Surgical treatment of adolescent idiopathic scoliosis: the basics and the controversies.

Abstract:

:Decisions about when to operate should be based on more than just an arbitrary Cobb measurement. The patient's skeletal maturity, balance, and other parameters of curve size also should be considered. Although it is desirable to fuse as few segments as possible, there is no benefit to fusing short if the top and bottom of the fusion is not neutral and stable. Especially for lumbar fusions, the last instrumented vertebra must be stable, neutral, and horizontal to the sacrum postoperatively. Many thoracic/lumbar curve patterns are Type II (false double major) and not double major curves. They often can be treated with selective thoracic fusion. However, many variables are involved, and the potential for decompensation should be discussed with the patient and the patient's family so they know that it may be necessary to later add the lumbar curve. The rod rotation maneuver and anterior segmental spinal instrumentation often may save fusion levels over what may have been needed with Harrington instrumentation. However, there are many variables here as well. Surgeons should be particularly concerned with maintaining and re-creating enough segmental lordosis for the patient so the spine can withstand the inevitable aging process.

journal_name

Spine (Phila Pa 1976)

journal_title

Spine

authors

Bridwell KH

doi

10.1097/00007632-199405000-00020

subject

Has Abstract

pub_date

1994-05-01 00:00:00

pages

1095-100

issue

9

eissn

0362-2436

issn

1528-1159

journal_volume

19

pub_type

杂志文章

相关文献

SPINE文献大全
  • A study of the cutaneous nerves encountered during thoracoplasty.

    abstract:STUDY DESIGN:Ten cadavers were dissected to describe the cutaneous branches of the dorsal rami nerves that should be identified and protected throughout the thoracoplasty procedure. OBJECTIVE:To identify the anatomic distribution of the cutaneous branches of the dorsal rami in the thoracic spine. SUMMARY OF BACKGROUN...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000253606.82387.96

    authors: Hoernschemeyer D,Farjoodi P,Cheng J,Sponseller P

    更新日期:2007-02-01 00:00:00

  • Back surface curvature and measurement of lumbar spinal motion.

    abstract::Lumbar spinal flexion and extension motion was measured radiographically and from the back surface curvature in 42 patients with low-back pain to determine whether the surface measurements provided accurate measurement of the total lumbar spinal motion and its distribution by vertebral level. Also, a biomechanical mod...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198705000-00009

    authors: Stokes IA,Bevins TM,Lunn RA

    更新日期:1987-05-01 00:00:00

  • Neurogenic claudication and root claudication treated with calcitonin. A double-blind trial.

    abstract::Forty-two patients with either neurogenic claudication or unilateral root claudication were analyzed in a double-blind comparison of salmon calcitonin (SCT) and placebo, receiving either 100 IU SCT or 1 ml saline four times a week for 8 weeks. Five of 20 SCT and one of 22 placebo patients were classified as responders...

    journal_title:Spine

    pub_type: 临床试验,杂志文章

    doi:10.1097/00007632-198809000-00015

    authors: Porter RW,Miller CG

    更新日期:1988-09-01 00:00:00

  • Chemonucleolysis versus surgical discectomy. Comparison of costs and results in workers' compensation claimants.

    abstract::A retrospective review of insurance claim files was conducted to compare the costs of chemonucleolysis with surgical discectomy. Twenty-nine surgeons performed 61 chemonucleolysis procedures and 44 surgical discectomies on SAIF (State Accident Insurance Fund, Inc.--a major Oregon workers' compensation insurance compan...

    journal_title:Spine

    pub_type: 杂志文章

    doi:

    authors: Norton WL

    更新日期:1986-06-01 00:00:00

  • The effect of angled insertion on halo pin fixation.

    abstract::This study evaluated the effect of angled insertion of halo pins on the biomechanical characteristics of the halo pin-calvarium complex. Halo pins were inserted into isolated calvarium sections at 90 degrees, 75 degrees, and 60 degrees to the surface of the bone at an insertional torque of 0.68 N-m (6 inch-pounds). In...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198908000-00001

    authors: Triggs KJ,Ballock RT,Lee TQ,Woo SL,Garfin SR

    更新日期:1989-08-01 00:00:00

  • A prospective study of centralization of lumbar and referred pain. A predictor of symptomatic discs and anular competence.

    abstract:STUDY DESIGN:The presence or absence of rapidly centralizing, peripheralizing, or abolishing low back and radiating pain, as identified during a McKenzie mechanical lumbar assessment of patients with chronic lumbar pain, was compared prospectively with discographic pain provocation and anular competency. OBJECTIVES:To...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199705150-00011

    authors: Donelson R,Aprill C,Medcalf R,Grant W

    更新日期:1997-05-15 00:00:00

  • Pedicle diameter determined by computed tomography. Its relevance to pedicle screw fixation in the lumbar spine.

