy and health-related quality of life (HRQOL) scores. (Source: The Spine Journal)

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The development and validation of a 3D ultrasound system for monitoring curve progression of patients with scoliosis

Sat, 19 Mar 2016 01:34:48 +0100

BACKGROUND CONTEXT: The standard approach of monitoring scoliosis involves using the Cobb angle from posteroanterior (PA) radiograph. This approach has two key limitations: (1) It involves exposing the patients to ionising radiation during a period of heightened radiosensitivity. (2) The 2D X-ray image is a projection image of a 3D deformity and the Cobb angle represents only lateral rotation. 3D ultrasound (3DUS) could overcome both these limitations. (Source: The Spine Journal)



A single centre's experience of magnetic growing rods for the treatment of early onset scoliosis

Sat, 19 Mar 2016 01:34:48 +0100

BACKGROUND CONTEXT: The surgical treatment of early onset scoliosis continues to be a challenging condition. Growing rods are widely used to control deformity. Magnetic growing systems have the potential to reduce the number of re-operations, thereby reducing anaesthetic risks, wound-related complications, fusion bars and emotional distress to the patients and their families. (Source: The Spine Journal)



Is it mandatory to routinely use image intensifier during scoliosis surgery? Results of an online survey

Sat, 19 Mar 2016 01:34:48 +0100

BACKGROUND CONTEXT: It is now medico-legally mandatory to use cord monitoring during scoliosis surgery. Use of image intensifier during scoliosis surgery, on the other hand, is highly variable in the UK spine centres. (Source: The Spine Journal)



The effect of magnetic resonance imaging on implanted magnetically controlled growing (MAGnetic Expansion Control [MAGEC]) rods—a report of two cases

Sat, 19 Mar 2016 01:34:48 +0100

BACKGROUND CONTEXT: Magnetically controlled growing (MAGnetic Expansion Control [MAGEC]) rod systems are increasingly being used to aid in the management of early onset scoliosis. The distraction component of the device is magnetically controlled, and the effect of magnetic resonance imaging (MRI) on this component is unknown. Manufacturers currently advise that MRI is contraindicated in the presence of magnetic growth rods. (Source: The Spine Journal)



Reconstruction of lung volume from biplanar radiographs in scoliosis

Sat, 19 Mar 2016 01:34:48 +0100

BACKGROUND CONTEXT: Scoliosis results in a reduction in thoracic volume. An estimate on the effect on lung volume may help to develop intervention thresholds and effect of intervention. Estimates from available radiographs could make this a clinic test. (Source: The Spine Journal)

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The surgical treatment of severe Scheuermann kyphosis

Sat, 19 Mar 2016 01:34:48 +0100

BACKGROUND CONTEXT: Scheuermann kyphosis is a structural deformity of the thoracic or thoracolumbar spine that can produce severe pain resistant to conservative measures, neurological compromise or unacceptable cosmetic deformity. Modern techniques allow better correction of the deformity through posterior-only or anteroposterior surgery but carry significant risks of major complications. (Source: The Spine Journal)



Sagittal alignment of the cervical spine following correction of Scheuermann kyphosis

Sat, 19 Mar 2016 01:34:48 +0100

BACKGROUND CONTEXT: Surgical management of Scheuermann kyphosis (SK) has advanced in recent years with the advent of segmental pedicle screw fixation. Several recent studies have explored sagittal spinopelvic alignment in SK. (Source: The Spine Journal)



Can spinopelvic parameters predict proximal junction kyphosis following correction of Scheuermann kyphosis?

Sat, 19 Mar 2016 01:34:48 +0100

BACKGROUND CONTEXT: Surgical correction of Scheuermann's kyphosis (SK) is complicated by a relatively high incidence of early (22%) and late (53%) Proximal Junctional Kyphosis (PJK). Recent studies show that SK patients have smaller Pelvic Incidence (PI) values than age-matched controls. (Source: The Spine Journal)



Thoracolumbar kyphosis in patients with mucopolysaccharidosis (MPS): outcomes of operative and non-operative treatment

Sat, 19 Mar 2016 01:34:48 +0100

BACKGROUND CONTEXT: Mucopolysaccharidosis (MPS) patients invariably develop thoracolumbar spinal deformity. Bone marrow transplantation and enzyme therapy have improved life expectancy in patients with MPS, and consequently led to the development of increasingly severe spinal deformity, the optimal management of which is uncertain. (Source: The Spine Journal)



Infantile developmental thoracolumbar kyphosis with segmental subluxation of the spine: report of five patients treated conservatively

Sat, 19 Mar 2016 01:34:48 +0100

BACKGROUND CONTEXT: Acute angulation at the thoracolumbar junction with segmental subluxation of the spine occurring at the level above an anteriorly hypoplastic vertebra in otherwise normal children is a rare condition described as infantile developmental thoracolumbar kyphosis. Three patient series with a total of 18 children have been previously reported. There is no consensus on treatment. Spontaneous resolution of the deformity has been observed, even though surgical treatment has also been advocated for progressive deformities. (Source: The Spine Journal)

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Surgical outcome of scoliosis correction in Duchenne muscular dystrophy using different instrumentation constructs

Sat, 19 Mar 2016 01:34:48 +0100

BACKGROUND CONTEXT: With the advent newer instrumentation systems, ie, pedicle screw (PS), there has been a recent trend towards its use in neuromuscular scoliosis and Duchenne muscular dystrophy (DMD). However, sublaminar wire (SW) is still widely used; we therefore compared our results with these two techniques. (Source: The Spine Journal)



