Prospective observational study to assess the performance accuracy of clinical decision rules in children presenting to emergency departments with possible cervical spine injuries: the Study of Neck Injuries in Children (SONIC).

Introduction: Paediatric cervical spine injury (CSI) is uncommon but can have devastating consequences. Many children, however, present to emergency departments (EDs) for the assessment of possible CSI. While imaging can be used to determine the presence of injuries, these tests are not without risks and costs, including exposure to radiation and associated life-time cancer risks.

Segmental deformity markers offer novel indicators of deformity progression risk in deformity-matched adolescent idiopathic scoliosis patients.

Purpose: Identification of adolescent idiopathic scoliosis (AIS) patients with mild curvatures who pose significant risk of progressing to severe levels of curvatures is of paramount importance for clinical care. This study aimed to compare segmental deformity changes in AIS sub-cohorts that are dichotomised by progression status.

Methods: Thirty-six female participants with Lenke 1 AIS curves were investigated with sequential MRIs during growth.

Quantifying Typical Progression of Adolescent Idiopathic Scoliosis: Longitudinal Three-Dimensional MRI Measures of Disk and Vertebral Deformities.

Study Design: A prospective cohort study.

Objective: Detail typical three-dimensional segmental deformities and their rates of change that occur within developing adolescent idiopathic scoliosis (AIS) spines over multiple timepoints.

Summary Of Background Data: AIS is a potentially progressive deforming condition that occurs in three dimensions of the scoliotic spine during periods of growth.

Vertebral body tethering for idiopathic scoliosis: a systematic review and meta-analysis.

Purpose: Vertebral body tethering (VBT) is a recent procedure to correct and reduce spinal curves in skeletally immature patients with adolescent idiopathic scoliosis (AIS). The purpose of this systematic review and meta-analysis is to determine the expected curve reduction and potential complications for adolescent patients after VBT.

Methods: PubMed, Embase, Google Scholar and Cochrane databases were searched until February 2022.

Development and validation of a semi-automated measurement tool for calculating consistent and reliable surface metrics describing cosmesis in Adolescent Idiopathic Scoliosis.

Adolescent Idiopathic Scoliosis (AIS) is a 3D spine deformity that also causes ribcage and torso distortion. While clinical metrics are important for monitoring disorder progression, patients are often most concerned about their cosmesis. The aim of this study was to automate the quantification of AIS cosmesis metrics, which can be measured reliably from patient-specific 3D surface scans (3DSS).

Characterization of progressive changes in pedicle morphometry and neurovascular anatomy during growth in adolescent idiopathic scoliosis versus adolescents without scoliosis.

Study Design: Prospective cohort study.

Objectives: Investigate the progressive changes in pedicle morphometry and the spatial relationship between the pedicles and neurovascular structures in patients with AIS during growth. Adolescent idiopathic scoliosis (AIS) is a complex three-dimensional spine deformity.

Sequential MRI reveals vertebral body wedging significantly contributes to coronal plane deformity progression in adolescent idiopathic scoliosis during growth.

Study Design: Cross-sectional study.

Objectives: To provide a comprehensive, multi-stage investigation of vertebral body (VB) and intervertebral disc (IVD) coronal plane deformities for adolescent idiopathic scoliosis (AIS) patients with a main thoracic curve type, using a series of sequential magnetic resonance images (MRIs). Despite numerous investigations of AIS deformity at the spinal segmental level, there is little consensus as to the major contributor to the lateral curvature of a scoliotic spine.

The effect of vertebral body stapling on spine biomechanics and structure using a bovine model.

Background: Adolescent idiopathic scoliosis is a common condition affecting 2.5% of the general population. Vertebral body stapling was introduced as a method of fusionless growth modulation for the correction of moderate idiopathic scoliosis (Cobb angles of 20-40°), and was claimed to be more effective than bracing and less invasive than fusion.

Predicting spinal profile using 3D non-contact surface scanning: Changes in surface topography as a predictor of internal spinal alignment.

Introduction: 3D non-contact surface scanners capture highly accurate, calibrated images of surface topography for 3D structures. This study sought to establish the efficacy and accuracy of using 3D surface scanning to characterise spinal curvature and sagittal plane contour.

Methods: 10 healthy female adults with a mean age of 25 years, (standard deviation: 3.

Minimizing Spine Autofusion With the Use of Semiconstrained Growing Rods for Early Onset Scoliosis in Children.

Background: A new growing rod (GR) design, the semiconstrained growing rod (SCGR), with the added advantage of axial rotation freedom within the components, has been introduced at our center which has been shown to be growth friendly. We hypothesize that the SCGR system would reduce autofusion in vivo, thereby maximizing the coronal plane correction, T1-S1 growth, and the final correction achieved at definitive fusion for children with an early onset scoliosis.

Methods: In total, 28 patients had either single or dual 5.

Is vertebral rotation correction maintained after thoracoscopic anterior scoliosis surgery? A low-dose computed tomography study.

