Spine deformity最新文献

{"title":"Etiology remains king: health-related quality of life outcome at 5 years following growth friendly instrumentation for EOS.","authors":"K Aaron Shaw, David Thornberg, Anna McClung, Chan-Hee Jo, Mark Erickson, Michael Vitale, Scott Luhmann, Lindsay Andras, Peter Sturm, Hiroko Matsumoto, Brandon Ramo","doi":"10.1007/s43390-024-01029-0","DOIUrl":"https://doi.org/10.1007/s43390-024-01029-0","url":null,"abstract":"<p><strong>Purpose: </strong>The etiology of early-onset scoliosis (EOS) has been shown to significantly influence baseline parent-reported health-related quality of life (HRQoL) measures as assessed by the Early Onset Scoliosis Questionnaire (EOSQ). However, it remains unclear how etiology influences mid-term outcomes following growth friendly instrumentation (GFI) for EOS.</p><p><strong>Methods: </strong>A retrospective review of a multi-center prospective spinal database was performed. Children undergoing primary distraction-based, GFI for EOS with complete baseline, 2-year, and 5-year post-surgical EOSQ were included. The identified children were subdivided by etiology as classified by the C-EOS system. EOSQ scores were compared over time according to etiology cohorts and between instrumentation types. Minimal clinically important difference (MCID) was defined as ≥ 20% change in domain score and compared across etiologies. Dominance analysis was used to assess for drivers of treatment satisfaction.</p><p><strong>Results: </strong>A total of 178 children (mean 7.3 ± 2.1 years, 51.1% female) were included. The most common etiology was neuromuscular (NM: 36.5%), with the majority of children treated with MCGR (N = 125). Significant differences between etiology groups were present with congenital and idiopathic cohorts demonstrating similar EOSQ domain scores that were significantly higher than neuromuscular and syndromic cohorts. In assessing clinically important changes in EOSQ scores over the 5-year follow-up period, neuromuscular and syndromic patients demonstrated the greatest capacity for improved outcomes. Instrumentation type had no influence on HRQoL scores at 5-year follow-up. Etiology was a driver of satisfaction with syndromic etiology and transfer domain score at 2 years follow-up associated with dissatisfaction.</p><p><strong>Conclusion: </strong>Curve etiology remains a significant driver of HRQoL domains following growth-friendly instrumentation for EOS. Neuromuscular and syndromic patient have significantly lower domain scores. Despite this, or perhaps because of it, they also demonstrate the greatest capacity for clinically important improvement in HRQoL measures 5 years following intervention.</p>","PeriodicalId":21796,"journal":{"name":"Spine deformity","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143074868","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":"Instrumentation using robotics coupled with navigation in pediatric spine deformity surgery: a technical report of sacropelvic instrumentation.","authors":"Craig Birch, Nicole Welch, Danielle Cook, Daniel Hedequist","doi":"10.1007/s43390-025-01047-6","DOIUrl":"https://doi.org/10.1007/s43390-025-01047-6","url":null,"abstract":"<p><strong>Purpose: </strong>This technical report presents the intraoperative experience of using robotic-assisted navigation (RAN) for sacropelvic instrumentation in pediatric spine deformity surgery.</p><p><strong>Methods: </strong>A retrospective review of patients who underwent surgery using RAN for sacropelvic instrumentation at a single institution from 2019 to 2022 was conducted. In cases with screw confirmation imaging, screws were evaluated using the Gertzbein and Robbins classification scale.</p><p><strong>Results: </strong>52 cases were included. Average age at surgery was 14.1 years and 67.3% of patients were female. The most common diagnosis was spondylolisthesis (48.1%). The average major curve in scoliosis cases was 77°. A Schanz pin in the posterior superior iliac spine was placed in 98.1% of surgeries compared to 1 case with a spinous process clamp. Intraoperative 3D imaging scans (Scan & Plan) were used for 69.2% of the robotic registrations to the patient and intraoperative fluoroscopy-CT scans were used for 30.8%. 