Article
Medicine, General & Internal
Jihye Kim, Tae-Hwan Kim
Summary: This study comprehensively analyzed the risk factors for postoperative deep infection following instrumented spinal fusion surgery for degenerative spinal disease. The results provide clinicians with an acceptable tool for comprehensive risk assessment of postoperative deep infection in patients who will undergo this surgery.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Orthopedics
Hang Shi, Lei Zhu, Zan-Li Jiang, Zhi-Hao Huang, Xiao-Tao Wu
Summary: This study evaluated the feasibility and efficacy of using incisional VAC following a one-stage incision suture combined with continuous irrigation to treat early deep SSI after posterior lumbar fusion with instrumentation. The results support that this treatment protocol is feasible and effective for such patients.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2021)
Article
Clinical Neurology
Stephen R. Stephan, Kenneth D. Illingworth, Kavish Gupta, Lindsay M. Andras, David L. Skaggs
Summary: The study aimed to investigate the incidence of surgical site infection in NMS patients at a children's hospital before and after the implementation of strategies mentioned in the 2013 Best Practice Guideline. The results showed a significant decrease in infection rate after the implementation of the strategies, but further studies are needed to continue reducing the incidence in this high-risk population.
Article
Clinical Neurology
Hiroko Matsumoto, Jeanne M. Franzone, Rishi Sinha, Benjamin D. Roye, Michael P. Glotzbeker, David L. Skaggs, John M. Flynn, Lawrence G. Lenke, Paul D. Sponseller, Michael G. Vitale
Summary: This study developed a risk calculator based on preoperative factors to predict the probability of surgical site infection (SSI) in patients with cerebral palsy undergoing spinal surgery. The model showed a predictive ability of 73.4% for SSI and excellent calibration ability, with no significant difference between predicted and observed values in the validation stage.
DEVELOPMENTAL MEDICINE AND CHILD NEUROLOGY
(2022)
Article
Orthopedics
Stefan Glaesel, Jan-Sven Jarvers, Philipp Pieroh, Christoph-Eckhard Heyde, Ulrich J. Spiegl
Summary: This study aimed to compare the effect of epicutaneous vacuum therapy with conventional wound dressing on the rate of unplanned spinal wound revisions. The results showed no significant difference in the treatment failure rate between the epi-VAC group and the control group. Therefore, there is no evidence to suggest that epicutaneous vacuum therapy is superior to conventional wound dressing for repeat unplanned wound revisions after spinal surgery.
INTERNATIONAL ORTHOPAEDICS
(2023)
Article
Clinical Neurology
Yusuf Mehkri, Ramy Sharaf, Abtahi Tishad, Julian Gendreau, Jairo Hernandez, Eric Panther, Ryan Pafford, Gazanfar Rahmathulla
Summary: This study retrospectively compared the implications of using VAC and standard wound dressings in postoperative wound management after posterior spinal fusion surgeries. The results showed that using VAC significantly reduced the incidence of surgical site infections by 2-fold and resulted in cost savings of $163,492 per 100 patients. However, further investigation is needed to explore other benefits of VAC usage in this surgical procedure.
WORLD NEUROSURGERY
(2023)
Article
Clinical Neurology
Nikita Lakomkin, Blaine Stannard, Jeremy L. Fogelson, Anthony L. Mikula, Lawrence G. Lenke, Scott L. Zuckerman
Summary: The study aimed to compare the surgical morbidity and invasiveness of adult spinal deformity (ASD) surgery with other major operations. After controlling for important perioperative factors, ASD surgery ranked fourth in SIMS and showed significantly greater invasive and morbidity scores than 13 other major procedures.
Article
Surgery
Kevin Talboom, Nynke G. Greijdanus, Cyriel Y. Ponsioen, Pieter J. Tanis, Wilhelmus A. Bemelman, Roel Hompes
Summary: Early initiation of EVASC for anastomotic leakage after rectal cancer resection yields high rates of healed and functional anastomosis. EVASC shows increasing success with the implementation of highly selective diversion and early diagnosis of the leak.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Orthopedics
A. L. Tsirikos, S. J. Wordie
Summary: Anterior spinal fusion for wheelchair-bound patients with myelomeningocele resulted in satisfactory deformity correction and improved physical function and quality of life. Despite high perioperative complication rates, there were no long-term sequelae reported and high patient satisfaction levels.
BONE & JOINT JOURNAL
(2021)
Review
Chemistry, Analytical
Chen Jin, Shengru Wang, Guodong Yang, En Li, Zize Liang
Summary: This paper reviews the research progress of Cobb angle measurement in recent years from the perspectives of computer vision and deep learning. By comparing the measurement effects of typical methods, their advantages and disadvantages are analyzed. Finally, the key issues and their development trends are also discussed.
