Scoliosis Research Today is a free monthly online journal that collates and summarizes the latest research about Scoliosis, including details on treatment, exercises, surgery, symtpoms. | ||||||
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The aetiology behind torticollis and variable spine defects in patients with Müllerian duct/renal aplasia-cervicothoracic somite dysplasia syndrome: 3D CT scan analysis.Al Kaissi A, Ganger R, Hofstaetter JG, Klaushofer K, Grill F 4th Medical Department, Ludwig Boltzmann Institute of Osteology at the Hanusch Hospital of WGKK, AUVA Trauma Centre Meidling, Hanusch Hospital, Heinrich Collin Str. 30, 1140, Vienna, Austria, ali.alkaissi@osteologie.at. The aim of the article is fourfold; firstly, to detect the aetiology of torticollis in patients with Müllerian duct/renal aplasia-cervicothoracic somite dysplasia syndrome; secondly, spine pathology in Müllerian duct/renal aplasia-cervicothoracic somite dysplasia syndrome varies considerably from one patient to another and there are remarkable differences in severity and localization; thirdly, mismanagement of congenital spine pathology is a frequent cause of morbid/fatal outcome; and fourthly, the application of prophylactic surgical treatment to balance the growth of the spine at an early stage is mandatory. Reformatted CT scans helped in exploring the craniocervical and the entire spine in these patients. The reason behind torticollis ranged between aplasia of the posterior arch of the atlas, assimilation of the atlas and extensive fusion of the lower cervical vertebrae (bilateral failure of segmentation) in four patients; in one patient, in addition to the hypoplastic posterior arch of the atlas, we observed ossification of the anterior and the posterior longitudinal spinal ligaments giving rise to a block vertebrae-like suggestive of early senile ankylosing vertebral hyperostosis (Forestier disease). Scoliosis at different spine levels was attributable to variable spine defects. Pelvic ultrasound showed the classical renal agenesis in four patients; whereas in one patient, the MRI showed pelvic cake kidney (renal fused ectopia) associated with ovarian, uterine and vaginal abnormalities. This is the first exploratory study on the craniocervical and the entire spine in a group of patients with MURCS association. Published 9 May 2011 in Eur Spine J. Articles on Scoliosis published 9 May 2011: A Mutation in the Golgi Qb-SNARE Gene GOSR2 Causes Progressive Myoclonus Epilepsy with Early Ataxia. Am J Hum Genet. The progressive myoclonus epilepsies (PMEs) are a group of predominantly recessive disorders that present with action myoclonus, tonic-clonic seizures, and progressive neurological decline. Many PMEs have similar clinical presentations yet are genetically heterogeneous, making accurate diagnosis difficult. A locus for PME was mapped in a consanguineous family with a single affected individual to chromosome 17q21. An identical-by-descent, homozygous mutation in GOSR2 (c.430G>T, p.Gly144Trp), ... [Abstract] [Full-text] The flying buttress construct for posterior spinopelvic fixation: a technical note. Scoliosis, 6(1): 6. Articles on Scoliosis published 5 May 2011: Background Prioritizing patients using empirically derived access targets can help to ensure high-quality care. Adolescent scoliosis can worsen while patients wait for treatment, increasing the risk of adverse events. Our objective was to determine an empirically derived access target for scoliosis surgery and to compare this with consensus-based targets. Methods Two-hundred sixteen sequential patients receiving surgery for adolescent idiopathic scoliosis were included in the study. The main ... [Abstract] [Full-text] Articles on Scoliosis published 4 May 2011: Validation of a Miniature Thermochron for Monitoring Thoracolumbosacral Orthosis Wear Time. Spine (Phila Pa 1976). ABSTRACT: Study Design: Prospective validation study.Objective: To establish the accuracy of miniature thermochrons for estimating Thoracolumbosacral Orthosis (TLSO) wear time in patients with adolescent idiopathic scoliosis.Summary of Background Data: There has been an emphasis in recent years on measuring wear time, as opposed to using subjective methods such as relying on the patient or parent estimation. By measuring the amount of time that was spent in the orthosis, uncertainty is reduced ... [Abstract] [Full-text] Could Junctional Problems at the End of a Long Construct be Addressed by Providing a Graduated Reduction in Stiffness? - A Biomechanical Investigation. Spine (Phila Pa 1976). STRUCTURED ABSTRACT: Study Design. The effect of long rigid fixation on adjacent level hypermobility was investigated in a human cadaver model with and without a transitional posterior dynamic stabilization (PDS) device placed at the last caudal level.Objective. To evaluate if PDS devices are useful in the setting of scoliosis to restore increased adjacent level motions which occur in long constructs. The hypothesis is that load-sharing benefits of these devices will be most suitable in long ... [Abstract] [Full-text] Comparative Analysis of Clinical Outcome and Complications in Primary vs. Revision Adult Scoliosis Surgery. Spine (Phila Pa 1976). ABSTRACT: Study Design: A retrospective case comparison studyObjective: We compared clinical outcome and complications in adult patients who underwent primary (P) vs. revision (R) scoliosis surgery.Summary of Background Data: There is a paucity of data comparing P vs. R adult scoliosis patients with respect to their complication rates and clinical outcome.Methods: Assessment of 250 consecutive adult patients who underwent P vs. R surgery for idiopathic or de novo scoliosis between 2002 and 2007 ... [Abstract] [Full-text] Subsequent, Unplanned Spine Surgery and Life Survival of Patients Operated for Neuropathic Spine Deformity. Spine (Phila Pa 1976). ABSTRACT:: Study Design. Retrospective study of a prospectively assembled cohort.Objective. To characterize the survival from subsequent spine surgery and the life survival of patients treated surgically for severe spinal deformity due to europathic diseases.Summary of Background Data. Survivorship analysis is widely used to study the natural history of disease processes and of treatments provided, but has very seldom been used to study patients' course following surgery for spinal deformity ... [Abstract] [Full-text] Impact of Direct Vertebral Body Derotation on the Rib Prominence: Are Preoperative Factors Predictive of Changes in the Rib Prominence? Spine (Phila Pa 1976). ABSTRACT: Study Design: Multicenter retrospective review of prospectively collected data.Objective: To determine the extent of rib deformity correction that can be expected with direct vertebral body derotation (DVBD) and investigate factors which may correlate with improved rib deformity correction.Summary of Background Data: DVBD is a powerful tool in the surgical correction of axial rotation in adolescent idiopathic scoliosis (AIS). The application of DVBD has decreased the use of ... [Abstract] [Full-text] © 2005-2011 Scoliosis Research Today. All Rights Reserved. |
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