644 total screws were placed, with 427 placed robotically. Specifically, in the sacral-pelvic region, 98 S1, 18 S2, 58 S2AI, and 5 iliac screws were placed using RAN (179 screws). In 17 cases with 139 total robotic screws, post-instrumentation intraoperative 3D imaging or postoperative CT scans were obtained. Of these screws, 99.3% (138/139; 95% CI = 95.5-99.96) were placed accurately (Grade A or Grade B). One S2AI screw had an anterior breach on intraoperative 3D imaging scan and was changed prior to closure. Loss of RAN registration was observed in 2 cases (3.8%). No cases required return to the operating room for screw malposition.</p><p><strong>Conclusion: </strong>This study highlights high screw accuracy with no neurologic compromise associated with the use of RAN technology.</p>","PeriodicalId":21796,"journal":{"name":"Spine deformity","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143074998","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":"Is it possible to return to skiing following long-construct spinal deformity surgery?","authors":"Kurt Holuba, Alexandra Dionne, Brendan Schwartz, Roy Miller, Josephine R Coury, Varun Arvind, Justin L Reyes, Gabriella Greisberg, Ronald A Lehman, Zeeshan M Sardar, Lawrence G Lenke, Joseph M Lombardi","doi":"10.1007/s43390-024-01031-6","DOIUrl":"https://doi.org/10.1007/s43390-024-01031-6","url":null,"abstract":"<p><strong>Background: </strong>Alpine skiing requires flexibility, endurance, strength and rotational ability, which may be lost after long fusions to the pelvis for adult spinal deformity (ASD). ASD patients may worry about their ability to return to skiing (RTS) postoperatively. There is currently insufficient data for spine surgeons to adequately address questions about when, or if, their patients might RTS.</p><p><strong>Methods: </strong>Patients with a history of spinal fusion to pelvis from T10 or higher were screened for skiing participation during the November 2023-April 2024 season. Adolescent and adult patients ≥12 years old with >2-year minimum follow-up who were recreational skiers (skied ≥5 times in their life and ≥1 time in the 5 years prior to their surgery) provided the following metrics: visual analogue scale (VAS) pain level, self-perceived ski ability, highest slope difficulty comfort level, ski runs completed per day, days skied per year, pain while skiing, participation in pre- or postoperative physical therapy (PT), and satisfaction. Predictive factors for ability to RTS were evaluated. Scoliosis Research Society-22 (SRS-22) and Oswestry Disability Index (ODI) scores were collected at baseline, one year postoperatively, and final follow-up (FFU). Twenty six skiers from 2015-2023 were included (age 56.5 ± 15.2 years, BMI 23.8 ± 4.2 kg/m², female composition 85.6%, follow-up 5.3 ± 1.8 years). 42.3% (n = 11) patients returned to ski at an average of 2.6 ± 1.6 years. Patients who returned to ski maintained or improved their performance in the following metrics: 72.7% (n = 8) in self-assessed ski ability, 72.7% (n = 8) in slope difficulty comfort level, 63.6% (n = 7) in number of ski runs per day, 81.8% (n = 9) in number of days skied per year, and 81.8% (n = 9) in pain while skiing. Pain scores improved from baseline to FFU: VAS (7.1 ± 1.9 vs 1.8 ± 1.9; p < 0.01), SRS (71.8 ± 8.6 vs 89.9 ± 14.5; p < 0.01), ODI (30.8 ± 13.1 vs 13.4 ± 14.1; p < 0.01). Age, sex, BMI, surgical history, self-assessed ski ability, baseline pain scores and PT participation were not predictive of ability to RTS.</p><p><strong>Conclusion: </strong>This was the first in-depth analysis of RTS after corrective spine surgery. Almost half of the skiers returned to skiing after long-construct fusion to pelvis, and the majority reported similar or improved performance based on their slope ratings, runs skied per day, days skied per year, pain while skiing, and overall self-assessment. Mean pain and quality of life scores improved significantly for the whole group. ASD patients who RTS can reasonably expect equal or improved performance following spine surgery compared to their presurgical ability.