Scoliosis is common in children with cerebral palsy. The incidence and curve pattern depend on the degree of neurologic involvement. These children carry a higher risk of complications because of the increased presence of associated medical comorbidities. Accordingly, a careful preoperative evaluation is required that should involve assessment of the patient's pulmonary, nutritional, gastrointe...

We report the technique and early results of the Dwyer-Hartshill method for segmental fixation of the spine. This uses pedicular screws wired to a rectangular frame and is indicated after laminectomy.

©2005 British Editorial Society of Bone and Joint Surgery doi:10.1302/0301-620X.87B8. 16151 $2.00 J Bone Joint Surg [Br] 2005;87-B:1029-37. Rationale for total lumbar disc replacement In the early 20th century, surgical fusion of one or more ‘functional spinal units’ (FSU) was developed and primarily performed for the treatment of spinal infection. 1-4 In the second half of the century, the ind...

BACKGROUND CONTEXT Bone morphogenetic proteins (BMPs) induce bone formation but are difficult to localize, and subsequent diffusion from the site of interest and short half-life reduce the efficacy of the protein. Currently, spine fusion requires stripping, decortications of the transverse processes, and an autograft harvest procedure. Even in combination with BMPs, clinical spinal fusion has a...

BACKGROUND Chronic low back pain is a common health problem for adult workers and causes an enormous economic burden. With the improvement of minimally invasive surgical techniques (MIS) in spinal fusion and the development of fusion devices, more lumbar operations are today being performed through a less invasive technique. When compared with open surgeries (OS), MIS has demonstrated better...

EDUCATIONAL OBJECTIVES As a result of reading this article, physicians should be able to: 1. Understand the forces that predispose adjacent cervical segments to degeneration. 2. Understand the challenges of radiographic evaluation in the diagnosis of cervical and lumbar adjacent segment disease. 3. Describe the changes in biomechanical forces applied to adjacent segments of lumbar vertebrae wit...

  Abstract   Background: To evaluate proximal junctional segment changes in Adolescent Idiopathic   Scoliosis(AIS) the posterior spinal fusion and also instrumentation also and   finding of probable risk factors, were all considered in this study.   Methods: We retrospectively reviewed radiographs of 121 consecutive patients   who underwent posterior spinal fusion for AIS from T3 or below, with...

BACKGROUND Diastematomyelia is a rare congenital malformation of the spinal cord, which belongs to the group of occult spinal dysraphisms. This disorder consists in the separation of the spinal cord into two parts in the sagittal plane (hemicords). Diastematomyelia may coexist with other spinal dysraphisms, such as myelomeningocele, meningocele, spinal lipoma, neuroenteric cysts or dermal sinus...