Hemivertebrae Excision: Technique for Congenital Spine Deformity

2014 ◽  
pp. 139-147 ◽  
Author(s):  
Jaime A. Gomez ◽  
Felipe Ramirez ◽  
Daniel J. Hedequist
Keyword(s):  
Spine Deformity

Evaluation attempt of own body sensing amongst persons with and without scoliosis

2021 ◽  
pp. 1-6
Author(s):  
Elżbieta Szczygieł ◽  
Agata Gigoń ◽  
Izabela Cebula Chudyba ◽  
Golec Joanna ◽  
Golec Edward
Keyword(s):  
Idiopathic Scoliosis ◽  
Sensory Integration ◽  
Head Position ◽  
Clinical Test ◽  
Spine Deformity ◽  
Functional Tests ◽  
Body Proportion ◽  
Average Value ◽  
Age Range

BACKGROUND: Adolescent idiopathic scoliosis (AIS) is a common structural spine deformity affecting 2%–4% of adolescents. Due to the unknown cause of idiopathic scoliosis, its therapy is a long-term and often unsatisfactory process. In the literature, it is often suggested that problems related to the feeling of one’s own body are caused by AIS. OBJECTIVE: The aim of this study was to assess the feeling of one’s own body among children with and without scoliosis on the example of feeling the head position, pelvis shape and balance. METHOD: The research included 62 children: 30 with scoliosis and 25 without diagnosed scoliosis with an age range between 11 to 19 years. The minimum scoliosis value was 7∘ and the maximum was 53∘. The average value was 25∘. During the study, three functional tests were used: Cervical Joint Position Error Test (CJPET), Clinical Test of Sensory Integration on Balance (CTSIB) and Body proportion demonstration test (BPDT). RESULTS: The results of the tests showed statistically significant differences (CJPET p= 3.54* 10-14, CTSIB p= 0.0376, BPDT p= 0.0127). However, none of the studies showed a correlation between the results of people with scoliosis and the value of their Cobb angles.

A new nomenclature system for the surgical treatment of cervical spine deformity, developing, and validation of SOF system

2021 ◽  
Author(s):  
Jae Taek Hong ◽  
Heiko Koller ◽  
Kuniyoshi Abumi ◽  
Wen Yuan ◽  
Asdrubal Falavigna ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Surgical Treatment ◽  
Spine Deformity ◽  
Nomenclature System

Spine deformity index in osteoporotic women: Relations to forearm and vertebral bone mineral measurements and to iliac crest ash density

1994 ◽  
Vol 4 (4) ◽  
pp. 211-219 ◽  
Author(s):  
C. H. Søgaard1 ◽  
A. P. Hermann ◽  
C. Hasling ◽  
Li. Mosekilde ◽  
Le. Mosekilde
Keyword(s):  
Bone Mineral ◽  
Iliac Crest ◽  
Spine Deformity ◽  
Vertebral Bone ◽  
Spine Deformity Index ◽  
Bone Mineral Measurements

scholarly journals A standardized nomenclature for cervical spine soft-tissue release and osteotomy for deformity correction

2013 ◽  
Vol 19 (3) ◽  
pp. 269-278 ◽  
Author(s):  
Christopher P. Ames ◽  
Justin S. Smith ◽  
Justin K. Scheer ◽  
Christopher I. Shaffrey ◽  
Virginie Lafage ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Soft Tissue ◽  
Interrater Reliability ◽  
Soft Tissue Release ◽  
Spine Deformity ◽  
Intrarater Reliability ◽  
Perfect Agreement ◽  
Moderate Agreement ◽  
Posterior Anterior ◽  
Anterior Posterior