</p>","PeriodicalId":21796,"journal":{"name":"Spine deformity","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143067827","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":"Sacral Alar-Iliac (SAI) screw diameter is not associated with pelvic fixation failure for neuromuscular scoliosis patients.","authors":"Tyler A Tetreault, Annika Y Myers, Jaqueline Valenzuela-Moss, Tishya A L Wren, Michael J Heffernan, Lindsay M Andras","doi":"10.1007/s43390-025-01044-9","DOIUrl":"https://doi.org/10.1007/s43390-025-01044-9","url":null,"abstract":"<p><strong>Purpose: </strong>Determine if Sacral Alar-Iliac (SAI) screw diameter is associated with pelvic fixation failure in pediatric patients with neuromuscular scoliosis (NMS) treated with posterior spinal fusion (PSF).</p><p><strong>Methods: </strong>NMS patients from a single institution who underwent PSF with bilateral SAI screw fixation from 2010 to 2021 were retrospectively reviewed. Clinical parameters, SAI screw sizes, and radiographic outcomes were analyzed. Patients with greater or less than two SAI screws, > 21 years old, or with < 2 years of radiographic follow-up were excluded.</p><p><strong>Results: </strong>142 patients had 284 SAI screws placed. Mean(± SD) age was 13.6 ± 2.7 years. Preoperative curve magnitude averaged 84.3 ± 29.1°. Mean patient weight was 36.4 ± 14.1kg and BMI was 18 ± 5.1. Radiographic follow-up averaged 4.6 ± 2.0 years. Most screws (234/284,82.4%) were < 8.5 mm and 7.5 mm screws were most frequently used (158/248,55.6%). Mean screw diameter was 7.4 ± 0.7 mm. Patients with greater age, weight, and BMI trended towards larger screws. Three patients had five screw complications (1 screw fracture and 4 set screw dislodgments). One screw fracture (1/284,0.4%;7.5 mm diameter) and contralateral set screw dislodgement occurred in a patient at 14 months but was not revised. One patient who had bilateral set screws dislodge 3 months after PSF underwent revision. The remaining patient was asymptomatic and was observed. Screw diameter was not associated with risk of postoperative complications (p = 0.245).</p><p><strong>Conclusion: </strong>SAI screw fracture is rare after PSF in pediatric patients with NMS. Contrary to pelvic fixation in adults, smaller diameter SAI screws, which may be optimal in patients with smaller anatomy, were not associated with increased risk of screw failure.</p><p><strong>Level of evidence: </strong>III.</p>","PeriodicalId":21796,"journal":{"name":"Spine deformity","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143067831","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":"Congenital scoliosis presenting in teenage years outcomes without hemivertebra excision.","authors":"Vishal Sarwahi, Sayyida Hasan, Keshin Visahan, Effat Rahman, Katherine Eigo, Jesse Galina, Jeffrey Goldstein, Thomas J Dowling, Jordan Fakhoury, Yungtai Lo, Terry Amaral","doi":"10.1007/s43390-025-01039-6","DOIUrl":"https://doi.org/10.1007/s43390-025-01039-6","url":null,"abstract":"<p><strong>Purpose: </strong>In congenital scoliosis, the surgical strategy approach of hemivertebra excision, with or without instrumentation and fusion, is a common approach to correction of scoliosis. However, hemivertebra excisions are technically challenging, with potential complications including spinal cord injury, nerve root injury and cerebrospinal fluid leak. The purpose of this study was to determine whether correction of congenital scoliosis can be achieved using a posterior instrumentation/fusion-only approach without the need for hemivertebra excision.</p><p><strong>Methods: </strong> 35 patients with congenital scoliosis and hemivertebra operated between 2007 and 2024 were matched to 35 AIS patients by BMI, levels fused, and preoperative Cobb. Wilcoxon rank-sum tests, chi-square tests, and Fisher's Exact tests were utilized.