Percutaneous correction of scoliosis in Duchenne muscular dystrophy: a new technique

Sat, 19 Mar 2016 01:34:48 +0100

BACKGROUND CONTEXT: Scoliosis is common in Duchenne muscular dystrophy (DMD). It leads to impaired respiratory function, poor sitting balance and pain. Surgical correction of scoliosis improves sitting balance and prevents deterioration of respiratory function. However, conventional surgery in these patients is associated with significant intraoperative bleeding and risk of infection; percutaneous surgical techniques have the advantage of reducing this. (Source: The Spine Journal)



Quality of life after scoliosis surgery in cerebral palsy

Sat, 19 Mar 2016 01:34:48 +0100

BACKGROUND CONTEXT: Radiological correction of scoliosis in quadriplegic cerebral palsy (CP) after posterior instrumentation is well established, but patient and caregiver outcomes are required to justify this high-risk and high-cost surgery. (Source: The Spine Journal)



Attitudes towards venous thromboembolism risk assessment in paediatric scoliosis patients

Sat, 19 Mar 2016 01:34:48 +0100

BACKGROUND CONTEXT: The rates of pulmonary embolism (PE) and deep vein thrombosis (DVT) in paediatric scoliosis patients have been estimated at 0.04% and 0.01%, respectively. Following two episodes of life-threatening perioperative venous thrombosis in children with spastic quadriplegia undergoing major spinal deformity surgery, we reviewed our unit's policy of venous thromboembolism (VTE) risk management. (Source: The Spine Journal)



Prevalence and significance of vitamin D deficiency in patients with adolescent idiopathic scoliosis requiring corrective surgery

Sat, 19 Mar 2016 01:34:48 +0100

BACKGROUND CONTEXT: Vitamin D deficiency may affect children in terms of growth disturbance, deformity and metabolic disease. Levels are not routinely checked prior to corrective surgery for scoliosis; however deficiency is easily treatable with supplements. The senior authors have observed significant difference in bone quality intra-operatively and questioned whether vitamin D status was associated. (Source: The Spine Journal)

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Transcranial magnetic stimulation for the semi-quantitative preoperative assessment of patients with idiopathic scoliosis

Sat, 19 Mar 2016 01:34:48 +0100

BACKGROUND CONTEXT: Transcranial magnetic stimulation (TMS) of the motor cortex can be used to evaluate conduction in the corticospinal motor tracts before spinal surgery. This may be used preoperatively (and postoperatively) in conscious patients simply to show the presence of conducting pathways. However, it would be additionally valuable if such measurements could be legitimately employed for quantitative comparison with intra-operative motor evoked potential (MEP) measurements made using conventional electrical cortical stimulation (EMS) in anaesthetised patients. (Source: The Spine Journal)



Human susceptibility to adolescent idiopathic scoliosis (AIS): SRGAP2 gene duplication and an evo-devo insight into pathogenesis

Sat, 19 Mar 2016 01:34:48 +0100

BACKGROUND CONTEXT: Adolescent idiopathic scoliosis (AIS) affects humans and not non-human primates. This difference is generally attributed to factors associated with human bipedalism and spinopelvic balance. In AIS, there is increasing evidence of underlying subclinical neurological disorders and cerebral asymmetries which may contribute with skeletal growth and other factors to pathogenesis. The evidence suggests that in some subjects with AIS, any cerebral dysfunction with asymmetry that may initiate the scoliosis could have its root in the complex organisation of the cortical network of the human brain acquired by hominins in evolution. (Source: The Spine Journal)



Complications of growing rods in non-idiopathic scoliosis

Sat, 19 Mar 2016 01:34:48 +0100

BACKGROUND CONTEXT: Previous reports have indicated high complication rates associated with non-fusion surgery in patients with early-onset scoliosis. Many patients with non-idiopathic scoliosis have significant medical co-morbidities. Limited data are available on complication type and rate in patients with non-idiopathic scoliosis undergoing growing rod insertion. (Source: The Spine Journal)



Do magnetic growing rods have lower complication rates compared to conventional growing rods?

Sat, 19 Mar 2016 01:34:48 +0100

BACKGROUND CONTEXT: In recent studies magnetic growth rods have been shown to be effective for surgical management of early onset scoliosis, and it has gained approval from the National Institute of Clinical & Healthcare Excellence (NICE). The main advantage cited for the use of this system includes avoiding repeated invasive surgical procedures for lengthening, thus reducing complications. (Source: The Spine Journal)



Incidence of proximal junctional kyphosis with magnetic expansion control rods in early onset scoliosis (EOS)

Sat, 19 Mar 2016 01:34:48 +0100

BACKGROUND CONTEXT: The introduction of magnetic expansion control growth rods for the surgical management of early onset scoliosis (EOS) has gained popularity. However, there are no published studies on the incidence of proximal junctional kyphosis (PJK) using this technique. (Source: The Spine Journal)

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The tail-gating principle: a new lengthening technique for the surgical treatment of early onset scoliosis

Sat, 19 Mar 2016 01:34:48 +0100

BACKGROUND CONTEXT: The optimum frequency and amount of lengthening at distraction required to control spinal deformity in early onset scoliosis (EOS) is controversial. Intervals of lengthening range from 1 to 9 months. There is a distinct lack of established guidelines for how and when lengthening should be performed and what parameters should be used to monitor its efficacy. (Source: The Spine Journal)



Rib-to-spine versus spine-to-spine constructs in growing rod system: a new technique