    abstract::Intraoperative technical complications of pedicle screw fixation include screw cutout or maldirection and pedicle fracture. The aims of this study were 1) to use computed tomography to determine the average pedicle diameter; and 2) to compare these measurements with the outer diameter measurements of commonly used ped...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199206001-00017

    authors: Bernard TN Jr,Seibert CE

    更新日期:1992-06-01 00:00:00

  • Progressive scoliosis following chest wall resection in children.

    abstract::The effect of partial chest wall resection on subsequent production of spinal deformity was studied in six pediatric patients. The following observations are made: Scoliosis secondary to chest wall resection in the pediatric age group is progressive. The degree of curvature is related to the number of ribs resected. A...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198509000-00005

    authors: DeRosa GP

    更新日期:1985-09-01 00:00:00

  • Congenital dumbbell neuroblastoma.

    abstract:STUDY DESIGN:New babies with neurologic deficits resulting from intraspinal extension of congenital neuroblastoma is very unusual. Two patients with congenital dumbbell neuroblastoma with paraplegia are described, and 16 other cases are reviewed. OBJECTIVE:To study the clinical features and prognosis of congenital dum...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/00007632-199506000-00019

    authors: Shimada Y,Sato K,Abe E,Suzuki T,Ishihara Y

    更新日期:1995-06-01 00:00:00

  • Use and outcome of MRI in the surgical treatment of adolescent idiopathic scoliosis.

    abstract:STUDY DESIGN:Multicenter, prospective, consecutive clinical series. OBJECTIVE.: To report on the use and outcomes of preoperative magnetic resonance imaging (MRI) in a prospective cohort study of 2206 children undergoing posterior spinal fusion and instrumentation for adolescent idiopathic scoliosis. SUMMARY OF BACKGR...

    journal_title:Spine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/BRS.0b013e3181da218c

    authors: Diab M,Landman Z,Lubicky J,Dormans J,Erickson M,Richards BS,members of the Spinal Deformity Study Group.

    更新日期:2011-04-15 00:00:00

  • Motor-evoked potentials from various levels of paravertebral muscles in normal subjects and in patients with focal lesions of the spinal cord.

    abstract:STUDY DESIGN:This prospective study includes normal control subjects and patients with focal lesions of the spinal cord investigated by transcranial magnetic stimulation. OBJECTIVES:To establish a stable method to elicit motor evoked potentials from cervical to lumbar segmental levels and to apply the method that woul...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199805010-00010

    authors: Ertekin C,Uludag B,On A,Yetimalar Y,Ertas M,Colakoglu Z,Arac N

    更新日期:1998-05-01 00:00:00

  • Validation of the simplified Chinese version of the functional rating index for patients with nonspecific neck pain in mainland China.

    abstract:STUDY DESIGN:Validation of a self-report questionnaire, Functional Rating Index (FRI). OBJECTIVE:To evaluate the psychometric properties of the simplified Chinese (SC) version of FRI in patients with nonspecific neck pain (NP). SUMMARY OF BACKGROUND DATA:FRI has been cross-culturally validated in few languages with e...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000000806

    authors: Wei X,Xu X,Zhao Y,Chen K,Wang F,Fan J,Yang C,Chen Z,Bai Y,Zhu X,Li M

    更新日期:2015-05-01 00:00:00

  • Transient blindness after lumbar epidural steroid injection: a case report and literature review.

    abstract:STUDY DESIGN:A case report of transient blindness after lumbar epidural steroids is presented. OBJECTIVE:To report the diagnosis and treatment of a case of blindness after administration of lumbar epidural steroids. SUMMARY OF BACKGROUND DATA:Nine previous cases of blindness after lumbar epidural injection for back p...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/00007632-200211010-00022

    authors: Young WF

    更新日期:2002-11-01 00:00:00

  • Finite element applications in human cervical spine modeling.

    abstract::The authors present a comprehensive state-of-the-art and critical review of the finite element models of the human cervical spine. They also focused on the developments in model construction (geometry generation), constitutive law (material property) identification, loading and boundary condition details, and validati...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/00007632-199608010-00022

    authors: Yoganandan N,Kumaresan S,Voo L,Pintar FA

    更新日期:1996-08-01 00:00:00

  • Quantification of intradiscal pressures below thoracolumbar spinal fusion constructs: is there evidence to support "saving a level"?