</p><p><strong>Results: </strong>Age (p = 0.22), BMI (p = 0.25) and preoperative Cobb (p = 0.79) were similar between hemivertebra and AIS patients. Cobb correction (HV: 71.8% vs. AIS: 70.4%; p = 0.92) and EBL (500 cc vs. 400 cc; p = 1.0) were similar. Operative time (310.0 min vs. 242.0 min; p < 0.001) and length of stay (7.0 days vs. 5.0 days; p < 0.001) were statistically different. Patients operated on after 2018, when the Rapid Recovery Protocol was implemented, had a similar length of stay (4.5 vs. 5.0; p = 0.92). Patients in both cohorts had similar SRS-22 scores.</p><p><strong>Conclusion: </strong> Choosing fusion levels in congenital patients, on similar principles to AIS, leads to avoidance of hemivertebra excision, including lumbosacral hemivertebrae. This approach is safer than hemivertebra excision and has similar, or better, curve correction than previously reported.</p>","PeriodicalId":21796,"journal":{"name":"Spine deformity","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060638","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":"Analysis of scoliosis rod deformation after cutting with a surgical rod cutter.","authors":"James Egan, Collin T Erickson, Kierstin Bennett, Grace E Tideman, Richard M Schwend, Elizabeth A Friis, John T Anderson","doi":"10.1007/s43390-025-01053-8","DOIUrl":"https://doi.org/10.1007/s43390-025-01053-8","url":null,"abstract":"<p><strong>Purpose: </strong>Scoliosis is a complex multi-dimensional deformity of the spine that is common in children and adults. Of the various treatments for scoliosis, one is posterior spinal fusion with instrumentation. The rods typically used are composed of titanium or cobalt-chrome. Rods are cut during surgery, which causes rods to be deformed on the cut end. Inducing rod deformation raises concerns about deformed end influencing the stability of the rod-tulip-set screw interface. This study examines rod deformation from the rod cutter.</p><p><strong>Methods: </strong>This study was performed using photogrammetry, a technique allowing the creation of three-dimensional (3D) models from photographs. Rod materials included titanium (Ti) and cobalt chrome (CoCr). Three different diameters, 4.75 mm, 5.5 mm, and 6.0 mm, were analyzed for each rod material. Five rods of each material and diameter were used for these groups, totaling 30 rods for the study. Photogrammetry was used to create a 3D rendering of the cut end of the rods. The parameters measured included local angle of deformation at each mm away from the cut, as well as roundness of the cross section. Means and standard deviations were taken for each measurement. A two-way ANOVA analysis and a Tukey post-hoc analysis were used for statistical analysis.</p><p><strong>Results: </strong>Five rods in each rod group resulted in the analysis of 30 rods. Deformation from the rod cutter resulted in more angular deformation in the CoCr rods than the Ti rods. The CoCr rods also had lower cross-sectional roundness measurements. The 6.0-mm rods had significantly more angular deformation as well as lower roundness measurements compared to the smaller diameter rods. The 4.75-mm and 5.5-mm diameter Ti rods showed deformation up to 4 mm from the cut end, while the 6.0-mm Ti rods, and all the CoCr rods, showed deformation 5 mm from the cut end.</p><p><strong>Conclusions: </strong>The data from this study offer information about the amount of deformation present at the cut end of spinal rods. There was a difference in the angle of deformation as well as roundness along the length of the rod's cut end. Placing the deformed portion of the rods within a screw tulip theoretically increases the risk of failure of the rod-screw interface. Based on these data, to decrease the risk of construct failure, we recommend leaving at least 4 mm of rod between the cut end in 4.75 mm and 5.5-mm Ti rods, and 5 mm in CoCr rods and 6.0-mm Ti rods.</p>","PeriodicalId":21796,"journal":{"name":"Spine deformity","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143067823","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":"A comparative study of curve flexibility assessment in supine traction, push-prone and push-prone traction radiographs in adolescent idiopathic scoliosis.","authors":"Tinnakorn Pluemvitayaporn, Worakarn Jackkaew, Suttinont Surapuchong, Piyabuth Kittithamvongs, Warot Ratanakoosakul, Kitjapat Tiracharnvut, Chaiwat Piyasakulkaew, Sombat Kunakornsawat","doi":"10.1007/s43390-025-01051-w","DOIUrl":"https://doi.org/10.1007/s43390-025-01051-w","url":null,"abstract":"<p><strong>Study design: </strong>A prospective comparative study.