Background: Axial vertebral rotation is a key characteristic of adolescent idiopathic scoliosis (AIS), and its reduction is one of the goals of corrective surgery. Recurrence of deformity after surgical correction may relate to rotation changes that occur in the anterior vertebral column after surgery, but whether any change occurs within the fused segment or in adjacent unfused levels following thoracoscopic anterior spinal fusion (TASF) is unknown. An analysis of measurements from an existing postoperative CT dataset was performed to investigate the occurrence of inter- and intra-vertebral rotation changes after TASF within and adjacent to the fused spinal segment and look for any relationships with the Cobb angle and rib hump in the two years after surgery.

Change in Lung Volume Following Thoracoscopic Anterior Spinal Fusion Surgery: A 3-Dimensional Computed Tomography Investigation.

Study Design: Lung volumes and thoracic anatomy were measured from low-dose computed tomography (CT) scans preoperatively and 2 years following thoracoscopic anterior spinal fusion (TASF) for adolescent idiopathic scoliosis (AIS).

Objective: The aim of this study was to assess changes in lung volume after TASF surgical correction.

Summary Of Background Data: AIS patients are known to have decreased pulmonary function as a consequence of their spinal and ribcage deformity.

Sequential Magnetic Resonance Imaging Reveals Individual Level Deformities of Vertebrae and Discs in the Growing Scoliotic Spine.

Study Design: The aim of this study was to measure contributions of individual vertebra and disc wedging to coronal Cobb angle in the growing scoliotic spine using sequential magnetic resonance imaging (MRI). Clinically, the Cobb angle measures the overall curve in the coronal plane but does not measure individual vertebra and disc wedging. It was hypothesized that patients whose deformity progresses will have different patterns of coronal wedging in vertebrae and discs to those of patients whose deformities remain stable.

Evaluating the Change in Axial Vertebral Rotation Following Thoracoscopic Anterior Scoliosis Surgery Using Low-Dose Computed Tomography.

Background Context: In recent years, there has been increasing appreciation of the need to treat scoliosis as a three-dimensional deformity.

Purpose: Assessment of surgical strategies and outcomes should consider not only the coronal plane correction but also derotation of the transverse plane deformity that can affect trunk appearance.

Study Design: This study included a cohort of 29 female adolescent idiopathic scoliosis patients who received thoracoscopic single rod anterior fusion (TASF) surgery.

Do Growing Rods for Idiopathic Early Onset Scoliosis Improve Activity and Participation for Children?

Objective: To investigate whether growing rod surgery for children with progressive idiopathic early onset scoliosis (EOS) effects activity and participation, and investigate factors that may affect this.

Study Design: Multicenter retrospective cohort study using prospectively collected data on 60 children with idiopathic EOS and significant scoliosis (defined as a Cobb angle >40°). Thirty underwent brace treatment, and 30, growth rod surgery.

Partial Intervertebral Fusion Secures Successful Outcomes After Thoracoscopic Anterior Scoliosis Correction: A Low-Dose Computed Tomography Study.

Study Design: Retrospective review of prospectively collected data.

Objectives: To analyze intervertebral (IV) fusion after thoracoscopic anterior spinal fusion (TASF) and explore the relationship between fusion scores and key clinical variables.

Summary Of Background Information: TASF provides comparable correction with some advantages over posterior approaches but reported mechanical complications, and their relationship to non-union and graft material is unclear.

Morphometric Analysis of the Thoracic Intervertebral Foramen Osseous Anatomy in Adolescent Idiopathic Scoliosis Using Low-Dose Computed Tomography.

Purpose: The dimensions of the thoracic intervertebral foramen in adolescent idiopathic scoliosis (AIS) have not previously been quantified. Better understanding of the dimensions of the foramen may be useful in surgical planning. This study describes a reproducible method for measurement of the thoracic foramen in AIS using computed tomography (CT).

Is There Asymmetry Between the Concave and Convex Pedicles in Adolescent Idiopathic Scoliosis? A CT Investigation.

Background: Adolescent idiopathic scoliosis is a complex three-dimensional deformity of the spine characterized by deformities in the sagittal, coronal, and axial planes. Spinal fusion using pedicle screw instrumentation is a widely used method for surgical correction in severe (coronal deformity, Cobb angle > 45°) adolescent idiopathic scoliosis curves. Understanding the anatomic difference in the pedicles of patients with adolescent idiopathic scoliosis is essential to reduce the risk of neurovascular or visceral injury through pedicle screw misplacement.

A comparison of vertebral venous networks in adolescent idiopathic scoliosis patients and healthy controls.

Purpose: Cadaveric studies have previously documented a typical pattern of venous drainage within vertebral bodies (VBs), comprised primarily of the basivertebral vein. These studies, however, are limited by the number of samples available. MRI is able to provide 3D images of soft tissue structures in the spine, including the basivertebral vein without the use of contrast in both healthy controls and subjects with abnormal anatomy such as adolescent idiopathic scoliosis (AIS).

Surgical fusion of early onset severe scoliosis increases survival in Rett syndrome: a cohort study.

Aim: Scoliosis is a common comorbidity in Rett syndrome and spinal fusion may be recommended if severe. We investigated the impact of spinal fusion on survival and risk of severe lower respiratory tract infection in Rett syndrome.

Method: Data were ascertained from hospital medical records, the Australian Rett Syndrome Database, a longitudinal and population-based registry, and from the Australian Institute of Health and Welfare National Death Index database.