Sat, 19 Mar 2016 01:34:48 +0100

BACKGROUND CONTEXT: Scoliosis in the growing spine continues to be a challenging condition. Growing rods are widely used to control deformity. Magnetic growing systems have the potential to reduce the number of reoperations. However the proximal fixation can still be an issue with screw misplacement, screw pull-out and artificial constriction of the canal diameter. (Source: The Spine Journal)



Observed changes with intraoperative spinal cord monitoring during kyphosis correction with 3 column osteotomies

Sat, 19 Mar 2016 01:34:48 +0100

BACKGROUND CONTEXT: Kyphosis and junctional kyphosis associated with previous surgery commonly present with worsening pain and neurological deficits. The indications for surgery are increasing axial back pain, pseudoarthrosis or malunion that fails to respond to non-operative treatment, and progressive neurological deterioration. Spinal deformity corrections are associated with iatrogenic neurological injuries. Intraoperative monitoring (IOM) is mandatory during spinal deformity correction to alert the surgeon during critical times in these high-risk procedures, allowing modification of surgical technique. (Source: The Spine Journal)



Correction of sagittal plane deformity and predictive factors for a favourable radiological outcome following multilevel posterior lumbar interbody fusion for degenerative scoliosis

Sat, 19 Mar 2016 01:34:48 +0100

This study evaluates the outcome of multilevel posterior interbody fusion (MPLIF) with respect to sagittal balance. (Source: The Spine Journal)



Preoperative anxiety and desire for information among scoliosis deformity surgical patients

Sat, 19 Mar 2016 01:34:48 +0100

BACKGROUND CONTEXT: Preoperative anxiety is a common problem that affects patients undergoing surgical procedures in general, and can affect their clinical outcomes, expectations and satisfaction. (Source: The Spine Journal)

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Novel posterior apical short-segment correction of adolescent idiopathic scoliosis: a prospective multicentre study

Sat, 19 Mar 2016 01:34:48 +0100

BACKGROUND CONTEXT: Posterior instrumentation with fusion is routinely utilised to treat patients with adolescent idiopathic scoliosis (AIS). The implant density and levels requiring fusion remain controversial. The technique in this study provides an alternative to conventional fusion constructs by utilising less exposure, lower implant density and fewer levels of fusion. (Source: The Spine Journal)



A preoperative radiological measurement that can predict poor results after a selective thoracic fusion (STF) in patients with adolescent idiopathic scoliosis (AIS)

Sat, 19 Mar 2016 01:34:48 +0100

BACKGROUND CONTEXT: Criteria have been suggested for the correct determination of the lowest instrumented vertebra (LIV) in selective thoracic fusion (STF) to decrease the likelihood of postoperative decompensation, progression of the unfused lumbar curve and hence the need for revision surgery. However, there is no standardised preoperative measurement currently implemented. (Source: The Spine Journal)



The effect of metal density in thoracic adolescent idiopathic scoliosis

Sat, 19 Mar 2016 01:34:48 +0100

BACKGROUND CONTEXT: The literature is unclear regarding the optimal metal density for surgical correction of thoracic adolescent idiopathic scoliosis (AIS). Whilst many surgeons are influenced by curve size and flexibility when deciding metal density, studies suggest overall increasing metal density and cost over recent years. Given that progressively constrained healthcare budgets will impact on clinical decision making, improved understanding of the influence of metal density in AIS is necessary to guide rational use of instrumentation. (Source: The Spine Journal)



Radiological and surface measurements in preoperative Adolescent Idiopathic Scoliosis (AIS)

Sat, 19 Mar 2016 01:34:48 +0100

This study assesses interactions between commonly measured parameters of scoliosis severity. (Source: The Spine Journal)



The role of the DIERS 4D formetric system in objectively quantifying the deformity seen in adolescent idiopathic scoliosis (AIS)

Sat, 19 Mar 2016 01:34:48 +0100

BACKGROUND CONTEXT: Surface topography, such as the DIERS 4D formetric system, can quantify objectively the degree of deformity seen in adolescent idiopathic scoliosis (AIS). There few studies looking into its reliability. (Source: The Spine Journal)

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Can photographs quantify cosmesis in adolescent idiopathic scoliosis (AIS)?

Sat, 19 Mar 2016 01:34:48 +0100

BACKGROUND CONTEXT: Clinical photography is used in patients with adolescent idiopathic scoliosis (AIS) as a way of recording and monitoring a patient's cosmetic appearance, but there is little work looking at using them to quantify trunk cosmesis before and after surgery. (Source: The Spine Journal)



What matters to patients and their families in the management of adolescent idiopathic scoliosis?

Sat, 19 Mar 2016 01:34:48 +0100

BACKGROUND CONTEXT: This qualitative study was part of a larger project that evaluated the feasibility of conducting a randomised controlled trial of exercises for young people with adolescent idiopathic scoliosis (AIS) (The ACTiVATeS Study ISRCTN90480705). Current UK management for AIS includes monitoring, bracing for some and, for the most progressive and serious cases, surgery. Exercise is a promising non-surgical intervention for AIS that needs more research. Qualitative research can allow us to incorporate a patient's experience into the design and evaluation of interventions. (Source: The Spine Journal)



Predictive factors for acute proximal junctional failure (APJF) after adult deformity surgery: a multivariate analysis

Sat, 19 Mar 2016 01:34:47 +0100

BACKGROUND CONTEXT: Acute proximal junctional failure (APJF), was recently defined as post-operative fracture of the upper instrumented vertebrae (UIV) or UIV+1; UIV implant failure; proximal junctional kyphosis (PJK) increase >15°; or need for proximal extension of the fusion within 6 months of surgery. (Source: The Spine Journal)