</p><p><strong>Objectives: </strong>To compare the curve flexibility in adolescent idiopathic scoliosis (AIS) using supine traction push-prone and push-prone traction radiographs and to determine which method is more effective in predicting the postsurgical correction.</p><p><strong>Background: </strong>Preserving spinal motion is one of the critical objectives in adolescent idiopathic scoliosis (AIS) surgery. Hence, evaluating curve flexibility preoperatively is crucial in determining the optimal instrumented level. Supine lateral side bending radiographs are commonly considered the gold standard for assessing curve flexibility. Several methods are employed to determine curve flexibility, including supine traction, push-prone, and fulcrum bending radiographs. Nonetheless, the combined application of the push-prone and traction techniques for evaluating curve flexibility has not been documented, and the effectiveness of curve correction utilizing this approach remains uncertain.</p><p><strong>Methods: </strong>Between 2021 and 2024, AIS patients who underwent posterior spine surgery were enrolled in the study. Preoperative 36-inch whole spine radiographs, including posteroanterior, supine traction, push-prone, and push-prone traction views, were obtained. Demographic data, including sex, age, BMI, Lenke's curve type, and pre-and postoperative major Cobb angle, were collected. Major curves, including proximal thoracic, main thoracic, and thoracolumbar/lumbar curves, were assessed using various techniques. The mean absolute difference of the major Cobb angle for each method was analyzed to establish a confidence interval. Additionally, the curve flexibility ratio was evaluated through radiographic analysis. The correction index was calculated by dividing the correction rate by the flexibility for each technique.</p><p><strong>Results: </strong>A total of one hundred and six AIS patients (96 female and 10 male) with a mean age of 14.9 ± 2.3 years were identified. The combined push-prone and traction method demonstrated the highest flexibility in assessing the overall, PT, MT, and TL/L curves, followed by supine traction and push-prone methods. Moreover, the correction index also shows that the push-prone traction method provides the best predictive outcome for postoperative results compared to supine traction and the push-prone method.</p><p><strong>Conclusion: </strong>Our analysis shows that push-prone traction radiographs provide the highest curve flexibility and are more reliable in predicting curve correction in AIS patients who underwent posterior spine surgery.</p>","PeriodicalId":21796,"journal":{"name":"Spine deformity","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143047696","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":"Where does the tether break in vertebral body tethering cases? Clinical insights from revision cases after tether breakage.","authors":"Mahmoud Alkharsawi, Alice Baroncini, Dong-Gune Chang, Miguel Pishnamaz, Per David Trobisch","doi":"10.1007/s43390-025-01048-5","DOIUrl":"https://doi.org/10.1007/s43390-025-01048-5","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the sites where the tether breaks in vertebral body tethering (VBT) cases.</p><p><strong>Methods: </strong>Intraoperative evaluation of broken tethers in patients who had anterior revision.</p><p><strong>Inclusion criteria: </strong>anterior revision of VBT cases with explantation of the full implant and photo documentation. Eight patients met the inclusion criteria. The primary variable of interest was the location of tether breakage in relation to the vertebral curve and the tether-screw interface. Another variable of interest was to evaluate the difference in breakage rates between anterior and posterior tethers in double tether cases.