Features: In-depth information culled from vast clinical data of world-renowned experts in the Harms Study Group Curve assessment and treatment recommendations listed by curve type and pattern - Comprehensive discussion of pathogenesis and ...
Author: Peter O. Newton
Based on over a decade of research and observation conducted by the members of the Harms Study Group and other spinal deformity experts from around the world, this must-have clinical reference provides focused coverage of the most current evaluation and treatment guidelines for idiopathic scoliosis. It draws on case studies to guide readers through specific surgical and nonoperative approaches to the multiple types of adolescent idiopathic spinal deformity, including practical information on the rationale for each approach, techniques, and results. Features: In-depth information culled from vast clinical data of world-renowned experts in the Harms Study Group Curve assessment and treatment recommendations listed by curve type and pattern - Comprehensive discussion of pathogenesis and epidemiology, osteobiologics for spinal fusion, anesthesia for scoliosis surgery, surgical complications, and more Chapters on key treatment decisions, such as the selection of fusion levels, that teach readers how to critically address clinical questions More than 600 high-quality illustrations, including numerous full-color clinical photographs, detailed line drawings, and complementary high-resolution radiographs This state-of-the-art text is ideal for orthopaedic surgeons, neurosurgeons, and spine fellows, and is an invaluable companion for any practitioner involved in the surgical and nonsurgical care of patients with spinal deformity.
This book provides comprehensive coverage of current topics in idiopathic scoliosis (IS). A three-dimensional deformity of the spine, the condition is characterized by lateral curvature combined with vertebral rotation.
Author: Masafumi Machida
This book provides comprehensive coverage of current topics in idiopathic scoliosis (IS). A three-dimensional deformity of the spine, the condition is characterized by lateral curvature combined with vertebral rotation. The primary lesion, however, lies in the median sagittal plane, taking the form of a lordosis. Although the clinical manifestations of scoliosis have been well documented, its cause and pathogenesis have not yet been determined. Research into what causes IS has focused on the structural elements of the spine, spinal musculature, collagenous structures, the endocrine system, the central nervous system, and genetics. Results of these studies have brought about a new perception of IS epiphenomena, but the main cause of IS remains unknown. Recently, several investigators have produced new hypotheses regarding the cause of IS using the developing techniques of genetics, biochemistry, and neurology. This book is a review of the various causative factors thus far proposed for IS and an introduction to the directions in which research is heading to determine the primary cause of IS.
Pelvic incidence (PI) is a measurement of the position of the sacrum in relation to the femoral heads. This is relevant in scoliosis because PI determines the pelvic configuration acting as a foundation to the spine.
Author: Ludvig Vavruch
Publisher: Linköping University Electronic Press
Scoliosis is a complex three-dimensional deformity of the spine. Even though it has been known for centuries, treatment of the deformity has focused on correcting only in the frontal plane. In the last decades, the need for three-dimensional assessment regarding scoliosis has been highlighted to better understand the cause and the principles of treating scoliosis. The overall aim of this dissertation is to provide knowledge to assess scoliosis as a three-dimensional problem. The severity of scoliosis is measured with the Cobb angle from standing radiographs. Computed tomography (CT) examinations are used throughout this thesis. The first paper investigates the difference in Cobb angle measured from standing radiographs and supine CT examinations. The standing radiographs had larger Cobb angles with a mean difference of 11° and a linear correlation between the two examinations from 128 consecutive patients with adolescent idiopathic scoliosis (AIS) planned for surgery. The second paper compares the axial shape of vertebrae in 20 patients with AIS with a reference group. Clear asymmetry was observed in all vertebrae – superior and inferior end vertebrae as well as the apical vertebra – compared with corresponding vertebrae among the reference group. The asymmetry was most pronounced in the apical vertebra. A novel parameter, frontal vertebral body rotation (FVBR), was introduced to describe the internal rotation of the vertebrae in the axial plane. Pelvic incidence (PI) is a measurement of the position of the sacrum in relation to the femoral heads. This is relevant in scoliosis because PI determines the pelvic configuration acting as a foundation to the spine. PI has traditionally been measured from standing radiographs. The third study investigates PI three-dimensionally, based on low-dose CT examinations, in 37 patients with Lenke type 1 or 5 curves compared with a reference group. A significantly higher PI was observed in patients with Lenke type 5 curves compared with the reference group and patients with Lenke type 1 curves. Severe AIS is treated with corrective surgery. Two approaches are available: the predominant posterior approach and the anterior approach. In the fourth paper, these two approaches are evaluated with regard to three-dimensional correction, how well the correction is maintained over a 2-year follow-up and patient-reported outcome measures. Twenty-seven patients treated with the posterior approach and 26 patients treated with the anterior approach, all with Lenke type 1 curves, were included. Fewer vertebrae were fused in the anterior group, but the posterior group had a better correction of the deformity in the frontal plane. No difference was observed regarding three-dimensional correction and patient-reported outcome measures. AIS is truly a complex three-dimensional deformity. More research is needed to fully comprehend the complexity of the scoliotic spine.
