Search Results

You are looking at 1 - 10 of 14 items for :

  • "pediatric spinal deformity" x
  • All content x
  • By Author: Shaffrey, Christopher I. x
Clear All
Full access

Gregory C. Wiggins, Christopher I. Shaffrey, Mark F. Abel, and Arnold H. Menezes

Pediatric spinal deformity results from multiple conditions including congenital anomalies, neuromuscular disorders, skeletal dysplasia, and developmental disorders (idiopathic). Pediatric spinal deformities can be progressive and cause pulmonary compromise, neurological deficits, and cardiovascular compromise. The classification and treatment of these disorders have evolved since surgical treatment was popularized when Harrington distraction instrumentation was introduced.

The advent of anterior-spine instrumentation systems has challenged the concepts of length of fusion needed to arrest curvature progression. Segmental fixation revolutionized the surgical treatment of these deformities. More recently, pedicle screw–augmented segmental fixation has been introduced and promises once again to shift the standard of surgical therapy. Recent advances in thoracoscopic surgery have made this technique applicable to scoliosis surgery.

Not only has surgical treatment progressed but also the classification of different forms of pediatric deformity continues to evolve. Recently, Lenke and associates proposed a new classification for adolescent idiopathic scoliosis. This classification attempts to address some of the shortcomings of the King classification system.

In this article the authors review the literature on pediatric spinal deformities and highlight recent insights into classification, treatment, and surgery-related complications.

Open access

Justin S. Smith, Christopher I. Shaffrey, Michael Wang, Mohamad Bydon, and Lawrence Lenke

Restricted access

Justin S. Smith, Kai-Ming Fu, Peter Urban, and Christopher I. Shaffrey

patient: preliminary approach . Spine 30 : 1670 – 1673 , 2005 22 Schwab FJ , Smith VA , Biserni M , Gamez L , Farcy JP , Pagala M : Adult scoliosis: a quantitative radiographic and clinical analysis . Spine 27 : 387 – 392 , 2002 23 Smith JS , Abel MF , Shaffrey CI , Ames CP : Decision making in pediatric spinal deformity . Neurosurgery [in press] 2008 24 Smith JS , Shaffrey CI , Kuntz CI , Mummaneni PV : Classification systems for adolescent and adult scoliosis . Neurosurgery [in press] 2008 25 Wiggins GC

Restricted access

Darryl Lau, Cecilia L. Dalle Ore, Patrick Reid, Michael M. Safaee, Vedat Deviren, Justin S. Smith, Christopher I. Shaffrey, and Christopher P. Ames

use of IONM has been studied thoroughly in pediatric spinal deformity patients and has been demonstrated to be highly valuable. 4 The sensitivity and specificity of IONM changes to detect neurological deficits during deformity surgery in pediatric patients are both greater than 80%. 20 , 21 However, the false-positive rate is significantly higher for IONM used during deformity surgery in adults. 7 Pediatric spinal cord physiology and anatomical spinal deformities are very different from what is seen in adult patients, who oftentimes require very different

Full access

Alex Soroceanu, Douglas C. Burton, Bassel Georges Diebo, Justin S. Smith, Richard Hostin, Christopher I. Shaffrey, Oheneba Boachie-Adjei, Gregory M. Mundis Jr., Christopher Ames, Thomas J. Errico, Shay Bess, Munish C. Gupta, Robert A. Hart, Frank J. Schwab, Virginie Lafage, and International Spine Study Group

, Crawford AH , Shaffrey CI : Outcomes, expectations, and complications overview for the surgical treatment of adult and pediatric spinal deformity . Spine Deform [epub ahead of print] 2012 62 Smith JS , Shaffrey CI , Berven S , Glassman S , Hamill C , Horton W , : Improvement of back pain with operative and nonoperative treatment in adults with scoliosis . Neurosurgery 65 : 86 – 94 , 2009 63 Smith JS , Shaffrey CI , Berven S , Glassman S , Hamill C , Horton W , : Operative versus nonoperative treatment of leg pain in

Free access

Thomas J. Buell, Davis G. Taylor, Ching-Jen Chen, Lauren K. Dunn, Jeffrey P. Mullin, Marcus D. Mazur, Chun-Po Yen, Mark E. Shaffrey, Christopher I. Shaffrey, Justin S. Smith, and Bhiken I. Naik