Improvement in unfused adjacent segment disc condition following posterior spine fusion for adolescent idiopathic scoliosis

Sat, 19 Mar 2016 01:34:47 +0100

BACKGROUND CONTEXT: One of the key questions asked by scoliosis surgeons and patients following surgery is the impact of the long lever arm on adjacent segment discs. It has been a long-held belief that adjacent segments suffer from higher stresses imparted on them due to a long fused segment. Although studies exist demonstrating no increase in adjacent segment degeneration, this is the first prospective study to look at both anterior and posterior instrumented fusions in a single centre series. (Source: The Spine Journal)



Sagittal alignment of the cervical spine following correction of Scheuermann kyphosis

Sat, 19 Mar 2016 01:34:47 +0100

BACKGROUND CONTEXT: Data on sagittal alignment of the cervical spine in Scheuermann kyphosis (SK) before and after surgical correction are sparse if not missing at all. (Source: The Spine Journal)

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The 3-year effects of a 4-week intensive scoliosis-specific physiotherapy (SSP) programme on patient-reported quality of life (QoL) in adults with idiopathic scoliosis (IS)

Sat, 19 Mar 2016 01:34:47 +0100

BACKGROUND CONTEXT: Health-related quality of life (QoL) is often reduced in scoliotic patients; therefore, it is essential for any treatment methods to address this. (Source: The Spine Journal)



Phacoemulsification in patients unable to lie flat for cataract surgery: Face-to-face positioning with surgeon on the contralateral side

Sat, 19 Mar 2016 00:00:00 +0100

The patient who cannot lie flat for cataract surgery presents a challenge.1 We have described face-to-face upright seated positioning for these patients,2,3 a technique we use most often for patients with fixed spinal deformity (kyphosis) and/or orthopnea. The surgeon sits or stands facing the erect or semi-recumbent patient and operates via an incision in the lower half of the cornea. The technique requires topical intracameral anesthesia, an adjustable surgical chair for the patient, and a microscope that rotates forward toward the horizontal. (Source: Journal of Cataract and Refractive Surgery)



Incidence and risk factors for proximal junctional kyphosis: a meta-analysis

Sat, 19 Mar 2016 00:00:00 +0100

Conclusions The results of our meta-analysis suggest that age at surgery >55 years, fusion to S1, T5–T12 >40°, low BMD and SVA difference >5 cm are risk factors for PJK. However, gender, combined anterior–posterior surgery, use of pedicle screw at top of construct, hybrid instrumentation and thoracoplasty are not associated with PJK. (Source: European Spine Journal)



Kümmell disease: illustrative case for definition criteria

Sat, 19 Mar 2016 00:00:00 +0100

Kümmell disease (KD) is defined as a clinical condition in which patients develop a painful progressive angular kyphosis as the result of a delayed vertebral body collapse after a minor spinal trauma [1-3]. The most supported etiopathogenetic hypothesis is a post-traumatic avascular necrosis of the vertebral body [4]. Main cornerstones of KD are: an history of trauma with a negative X-ray investigation, an asymptomatic period and a recurrence of symptoms that results in painful kyphosis deformity of the affected spine [5]. (Source: The Spine Journal)



A case report of a 13-year-old girl diagnosed with superior mesenteric artery syndrome after undergoing spine correction with posterior fusion for rapidly progressed juvenile idiopathic scoliosis

Fri, 18 Mar 2016 00:00:00 +0100

Conclusions (1) SMAS can occur frequently in patients after surgical correction of the spine deformities. (2) At the curvatures of the order of 100°–120° or more, there is a significant change in the topography of the anatomical structures and their adaptation to a new position after surgery. (3) Special attention must be paid to young, lean patients, with BMI below 19, and the postoperative effect of an elongated axis of the spine. (4) Even if SMAS occurs, in most cases it can and should be treated conservatively. (Source: Polish Annals of Medicine)

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The utility of an allograft tendon for scoliosis correction via the costotransverse foramen

Fri, 18 Mar 2016 00:00:00 +0100

This article is protected by copyright. All rights reserved (Source: Journal of Orthopaedic Research)






Proximal Junctional Kyphosis.

Thu, 17 Mar 2016 22:34:02 +0100

Authors: Kim HJ, Iyer S Abstract Proximal junctional kyphosis (PJK) is a common complication following adult spinal deformity surgery. It is defined by two criteria: a proximal junctional sagittal Cobb angle (1) ≥10° and (2) at least 10° greater than the preoperative measurement. PJK is multifactorial in origin and likely stems from surgical, radiographic, and patient-related risk factors. The diagnosis of PJK represents a broad spectrum of disease ranging from asymptomatic patients with recurrence of deformity to those presenting with increased pain, functional deficit, and, in the most severe cases, neurologic deficits. Recent studies have demonstrated increased pain levels in select patients with PJK. In keeping with the broad spectrum of the disease, classification schemes ...



