Neurophysiological Changes in Deformity Correction of Adolescent Idiopathic Scoliosis With Intraoperative Skull-Femoral Traction

Lewis, Stephen J.; Gray, Randolph; Holmes, Laura; Strantzas, Samuel; Jhaveri, Subir; Zaarour, Christian; Magana, Sofia

doi:10.1097/brs.0b013e318216124e

Cited by 56 publications

(42 citation statements)

References 33 publications

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“…Intraoperative traction All published evidence concerning intraoperative traction in AIS surgery applies to large rigid curves recommend that it not be applied as a routine care procedure [21][22][23][24].…”

Section: Optimal (84 %)mentioning

confidence: 99%

Optimal surgical care for adolescent idiopathic scoliosis: an international consensus

et al. 2014

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Purpose The surgical management of adolescent idiopathic scoliosis (AIS) has seen many developments in the last two decades. Little high-level evidence is available to support these changes and guide treatment. This study aimed to identify optimal operative care for adolescents with AIS curves between 40°and 90°Cobb angle. Methods From July 2012 to April 2013, the AOSpine Knowledge Forum Deformity performed a modified Delphi survey where current expert opinion from 48 experienced deformity surgeons, representing 29 diverse countries, was gathered. Four rounds were performed: three web-based surveys and a final face-to-face meeting. Consensus was achieved with C70 % agreement. Data were analyzed qualitatively and quantitatively.Results Consensus of what constitutes optimal care was reached on greater than 60 aspects including: preoperative radiographs; posterior as opposed to anterior (endoscopic) surgical approaches; use of intraoperative spinal cord monitoring; use of local autologous bone (not iliac crest) for grafts; use of thoracic and lumbar pedicle screws; use of titanium anchor points; implant density of \80 % for 40°-70°curves; and aspects of postoperative care. Variability in practice patterns was found where there was no consensus. In addition, there was consensus on what does not constitute optimal care, including: routine pre-and intraoperative traction; routine anterior release; use of bone morphogenetic proteins; and routine postoperative CT scanning. operative care for adolescents with AIS. In the absence of current high-level evidence, at present, these expert opinion findings will aid health care providers worldwide define appropriate care in their regions. Areas with no consensus provide excellent insight and priorities for future research.

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Section: Optimal (84 %)mentioning

confidence: 99%

Optimal surgical care for adolescent idiopathic scoliosis: an international consensus

et al. 2014

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“…In children, minor trauma is a cause of ischemia related to fibrocartilage emboli 18 and also spasm. Other origins include complications of cardiac surgery or traction for scoliosis after orthopedic surgery, 19 sickle cell anemia, and umbilical artery catheter in the neonate. Few series in the literature exist concerning ischemia in children.…”

Section: Pathophysiologic Mechanismsmentioning

confidence: 99%

Spinal Cord Ischemia: Practical Imaging Tips, Pearls, and Pitfalls

Vargas¹,

Gariani²,

Sztajzel

et al. 2014

AJNR Am J Neuroradiol

162

121

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SUMMARY:Ischemia of the spinal cord is a rare entity with a poor prognosis. Brain ischemia is no longer a diagnostic challenge; on the contrary, ischemia of the spinal cord remains difficult, particularly in children. In this article, we illustrate the principal causes in children and adults, clinical presentation, different techniques for the diagnosis by MR imaging (diffusion, spinal MR angiography, and 1.5 versus 3T), pathophysiology, and differential diagnosis. We will discuss current knowledge, perspectives, and pitfalls.

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“…To date, only a few studies have used internal distraction devices for deformity correction [17][18][19][20][21]. Some adopted the use of conventional growing rods, and another study reported a case that used a novel magnetically controlled growing rod as an internal distraction device for deformity correction.…”

Section: Introductionmentioning

confidence: 99%

“…Halo-gravity traction (HGT) provides gradually significant corrective forces and it can be used in the patient's bed, a wheelchair, with a walking frame, and during an operation [17], However, it is associated with complications and contraindications in the presence of fixed cervical instability, kyphosis, or stenosis. In addition, HGT involves the use of a bulky device that often requires the patient to stay in the hospital for the full duration of the procedure.…”

Section: Introductionmentioning

confidence: 99%

The impact of posterior temporary internal distraction on stepwise corrective surgery for extremely severe and rigid scoliosis greater than 130°

Hua

Zhang

et al. 2015

Eur Spine J

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Neurophysiological Changes in Deformity Correction of Adolescent Idiopathic Scoliosis With Intraoperative Skull-Femoral Traction

Cited by 56 publications

References 33 publications

Optimal surgical care for adolescent idiopathic scoliosis: an international consensus

Optimal surgical care for adolescent idiopathic scoliosis: an international consensus

Spinal Cord Ischemia: Practical Imaging Tips, Pearls, and Pitfalls

The impact of posterior temporary internal distraction on stepwise corrective surgery for extremely severe and rigid scoliosis greater than 130°

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