    abstract:STUDY DESIGN:In vitro cadaveric study. OBJECTIVE:The purpose of this study was to quantify the relative biomechanical protection resulting from "saving a level" in long spinal fusions. SUMMARY OF BACKGROUND DATA:"Saving levels" in spinal deformity surgery is desirable. Constructs with lowest instrumented vertebra (LI...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31821e1106

    authors: Auerbach JD,Lonner BS,Errico TJ,Freeman A,Goerke D,Beaubien BP

    更新日期:2012-03-01 00:00:00

  • Biomechanical effect of 4-rod technique on lumbosacral fixation: an in vitro human cadaveric investigation.

    abstract:STUDY DESIGN:An in vitro biomechanical study of 3 lumbosacral fixation techniques in human cadaveric lumbar-pelvic spine models. OBJECTIVE:To compare the in vitro biomechanical effect of a novel 4-rod lumbosacral reconstruction technique with conventional techniques in a human cadaveric lumbopelvic model, and to evalu...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3182967968

    authors: Wang T,Liu H,Zheng Z,Li Z,Wang J,Shrivastava SS,Yang H

    更新日期:2013-07-01 00:00:00

  • Is camptocormia a primary muscular disease?

    abstract:STUDY DESIGN:This study analyzed computed tomographic scans, magnetic resonance images, and biopsies of the paravertebral muscles of patients with camptocormia and age-matched patients with lumbar interapophyseal osteoarthritis or lumbar vertebral stenosis. OBJECTIVES:To define the muscular lesions and clarify their n...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199505000-00007

    authors: Laroche M,Delisle MB,Aziza R,Lagarrigue J,Mazieres B

    更新日期:1995-05-01 00:00:00

  • A systematic review of cross-cultural adaptation of the neck disability index.

    abstract:STUDY DESIGN:Systematic review of cross-cultural adaptation. OBJECTIVE:To perform a systematic review of cross-cultural adaptations of the Neck Disability Index (NDI) and to give a critical assessment to improve its translation. SUMMARY OF BACKGROUND DATA:The NDI is used to assess functional capacity and physical act...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/BRS.0000000000000788

    authors: Yao M,Sun YL,Cao ZY,Dun RL,Yang L,Zhang BM,Jiang HR,Wang YJ,Cui XJ

    更新日期:2015-04-01 00:00:00

  • Acute respiratory compromise associated with flexed cervical traction after C2 fractures.

    abstract:STUDY DESIGN:Acute respiratory compromise is occasionally observed in a subgroup of patients with upper spinal injuries involving the C2 vertebrae. A retrospective review was performed to identify fracture types and risk factors for early respiratory deterioration following injury to the upper cervical spine. OBJECTIV...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200102150-00004

    authors: Harrop JS,Vaccaro A,Przybylski GJ

    更新日期:2001-02-15 00:00:00

  • Changes in Cervical Spinal Alignment After Thoracolumbar Corrective Surgery in Adult Patients With Adolescent Idiopathic Scoliosis.

    abstract:STUDY DESIGN:Case-control study. OBJECTIVE:To examine factors influencing cervical alignment after corrective surgery for adult patients with adolescent idiopathic scoliosis (AdIS) SUMMARY OF BACKGROUND DATA.: Corrective surgery for spinal deformity influences postoperative cervical spinal alignment, but changes in th...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000003410

    authors: Nagoshi N,Yagi M,Daimon K,Suzuki S,Tsuji O,Okada E,Fujita N,Nakamura M,Matsumoto M,Watanabe K

    更新日期:2020-07-01 00:00:00

  • Urgent surgical decompression compared to methylprednisolone for the treatment of acute spinal cord injury: a randomized prospective study in beagle dogs.

    abstract:STUDY DESIGN:Experimental dog model of acute spinal cord injury. OBJECTIVE:To compare the relative value of methylprednisolone, surgical decompression, or both for the treatment of traumatic spinal cord injury. SUMMARY OF BACKGROUND DATA:Acute spinal cord injury results from both primary damage to the spinal cord at ...

    journal_title:Spine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/BRS.0b013e31818786db

    authors: Rabinowitz RS,Eck JC,Harper CM Jr,Larson DR,Jimenez MA,Parisi JE,Friedman JA,Yaszemski MJ,Currier BL

    更新日期:2008-10-01 00:00:00

  • Experimental analysis of the spinal cord compressed by spinal metastasis.

    abstract::The purpose of the present study of experimental spinal metastasis, developed in rats by inoculation of tumor cells through the spinous process, was to find the factor that causes the initial damage to the cord in this disorder. In the early stage of paralysis, the degenerated posterior funiculus originated from a sma...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198912000-00007

    authors: Manabe S,Tanaka H,Higo Y,Park P,Ohno T,Tateishi A

    更新日期:1989-12-01 00:00:00

  • Evaluating the Minimal Clinically Important Difference of EQ-5D-3L in Patients With Degenerative Lumbar Spinal Stenosis: A Swiss Prospective Multicenter Cohort Study.

    abstract:STUDY DESIGN:Analysis of a prospective, multicenter cohort study. OBJECTIVE:The aim of our study was to compare thresholds of published minimal clinically important differences (MCID) for the three-level EuroQol-5D health survey (EQ-5D-3L) summary index (range -0.53 to 1.00) with our anchor-based estimate and evaluate...

    journal_title:Spine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/BRS.0000000000003501

    authors: Burgstaller JM,Wertli MM,Ulrich NH,Pichierri G,Brunner F,Farshad M,Porchet F,Steurer J,Gravestock I,LSOS Study Group.