Is Scoliosis Preventable? Considering Genetics’ Impact

Thu, 17 Mar 2016 13:42:46 +0100

Untangling a complicated issue. (Source: U.S. News - Health)



Reliability of the revised scoliosis research society22 and oswestry disability index (ODI) questionnaires in adult spinal deformity when administered by telephone

Thu, 17 Mar 2016 00:00:00 +0100

Non-response rates are as high as 20-50% after 5 years of follow-up in adult spinal deformity (ASD) surgery. Minimizing loss to follow-up is essential to protect data quality in long-term studies. Phone and internet administration of outcomes instruments have grown in popularity and have been found to not only provide a convenient way of collecting data, but have also been shown to improve response rates. (Source: The Spine Journal)

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Multiple myeloma presenting with acute bony spinal cord compression and mechanical instability successfully managed non-operatively

Thu, 17 Mar 2016 00:00:00 +0100

Multiple myeloma (MM) with spinal involvement may present with spinal cord or cauda equina compression, with or without neurological impairment. This occurs when a soft tissue myelomatous mass extends into the epidural space1. The mainstay of management for such lesions in patients with normal neurology is chemotherapy and/or radiotherapy alone but those with neurological compromise require surgical decompression with adjuvant therapy2. Infrequently, MM patients present with spinal cord compression and neurological impairment due to bony encroachment from vertebral translation and kyphosis where significant lytic bone disease has rendered the spine mechanically unstable. (Source: The Spine Journal)



Early severe scoliosis in a patient with atypical progressive pseudorheumatoid dysplasia (PPD): Identification of two WISP3 mutations, one previously unreported

Thu, 17 Mar 2016 00:00:00 +0100

We report two siblings from a non‐consanguineous Ecuadorian family with a late‐onset spondyloepiphyseal dysplasia. Mutation screening was undertaken in the two affected siblings using a customized skeletal dysplasia next generation sequencing (NGS) panel and confirmed by Sanger sequencing. Two compound heterozygous mutations were identified in WISP3 exon 2, c.[190G>A];[197G>A] (p.[(Gly64Arg)];[(Ser66Asn)]) in the two siblings, both of which had been inherited. The p. (Gly64Arg) mutation has not been previously described whilst the p. (Ser66Asn) mutation has been reported in two PPD families. The two siblings presented with atypical PPD, as they presented during late childhood, yet the severity was different between them. The progression was particularly aggressive in the male sib...



Inverted positioning of Leksell Frame G for very low posterior fossa and brain stem lesions biopsies.

Wed, 16 Mar 2016 19:08:02 +0100

CONCLUSIONS: If meticulously planned, our modified procedure provide a direct and precise access to deep seated areas of the posterior fossa and brainstem and is particularly helpful in those patients with short neck and kyphosis in which is crucial obtain an istopathologic diagnosis in lower posterior fossa. PMID: 26977636 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)



Vertebral body fracture after TLIF: a new complication

Wed, 16 Mar 2016 00:00:00 +0100

Conclusion TLIF procedures can result in an unstable vertebral body fracture potentially necessitating revision decompression & stabilization. We recommend extra caution in patients with mineral bone disease, as technical errors can be magnified. (Source: European Spine Journal)



Effect of surgical correction of adolescent idiopathic scoliosis on the quality of life: a prospective study with a minimum 5-year follow-up

Wed, 16 Mar 2016 00:00:00 +0100

Conclusions Patients who underwent surgery for AIS a minimum of 5 years earlier had impaired self-reported physical QoL compared to control subjects, but they nevertheless performed better than before their surgery. Greater size of the residual hump and greater distal extension of the fusion area are negatively correlated with final self reported outcome. (Source: European Spine Journal)

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The History of Bracing for Scoliosis

Wed, 16 Mar 2016 00:00:00 +0100

(Source: Clinical Pediatrics)



Correlation between severity of adolescent idiopathic scoliosis and pulmonary artery systolic pressure: a study of 338 patients

Tue, 15 Mar 2016 00:00:00 +0100

Conclusions A mild positive correlation was identified between sPAP and the coronal Cobb angle of the MT curves. There was no relationship between sPAP and the direction of the curvature. (Source: European Spine Journal)



Validity and reliability of photographic measures to evaluate waistline asymmetry in idiopathic scoliosis

Mon, 14 Mar 2016 00:00:00 +0100

Conclusion WLA measures proposed in this article are reliable tools to assess WLA. We have found a significant correlation between clinical WLA and skeletal deformity (Cobb angle). WHA is related with MT curve while the RLWAD depends on the TLL curve magnitude and its LEV. We have also found a significant relation between WHA and the patient’s perception of the deformity. It seems that WLA is a cosmetic concern to take into account in clinical evaluation of IS patients. (Source: European Spine Journal)



Pitfalls and Challenges of Lung Transplant in a Patient With Kartagener Syndrome and Scoliosis.

Mon, 14 Mar 2016 00:00:00 +0100

We present a 22-year-old woman with Kartagener syndrome and scoliosis who died 112 days after single lung transplant. The classic thoracic involvement of situs inversus totalis and the asymmetric arrangement of the thoracic vascular structures might be a pitfall for surgeon. Anatomic obstacles have forced the surgeon to perform a single transplant. The period of primary graft dysfunction in a single transplanted lung patient was a challenge; supporting the patient with a high flow and long period of extracorporeal membrane oxygenation might lead to a vanishing bronchus. Immotile cilia, a feature of Kartagener syndrome, were another challenge and patient needed several daily aspiration bronchoscopies. Vanishing bronchus is a gradual process with high mortality rates; commonly, stenosis is a...



Management of scoliosis in patients with Duchenne muscular dystrophy and spinal muscular atrophy: A literature review.

Sun, 13 Mar 2016 09:40:02 +0100

Authors: Garg S Abstract Scoliosis occurs in nearly all non-ambulatory children with spinal muscular atrophy (SMA) and Duchenne muscular dystrophy (DMD). Non-operative treatments have not been shown to be effective at preventing progression of scoliosis. Progressive scoliosis can impact the ability of patients to sit comfortably, be cosmetically unappealing, and in severe cases exacerbate pulmonary disease. The main goal of operative treatment is to improve sitting balance and prevent progression of scoliosis. Complication rates are high and there is little data on effect of operative treatment on quality of life in children with SMA and DMD. Comprehensive multi-disciplinary pre-operative evaluations are vital to reduce the risks of operative treatment. PMID: 26966797 [PubMed ...

