Late spinal infections following posterior spinal fusion in pediatric deformities: treatment using single-stage titanium implant exchange

2021 ◽  
Author(s):  
Bijan Ameri ◽  
Harry L. Shufflebarger ◽  
Emerson Blaze ◽  
Jahangir Asghar ◽  
Stephen G. George ◽  
...  
Keyword(s):  
Spinal Fusion ◽  
Titanium Implant ◽  
Posterior Spinal Fusion ◽  
Single Stage ◽  
Spinal Infections

scholarly journals Correction to: Late spinal infections following posterior spinal fusion in pediatric deformities: treatment using single-stage titanium implant exchange

2021 ◽  
Author(s):  
Bijan Ameri ◽  
Harry L. Shufflebarger ◽  
Blaze Emerson ◽  
Jahangir Asghar ◽  
Stephen G. George ◽  
...  
Keyword(s):  
Spinal Fusion ◽  
Titanium Implant ◽  
Posterior Spinal Fusion ◽  
Single Stage ◽  
Spinal Infections

LATERAL CAVITATORY APPROACH WITH CIRCUMSPINAL DECOMPRESSION IN TUBERCULOUS SPONDYLITIS: A 5YR FOLLOW-UP STUDY

2019 ◽  
pp. 1-3
Keyword(s):  
Spinal Fusion ◽  
Pedicle Screw ◽  
Spinal Tuberculosis ◽  
Thoracolumbar Spine ◽  
Spinal Instrumentation ◽  
Posterior Spinal Fusion ◽  
Neurological Complications ◽  
Single Stage ◽  
Laboratory Findings

Introduction: Spinal tuberculosis has been managed with various modalities of treatment ranging from only antituberculous drugs to radical surgical extirpation. Opinion is divided on management of Potts Paraplegia with respect to surgical approach to the lesion. Results are conflicting on anterior verses posterior approaches as well combined approach. There is also confusion on to when to do anterior first or to operate from posterior first, in combined approaches. In the present study we present 10 year follow-up of our results, clinical and radiological outcomes, of Single stage Circumspinal decompression and pedicle screw fixation through lateral extracavitatory approach with anterior and posterior spinal fusion in cases of Pott's paraplegia. Methods:The study was a retrospective and prospective follow up of 30 patients with active tuberculosis of thoracolumbar spine with neurological deficit, who underwent posterior spinal instrumentation with lateral extra cavitatory approach with circumspinal decompression and pedicle screw instrumentation. Diagnosis of spinal tuberculosis was made by laboratory findings such as anaemia, elevated ESR, radiological features with typical MR imaging findings. 8 patients had multilevel involvement. Kyphosis of 250 to 550 was present. Circumspinal decompression, correction of kyphosis, anterior and posterior spinal fusion was performed in a single stage. The average follow up was 7.67 years (92 months). Results: The mean kyphosis angle improved from 320 preoperatively to 80 in early follow up, followed by a minor loss of correction of 30. Neurological recovery occurred in 28 patients out of 30 patients. 15 patients recovered from Asia A to AIS E. 13 patients recovered to ASIA D. The visual analog scale and ASIA grade improved in all the cases. Implant failure in the form of rod breakage was seen in 1 patient but with no neurological complications. Conclusion: Drainage of abscess, debridement by extracavitatory route constitutes a less demanding, relatively safe, minimally traumatic operative technique with adequate circumspinal decompression of spinal cord, correction and maintenance of sagittal balance with relatively less morbidity is the added advantage.

