Scoliosis: Life, Support & Friends

Authors: Angelos Kaspiris, Theodoros B Grivas, Hans-Rudolf Weiss and Deborah Turnbull Published By: ScoliosisJournal Background In view of the limited data available on the conservative treatment of patients with congenital scoliosis (CS), early surgery is suggested in mild cases with formation failures. Patients with segmentation failures will not benefit from conservative treatment. The purpose of this review is to identify the mid- or long-term results of spinal fusion surgery in patients with congenital scoliosis. Methods Retrospective and prospective studies were included, reporting on the outcome of surgery in patients with congenital scoliosis. Studies concerning a small numbers of cases treated conservatively were included too. We analyzed mid-term (5 to 7 years) and long-term results (7 years or more), both as regards the maintenance of the correction of scoliosis and the safety of instrumentation, the early and late complications of surgery and thei...

Scoliosis journal published research about surgical complications in neuromuscular scoliosis operated with posterior-only approach using pedicle screw fixation . Authors: Hitesh N Modi , Seung-Woo Suh , Jae-Hyuk Yang , Jae Woo Cho , Jae-Young Hong , SuryaUdai Singh and Sudeep Jain Abstract (provisional) Background There are no reports describing complications with posterior spinal fusion (PSF) with segmental spinal instrumentation (SSI) using pedicle screw fixation in patients with neuromuscular scoliosis. Methods Fifty neuromuscular patients (18 cerebral palsy, 18 Duchenne muscular dystrophy, 8 spinal muscular atrophy and 6 others) were divided in two groups according to severity of curves; group I ( 90 degree). All underwent PSF and SSI with pedicle screw fixation. There were no anterior procedures. Perioperative (within three months of surgery) and postoperative (after three months of surgery) complications were retrospectively reviewed. Results There were fifty (37 perioperative,...

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...

Scoliosis Journal posted about real time noninvasive assessment of external trunk geometry during surgical correction of adolescent idiopathic scoliosis Authors: Luc Duong, Jean-Marc Mac-Thiong and Hubert Labelle Published: 24 February 2009 Background The correction of trunk deformity is crucial in scoliosis surgery, especially for the patient's self-image. However, direct visualization of external scoliotic trunk deformity during surgical correction is difficult due to the covering draping sheets. Methods An optoelectronic camera system with 10 passive markers is used to track the trunk geometry of 5 scoliotic patients during corrective surgery. The position of 10 anatomical landmarks and 5 trunk indices computed from the position of the passive markers are compared during and after instrumentation of the spine. Results Internal validation of the accuracy of tracking was evaluated at 0.41+/- 0.05 mm RMS. Intra operative tracking during surgical maneuvers shows improvement of the...