scholarly journals Pleural Effusion in Spinal Deformity Correction Surgery- A Report of 28 Cases in a Single Center

PLoS ONE ◽  
2016 ◽  
Vol 11 (5) ◽  
pp. e0154964 ◽  
Author(s):  
Weiqiang Liang ◽  
Bin Yu ◽  
Yipeng Wang ◽  
Guixing Qiu ◽  
Jianxiong Shen ◽  
...  
Keyword(s):  
Pleural Effusion ◽  
Spinal Deformity ◽  
Deformity Correction ◽  
Single Center ◽  
Correction Surgery

scholarly journals Comparison of Radiographic And Clinical Outcomes Observed After Adult Spinal Deformity Correction Using Iliac Screw Versus S2-Alar-Iliac Screw

2021 ◽  
Author(s):  
Qiang Luo ◽  
Yong-Chan Kim ◽  
Ki-Tack Kim ◽  
Kee-Yong Ha ◽  
Joonghyun Ahn ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Spinal Deformity ◽  
Lumbar Lordosis ◽  
Adult Spinal Deformity ◽  
Deformity Correction ◽  
Postoperative Change ◽  
Iliac Screw ◽  
Vas Scores ◽  
Correction Surgery

Abstract Background: To date, there is a paucity of reports clarifying the change of spinopelvic parameters in patients with adult spinal deformity (ASD) who underwent long segment spinal fusion using iliac screw (IS) and S2-alar-iliac screw (S2AI) fixation.Methods: A retrospective review of consecutive patients underwent deformity correction surgery for ASD between 2013 and 2017 was performed. Patients were divided into two groups based on whether IS or S2AI fixation was performed. All radiographic parameters were measured preoperatively, immediately postoperatively, and the last follow-up. Demographics, intraoperative and clinical data were analyzed between the two groups. Additionally, the cohort was subdivided according to the postoperative change in pelvic incidence (PI): subgroup (C) was defined as change in PI ≥5° and subgroup (NC) with change <5°. In subgroup analyses, the 2 different types of postoperative change of PI were directly compared.Results: A total of 142 patients met inclusion criteria: 111 who received IS and 31 received S2AI fixation. The IS group (65.6 ± 26, 39.8 ± 13.8) showed a significantly higher change in lumbar lordosis (LL) and upper lumbar lordosis (ULL) than the S2AI group (54.4 ± 17.9, 30.3 ± 9.9) (p<0.05). In subgroup (C), PI significantly increased from 53° preoperatively to 59° postoperatively at least 50% of IS cohort, with a mean change of 5.8° (p<0.05). The clinical outcomes at the last follow-up were significantly better in IS group than in S2AI group in terms of VAS scores for back and leg. The occurrence of sacroiliac joint pain and pelvic screw fracture were significantly greater in S2AI group than in IS group (25.8% vs 9%, p<0.05) and (16.1% vs 3.6%, p<0.05).Conclusions: IS fixation showed a greater change in LL and ULL than S2AI fixation in ASD surgery. PI may be changed under certain circumstances.

Survivals of the Intraoperative Motor-evoked Potentials Response in Pediatric Patients Undergoing Spinal Deformity Correction Surgery

Spine ◽  
2019 ◽  
Vol 44 (16) ◽  
pp. E950-E956
Author(s):  
Shujie Wang ◽  
Chaoxiong Li ◽  
Lanjun Guo ◽  
Haimei Hu ◽  
Yang Jiao ◽  
...  
Keyword(s):  
Evoked Potentials ◽  
Spinal Deformity ◽  
Pediatric Patients ◽  
Motor Evoked Potentials ◽  
Deformity Correction ◽  
Correction Surgery

Patient Expectations of Adult Spinal Deformity Correction Surgery

2020 ◽  
Author(s):  
Won Hyung A. Ryu ◽  
Andrew Platt ◽  
John E. O'Toole ◽  
Ricardo Fontes ◽  
Richard G. Fessler
Keyword(s):  
Spinal Deformity ◽  
Adult Spinal Deformity ◽  
Deformity Correction ◽  
Patient Expectations ◽  
Correction Surgery

scholarly journals Bilateral dual iliac screws in spinal deformity correction surgery

2018 ◽  
Vol 13 (1) ◽  
Author(s):  
Shigeto Ebata ◽  
Tetsuro Ohba ◽  
Hiroki Oba ◽  
Hirotaka Haro
Keyword(s):  
Spinal Deformity ◽  
Deformity Correction ◽  
Iliac Screws ◽  
Correction Surgery

Superior Mesenteric Artery Syndrome Complicating Spinal Deformity Correction Surgery

2019 ◽  
Vol 9 (4) ◽  
pp. e0497-e0497
Author(s):  
Ravi Ranjan Rai ◽  
Siddharth Shah ◽  
Nigil S. Palliyil ◽  
Samir Dalvie ◽  
Rasik Shah
Keyword(s):  
Superior Mesenteric Artery ◽  
Spinal Deformity ◽  
Mesenteric Artery ◽  
Deformity Correction ◽  
Superior Mesenteric Artery Syndrome ◽  
Correction Surgery