Object Cervical spine osteotomies are powerful techniques to correct rigid cervical spine deformity. Many variations exist, however, and there is no current standardized system with which to describe and classify cervical osteotomies. This complicates the ability to compare outcomes across procedures and studies. The authors' objective was to establish a universal nomenclature for cervical spine osteotomies to provide a common language among spine surgeons. Methods A proposed nomenclature with 7 anatomical grades of increasing extent of bone/soft tissue resection and destabilization was designed. The highest grade of resection is termed the major osteotomy, and an approach modifier is used to denote the surgical approach(es), including anterior (A), posterior (P), anterior-posterior (AP), posterior-anterior (PA), anterior-posterior-anterior (APA), and posterior-anterior-posterior (PAP). For cases in which multiple grades of osteotomies were performed, the highest grade is termed the major osteotomy, and lower-grade osteotomies are termed minor osteotomies. The nomenclature was evaluated by 11 reviewers through 25 different radiographic clinical cases. The review was performed twice, separated by a minimum 1-week interval. Reliability was assessed using Fleiss kappa coefficients. Results The average intrarater reliability was classified as “almost perfect agreement” for the major osteotomy (0.89 [range 0.60–1.00]) and approach modifier (0.99 [0.95–1.00]); it was classified as “moderate agreement” for the minor osteotomy (0.73 [range 0.41–1.00]). The average interrater reliability for the 2 readings was the following: major osteotomy, 0.87 (“almost perfect agreement”); approach modifier, 0.99 (“almost perfect agreement”); and minor osteotomy, 0.55 (“moderate agreement”). Analysis of only major osteotomy plus approach modifier yielded a classification that was “almost perfect” with an average intrarater reliability of 0.90 (0.63–1.00) and an interrater reliability of 0.88 and 0.86 for the two reviews. Conclusions The proposed cervical spine osteotomy nomenclature provides the surgeon with a simple, standard description of the various cervical osteotomies. The reliability analysis demonstrated that this system is consistent and directly applicable. Future work will evaluate the relationship between this system and health-related quality of life metrics.

scholarly journals Version of Surgical Tactics for Spondyloptosis Treatment

2011 ◽  
Vol 18 (3) ◽  
pp. 22-26
Author(s):  
Asker Alievich Afaunov ◽  
A V Kuz'menko ◽  
I V Basankin ◽  
A A Afaunov ◽  
A V Kuz'menko ◽  
...  
Keyword(s):  
External Fixation ◽  
Clinical Results ◽  
Lumbosacral Spine ◽  
Spine Deformity ◽  
Fixation Device ◽  
Trunk Balance ◽  
External Fixation Device ◽  
Surgical Tactics ◽  
Complications Rate ◽  
Technical Simplification

Tactics of surgical treatment of spondyloptosis including use of transpedicular external fixation device is presented. There were 4 patients with L5 spondyloptosis. The tactics is characterized by minor traumatization of lumbosacral spine with external fixation device, decrease of neurologic complications rate owing to gradual L5 reduction, possibility of spine deformity elimination, significant technical simplification of internal transpedicular osteosynthesis performance. Clinical results showed normalization of anatomic interrelation in lumbosacral spine, elimination of vertebroradicular conflict, restoration of trunk balance and anthropometric proportion as well as stabilization of L5-S1 segment by osteo-metalic block.

scholarly journals EXPERIENCE OF HALOPELVIC TRACTION IN THE TREATMENT OF SEVERE SPINE DEFORMITY: A CASE SERIES

2016 ◽  
Vol 21 (4) ◽  
pp. 295
Author(s):  
Syed Asif Ali ◽  
Asad Ali Ch ◽  
Ahmad Sarfraz Humayun ◽  
Usman Zafar Dar ◽  
Syed Muhammad Awais
Keyword(s):  
Treatment Outcome ◽  
Case Series ◽  
Descriptive Study ◽  
Spine Deformity ◽  
Operative Techniques ◽  
Curve Correction ◽  
Severe Scoliosis ◽  
Traction Device ◽  
Medical University ◽  
Severe Spinal Deformity

AbstractBackground:Severe and rigid scoliosis and kyphosis are difficult to treat but with the advent of new spinal operative techniques and implants, it has become man-ageable in expert hands. However these implants are too expensive for developing countries like us. The Halo-pelvic traction is a relatively cheaper device sys-tem used to treat such deformities. Moreover, rapid curve correction and one stage surgery may lead to permanent neurological deficit.Objective:To evaluate treatment outcome of Halo-pelvic Traction in the treatment of severe scoliosis and kyphosis.Methodology:This descriptive study was conducted in the department of Orthopedics surgery and traumatology unit I, King Edward Medical University, Mayo Hospital Lahore from September 2010 to August 2012. The patients with severe spinal deformity which could not be corrected at a single stage were included. A Performa was made for each patient and results were statistically analyzed by using SPSS version 20.Results:Total no. of 07 patients were treated, out of them 04 scoliosis patients having mean Cobbs angle of 77.25 5.31 before treatment, improved significantly to 45 5.35 after surgery (p?0.0001), 03 kyphosis patients with mean Kyphus angle of 96.67 24.66 improved to 58.33 17.56 (p?0.0001). Two major complications i.e. one paraplegia which recovered incompletely and one had CSF discharge from cranial pin that was also revived thoroughly after changing the position of the pin.Conclusion:Halopelvic traction device can help in treating the patients of severe scoliosis and kyphosis.Keywords:Kyphosis, Halo-Pelvic, Kyphus angle, Cobbs angle.

