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Showing posts with the label spinal

The International Research Society of Spinal Deformities (IRSSD)

Abstract From the time of its initial, informal meetings starting in 1980 to its formal creation in 1990, the IRSSD has met on a bi-annual basis to discuss all aspects of the spine and associated deformities. It has encouraged open discussion on all topics and, in particular, has tried to be the seed-bed for new ideas. The members are spread around the world and include people from all areas of academia as well as the most important people, the patients themselves. Most notably, application of the ideas and results of the research has always been at the forefront of the discussions. This paper was conceived with the idea of evaluating the impact made by the IRSSD over the last 30 years in the various areas and is intended to create discussion for the upcoming meeting in Montreal regarding future focus: "We are lost over the Atlantic Ocean but we are making good time." Introduction Ever since the days when deformities of the spine were considered from a topographical poin...

Allowing Children To Grow While Treating Chest And Spine Deformities

American Academy of Orthopaedic Surgeons Discuss Scoliosis with other patients on our scoliosis support group Orthopaedic surgeons are optimistic about recent improvements in operative treatment of very young children suffering from scoliosis severe enough to consider surgery, even for those under the age of five years. For decades, spinal fusion surgery has been the prescription for severe scoliosis. The significant drawback of early fusion is that growth of the spine stops and this, in turn, interferes with the development of the lungs and chest cavity. "Scoliosis surgeons are exploring opportunities to treat a child's chest and spine to allow continued growth," reports B. Stephens Richards, MD, moderator of a media briefing on scoliosis treatment advances on Friday, February 16 at the Academy's 74th Annual Meeting. "Although the majority of scoliosis surgical patients present in early adolescence when spinal growth is no longer an issue, there are some v...

Medtronic Launch TSRH Spine System

Medtronic, Inc. (NYSE: MDT), today announced the launch of the TSRH ® 3Dx ™ Spinal System. Designed with procedural efficiency in mind, the TSRH 3Dx Spinal System offers two screws designed to address multiple pathologies. The Multi Planar Adjusting (MPA ® ) Screw option provides surgeons a variable angle posted screw for targeted, controlled correction maneuvers. The OSTEOGRIP ® Screw enhances bone fixation by incorporating a dual-lead thread pattern that reduces toggle at the bone-screw interface. Building on more than 20 years of clinical success, this next generation pedicle screw system includes competitive differentiating technology for addressing multiple spinal pathologies, from degenerative disc disease to spinal deformity. The system also offers CHROMALOY™ rods and a minimally invasive capability. “The TSRH 3Dx Spinal System allows me to better match solutions to specific patient needs,” said Dr. Brett Scott. “It gives me confidence by marrying new technologies with a long cl...

Scoliosis: Braces and Plaster Casts

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Braces and Plaster Casts Orthotic management of spinal disorders dates back at least to the Middle Ages. Some of the concepts underlying those primitive devices, notably three-point forces, remain valid today. Fabrication materials have progressed from metal and leather to light weight thermoplastics allowing many new designs and a new level of comfort for the patient. Braces help control the curve as you or your child grows. These braces are sometimes prescribed post surgery, along with plaster jackets. I had a plaster cast for 7 months after my Harrington Rod surgery. They are designed to protect the back while the tiny bone ships used for grafting fuse to form a solid bone mass. Unfortunately for me my bone chips have not all formed a solid mass and I now have terrible problems with my donor site. There are many different braces in use today, however, they all present similar problems in finding clothing that is both comfortable and trendy! The Milwaukee Brace Developed by Drs Al Sc...

Scoliosis Arthrodesis & Posterior Titanium Instruments

Scoliosis Journal reports about adolescent idiopathic scoliosis (AIS) which is treated with arthrodesis and posterior titanium instrumentation: 8 to 12 years follow up without late infection Authors: Franz J Mueller and Herbert Gluch email Published: 12 August 2009 Background There are no data in the peer-reviewed literature regarding long term results in patients treated for AIS with a posterior titanium instrumentation. Therefore we assessed the outcome in 50 patients treated by titanium implant. Methods A total of 50 patients with a mean age of 16.6 years were treated. In all patients, titanium hooks and pedicle screws were used in combination. The demographic data and the pre- and post-operative radiographs of all 50 patients were re-examined, and 49 of the 50 patients (98%) attended a radiological and clinical follow up-examination on average 10.1 years post-operatively. The clinical results were recorded by means of the SRS 24 questionnaire. Results In the frontal plane, the me...

Scoliosis with Prader Willi Syndrome

Scoliosis journal reported comparisons of conservative and surgical treatment in patients with Scoliosis and Prade Willi Syndrome Authors: Hans-Rudolf Weiss and Deborah Goodall Abstract (provisional) Background In children with Prader Willi syndrome (PWS), besides growth hormone (GH) therapy, control of the food environment and regular exercise, surgical treatment of scoliosis deformities seems the treatment of choice, eventhough the risks of spinal surgery in this specific population is very high. Therefore the question arises as to whether the risks of spinal surgery outweigh the benefits in a condition, which bears significant risks per se. The purpose of this systematic review of the Pub Med literature was to find mid or long-term results of spinal fusion surgery in patients with PWS, and to present the conservative treatment in a case study of nine patients with this condition. Methods Types of studies included; all kinds of studies; retrospective and prospective ones, which r...