Treatment of genua valga in children by hemi-epiphysiodesis with a percutaneous transepiphyseal screw.

Background: Hemi-epiphysiodesis using percutaneous transphyseal screws is an established technique with good results to treat idiopathic genua valga in children. However, there is no evidence-based consensus on the optimal age for correction.

Purpose: This study aims to determine best age for optimal correction of the knee alignment.

Postoperative forward flexion loss in Adolescent Idiopathic Scoliosis: How it relates to the lowest instrumented vertebra and function.

Background: Spinal fusion is a common treatment for severe, progressive Adolescent Idiopathic Scoliosis (AIS). Maximum safe preservation of motion segments, particularly in the lumbar spine, is a widely accepted surgical goal. However, the specific relationship between reduced spinal motion and fusion length/lowest instrumented vertebra (LIV) and its effect on functional outcomes remains largely unexplored.

Spinal Muscular Atrophy Scoliosis in the Era of Background Therapies-A Review of the Literature.

Spinal deformities are considered an important complication of neuromuscular disorders such as spinal muscular atrophy (SMA). SMA patients typically develop progressive early-onset scoliosis, which is associated with increased functional decline, discomfort, and respiratory dysfunction. Over the second decade of the twenty-first century, a lot has changed in terms of the therapeutic options available to people with SMA.

Placement of ilio-sacral screws in fusionless technique for pediatric neuromuscular scoliosis utilizing planning software, in conjunction with intraoperative navigation, results in a safer optimal screw: a CT-based study.

Purpose: The insertion of ilio-sacral (IS) screws for distal anchoring in the instrumentation of pediatric neuromuscular scoliosis (NS) presents a significant challenge, often leading to elevated rates of complications. Utilizing computed tomography (CT) navigation and preoperative planning technology is proposed as a potential solution to mitigate these challenges. This study aims to assess the precision of IS screw placement through CT-graphic measurements, both with and without preoperative planning, followed by navigated IS screw insertion, in pediatric neuromuscular scoliosis.