The standard surgical management of AIS is spinal fusion.
Author: Yizhar Floman
The standard surgical management of AIS is spinal fusion. Nonfusion solutions for addressing moderate AIS curves are desirable. ApiFix® is a new posterior dynamic device consisting of an expandable ratcheting rod anchored by two pedicle screws to the concave side of the scoliotic spine. It was designed to address single, moderate Lenke type 1 or 5 curves. Surgery is performed without the addition of spine fusion of the instrumented segments. The surgical procedure is short with negligible blood loss and rapid recovery. Deformity correction is achieved by distraction leading to rod elongation. Curve correction is achieved not only during surgery but also after the surgical procedure by performing scoliosis specific exercises. These exercises activate the ratchet with further rod expansion and curve reduction. The reported cases demonstrate the efficacy of the combined approach of surgery and exercises in controlling moderate AIS. This clinical experience with the ratchet device shows consistent curve improvement and stabilization. It lends support to the concept that surgery with this new posterior dynamic device may be a viable alternative to fusion and or as an internal brace in non-compliant brace users for managing moderate AIS curves.
M41.0 Infantile idiopathic scoliosis M41.00 Infantile idiopathic scoliosis, site
unspecified M41.02 Infantile idiopathic scoliosis, cervical region M41.03 Infantile idiopathic scoliosis, cervicothoracic region M41.04 Infantile idiopathic scoliosis, ...
Author: Carol J. Buck
Category: International statistical classification of diseases and related health problems
Select diagnosis codes accurately with Carol J. Buck's 2018 ICD-10-CM for Physicians: Professional Edition. Designed by coders for coders, this practical manual includes all the ICD-10 codes needed for basic outpatient and physician office coding. As coders need more extensive knowledge to code with ICD-10-CM -- and to choose from the thousands of possible codes -- this edition provides an essential background in A&P, pathology, and medical terminology, along with colorful Netter's Anatomy illustrations and clear instructions for using the book. Together, these features make diagnosis coding faster and easier. Also included is a companion website with the latest coding news and updates! Convenient Guide to the Updates in the front of the book lists all new, revised, and deleted codes, providing at-a-glance lookup of the coding changes. Official Guidelines for Coding and Reporting (OGCRs) are listed in full in the Introduction, at the beginning of each chapter, and integrated within the code set, providing easier reference to coding rules when they are needed most. UNIQUE! Full-color Netter's Anatomy art is included in a separate section for easy reference and cross-referenced within the Tabular List of Diseases and Injuries, to help users understand anatomy and how it may affect choosing codes. Full-color design includes consistent color-coded symbols and text, providing easier access to codes and coding information. American Hospital Association's Coding Clinic(R) citations include official ICD-10-CM coding advice relating to specific codes and their usage. 175 illustrations provide visual orientation and enhance understanding of specific coding situations. Items are included throughout the Tabular List to ensure accurate coding, providing additional information on common diseases and conditions. Additional elements within specific codes define terms and add coding instructions relating to difficult terminology, diseases and conditions, or coding in a specific category. Symbols and highlights draw attention to codes that may require special consideration before coding, including: New, Revised, and Deleted Codes that call for the use of additional character(s) Includes, Excludes 1 and Excludes 2 Use Additional Unspecified Code First and Code Also Placeholder X symbol reminds users to assign placeholder X for codes less than 6 characters that require a 7th character. Manifestation code identifies conditions for which it is important to record both the etiology and the symptom of the disease. Age and Sex edits from the Definition of Medicare Code Edits help to ensure accuracy by denoting codes that are used only with patients of a specific age or sex.