Prevalence of Allograft Contamination During Intraoperative Processing for Spinal Deformity Correction Surgery

2013 ◽  
Vol 1 (5) ◽  
pp. 348-351 ◽  
Author(s):  
Hamid Hassanzadeh ◽  
Amit Jain ◽  
Khaled M. Kebaish ◽  
Philip R. Neubauer ◽  
Addisu Mesfin ◽  
...  
Keyword(s):  
Spinal Deformity ◽  
Deformity Correction ◽  
Correction Surgery ◽  
Allograft Contamination

scholarly journals Neuromonitoring During Surgery for Paediatric Spinal Deformity in Canada (2007)

2009 ◽  
Vol 36 (1) ◽  
pp. 47-50 ◽  
Author(s):  
Jonathan Norton ◽  
Douglas Hedden
Keyword(s):  
Spinal Deformity ◽  
Motor Evoked Potentials ◽  
Adult Spinal Deformity ◽  
Deformity Correction ◽  
Standard Of Care ◽  
National Standards ◽  
Spinal Deformity Surgery ◽  
Correction Surgery ◽  
Training Programmes ◽  
Spinal Cord Function

Background:Neuromonitoring during paediatric (and adult) spinal deformity surgery helps to reduce the risk of both permanent and short term neurological damage. A shortage of neurophysiologists and technicians limits the availability of this service. Not all surgeons believe neuromonitoring offers neuroprotection during spinal surgery. This study aimed to document the degree to which paediatric patients undergoing spinal deformity correction surgery have their spinal cord function monitored.Methods:A questionnaire was sent electronically to all of the surgical members of the Canadian Paediatric Spinal Deformity Study Group.Results:Results were received from 9/9 centres indicating that monitoring was performed in 7/9 centres, with one further centre awaiting staffing. Whilst half of those centres that do monitor only monitor sensory and motor evoked potentials, the remaining centres also use EMG and EEG to assess the state of the patient intraoperatively.Conclusions:Despite a shortage of staff, most paediatric spinal deformity surgeons in Canada who wish to, are able to neurophysiologically monitor their surgical cases. Neuromonitoring appears to be becoming a standard of care, at least for paediatric spinal deformity surgery. There is an urgent need for the establishment of national standards for both technologists and interpreters, as well as training programmes for both these groups.

scholarly journals The Accuracy of 3D Printing Assistance in the Spinal Deformity Surgery

2019 ◽  
Vol 2019 ◽  
pp. 1-9
Author(s):  
Po-Chen Chen ◽  
Chien-Chun Chang ◽  
Hsien-Te Chen ◽  
Chia-Yu Lin ◽  
Tsung-Yu Ho ◽  
...  
Keyword(s):  
3D Printing ◽  
Pedicle Screw ◽  
Spinal Deformity ◽  
Deformity Correction ◽  
Pedicle Screws ◽  
Evoke Potential ◽  
Printing Technology ◽  
3D Printing Technology ◽  
Spinal Deformity Surgery ◽  
Correction Surgery

Background. The pedicle screw is one of the main tools used in spinal deformity correction surgery. Robotic and navigated surgeries are usually used, and they provide superior accuracy in pedicle screw placement than free-hand and fluoroscopy-guided techniques. However, their high cost and space limitation are problematic. We provide a new solution using 3D printing technology to facilitate spinal deformity surgery. Methods. A workflow was developed to assist spinal deformity surgery using 3D printing technology. The trajectory and profile of pedicle screws were determined on the image system by the surgical team. The engineering team designed drill templates based on the bony surface anatomy and the trajectory of pedicle screws. Their effectiveness and safety were evaluated during a preoperative simulation surgery. The surgery consisted in making a pilot hole through the drill template on a computed tomography- (CT-) based, full-scale 3D spine model for every planned segment. Somatosensory evoke potential (SSEP) and motor evoke potential (MEP) were used for intraoperative neurophysiological monitoring. Postoperative CT was obtained 6 months after the correction surgery to confirm the screw accuracy. Results. From July 2015 to November 2016, we performed 10 spinal deformity surgeries with 3D printing technology assistance. In total, 173 pedicle screws were implanted using drill templates. No notable change in SSEP and MEP or neurologic deficit was noted. Based on postoperative CT scans, the acceptable rate was 97.1% (168/173). We recorded twelve pedicle screws with medial breach, six with lateral breach, and five with inferior breach. Medial breach (12/23) was the main type of penetration. Lateral breach occurred mostly in the concave side (5/6). Most penetrations occurred above the T8 level (69.6%, 16/23). Conclusion. 3D printing technology provides an effective alternative for spinal deformity surgery when expensive medical equipment, such as intraoperative navigation and robotic systems, is unavailable.

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