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Factors influencing the evaluation and management of neuromuscular scoliosis: A review of the literature.

Sun, 13 Mar 2016 07:23:02 +0100

Authors: Roberts SB, Tsirikos AI Abstract Neuromuscular scoliosis (NMS) is the second most prevalent spinal deformity (after idiopathic scoliosis) and is usually first identified during early childhood. Cerebral palsy (CP) is the most common cause of NMS, followed by Duchenne muscular dystrophy (DMD). Progressive spinal deformity causes difficulty with daily care, walking and sitting, and can lead to back and rib pain, cardiac and pulmonary complications, altered seizure thresholds, and skin compromise. Early referral to specialist spinal services and early diagnosis of NMS is essential to ensure appropriate multidisciplinary patient management. The most important goals for patients are preservation of function, facilitation of daily care, and alleviation of pain. Non-operative man...



A Rare Case of Concomitant Intramedullary Gangliocytoma at the Cervicomedullary Junction in Patient with Neuroendocrine Tumor of Lung.

Sat, 12 Mar 2016 07:19:02 +0100

Authors: Aydemir F, Cekinmez M, Kardes O, Kayaselcuk F Abstract Ganglion cell tumors (GCT) are divided into two subtypes : gangliocytoma and ganglioglioma. Intramedullary gangliocytomas are extremely rare. A 20-year-old male patient with pain of neck, who also had a previously known neuroendocrine tumor of lung, was operated for mass found in the cervicomedullary junction with a presumptive diagnosis of metastases. Only partial resection could be performed. Pathological diagnosis had been reported as gangliocytoma. Only ten cases of intramedullary gangliocytoma have been reported in the literature. Although association with scoliosis and Von Recklinghausen's disease were previously reported in the literature, no gangliocytoma case concomitant with endocrine tumor of lung have been ...



Single-Stage Posterior Subtotal Corpectomy and Circumferential Reconstruction for the Treatment of Unstable Thoracolumbar Burst Fractures.

Sat, 12 Mar 2016 07:19:02 +0100

CONCLUSION: The single-stage posterior subtotal corpectomy and circumferential reconstruction achieved satisfactory kyphosis correction with direct visualization of the circumferentially decompressed spinal cord, as well as good fusion with less blood loss and complications. It is a safe and reliable surgical treatment option for unstable thoracolumbar burst fractures. PMID: 26962417 [PubMed] (Source: Journal of Korean Neurosurgical Society)



Better height restoration, greater kyphosis correction, and fewer refractures of cemented vertebrae by using an intravertebral reduction device: a 1-year follow-up study

Sat, 12 Mar 2016 00:00:00 +0100

This study compared the radiological and clinical outcomes of kyphoplasty with intravertebral reduction device (IRD) and vertebroplasty (VP) in treating Osteoporotic vertebral compression fractures (OVCF). (Source: World Neurosurgery)



Antimicrobial prophylaxis to prevent surgical site infection in adolescent idiopathic scoliosis patients undergoing posterior spinal fusion: 2 doses versus antibiotics till drain removal

Sat, 12 Mar 2016 00:00:00 +0100

Conclusions This is the first study on the AMP protocol in scoliosis surgery for SSI prevention. Results suggest that two doses of AMP are as effective as continued antimicrobial use until drain removal. Cephazolin appears to be effective and safe for prophylaxis. (Source: European Spine Journal)

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Surgical outcomes of temporary short-segment instrumentation without augmentation for thoracolumbar burst fractures

Sat, 12 Mar 2016 00:00:00 +0100

Short-segment posterior spinal instrumentation for thoracolumbar burst fracture provides superior correction of kyphosis by an indirect reduction technique, but it has a high failure rate. We investigated the clinical and radiological results of temporary short-segment pedicle screw fixation without augmentation performed for thoracolumbar burst fractures with the goal of avoiding treatment failure by waiting to see if anterior reconstruction was necessary. (Source: Injury)



Five-level posterior total en bloc spondylectomy of severe myelomeningocele kyphosis

Fri, 11 Mar 2016 00:00:00 +0100

case report. (Source: World Neurosurgery)



Comparison of a zero-profile anchored spacer (ROI-C) and the polyetheretherketone (PEEK) cages with an anterior plate in anterior cervical discectomy and fusion for multilevel cervical spondylotic myelopathy

Fri, 11 Mar 2016 00:00:00 +0100

Conclusions The primary clinical and radiographic efficacies of both ROI-C and cages with plates in ACDF for MCSM were satisfactory; both approaches could improve and maintain cervical lordosis and disk height. However, the ROI-C was associated with a simpler operation, a shorter operation time, less blood loss, and a lower risk of postoperative dysphagia compared to the PEEK cage with an anterior plate. (Source: European Spine Journal)



Experimental validation of a patient-specific model of orthotic action in adolescent idiopathic scoliosis

Fri, 11 Mar 2016 00:00:00 +0100

Conclusions In-depth analysis suggests that personalization of spinal functional units mechanical properties could improve the simulation’s accuracy, but the model gave good results, thus justifying further research on its clinical application. (Source: European Spine Journal)



Congenital scoliosis treated with posterior vertebral column resection in patients younger than 18 years: longer than 10-year follow-up.

