Scoliosis and Spinal Disorders最新文献

{"title":"Systematic re-evaluation of intraoperative motor-evoked potential suppression in scoliosis surgery.","authors":"Yew Long Lo,&nbsp;Yam Eng Tan,&nbsp;Sitaram Raman,&nbsp;Adeline Teo,&nbsp;Yang Fang Dan,&nbsp;Chang Ming Guo","doi":"10.1186/s13013-018-0161-3","DOIUrl":"https://doi.org/10.1186/s13013-018-0161-3","url":null,"abstract":"<p><strong>Background: </strong>Motor- (MEP) and somatosensory-evoked potentials (SSEP) are susceptible to the effects of intraoperative environmental factors.</p><p><strong>Methods: </strong>Over a 5-year period, 250 patients with adolescent idiopathic scoliosis (AIS) who underwent corrective surgery with IOM were retrospectively analyzed for MEP suppression (MEPS).</p><p><strong>Results: </strong>Our results show that four distinct groups of MEPS were encountered over the study period. All 12 patients did not sustain any neurological deficits postoperatively. However, comparison of groups 1 and 2 suggests that neither the duration of anesthesia nor speed of surgical or anesthetic intervention were associated with recovery to a level beyond the criteria for MEPS. For group 3, spontaneous MEPS recovery despite the lack of surgical intervention suggests that anesthetic intervention may play a role in this process. However, spontaneous MEPS recovery was also seen in group 4, suggesting that in certain circumstances, both surgical and anesthetic intervention was not required. In addition, neither the duration of time to the first surgical manoeuver nor the duration of surgical manoeuver to MEPS were related to recovery of MEPS. None of the patients had suppression of SSEPs intraoperatively.</p><p><strong>Conclusion: </strong>This study suggests that in susceptible individuals, MEPS may rarely occur unpredictably, independent of surgical or anesthetic intervention. However, our findings favor anesthetic before surgical intervention as a proposed protocol. Early recognition of MEPS is important to prevent false positives in the course of IOM for spinal surgery.</p>","PeriodicalId":21573,"journal":{"name":"Scoliosis and Spinal Disorders","volume":"13 ","pages":"12"},"PeriodicalIF":0.0,"publicationDate":"2018-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s13013-018-0161-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36296591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sagittal plane assessment of spino-pelvic complex in a Central European population with adolescent idiopathic scoliosis: a case control study.","authors":"Máté Burkus,&nbsp;Ádám Tibor Schlégl,&nbsp;Ian O'Sullivan,&nbsp;István Márkus,&nbsp;Csaba Vermes,&nbsp;Miklós Tunyogi-Csapó","doi":"10.1186/s13013-018-0156-0","DOIUrl":"https://doi.org/10.1186/s13013-018-0156-0","url":null,"abstract":"<p><strong>Background: </strong>Scoliosis is a complex three-dimensional deformity. While the frontal profile is well understood, increasing attention has turned to balance in the sagittal plane. The present study evaluated changes in sagittal spino-pelvic parameters in a large Hungarian population with adolescent idiopathic scoliosis.</p><p><strong>Methods: </strong>EOS 2D/3D images of 458 scoliotic and 69 control cases were analyzed. After performing 3D reconstructions, the sagittal parameters were assessed as a whole and by curve type using independent sample <i>t</i> test and linear regression analysis.</p><p><strong>Results: </strong>Patients with scoliosis had significantly decreased thoracic kyphosis (<i>p</i> < 0.001) with values T1-T12, 34.1 ± 17.1^o vs. 43.4 ± 12.7^o in control; T4-T12, 27.1 ± 18.8^o vs. 37.7 ± 15.1^o in control; and T5-T12, 24.9 ± 15.8^o vs. 32.9 ± 15.0^o in control. Changes in thoracic kyphosis correlated with magnitude of the Cobb angle (<i>p</i> < 0.001). No significant change was found in lumbar lordosis and the pelvic parameters. After substratification according to the Lenke classification and individually evaluating subgroups, results were similar with a significant decrease in only the thoracic kyphosis. A strong correlation was seen between sacral slope, pelvic incidence, and lumbar lordosis, and between pelvic version and thoracic kyphosis in control and scoliotic groups, whereas pelvic incidence was also seen to be correlated with thoracic kyphosis in scoliosis patients.