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Meeting held July 2012 in Poznan, Poland.
It is over 70 years since two orthopedic surgeons invented the Milwaukee brace for the treatment of children with scoliosis. Since then, clinicians and researchers have been inspired to design ever more effective braces to correct 3-D spinal deformities. This book presents papers from the bi-annual meeting of the International Research Society of Spinal Deformities (IRSSD), held as a virtual event on 22 and 23 January 2021. The IRSSD concentrates on research into spinal deformity with clinical applications. In addition to 3D assessment of the spine, researchers also explore spinal biomechanics, etiopathogenesis, and innovative conservative and surgical therapies with the goal of integrating science with clinical care to improve patient care. The 2021 meeting was originally scheduled to take place in Milwaukee, Wisconsin, USA, but was instead held in a virtual format due to the Covid 19 pandemic. Despite this change, the meeting still allowed valuable interaction and open discussion among practitioners from around the world, and keynote speakers and authors contributed the 44 short papers and 47 abstracts included here. The papers are grouped under 17 chapter headings, and cover a wide range of topics, including biologic and biomechanical benchmarks, clinical evaluation, conservative treatments and surgical approaches. Diagnostic assessments and non-surgical treatments of EOS are also emphasized and elucidated. The book will be of interest to all those whose work is related to the treatment and care of patients with spinal deformities.
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
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 new monograph focuses on the most common form of scoliosis occurring otherwise normal adolescents, affecting spinal alignment, growth, and function.
Spinal osteotomy techniques have been dramatically applied as a standard method for severe and rigid spinal deformity. Although clinical results indicate that patients who undergo osteotomy procedures typically experience well deformity correction and ameliorate the clinical appearance, aggressive peri-operative risks and follow-up complications are not rare. More meticulous and standard indication selection, osteotomy plan design and complication prevention strategy and outcome evaluation are critically needed for surgeon majored in spine deformity. The book Spinal Osteotomy is divided into sections that focus on principles of spinal osteotomy, technical and case illustration and outcomes and complications as well as computer navigation and other latest techniques. Each section is heavily illustrated and clearly written for ease of understanding. Orthopedic surgeons, neurosurgeon residents and fellows who want to focus on spinal deformity correction will find this instructive and invaluable.
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.
Patients and families coping with scoliosis and other spinal deformities are increasingly seeking better solutions for care and management. The recent worldwide expansion of the Schroth method, an exercise rehabilitation treatment originating in Germany, and its new advancements in compatible bracing have led to the need for an overview of evidence-based treatment principles. This comprehensive textbook is the first of its kind from the Schroth Best Practice Academy, an international group of highly esteemed and experienced scoliosis practitioners and researchers. A collaborative body of work, it focuses on the most common spinal deformities and provides current methods of non-surgical treatment. It highlights cutting-edge treatment options often disregarded by mainstream medicine, and will serve to guide and enhance the knowledge of conservative treatment practitioners desiring to help patients improve treatment outcomes and quality of life.
Diagnosis and Treatment of Spine Deformities in Children at Specialized Centre -- Session 5: Rationalized Design of Individualized Treatment -- Biomechanical Simulations for Planning of Scoliosis Surgery -- Clinical Assessment of AIS -- Determination of Fixation Level of Osteosynthesis System with Knowledge Base -- 3D" Brace Treatment: "3D" Immediate Effect On Thoracic. Thoracolumbar and Lumbar Scoliotic Curves -- Treatment of Thoracolumbar and Lumbar Idiopathic Scoliotic Curves with the Progressive Action Short Brace (P.A.S.B.)Analysis of Results -- 3D Correction of Trunk Deformity in Patients with Idiopathic Scoliosis Using Cheneau Brace -- Social Effects of Boston Bracing -- Appendix. Clinical Application of 3-D Evaluation of Scoliosis -- Pre-IRSSD meeting Workshops held at Sainte-Justine Hospital, Montreal, Canada, 27 June, 1998. -- Workshop 1: Biomechanical Modelling of Scoliosis: What are the Priorities? -- Workshop 2: Usefulness of Computer Assisted Measurements During Surgery: Should we Continue? -- Workshop 3: Imaging Techniques, which Way to Go: X-Ray, CT Scans, MRI, Surface Topography, Etc.? -- Workshop 4: Aetiology and pattern of spinal deformities: should we continue to study biomechanical and 3D factors? -- Author Index
While most spine deformities such as scoliosis, kyphosis, and lordosis are idiopathic, muscular dystrophy, cerebral palsy, spinal cord tumors and lesions are associated with more severe curve progression. Bracing typically does not prevent progression of spinal curves, and surgery is necessary for these patients. Neuromuscular Spine Deformity by Amer F. Samdani et al is the most comprehensive book on this topic to date, detailing the latest surgical techniques for a wide range of common to rare neuromuscular pathologies, in 27 well-illustrated chapters. The comprehensive content derives from the authors' collective years of hands-on expertise, evidence-based knowledge from the literature, and multicenter scoliosis studies performed by the prestigious Harms Study Group, a worldwide research-based association of spine surgeons. The text begins with discussion of preoperative evaluation, nonoperative management, and surgical considerations such as anesthesia, neuromonitoring, and estimated blood loss. Section two highlights pathology-specific surgical interventions, while sections three and four provide clinical pearls on a wide array of surgical techniques, complications, and patient outcomes. Key Highlights Disease-related challenges including dislocated hips, hyperlordotic/hyperkyphotic spine in cerebral palsy, myelomeningocele-related myelodysplasia and spine deformity, Duchenne's muscular dystrophy, and spinal muscular atrophy Guidance on assessing the sagittal profile preoperatively and executing it intraoperatively in patients with spinal cord injury Multiple options for fixation including the new sacral alar iliac screw approach for sacropelvic fixation and correction of pelvic obliquity Postoperative issues including ICU management, incidence and management of early and late wound infection, instrumentation failure, junctional kyphosis, and cervical extension Health-related quality of life outcomes in pediatric patients with cerebral palsy who have undergone scoliosis surgery This state-of-the-art resource is essential reading for orthopaedic surgeons, neurosurgeons, and trainees in these specialties. It is also a must-have reference for academic programs and institutional departments specializing in pediatric spine pathologies.
Mid-term Effects of Isola Instrumentation on the Configuration of the Spine and the Thoracic Cage in Adolescent Idiopathic Scoliosis