Fri, 11 Mar 2016 00:00:00 +0100

CONCLUSIONS Posterior vertebral column resection is an effective procedure for managing congenital scoliosis in patients younger than 18 years. Use of PVCR and fusion with PSF for congenital scoliosis achieved rigid fixation and satisfactory deformity correction that was maintained over the long term. However, the authors note that PVCR is a technically demanding procedure and entails risks for major complications and excessive blood loss. PMID: 26967991 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgery.Spine)

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Factors associated with improvement in sagittal spinal alignment after microendoscopic laminotomy in patients with lumbar spinal canal stenosis.

Fri, 11 Mar 2016 00:00:00 +0100

CONCLUSIONS Preoperative PI -LL and symptom duration were independently associated with SVA improvement in LSS patients with forward-bending posture. PVM degeneration at the lower lumbar level was significantly greater among patients with preoperative SVA ≥ 40 mm than in patients with SVA < 40 mm. PMID: 26967988 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgery.Spine)



Changes in spinal alignment.

Fri, 11 Mar 2016 00:00:00 +0100

Authors: Veintemillas Aráiz MT, Beltrán Salazar VP, Rivera Valladares L, Marín Aznar A, Melloni Ribas P, Valls Pascual R Abstract Spinal misalignments are a common reason for consultation at primary care centers and specialized departments. Misalignment has diverse causes and is influenced by multiple factors: in adolescence, the most frequent misalignment is scoliosis, which is idiopathic in 80% of cases and normally asymptomatic. In adults, the most common cause is degenerative. It is important to know the natural history and to detect factors that might predict progression. The correct diagnosis of spinal deformities requires specific imaging studies. The degree of deformity determines the type of treatment. The aim is to prevent progression of the deformity and to recover th...



Relationships between lumbar inter-vertebral motion and lordosis in healthy adult males: a cross sectional cohort study

Thu, 10 Mar 2016 00:00:00 +0100

Intervertebral motion impairment is widely thought to be related to chronic back disability, however, the movements of inter-vertebral pairs are not independent of each other and motion may also be related to ... (Source: BMC Musculoskeletal Disorders)



Natural hydroxyapatite as a bone graft extender for posterolateral spine arthrodesis

Thu, 10 Mar 2016 00:00:00 +0100

Conclusions Local bone enhanced by an osteoconductive long-term stable scaffold, used with and without bone marrow aspirate, led to successful fusion in all patients by six months while functional recovery was reported already within three to six months. (Source: International Orthopaedics)



Adolescent idiopathic scoliosis: evidence for intrinsic factors driving aetiology and progression

Thu, 10 Mar 2016 00:00:00 +0100

Abstract Adolescent idiopathic scoliosis (AIS) is now considered to be a multifactorial heterogeneous disease, with recent genomic studies supporting the role of intrinsic factors in contributing to the onset of disease pathology and curve progression. Understanding the key molecular signalling pathways by which these intrinsic factors mediate AIS pathology may facilitate the development of pharmacological therapeutics and the identification of predictive markers of progression. The heterogenic nature of AIS has implicated multiple tissue types in the disease pathophysiology, including spinal bone, intervertebral disc and paraspinal muscles. In this review, we highlight some of the mechanisms and intrinsic molecular regulators within these different tissue types and review the evi...

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Risk of revision surgery for adult idiopathic scoliosis: a survival analysis of 517 cases over 25 years

Thu, 10 Mar 2016 00:00:00 +0100

Conclusion This series evaluated the risk of revision surgery following spinal fusion for idiopathic scoliosis. Our results show that the risk seemed to increase linearly with a rate of nearly 20 % after 10 years. The length and lower limit of fusion are the main risk factors for revision surgery. Level IV (e.g. case series). (Source: European Spine Journal)



Relationship between cervical sagittal alignment and health-related quality of life in adolescent idiopathic scoliosis

Thu, 10 Mar 2016 00:00:00 +0100

Conclusions Changes in cervical sagittal parameters were significant after deformity correction in AIS patients. Correlation analysis revealed significant relationships between postoperative radiographic parameters and HRQOL. In particular, T1 slope and C2–C7 SVA were found to be significant predictors of HRQOL in AIS patient. (Source: European Spine Journal)



Development of the Italian version of the modified Japanese orthopaedic association score (mJOA-IT): cross-cultural adaptation, reliability, validity and responsiveness

Wed, 09 Mar 2016 00:00:00 +0100

Conclusions The mJOA-IT proved to be a reliable and valid tool to assess patients affected by CSM. This form is recommended to be used for clinical and research purposes in Italy, to promote the global standardisation of assessment tools and to compare studies on CSM worldwide. (Source: European Spine Journal)



Curve progression 25 years after bracing for adolescent idiopathic scoliosis: long term comparative results between two matched groups of 18 versus 23 hours daily bracing

Wed, 09 Mar 2016 00:00:00 +0100

Scoliotic curves do not necessarily stop progressing at skeletal maturity. The factors that influence curve behavior following bracing are not fully determined. Our objectives were to evaluate the loss of the ... (Source: Scoliosis)



Low intensity signal in T2-weighted MRI images around syringomyelia in a patient with severe scoliosis associated with Chiari malformation Type I

Wed, 09 Mar 2016 00:00:00 +0100

A 16-year-old girl had submitted to our center with complaints of deformity in her back. In the radiological examination, X-ray films showed 105° lumbar and 89° thoracicscoliosis in frontal plane and 64°kyphotic curvature in the sagittal plane. MRI demonstrated a syrinx extending from C1 to C6 and tonsillar herniation of the cerebellum. Interestingly,around syringomelia,MRI showed low signal intensity in T2-weighted images and extend from C5 to T6 (Fig. 1). (Source: The Spine Journal)

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Efficacy of Titanium Mesh Cages for Anterior Column Reconstruction after Thoracolumbar Corpectomy.