</p><p><strong>Conclusion: </strong>Adolescent idiopathic scoliosis patients showed a significant decrease in thoracic kyphosis, and the magnitude of the decrease was directly related to the Cobb angle. Changes in pelvic incidence were minimal but were also significantly correlated with thoracic changes. Changes were similar though not identical to those seen in other Caucasian studies and differed from those in other ethnicities. Scoliotic curves and their effect on pelvic balance must still be regarded as individual to each patient, necessitating individual assessment, although changes perhaps can be predicted by patient ethnicity.</p>","PeriodicalId":21573,"journal":{"name":"Scoliosis and Spinal Disorders","volume":"13 ","pages":"10"},"PeriodicalIF":0.0,"publicationDate":"2018-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s13013-018-0156-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36257515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abstracts of the International Research Society on Spinal Deformities (IRSSD) Meeting 2018","authors":"G. Kandasamy, J. Bettany-Saltikov, P. Schaik, J. Dixon","doi":"10.1186/s13013-018-0154-2","DOIUrl":"https://doi.org/10.1186/s13013-018-0154-2","url":null,"abstract":"","PeriodicalId":21573,"journal":{"name":"Scoliosis and Spinal Disorders","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s13013-018-0154-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65740607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retraction Note: Rare causes of scoliosis and spine deformity: experience and particular features.","authors":"Konstantinos C Soultanis,&nbsp;Alexandros H Payatakes,&nbsp;Vasilios T Chouliaras,&nbsp;Georgios C Mandellos,&nbsp;Nikolaos E Pyrovolou,&nbsp;Fani M Pliarchopoulou,&nbsp;Panayotis N Soucacos","doi":"10.1186/s13013-018-0153-3","DOIUrl":"https://doi.org/10.1186/s13013-018-0153-3","url":null,"abstract":"<p><p>[This retracts the article DOI: 10.1186/1748-7161-2-15.].</p>","PeriodicalId":21573,"journal":{"name":"Scoliosis and Spinal Disorders","volume":"13 ","pages":"9"},"PeriodicalIF":0.0,"publicationDate":"2018-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s13013-018-0153-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36182125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of functional and structural leg length discrepancy in patients with adolescent idiopathic scoliosis using the EOS imaging system: a prospective comparative study.","authors":"Tatsuhiro Sekiya,&nbsp;Yoichi Aota,&nbsp;Katsutaka Yamada,&nbsp;Kanichiro Kaneko,&nbsp;Manabu Ide,&nbsp;Tomoyuki Saito","doi":"10.1186/s13013-018-0152-4","DOIUrl":"https://doi.org/10.1186/s13013-018-0152-4","url":null,"abstract":"<p><strong>Background: </strong>To our knowledge, no studies have reported the exact structural leg length discrepancies (LLDs) in patients with adolescent idiopathic scoliosis (AIS). Therefore, this study aimed to evaluate the differences between functional and structural LLDs and to examine the correlations between LLDs and spinopelvic parameters in patients with AIS using an EOS imaging system, which permits the three-dimensional reconstruction of spinal and lower-limb bony structures.</p><p><strong>Methods: </strong>Eighty-two consecutive patients with AIS underwent whole-body EOS radiography in a standing position between August 2014 and March 2016. Functional LLD, lumbar Cobb angle, thoracic curve Cobb angle, coronal balance, and pelvic obliquity were measured using two-dimensional EOS radiography. Structural LLDs were measured using three-dimensional EOS-reconstructed images. The comparison between LLDs was assessed using paired <i>t</i> test. Pearson's correlation coefficient (<i>r</i>) was used to determine potential correlations between the LLDs and spinopelvic alignment parameters.</p><p><strong>Results: </strong>Functional LLDs were significantly larger than structural LLDs (5.6 ± 5.0 vs. 0.2 ± 3.6 mm, respectively; <i>p</i> < 0.001). Both functional and structural LLDs were significantly correlated with pelvic obliquity (<i>r</i> = 0.69 and <i>r</i> = 0.51, respectively; <i>p</i> < 0.001 for both). Functional LLD, but not structural LLD, was correlated with lumbar Cobb angle (<i>r</i> = 0.44, <i>p</i> < 0.001; <i>r</i> = 0.17, <i>p</i> = 0.12, respectively). In addition, functional and structural LLDs were not correlated with thoracic Cobb angle (<i>r</i> = 0.09 and <i>r</i> = - 0.05, respectively; <i>p</i> ≥ 0.68 for both).