Restoring the ideal Roussouly sagittal profile in adult scoliosis surgery decreases the risk of mechanical complications

2019 ◽  
Vol 29 (1) ◽  
pp. 54-62 ◽  
Author(s):  
Javier Pizones ◽  
◽  
Lucía Moreno-Manzanaro ◽  
Francisco Javier Sánchez Pérez-Grueso ◽  
Alba Vila-Casademunt ◽  
...  
Keyword(s):  
Adult Scoliosis ◽  
Sagittal Profile ◽  
Scoliosis Surgery ◽  
Mechanical Complications ◽  
The Ideal

Kickstand Rod Technique for Correcting Coronal Imbalance in Adult Scoliosis: 2-Dimensional Operative Video

2019 ◽  
Vol 19 (2) ◽  
pp. E163-E164 ◽  
Author(s):  
Thomas J Buell ◽  
Avery L Buchholz ◽  
Marcus D Mazur ◽  
Jeffrey P Mullin ◽  
Ching-Jen Chen ◽  
...  
Keyword(s):  
Functional Outcomes ◽  
Adult Scoliosis ◽  
Scoliosis Surgery ◽  
Major Curve ◽  
Coronal Imbalance ◽  
Medical Publication ◽  
Alignment Correction ◽  
Iliac Screw ◽  
Coronal Malalignment ◽  
The Impact

Abstract Restoration of spinal alignment and balance is a major goal of adult scoliosis surgery. In the past, sagittal alignment has been emphasized and was shown to have the greatest impact on functional outcomes. However, recent evidence suggests the impact of coronal imbalance on pain and functional outcomes has likely been underestimated.1,2 In addition, iatrogenic coronal imbalance may be common and frequently results from inadequate correction of the lumbosacral fractional curve.2,3 The “kickstand rod” is a recently described technique to achieve and maintain significant coronal-plane correction.4 Also, of secondary benefit, the kickstand rod may function as an accessory supplemental rod to offload stress and bolster primary instrumentation. This may reduce occurrence of rod fracture (RF) or pseudarthrosis (PA).5  Briefly, this technique involves positioning the kickstand rod on the side of coronal imbalance (along the major curve concavity or fractional curve convexity in our video demonstration). The kickstand rod spans the thoracolumbar junction proximally to the pelvis distally and is secured with an additional iliac screw placed just superior to the primary iliac screw. By using the iliac wing as a base, powerful distraction forces can reduce the major curve to achieve more normal coronal balance. This operative video illustrates the technical nuances of utilizing the kickstand rod technique for correction of severe lumbar scoliosis and coronal malalignment in a 60-yr-old male patient. Alignment correction was achieved and maintained without evidence of RF/PA after nearly 6 mo postoperatively. The patient gave informed consent for surgery and to use imaging for medical publication.

scholarly journals The Efficacy and Accuracy of Cone Beam CT (O-Arm) Navigation (StealthStation) on Screw Position in Adult Scoliosis Surgery

2015 ◽  
Vol 5 (1_suppl) ◽  
pp. s-0035-1554339-s-0035-1554339
Author(s):  
Jason Strelzow ◽  
Danny Mendelsohn ◽  
Nicolas Dea ◽  
Charles Fisher ◽  
Marcel Dvorak ◽  
...  
Keyword(s):  
Cone Beam Ct ◽  
Adult Scoliosis ◽  
Cone Beam ◽  
Scoliosis Surgery ◽  
Screw Position

Comparative Analysis of Clinical Outcome and Perioperative Complications in Primary vs. Revision Adult Scoliosis Surgery

2010 ◽  
Vol 10 (9) ◽  
pp. S100-S101 ◽  
Author(s):  
Samuel K. Cho ◽  
Keith H. Bridwell ◽  
Lawrence G. Lenke ◽  
Christine R. Baldus
Keyword(s):  
Comparative Analysis ◽  
Clinical Outcome ◽  
Perioperative Complications ◽  
Adult Scoliosis ◽  
Scoliosis Surgery

Association Between Surgeon Experience and Complication Rates in Adult Scoliosis Surgery

Spine ◽  
2015 ◽  
Vol 40 (15) ◽  
pp. 1200-1205 ◽  
Author(s):  
Branko Skovrlj ◽  
Samuel K. Cho ◽  
John M. Caridi ◽  
Keith H. Bridwell ◽  
Lawrence G. Lenke ◽  
...  
Keyword(s):  
Adult Scoliosis ◽  
Scoliosis Surgery ◽  
Complication Rates ◽  
Surgeon Experience

Hospital Cost Analysis of Adult Scoliosis Surgery in 100 Consecutive Cases

2010 ◽  
Vol 10 (9) ◽  
pp. S140
Author(s):  
Marc Ialenti ◽  
Baron Lonner ◽  
Phedra Penn ◽  
Pedro Ricart-Hoffiz ◽  
Lynne Windsor ◽  
...  
Keyword(s):  
Cost Analysis ◽  
Hospital Cost ◽  
Adult Scoliosis ◽  
Scoliosis Surgery

Factors influencing radiographic and clinical outcomes in adult scoliosis surgery: a study of 448 European patients

2015 ◽  
Vol 25 (2) ◽  
pp. 532-548 ◽  
Author(s):  
Heiko Koller ◽  
Conny Pfanz ◽  
Oliver Meier ◽  
Wolfgang Hitzl ◽  
Michael Mayer ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Adult Scoliosis ◽  
Scoliosis Surgery ◽  
Factors Influencing

Ideal sagittal profile restoration and ideal lumbar apex positioning play an important role in postoperative mechanical complications after a lumbar PSO

2020 ◽  
Vol 8 (3) ◽  
pp. 491-498 ◽  
Author(s):  
Javier Pizones ◽  
◽  
Francisco Javier Sánchez Perez-Grueso ◽  
Lucía Moreno-Manzanaro ◽  
Alba Vila-Casademunt ◽  
...  
Keyword(s):  
Sagittal Profile ◽  
Mechanical Complications
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