Covers the anatomy, etiology, and natural history of scoliosis - from patient evaluation and an algorithm for treatment to pulmonary function after surgical treatment and the use of instruments to evaluate surgical treatment.
This book outlines knowledge and hypotheses of the causation of adolescent idiopathic scoliosis (AIS). It begins with Sevastik and Stokes addressing terminology.
This book outlines knowledge and hypotheses of the causation of adolescent idiopathic scoliosis (AIS). It begins with Sevastik and Stokes addressing terminology. It includes the epidemiology and demography of adolescent idiopathic scoliosis, the role of genetic factors, hypothesis of causation, osteopenia, Hueter-Votkmann effect, and the role of the intervertebral disc. It analyzes the structure and composition of the cartilage end plate and intervertebral disc, the significance of the sternum, the thoracospinal concept of etiopathogenesis of adolescent scoliosis, and the skeletal growth.
Author: U.S. Preventive Services Task ForcePublish On: 1996
Focarile FA , Bonaldi A , Giarolo MA , Ferrari U , Zilioli E , Ottaviani C.
Effectiveness of nonsurgical treatment for idiopathic scoliosis : overview of
available evidence . Spine 1991 ; 16 : 395–401 . 37. Torell G , Nordwall A ,
Nachemson A. The ...
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A possible factor in the pathogenesis of scoliosis . ... HARRINGTON , P . R . -
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D . - Idiopathic scoliosis : A visuovestibular disorder af the central nervous system
These questions and more are discussed in this book, which offers useful information and research to support these techniques which come from psychology, neuroscience and humanities, to make the journey in the fascinating world of ...
Author: Elisabetta d'Agata
Enjoy Living with Idiopathic Scoliosis during Adolescence aims at being a practical tool to improve and enrich the daily work of Physical Therapists, Medical Doctors, Orthopedic Technicians and Psychologists in the area of Idiopathic Scoliosis. In fact, Idiopathic Scoliosis and its treatments can bring to light important challenges, not only for the adolescents and their families, but also for the professionals who take care of these patients. How can we support them? What are the right words we can use to calm down an anxious parent? What can we say when our patient is crying? How can we promote a healthy body image in an adolescent? These questions and more are discussed in this book, which offers useful information and research to support these techniques which come from psychology, neuroscience and humanities, to make the journey in the fascinating world of adolescence. Considering that "Every problem is an opportunity in disguise" (President John Adams), as professionals we can give our support to our patients who live an idiopathic and so inexplicable condition. Several strategies and creative ideas are described to help our patients through their adolescence, finding the path of resilience.
Orthopedists attempt to classify different types of scoliosis according to the cause
of the deformity , but by far the most common type of scoliosis , accounting for 80
to 85 percent of all cases , is idiopathic scoliosis ( idiopathic means that we don ...
Author: Michael Neuwirth
Publisher: McGraw Hill Professional
Category: Health & Fitness
Scoliosis is a deforming and crippling disease of the spine that afflicts people of all ages. Left untreated, it can lead to a lifetime of pain and disability. The Scoliosis Sourcebook is a complete guide to understanding this condition that emphasizes the importance of early diagnosis and treatment, including braces and surgery.
We conducted a retrospective study of 36 patients with Lenke type 5C curves who received selective posterior TL/L curve fusion. Coronal and spinopelvic sagittal parameters were pre and postoperatively compared.