</p><p><strong>Conclusions: </strong>Although patients with AIS often have functional LLDs, structural LLDs tend to be smaller. The correlation between functional LLDs and the lumbar Cobb angle indicates that functional LLDs compensate for the lumbar curve. Thus, the difference between functional and structural LLDs indicates a compensatory mechanism involving extension and flexion of the lower limbs.</p>","PeriodicalId":21573,"journal":{"name":"Scoliosis and Spinal Disorders","volume":"13 ","pages":"7"},"PeriodicalIF":0.0,"publicationDate":"2018-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s13013-018-0152-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36066144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Non-structural misalignments of body posture in the sagittal plane.","authors":"Dariusz Czaprowski, Łukasz Stoliński, Marcin Tyrakowski, Mateusz Kozinoga, Tomasz Kotwicki","doi":"10.1186/s13013-018-0151-5","DOIUrl":"10.1186/s13013-018-0151-5","url":null,"abstract":"<p><strong>Background: </strong>The physiological sagittal spinal curvature represents a typical feature of good body posture in the sagittal plane. The cervical and the lumbar spine are curved anteriorly (lordosis), while the thoracic segment is curved posteriorly (kyphosis). The pelvis is inclined anteriorly, and the lower limbs' joints remain in a neutral position. However, there are many deviations from the optimal body alignment.The aim of this paper is to present the most common types of non-structural misalignments of the body posture in the sagittal plane.</p><p><strong>Main body of the abstract: </strong>The most common types of non-structural misalignments of body posture in the sagittal plane are as follows: (1) lordotic, (2) kyphotic, (3) flat-back, and (4) sway-back postures. Each one may influence both the skeletal and the muscular system leading to the functional disturbance and an increased strain of the supporting structures. Usually, the disturbances localized within the muscles are analyzed in respect to their shortening or lengthening. However, according to suggestions presented in the literature, when the muscles responsible for maintaining good body posture (the so-called stabilizers) are not being stimulated to resist against gravity for an extended period of time, e.g., during prolonged sitting, their stabilizing function is disturbed by the hypoactivity reaction resulting in muscular weakness. The deficit of the locomotor system stability triggers a compensatory mechanism-the stabilizing function is overtaken by the so-called mobilizing muscles. However, as a side effect, such compensation leads to the increased activity of mobilizers (hyperactivity) and decreased flexibility, which may finally lead to the pathological chain of reaction within the musculoskeletal system.</p><p><strong>Conclusions: </strong>There exist four principal types of non-structural body posture misalignments in the sagittal plane: lordotic posture, kyphotic posture, flat-back posture, and sway-back posture. Each of them can disturb the physiological loading of the musculoskeletal system in a specific way, which may lead to a functional disorder.When planning postural corrective exercises, not only the analysis of muscles in respect to their shortening and lengthening but also their hypoactivity and hyperactivity should be considered.</p>","PeriodicalId":21573,"journal":{"name":"Scoliosis and Spinal Disorders","volume":"13 ","pages":"6"},"PeriodicalIF":0.0,"publicationDate":"2018-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5836359/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35893573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Torsion bottle, a very simple, reliable, and cheap tool for a basic scoliosis screening.","authors":"Michele Romano,&nbsp;Matteo Mastrantonio","doi":"10.1186/s13013-018-0150-6","DOIUrl":"https://doi.org/10.1186/s13013-018-0150-6","url":null,"abstract":"<p><strong>Background: </strong>One of the reasons that make scoliosis a disease that scares so much the parents is its specific characteristic of being difficult to detect on its onset.The aim of this paper is to check the possible usefulness of a simple tool (the torsion bottle) that has been developed with the aim to offer an instrument for home use by parents but also for screening purposes in the low-income countries.