Perioperative Outcome of Single Stage Posterior Spinal Fusion for Severe Adolescent Idiopathic Scoliosis (AIS) (Cobb Angle ≥90°)

Spine ◽  
2019 ◽  
Vol 44 (6) ◽  
pp. E348-E356 ◽  
Author(s):  
Mun Keong Kwan ◽  
Chee Kidd Chiu ◽  
Mohd Shahnaz Hasan ◽  
Shun Herng Tan ◽  
Ling Hui Loh ◽  
...  
Keyword(s):  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Cobb Angle ◽  
Spinal Fusion ◽  
Posterior Spinal Fusion ◽  
Single Stage ◽  
Perioperative Outcome

Emergency Department Visits After Posterior Spinal Fusion for Adolescent Idiopathic Scoliosis

2019 ◽  
Vol 40 (7) ◽  
pp. e629-e633
Author(s):  
Andrew B. Harris ◽  
Majd Marrache ◽  
Varun Puvanesarajah ◽  
Micheal Raad ◽  
Richard L. Skolasky ◽  
...  
Keyword(s):  
Emergency Department ◽  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Spinal Fusion ◽  
Posterior Spinal Fusion ◽  
Emergency Department Visits

Incidence of Pleural Fluid and Its Associated Risk Factors After Posterior Spinal Fusion in Patients With Adolescent Idiopathic Scoliosis

Spine ◽  
2017 ◽  
Vol 42 (8) ◽  
pp. 603-609 ◽  
Author(s):  
Kazunori Hayashi ◽  
Hidetomi Terai ◽  
Hiromitsu Toyoda ◽  
Akinobu Suzuki ◽  
Masatoshi Hoshino ◽  
...  
Keyword(s):  
Risk Factors ◽  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Spinal Fusion ◽  
Pleural Fluid ◽  
Posterior Spinal Fusion ◽  
Associated Risk Factors

scholarly journals Predictive factors for intraoperative blood loss in surgery for adolescent idiopathic scoliosis

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Chris Yuk Kwan Tang ◽  
Vijay H. D. Kamath ◽  
Prudence Wing Hang Cheung ◽  
Jason Pui Yin Cheung
Keyword(s):  
Adolescent Idiopathic Scoliosis ◽  
Blood Loss ◽  
Idiopathic Scoliosis ◽  
Spinal Fusion ◽  
Predictive Factors ◽  
Posterior Spinal Fusion ◽  
Male Gender ◽  
Intraoperative Blood Loss ◽  
Operative Blood Loss ◽  
Operation Duration

Abstract Background Adolescent idiopathic scoliosis (AIS) is a common spinal deformity. Posterior spinal fusion remains an important surgical treatment for AIS. This study aims to determine the predictive factors for intraoperative blood loss in AIS surgery. Methods Patients who had undergone posterior spinal fusion for adolescent idiopathic scoliosis in a single university hospital were reviewed over a 7-year period. Predictive factors for intra-operative blood loss were studied by multivariate analysis to derive a regression model. Receiver operating characteristic analysis was performed to determine the cut-off values of factors contributing to significant intraoperative blood loss (≥500 ml). Results Two hundred and twelve patients were included. Intraoperative blood loss was found to be correlated with gender (rs = 0.30 (0.17–0.43)), preoperative hemoglobin level (rs = 0.20 (0.04–0.31)), preoperative Cobb angle (rs = 0.20 (0.02–0.29)), number of fused levels (rs = 0.46 (0.34–0.58)), operation duration (rs = 0.65 (0.54–0.75)), number of anchors (rs = 0.47 (0.35–0.59)), and p-value ranged from < 0.001 to < 0.05. Significant intraoperative blood loss was influenced by the male gender, operation duration greater than 257.5 min and more than 10 anchors used. Conclusions Male gender, increased operation duration and higher number of anchors predicted higher intra-operative blood loss.

What trajectory is safe for double penetrating endplate screw posterior spinal fusion surgery in the thoraco-lumbar region?

2021 ◽  
Author(s):  
Hisanori Gamada ◽  
Masao Koda ◽  
Itsuo Shina ◽  
Tomoyuki Asada ◽  
Fumihiko Eto ◽  
...  
Keyword(s):  
Spinal Fusion ◽  
Posterior Spinal Fusion ◽  
Lumbar Region ◽  
Fusion Surgery ◽  
Spinal Fusion Surgery
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