Abstract : Abstract: The relationship between spinal sagittal alignment and pelvic parameters is well known in adolescent idiopathic scoliosis. However, few studies have reported the sagittal spinopelvic relationship after selective posterior fusion of thoracolumbar/lumbar (TL/L) curves. We evaluated the relationship between spinal sagittal alignment and the pelvis, and analyzed how the pelvic sagittal state is adjusted in Lenke type 5C patients. We conducted a retrospective study of 36 patients with Lenke type 5C curves who received selective posterior TL/L curve fusion. Coronal and spinopelvic sagittal parameters were pre and postoperatively compared. Pearson coefficients were used to analyze the correlation between all spinopelvic sagittal parameters before and after surgery. We also evaluated 3 pelvic morphologies (anteverted, normal, and retroverted) before and after surgery. Preoperatively, the mean pelvic incidence was 46.0°, with a pelvic tilt and sacral slope (SS) of 8.2° and 37.8°, respectively, and 25% (9/36) of patients had an anteverted pelvis, whereas the other 75% had a normal pelvis. Postoperatively, 42% (15/36) of patients had a retroverted pelvis, 53% (19/36) had a normal pelvis, and 2 patients had an anteverted pelvis. Logistic regression analyses yielded 2 factors that were significantly associated with the risk for a postoperative unrecovered anteverted pelvis, including increased lumbar lordosis (LL) (odds ratio [OR] 4.8, P = 0.029) and increased SS (OR 5.6, P = 0.018). Four factors were significantly associated with the risk of a postoperative newly anteverted pelvis, including LL at the final follow-up (OR 6.9, P = 0.009), increased LL (OR 8.9, P = 0.003), LL below fusion (OR 9.4, P = 0.002), and increased SS (OR 11.5, P = 0.001). The pelvic state may be adjusted after selective posterior TL/L curve fusion in Lenke 5C adolescent idiopathic scoliosis patients. It is difficult to improve an anteverted pelvis in patients who have an LL that is increased by more than 11.6° or an SS that is increased by more than 4.7° after surgery. The anteverted pelvic state will generally occur with posterior correction surgery for patients with an LL that is greater than 63.7°, or an LL or SS that is respectively increased by more than 17.6° or 9.0° postoperatively.
Study of Marker Placements in the Back for Opto-electronic Motion Analysis -- User Friendly Computer Profilometry -- Surgery is Performed for Cosmetic Reasons -- Surgery is Performed for Functional Improvements -- Session 4: 3D Imaging -- ...
Author: Alain Tanguy
Publisher: IOS Press
Study of Marker Placements in the Back for Opto-electronic Motion Analysis -- User Friendly Computer Profilometry -- Surgery is Performed for Cosmetic Reasons -- Surgery is Performed for Functional Improvements -- Session 4: 3D Imaging -- Evaluation of the Efficiency of Patient Stabilization Devices for 3D X-ray Reconstruction of the Spine and Rib Cage -- Semi-Automatic Landmark Detection in Digital X-Ray Images of the Spine -- Does Transverse Apex Coincide with Coronal Apex Levels (Regional or Global) in Adolescent Idiopathic Scoliosis? -- Correlation Study between Indices Describing the Scoliotic Spine -- Simplified Calibration System for Stereoradiography in Scoliosis -- Rule-based Algorithm for Automated King-Type Classification of Idiopathic Scoliosis -- Augmented Reality in Spine Surgery. Critical Appraisal and Status of Development -- The Orientation of the Plane of MaximumDeformity of a Scoliotic Curve -- Modelling and Analysis of Vertebra Deformations with Spherical Harmonics -- Validation of the NSCP Technique on Scoliotic Vertebrae -- 3D Reconstruction and Analysis of the Vertebral Body Line -- 3D Reconstruction of the Pelvis Using the NSCP Technique -- Automatic Measurement of Scapula Position and Movement Using Rasterstereography -- Image Coding Technique for 3-D Back Reconstruction -- Ultra Low Dose X-ray Spinal Examinations -- Comparison of Rasterstereographs with MR Scans in Scoliotic Patients -- Session 5: 3D Location of the Rib Prominence and its Importance in the Treatment of Scoliotic Deformities -- 3D location of the Rib Prominence and its Importance in the Treatment of Scoliotic Deformities -- Session 6: Conservative Treatment -- Relationships between Strap Tension, Interface Pressures and Spine Correction in Brace Treatment of Scoliosis
time bracing for adolescent idiopathic scoliosis with the Charleston bending
brace : preliminary report . Spine 15 : 1294 - 1299 , 1990 . 152 . Richards BS ,
Birch JG , Herring JA , et al : Frontal plane and sagittal plane balance following ...
Author: John H. Moe
The 3rd Edition of this classic text presents the latest procedures in the diagnosis and clinical management of spinal malformation. Surgical and non-surgical techniques for treating scoliosis and other spinal deformities are discussed in detail as well as instrumentations including the Cotrel-Dubousset instrumentation and the hook and hook-screw systems.