</p><p><strong>Results: </strong>Sixty tethers bridging the intervertebral disc within this cohort of eight patients were found. Seven implants were removed from thoracolumbar curves and one implant from a thoracic curve. We identified 32 tether breakages. Double tethers were used in six patients. In these six cases, 15 breakages were found in the posterior tether and 13 in the anterior tether. Four cases (50%) exhibited breakages at the apex, eight cases (100%) at the lowest instrumented vertebra (LIV), and five cases (63%) at the uppermost-instrumented vertebra (UIV). Five tether breakages (in three cases with double tether) were observed at the screw sites, while the remaining 27 exhibited cord breakages near the intervertebral discs. In double tether systems, statistical analysis did not reveal any significant difference in breakage rates between anterior and posterior tethers.</p><p><strong>Conclusions: </strong>In VBT cases, the tether breaks mostly at the level of the intervertebral disc, adjacent to the lowest instrumented vertebra.</p><p><strong>Level of evidence: </strong>Level IV (Case series with no comparison group).</p>","PeriodicalId":21796,"journal":{"name":"Spine deformity","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053339","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":"Reducing postoperative morbidity by diminishing chest tube drainage utilizing tranexamic acid following vertebral body tethering for adolescent idiopathic scoliosis.","authors":"Rami Rajjoub, Mark Kurapatti, Mateo Restrepo Mejia, Olgerta Mucollari, Rodnell Busigó Torres, Husni Alasadi, Baron S Lonner","doi":"10.1007/s43390-025-01042-x","DOIUrl":"https://doi.org/10.1007/s43390-025-01042-x","url":null,"abstract":"<p><strong>Purpose: </strong>Vertebral body tethering (VBT) is a non-fusion surgical option for adolescent idiopathic scoliosis (AIS) that requires a postoperative (PO) chest tube. This study evaluates whether 48 h of PO TXA reduces chest tube (CT) drainage and retention compared to 24 h of TXA following VBT for AIS.</p><p><strong>Methods: </strong>Consecutively treated patients with a diagnosis of AIS who underwent VBT were assessed. Thirty-eight patients who received 48 h of PO IV TXA (48-TXA) were compared to 35 VBT patients who received 24 h of PO IV TXA (24-TXA) and 48 patients who did not receive TXA (non-TXA). TXA use in thoracic CT and thoracolumbar CT drainages were also assessed separately. Group comparisons were performed using one-way ANOVA and Chi-square tests.</p><p><strong>Results: </strong>There were no significant differences in demographics between groups. TXA significantly reduced CT drainage (p < 0.001) and retention (p < 0.001), with no differences between 24-TXA and 48-TXA (p = 0.88). Sub-analyses showed that both 24-TXA and 48-TXA reduced thoracic CT drainage (p = 0.002, p = 0.02) and retention time (p = 0.04, p = 0.007) compared to non-TXA, respectively. For thoracolumbar CT, differences were observed only between 24-TXA and non-TXA (p = 0.01, p = 0.03). TXA was an independent predictor of reduced CT drainage (p < 0.001) and retention (p < 0.001). Hospital stay, ICU stay, and complications didn't differ between TXA groups (p > 0.9, p = 0.4), respectively.</p><p><strong>Conclusions: </strong>Intravenous TXA reduces CT drainage and retention after VBT for AIS for thoracic CTs. There was no additional benefit of 48-TXA over 24-TXA in decreasing overall drainage and CT retention time.</p>","PeriodicalId":21796,"journal":{"name":"Spine deformity","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143041536","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":"Correction: Mobile device-based 3D scanning is superior to scoliometer in assessment of adolescent idiopathic scoliosis.","authors":"Yousi Oquendo, Ian Hollyer, Clayton Maschhoff, Christian Calderon, Malcolm DeBaun, Joanna Langner, Nadine Javier, Xochitl Bryson, Ann Richey, Hiba Naz, Kali Tileston, Michael Gardner, John S Vorhies","doi":"10.1007/s43390-025-01046-7","DOIUrl":"10.1007/s43390-025-01046-7","url":null,"abstract":"","PeriodicalId":21796,"journal":{"name":"Spine deformity","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143024488","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}