scholarly journals MODELING OF THE SPINE COMPENSATORY RESPONSE TO DEFORMITY

2018 ◽  
Vol 15 (3) ◽  
pp. 85-91
Author(s):  
A. V. Krutko ◽  
A. V. Gladkov ◽  
V. V. Komissarov ◽  
N. V. Komissarova
Keyword(s):  
Mathematical Model ◽  
Center Of Mass ◽  
Kinematic Model ◽  
Sagittal Imbalance ◽  
Spine Deformity ◽  
Compensatory Mechanism ◽  
Spinal Deformities ◽  
Compensatory Response ◽  
The Mathematical Model ◽  
Pathological Situation

Objective. To analyze mathematical model of the efficiency of the compensatory mechanism of the deformed spine. Material and Methods. The developed basic kinematic model of the spine was used. The restoration of the position of the projection of the general center of mass (GCM) was mathematically modeled, and mechanogenesis of the spinal deformity and possibility of its compensation were evaluated. To assess the reliability of the mathematical model, spinal skiagrams taken from patients with clinically confirmed pathology and sagittal imbalance were used. Results. On the basis of quantitative characteristics of the primary spine deformity of a certain clinical case and using the developed algorithm, it is possible to create a model of both a primary deformity and a compensatory response from intact segments of the spine taking into account the influencing factors. This makes it possible to use the proposed kinematic model in scientific research on predicting the course of various types of spinal deformities. Conclusion. The proposed algorithms simulating the development of spinal deformities based on the restoration of the position of the GCM projection reflect their mechanogenesis and can be used to model various pathological conditions of the spine. A complete correction of the deformity does not mean a complete cure, since the required spinal fusion creates a new, prognostically less significant, but pathological situation.

scholarly journals SPINAL ANAESTHESIA FOR A PATIENT WITH FIXED SPINE DEFORMITY

2014 ◽  
Vol 3 (11) ◽  
pp. 2836-2839
Author(s):  
Ravindra C G ◽  
Kiran M ◽  
Chandrashekarappa K ◽  
Ravindra G L
Keyword(s):  
Spinal Anaesthesia ◽  
Spine Deformity

scholarly journals Remaining spine deformity after revision surgery for pelvic reconstruction and spinopelvic fixation: illustrative case

2021 ◽  
Vol 2 (2) ◽  
Author(s):  
Takayuki Ito ◽  
Shunsuke Fujibayashi ◽  
Bungo Otsuki ◽  
Shimei Tanida ◽  
Takeshi Okamoto ◽  
...  
Keyword(s):  
Back Pain ◽  
Spinal Deformity ◽  
Revision Surgery ◽  
Pelvic Ring ◽  
Spine Deformity ◽  
Illustrative Case ◽  
Coronal Alignment ◽  
Reference Axis ◽  
Spinopelvic Fixation ◽  
Vascularized Fibula

BACKGROUND Pelvic deformity after resection of malignant pelvic tumors causes scoliosis. Although the central sacral vertical line (CSVL) is often used to evaluate the coronal alignment and determine the treatment strategy for scoliosis, it is not clear whether the CSVL is a suitable coronal reference axis in cases with pelvic deformity. This report proposes a new coronal reference axis for use in cases with pelvic deformity and discusses the pathologies of spinal deformity remaining after revision surgery. OBSERVATIONS A 14-year-old boy who had undergone internal hemipelvectomy and pelvic ring reconstruction 2 years prior was referred to our hospital with severe back pain. His physical and radiographic examinations revealed severe scoliosis with pelvic deformity. The authors planned a surgical strategy based on the CSVL and performed pelvic ring reconstruction using free vascularized fibula graft and spinopelvic fixation from L5 to the pelvis. After the procedure, although the patient’s back pain was relieved, his scoliosis persisted. At the latest follow-up, his spinal deformity correction was acceptable with corset bracing. Therefore, the authors did not perform additional surgeries. LESSONS The CSVL may not be appropriate for evaluating coronal alignment in cases with pelvic deformity. Accurate preoperative planning is required to correct spinal deformities with pelvic deformity.

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