Tue, 08 Mar 2016 19:45:02 +0100

CONCLUSIONS: Anterior instrumentation is an effective and safe treatment for thoracolumbar instability with satisfactory clinical and radiological outcomes. PMID: 26949463 [PubMed] (Source: Asian Spine Journal)



A Preliminary Study to Assess Whether Spinal Fusion for Scoliosis Improves Carer-assessed Quality of Life for Children With GMFCS Level IV or V Cerebral Palsy

Tue, 08 Mar 2016 07:34:28 +0100

This study assesses whether scoliosis surgery improves carer-assessed QoL for children with severe CP. Methods: Retrospective review of 33 children (16 male:17 female) with GMFCS level IV/V CP and significant scoliosis. Fifteen underwent observational treatment during childhood, and 18 underwent surgery. Questionnaire and radiographic data were recorded over a 2-year period. The carer-completed Caregiver Priorities and Child Health Index of Life with Disabilities (CPCHILD) questionnaire was used to assess QoL. Results: In the observational group, Cobb angle and pelvic obliquity increased from 46 (40 to 60) and 8 degrees (0 to 28) to 62 (42 to 94) and 12 degrees (1 to 35). Mean CPCHILD score decreased from 50 (30 to 69) to 48 (27 to 69) (P (Source: Journal of Pediatric Orthopaedics)



Validity and utility of monopolar spinal cord stimulation in pediatric scoliosis surgery

Tue, 08 Mar 2016 00:00:00 +0100

Conclusions Monopolar stimulation can be used to monitor the spinal cord during surgery for scoliosis correction. This procedure is more convenient for the surgeon and allows for the combined recording of responses in all four limbs, which can be useful in the case of surgical techniques such as those involving a VEPTR. (Source: European Spine Journal)



Compensatory modulation for severe global sagittal imbalance: significance of cervical compensation on quality of life in thoracolumbar kyphosis secondary to ankylosing spondylitis

Tue, 08 Mar 2016 00:00:00 +0100

Conclusion Notable cervical compensation exists in AS patients with thoracolumbar kyphosis. The cervical compensation responsive to global imbalance was mediated by T1 slope. AS patients with hyperlordotic cervical spine present with better QOL than patients with kyphotic cervical spine. (Source: European Spine Journal)



Nontraumatic l4-l5 spondyloptosis

Tue, 08 Mar 2016 00:00:00 +0100

A 28 year-old female, suffering from low back pain and bilateral leg numbness, referred to orthopaedic clinic for correction of scoliosis. She had congenital skeletal deformities and also scoliosis with no history of trauma. Plain radiographs demonstrated L4 vertebral body located on anterosuperior aspect of L5 vertebral body (Fig. 1, arrow). Computed tomography confined L4-L5 spondyloptosis (Fig.2). Magnetic Resonance Imaging revealed spinal stenosis, cord compression and bilateral neural canal stenosis at this level (Fig. (Source: The Spine Journal)

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Postural Cueing to Increase Lumbar Lordosis Increases Lumbar Multifidus Activation During Trunk Stabilization Exercises: EMG Assessment Using Intramuscular Electrodes.

Tue, 08 Mar 2016 00:00:00 +0100

Conclusion This study suggests that postural cueing to increase lumbar lordosis during trunk stabilization exercises may better promote multifidus activation than traditional stabilization exercises alone. Future studies are needed to determine if increasing lumbar lordosis improves multifidus activation in persons with low back pain. J Orthop Sports Phys Ther, Epub 8 Mar 2016. doi:10.2519/jospt.2016.6174. PMID: 26954268 [PubMed - as supplied by publisher] (Source: Physical Therapy)



Normative values for the spine shape parameters using 3D standing analysis from a database of 268 asymptomatic Caucasian and Japanese subjects

Mon, 07 Mar 2016 00:00:00 +0100

Conclusion We showed that the key spinopelvic parameters obtained from a large database of healthy subjects were comparable for Causasian and Japanese populations. The normative values provided in this study and the equations obtained after linear regression modeling could help to estimate pre-operatively the lumbar lordosis restoration and could be also used as guidelines for spinopelvic sagittal balance. (Source: European Spine Journal)



Reliability of the axial vertebral rotation measurements of adolescent idiopathic scoliosis using the center of lamina method on ultrasound images: in vitro and in vivo study

Mon, 07 Mar 2016 00:00:00 +0100

Conclusions The pilot study indicated the proposed COL method was a simple and reliable method to evaluate the AVR on ultrasound images. Standardization of the posture during ultrasound scan and taking radiograph is important. (Source: European Spine Journal)



Lumbar annulus fibrosus biomechanical characterization in healthy children by ultrasound shear wave elastography

Sat, 05 Mar 2016 07:34:19 +0100

Conclusions Feasibility and reliability of IVD shear wave elastography were demonstrated. The measurement protocol is compatible with clinical routine and the results show the method’s potential to give an insight into spine deformity progression and early detection. Key Points • Intervertebral disc mechanical properties are key to spine biomechanics • Feasibility of shear wave elastography in children lumbar disc was assessed • Measurement was fast and reliable • Elastography could represent a novel biomarker for spine pathologies (Source: European Radiology)