    更新日期:2020-09-15 00:00:00

  • Perioperative complications of combined anterior and posterior cervical decompression and fusion crossing the cervico-thoracic junction.

    abstract:STUDY DESIGN:Retrospective review. OBJECTIVE:To determine the perioperative complications for patients undergoing single stage, multilevel, anterior, and posterior cervical fusions crossing the cervico-thoracic junction. SUMMARY OF BACKGROUND DATA:Cervical spinal stenosis with kyphosis involving 3 or more disc levels...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e318190affe

    authors: Hart RA,Tatsumi RL,Hiratzka JR,Yoo JU

    更新日期:2008-12-15 00:00:00

  • Behavioral responses to examination. A reappraisal of the interpretation of "nonorganic signs".

    abstract::Waddell et al in 1980 developed a standardized assessment of behavioral responses to examination. The signs were associated with other clinical measures of illness behavior and distress, and are not simply a feature of medicolegal presentations. Despite clear caveats about the interpretation of the signs, they have be...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199811010-00025

    authors: Main CJ,Waddell G

    更新日期:1998-11-01 00:00:00

  • Treatment of irreducible old atlantoaxial subluxation with cable-dragged reduction and cantilever beam internal fixation.

    abstract:STUDY DESIGN:Retrospective case series study of surgical outcome for 21 atlantoaxial subluxation patients treated with a new technique, called cable-dragged reduction/cantilever beam internal fixation. Surgery was performed by a single surgeon. OBJECTIVE:To describe and evaluate the cable-dragged reduction/cantilever ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181feb6b1

    authors: Liu X,Liu H,Li T,Gong Q,Song Y,Liu L,Shi R,Zhao X,Zhang W,Feng G,Wang B

    更新日期:2011-07-01 00:00:00

  • Reduction in perineural scar formation after laminectomy with Polyactive membrane sheets.

    abstract:STUDY DESIGN:The effectiveness of Polyactive (Osteotech, Inc., Shrewsbury, NJ), an elastomeric segmental copolymer, as a barrier material for the prevention of perineural scar formation was evaluated in eight adult mongrel dogs. Two animals each were killed at 2, 4, 8, and 12 weeks postoperation. OBJECTIVE:This study ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199408150-00005

    authors: Cook SD,Prewett AB,Dalton JE,Whitecloud TS 3rd

    更新日期:1994-08-15 00:00:00

  • Percutaneous discectomy for the treatment of bacterial discitis.

    abstract::METHODS. Percutaneous discectomy was successfully used to diagnose and treat bacterial discitis. CONCLUSIONS. This technique was successful in obtaining a bacteriologic diagnosis, relieving the patient's symptoms and assisting in the eradication of the infection. With percutaneous discectomy, there is lower morbidity ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199404000-00025

    authors: Gebhard JS,Brugman JL

    更新日期:1994-04-01 00:00:00

  • Effects of Surface Topography and Chemistry on Polyether-Ether-Ketone (PEEK) and Titanium Osseointegration.

    abstract:STUDY DESIGN:An in vivo study examining the functional osseointegration of smooth, rough, and porous surface topographies presenting polyether-ether-ketone (PEEK) or titanium surface chemistry. OBJECTIVE:To investigate the effects of surface topography and surface chemistry on implant osseointegration. SUMMARY OF BAC...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000003303

    authors: Torstrick FB,Lin ASP,Safranski DL,Potter D,Sulchek T,Lee CSD,Gall K,Guldberg RE

    更新日期:2020-04-15 00:00:00

  • Transfusion-related acute lung injury after transfusion of maternal blood: a case-control study.

    abstract:STUDY DESIGN:This is a single-center retrospective case-control study of 7 transfusion-related acute lung injury (TRALI) cases and 28 controls in the pediatric spinal surgery population. OBJECTIVE:To determine the association between maternal transfusion and risk of TRALI in pediatric spinal surgery patients. SUMMARY...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181e3dad2

    authors: Dunbar N,Cooke M,Diab M,Toy P

    更新日期:2010-11-01 00:00:00