Article
Clinical Neurology
Sidsel Fruergaard, Soren Ohrt-Nissen, Frederik Taylor Pitter, Kristian Hoy, Martin Lindberg-Larsen, Soren Eiskjaer, Benny Dahl, Martin Gehrchen
Summary: This study aimed to identify postoperative complications, readmissions, and mortality within 90 days after pediatric spinal deformity surgery. Findings indicate that pain/mobilization issues are the main reason for extended length of stay, while infections unrelated to the surgical site are a common cause of readmission.
Review
Orthopedics
Daniel C. Kim, Bayard C. Carlson, Eiman Shafa, Amir A. Mehbod
Summary: This article reviews the use of vacuum-assisted wound closure (VAC) in the treatment of deep wound infections (DWIs) after lumbar spinal surgery. VAC, which applies negative pressure to the wound, has been shown to improve microcirculation and promote the formation of granulation tissue, making it a common strategy for treating deep postoperative wound infections after spinal surgery.
JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS
(2022)
Article
Clinical Neurology
Theodore N. Rudic, Alyssa D. Althoff, Pramod Kamalapathy, Keith R. Bachmann
Summary: The purpose of this study was to assess the incidence and factors associated with surgical site infection in pediatric patients undergoing spinal fusion for adolescent idiopathic scoliosis. A retrospective review was conducted using the PearlDiver Database, and the results showed that the incidence of infection within 7, 30, and 90 postoperative days was 0.4%, 1.9%, and 2.7% respectively. Obesity and male sex were significantly associated with postoperative infection.
Article
Clinical Neurology
Carlos A. Moyano, Carlos A. Tello, Lucas Piantoni, Ida A. Francheri Wilson, Eduardo Galaretto, Rodrigo G. Remondino, Ernesto Bersusky, Mariano A. Noel
Summary: This retrospective case series study evaluated infection recurrence or reinfection in posterior spinal fusion in children. Out of 29 patients, 96.6% were cured and only 3.4% developed reinfection. The study suggests treatment with I&D procedures with retention of implants for acute SSI.
GLOBAL SPINE JOURNAL
(2021)
Article
Computer Science, Artificial Intelligence
Parisa Tavana, Mahdi Akraminia, Abbas Koochari, Abolfazl Bagherifard
Summary: Scoliosis is a spinal deformity that affects weight distribution. Machine learning algorithms, particularly deep neural networks, are used to evaluate this deformity. A dataset of 1000 spine radiographs was collected and deep transfer learning was employed to evaluate the accuracy of different pre-trained networks. A new approach combining voting ensemble classifiers and five pre-trained networks was developed, showing a 7% improvement in spine curvature classification accuracy. This model can assist radiologists, physicians, and orthopedists in evaluating spine deformities.
EXPERT SYSTEMS WITH APPLICATIONS
(2023)
Article
Orthopedics
Yunan Lu, Federico Canavese, Ran Lin, Wentao Wang, Xinzhao Zhang, Shunyou Chen
Summary: This study aimed to determine the best treatment for children with osteofibrous dysplasia (OFD) by retrospectively reviewing 23 patients. The results suggest that proactive treatment can achieve favorable outcomes in symptomatic OFD lesions. The management approach varies based on the severity of symptoms and the extent of the lesion.
ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH
(2023)
Article
Surgery
Nikita Kadakia, Cyrus Nguyen, Saba Motakef, Michael Hill, Subhas Gupta
Summary: A systematic review and meta-analysis on complications associated with the use of IHCC grafting in rhinoplasty revealed overall low complication rates, making costal cartilage allografts a promising alternative in rhinoplasty.
Article
Orthopedics
Xinwang Zhi, Dongming Xie, Haiyi Yang, Kai Hong, Weidong Chen, Hongwen Xu, Federico Canavese, Qinghe Zhou
Summary: This study evaluated the characteristics of paediatric hand fractures at a tertiary hospital in South China, considering factors like sex, age, mechanism of injury and anatomical region. The research found that hand fractures were more common in boys, particularly among children aged 0-3 years. The distal phalanges were the most commonly injured bones, and crush injuries were the leading cause of fractures in younger children.
JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B
(2022)
Article
Orthopedics
Jingchun Li, Fuxing Xun, Yiqiang Li, Yuanzhong Liu, Hongwen Xu, Federico Canavese
Summary: This study evaluated the foot and ankle kinetics and kinematics in children with recurrent clubfoot treated with tibialis anterior tendon transfer (TATT) using three-dimensional gait analysis. The study found that post-TATT, there were significant changes in step length and stride length, as well as ankle and foot angles, but no significant differences in ankle varus moment and gait deviation index.
JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B
(2022)
Article
Orthopedics
Adrien Fournier, Faustine Monget, Camille Ternynck, Damien Fron, Aurelie Mezel, Bernard Herbaux, Federico Canavese, Eric Nectoux
Summary: The anterior cuneiform osteotomy (CO) and the Dunn procedure (DP) have similar results in the surgical management of unstable severe slipped capital femoral epiphysis (SCFE). The CO group had fewer postoperative complications, including avascular necrosis, and showed better functional and radiologic outcomes compared to the DP group.
ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH
(2022)
Article
Orthopedics
Giovanni Lucchesi, Francois Bonnel, Juliette Wartelle, Nathalie Boutry, Natalie Orlando, Alain Dimeglio, Giovanni Beltrami, Federico Canavese
Summary: The purpose of our study was to identify and measure the morpho-anatomical characteristics of the too-long anterior calcaneal process (TLACP) in patients with a history of pain and ankle sprains. We reviewed computed tomography scans of 69 feet and calculated various measurements related to the TLACP. We found that pathological feet had abnormalities in the TLACP and had significantly different measurements compared to normal feet.
JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B
(2023)
Article
Orthopedics
YiQiang Li, Federico Canavese, YanHan Liu, JianPing Wu, JingChun Li, Zhe Yuan, HongWen Xu
Summary: Some patients with developmental dysplasia of the hip (DDH) treated by Pavlik Harness (PH) before 6 months of age still had persistent acetabular dysplasia (PAD). The age and Graf classification were identified as risk factors for PAD. It was found that if the hips were not normal at the end of PH treatment, the risk of PAD increased further.
JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B
(2023)
Article
Orthopedics
Federico Canavese, Lucrezia Montanari, Flavia Alberghina, Kathryn Louise McCracken, Faustine Monget, Marco Sapienza, Vito Pavone, Antonio Andreacchio
Summary: The aim of this study was to evaluate the outcomes of surgery for C-shaped intercondylar fractures of the humerus in children and adolescents. The study found that these fractures often resulted in complications, but overall upper-extremity function was good. The findings suggest that C-intercondylar fractures should be added to existing classifications and that the prognosis for these fractures is similar to that of T-intercondylar fractures.
JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B
(2023)
Letter
Orthopedics
Jingchun Li, Chenchen Xu, Yiqiang Li, Yuanzhong Liu, Hongwen Xu, Federico Canavese
JOURNAL OF CHILDRENS ORTHOPAEDICS
(2022)
Article
Orthopedics
ManMan Gao, JianMin Wang, LuoYong Jiang, XiMin Pan, Federico Canavese, YiQiang Li, WenTao Wang, ZhiYu Zhou, WeiMin Zhu
Summary: This study found that in knees with limited ROM, MRI-R2* sequence is superior to T2 mapping in detecting microstructural cartilage changes, especially in the medial knee compartment. Cartilage R2* values tend to increase with the severity of knee ROM loss.
BMC MUSCULOSKELETAL DISORDERS
(2022)
Review
Orthopedics
Yunan Lu, Federico Canavese, Ran Lin, Yuling Huang, Xinwu Wu, Binbin Lin, Shunyou Chen
Summary: Ulna distraction osteogenesis using monolateral external fixator (MEFix) at the proximal third of the ulna is effective in correcting Masada type I and IIb deformities in children with hereditary multiple exostoses (HMEs). This method can simultaneously correct elbow and wrist deformities, providing satisfactory clinical and radiological outcomes with improved range of motion and reduced complications. Treatment of Masada type I deformities before progression to complex type IIb deformities is recommended based on the study findings.
INTERNATIONAL ORTHOPAEDICS
(2022)
Article
Orthopedics
Camilla Bettuzzi, Giovanni Lucchesi, Giada Salvatori, Chiara Fruttero, Natalie Orlando, Diego Antonioli, Federico Canavese, Manuele Lampasi
Summary: The purpose of this study was to evaluate the occurrence and severity of residual elbow instability in children treated for posterior or postero-lateral elbow dislocation. The study recorded subjective and objective data to assess the functional status and performed stability tests to detect residual instability. The results showed no subjective symptoms of elbow instability in the patients, but clinical examination with multiple stability tests is crucial for detecting residual elbow instability in children treated for elbow dislocation.
JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B
(2023)
Article
Orthopedics
Lian Duan, Federico Canavese, Lianyong Li
Summary: This study aimed to compare the effectiveness of flexible intramedullary nails (FIN) and Spica casting for treating femur shaft fractures in children aged 2-5 years through a meta-analysis and investigate the associated complications. The results showed that FIN allowed for a quicker return to normal activities, had a lower incidence of malunion and unplanned interventions, but had a slightly longer hospital stay and required a second surgery to remove the nails compared to Spica casting.
JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B
(2023)
Editorial Material
Surgery
Subhas Gupta
Article
Pediatrics
Vito Pavone, Claudia De Cristo, Gianluca Testa, Federico Canavese, Ludovico Lucenti, Giuseppe Sessa
Summary: This study evaluated the functional outcomes and efficacy of non-operative treatment of clavicular fractures in 131 children. The results showed that non-operative treatment of clavicular fractures in children is effective, and younger children under 8 years old can achieve the best treatment outcomes.
MINERVA PEDIATRICS
(2023)