</p><p><strong>Methods: </strong>Study design: retrospective analysis to evaluate intra-operator reliability of the tools and inter-operator repeatability using the torsion bottle.For the first and the second part of the study, 35 subjects were measured.The goal of the first experiment was to evaluate the reliability of the torsion bottle to identify all individuals who experienced a thoracic or lumbar prominence equal or greater than 7°.The secondary aim was to verify the reliability of blinded inter-operator assessments, performed with the torsion bottle by two physiotherapists on the same patients.</p><p><strong>Results: </strong>The reliability of the assessments of the torsion bottle has been performed with the Kappa statistic to evaluate the measurement agreement.The results have shown that the intra-operator reliability of the tool is very high between the measurements collected with the scoliometer® and those collected with the torsion bottle (kappa = 0.9278; standard error = 0.7094).The data of the second part of the study show that the inter-operator reliability is good (kappa = 0.7988; standard error 0.1368).</p><p><strong>Conclusion: </strong>The collected data showed that the torsion bottle revealed itself as an efficient tool to execute a basic screening to identify the presence of a prominence in a significant group of adolescents.</p>","PeriodicalId":21573,"journal":{"name":"Scoliosis and Spinal Disorders","volume":"13 ","pages":"4"},"PeriodicalIF":0.0,"publicationDate":"2018-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s13013-018-0150-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35832420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Three-dimensional reconstructions of Lenke 1A curves.","authors":"J-C Bernard,&nbsp;E Berthonnaud,&nbsp;J Deceuninck,&nbsp;L Journoud-Rozand,&nbsp;G Notin,&nbsp;E Chaleat-Valayer","doi":"10.1186/s13013-017-0149-4","DOIUrl":"https://doi.org/10.1186/s13013-017-0149-4","url":null,"abstract":"<p><strong>Background: </strong>Scoliosis is a 3D deformity that can be reconstructed through 2D antero-posterior and lateral radiographs, which provide an upper view of the deformed spine as well as regional planes matching all vertebrae of elective plane for each curve. The objective of this study is to explore whether all idiopathic scoliosis classified Lenke 1A have the same 3D representation made with regional planes.</p><p><strong>Methods: </strong>All patients treated for idiopathic thoracic scoliosis during the growth period and classified Lenke 1A were included in this study conducted in the pediatric spinal orthopedic department of Centre des Massues. A photogrammetric technique was used to obtain a 3D reconstruction, from regional planes identified on radiographs made with the EOS system. Three regional planes are usually identified in asymptomatic spines: lumbar, dorsal, and cervical-none of them presenting rotation. In the studied group, the number of planes, the rotation, and the limit vertebrae of each plane were looked for.</p><p><strong>Results: </strong>Sixty-three patients were included (47 girls and 16 boys, mean age 11.3 years). The Cobb angle was meanly 36.5°. The scoliosis was reconstructed with three regional planes (57%) or four ones (43%, with the thoracic plane divided into two planes). Maximal rotation was found in the thoracic plane, especially when scoliosis was represented with four regional planes. The transition between planes 2 and 3 was mainly located between the fourth and sixth dorsal vertebrae.</p><p><strong>Conclusion: </strong>The use of an arbitrary regional plane representation of a 3D shape leads to conclude that there are two types of Lenke 1A scoliosis, which should be taken into account for designing the brace.</p>","PeriodicalId":21573,"journal":{"name":"Scoliosis and Spinal Disorders","volume":"13 ","pages":"5"},"PeriodicalIF":0.0,"publicationDate":"2018-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s13013-017-0149-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35825176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"2016 SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth.","authors":"Stefano Negrini, Sabrina Donzelli, Angelo Gabriele Aulisa, Dariusz Czaprowski, Sanja Schreiber, Jean Claude de Mauroy, Helmut Diers, Theodoros B Grivas, Patrick Knott, Tomasz Kotwicki, Andrea Lebel, Cindy Marti, Toru Maruyama, Joe O'Brien, Nigel Price, Eric Parent, Manuel Rigo, Michele Romano, Luke Stikeleather, James Wynne, Fabio Zaina","doi":"10.1186/s13013-017-0145-8","DOIUrl":"10.1186/s13013-017-0145-8","url":null,"abstract":"<p><strong>Background: </strong>The International Scientific Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT) produced its first guidelines in 2005 and renewed them in 2011. Recently published high-quality clinical trials on the effect of conservative treatment approaches (braces and exercises) for idiopathic scoliosis prompted us to update the last guidelines' version. The objective was to align the guidelines with the new scientific evidence to assure faster knowledge transfer into clinical practice of conservative treatment for idiopathic scoliosis (CTIS).