N : The efficacy of amicar versus tranexamic acid in pediatric spinal deformity surgery: a prospective, randomized, double-blinded pilot study . Spine Deform 2 : 191 – 197 , 2014 10.1016/j.jspd.2014.02.001 27927417 17 Harr JN , Moore EE , Chin TL , Chapman MP , Ghasabyan A , Stringham JR , : Viscoelastic hemostatic fibrinogen assays detect fibrinolysis early . Eur J Trauma Emerg Surg 41 : 49 – 56 , 2015 10.1007/s00068-014-0400-0 26038165 18 Hung PI , Chang MC , Chou PH , Lin HH , Wang ST , Liu CL : Is a drain tube

Full access

Justin K. Scheer, Justin S. Smith, Frank Schwab, Virginie Lafage, Christopher I. Shaffrey, Shay Bess, Alan H. Daniels, Robert A. Hart, Themistocles S. Protopsaltis, Gregory M. Mundis Jr., Daniel M. Sciubba, Tamir Ailon, Douglas C. Burton, Eric Klineberg, Christopher P. Ames, and The International Spine Study Group

Schwab F , Ungar B , Blondel B , Buchowski J , Coe J , Deinlein D , : Scoliosis Research Society–Schwab adult spinal deformity classification: a validation study . Spine (Phila Pa 1976) 37 : 1077 – 1082 , 2012 22045006 10.1097/BRS.0b013e31823e15e2 36 Smith JS , Kasliwal MK , Crawford A , Shaffrey CI : Outcomes, expectations, and complications overview for the surgical treatment of adult and pediatric spinal deformity. . Spine Deform [epub ahead of print] 2012 10.1016/j.jspd.2012.04.011 37 Smith JS , Klineberg E , Schwab F

Free access

Mathieu Bannwarth, Justin S. Smith, Shay Bess, Eric O. Klineberg, Christopher P. Ames, Gregory M. Mundis Jr., Han Jo Kim, Renaud Lafage, Munish C. Gupta, Douglas C. Burton, Christopher I. Shaffrey, Frank J. Schwab, Virginie Lafage, and and the International Spine Study Group (ISSG)

bone morphogenetic protein-2 use in adult spinal deformity increase complications and are complications associated with location of rhBMP-2 use? A prospective, multicenter study of 279 consecutive patients . Spine (Phila Pa 1976) . 2014 ; 39 ( 3 ): 233 – 242 . 22 How NE , Street JT , Dvorak MF , Pseudarthrosis in adult and pediatric spinal deformity surgery: a systematic review of the literature and meta-analysis of incidence, characteristics, and risk factors . Neurosurg Rev . 2019 ; 42 ( 2 ): 319 – 336 . 23 Boden SD , Kang J , Sandhu H

Free access

David B. Bumpass, Lawrence G. Lenke, Jeffrey L. Gum, Christopher I. Shaffrey, Justin S. Smith, Christopher P. Ames, Shay Bess, Brian J. Neuman, Eric Klineberg, Gregory M. Mundis Jr., Frank Schwab, Virginie Lafage, Han Jo Kim, Douglas C. Burton, Khaled M. Kebaish, Richard Hostin, Renaud Lafage, Michael P. Kelly, and for the International Spine Study Group

pediatric spinal deformity surgeries. 5 , 11 , 16 We sought to investigate the association between male sex and poor outcomes in a granular, multicenter database of ASD surgeries. We found no association between sex and perioperative complications and no evidence supporting worse HRQOL outcomes for men. We did find greater EBL in male patients, although this did not seem to affect the clinical course and did not cause greater exposure to allogeneic blood transfusions. There is a paucity of literature on the role of sex in the management of ASD. The prevalence of ASD has

Restricted access

Justin S. Smith, Manish Singh, Eric Klineberg, Christopher I. Shaffrey, Virginie Lafage, Frank J. Schwab, Themistocles Protopsaltis, David Ibrahimi, Justin K. Scheer, Gregory Mundis Jr., Munish C. Gupta, Richard Hostin, Vedat Deviren, Khaled Kebaish, Robert Hart, Douglas C. Burton, Shay Bess, and Christopher P. Ames

of adult and pediatric spinal deformity . Spine Deformity [in press], 2012 34 Smith JS , Klineberg E , Schwab F , Shaffrey CI , Moal B , Ames CP , : Change in classification grade by the SRS-Schwab adult deformity classification predicts impact on health-related quality of life measures: prospective analysis of operative and non-operative treatment . Spine (Phila Pa 1976) 38 : 1663 – 1671 , 2013 35 Smith JS , Sansur CA , Donaldson WF III , Perra JH , Mudiyam R , Choma TJ , : Short-term morbidity and mortality