</p><p><strong>Methods: </strong>Physicians, researchers and allied health practitioners working in the area of CTIS were involved in the development of the 2016 guidelines. Multiple literature reviews reviewing the evidence on CTIS (assessment, bracing, physiotherapy, physiotherapeutic scoliosis-specific exercises (PSSE) and other CTIS) were conducted. Documents, recommendations and practical approach flow charts were developed using a Delphi procedure. The process was completed with the Consensus Session held during the first combined SOSORT/IRSSD Meeting held in Banff, Canada, in May 2016.</p><p><strong>Results: </strong>The contents of the new 2016 guidelines include the following: background on idiopathic scoliosis, description of CTIS approaches for various populations with flow-charts for clinical practice, as well as literature reviews and recommendations on assessment, bracing, PSSE and other CTIS. The present guidelines include a total of 68 recommendations divided into following topics: bracing (<i>n</i> = 25), PSSE to prevent scoliosis progression during growth (<i>n</i> = 12), PSSE during brace treatment and surgical therapy (<i>n</i> = 6), other conservative treatments (<i>n</i> = 2), respiratory function and exercises (<i>n</i> = 3), general sport activities (<i>n</i> = 6); and assessment (<i>n</i> = 14). According to the agreed strength and level of evidence rating scale, there were 2 recommendations on bracing and 1 recommendation on PSSE that reached level of recommendation \"I\" and level of evidence \"II\". Three recommendations reached strength of recommendation A based on the level of evidence I (2 for bracing and one for assessment); 39 recommendations reached strength of recommendation B (20 for bracing, 13 for PSSE, and 6 for assessment).The number of paper for each level of evidence for each treatment is shown in Table 8.</p><p><strong>Conclusion: </strong>The 2016 SOSORT guidelines were developed based on the current evidence on CTIS. Over the last 5 years, high-quality evidence has started to emerge, particularly in the areas of efficacy of bracing (one large multicentre trial) and PSSE (three single-centre randomized controlled trials). Several grade A recommendations were presented. Despite the growing high-quality evidence, the heterogeneity of the study protocols limits generalizability of the recommendations. There is a need for standardizati","PeriodicalId":21573,"journal":{"name":"Scoliosis and Spinal Disorders","volume":"13 ","pages":"3"},"PeriodicalIF":0.0,"publicationDate":"2018-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s13013-017-0145-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35825088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"LETTER TO THE EDITOR CONCERNING: Effectiveness of the Rigo Chêneau versus Boston-style orthoses for adolescent idiopathicscoliosis: a retrospective study, by Minsk MK, Venuti KD, Daumit GL, Sponseller PD. Scoliosis Spinal Disord. 2017 Mar 20;12:7.","authors":"Johan L Heemskerk, Mark Altena, Diederik H R Kempen","doi":"10.1186/s13013-017-0147-6","DOIUrl":"10.1186/s13013-017-0147-6","url":null,"abstract":"<p><p>We have read with great interest the article by Minsk et al. in Scoliosis and Spinal Disorders. However, the authors reported a conclusion that is based on possible selection bias in surgical candidates. Physicians are trained in the interpretation of scientific articles; however, not everybody is able to do this. Especially in open access journals, a biased conclusion may have big consequences and may be misleading for patients and family members who can read these articles for free on the internet.</p>","PeriodicalId":21573,"journal":{"name":"Scoliosis and Spinal Disorders","volume":"13 ","pages":"2"},"PeriodicalIF":0.0,"publicationDate":"2018-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5795279/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35825173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}