Nonoperative and operative management for early onset scoliosis has changed significantly since the Harrington era 50 plus years ago. Surgeons learned quickly that a spine fusion in growing child can result short thorax development of thoracic insufficiency syndrome. Techniques were developed refined over subsequent decades to allow spinal growth, control chest wall deformity, limit pulmonary d...

©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...

STUDY DESIGN Retrospective case control study. OBJECTIVE Determine the impact of infection on clinical outcome in patients undergoing posterior spinal fusion surgery. SUMMARY OF BACKGROUND DATA The outcome of patients treated for infection after spinal surgery is not well established because of variability in cohort identification, definition of infection, outcomes instrument, use of a cont...

Distraction fractures of the upper lumbar spine are most often associated with the wearing of seat-belts. Twenty patients with this spinal fracture were reviewed and half of them had intra-abdominal injuries. Eight patients required an exploratory laparotomy. Three distinct patterns of distraction fractures have been identified. Open reduction, local spinal fusion and Harrington instrumentation...

Cross-links increase the stability of screw-rod systems in biomechanical testing. The aim this systemic review was to find evidence pertaining additional benefit implantation cross-links clinical practice regard different spinal diseases. Therefore, a systematic literature analysis two online databases performed according PRISMA statement. Inclusion criteria were prospective and retrospective s...

OBJECTIVES Patients with Type I neurofibromatosis scoliosis with intra-canal rib head protrusion are extremely rare. Current knowledge regarding the diagnosis and treatment for this situation are insufficient. The purpose of this study is to share our experience in the diagnosis and surgical treatments for such unique deformities. METHODS Six patients with Type I neurofibromatosis scoliosis w...

Treatment for haemangioma of the spinal cord often results in extensive bony resection that necessitates fusion and/or instrumentation. We report on a 75-year-old man who presented with neuropathic pain and muscle weakness of both lower limbs, secondary to an epidural haemangioma at T11-T12, extending laterally into the neuroforamen. The tumour was resected within the neuroforamen after a parti...

The concept of minimally invasive spinal surgery embodies the goal of achieving clinical outcomes comparable to those of conventional open surgery, while minimizing the risk of iatrogenic injury that may be incurred during the exposure process. The development of microscopy, laser technology, endoscopy, and video and image guidance systems provided the foundation on which minimally invasive spi...

AIM To analyze different terms used in literature to identify lumbar extradural cysts and propose a common scientific terminology; to elaborate a new morphological classification of this pathology, useful for clinical and surgical purposes; and to describe the best surgical approach to remove these cysts, in order to avoid iatrogenic instability or treat the pre-existing one. METHODS We retro...

Scoliosis is a spinal deformity that can be seen in children of all ages. It is most commonly seen as an adolescent idiopathic condition. Progressive scoliosis between 25° and 45° before skeletal and physiologic maturity can be treated with a brace, whereas progressive scoliosis greater than 50° should be treated surgically. For children younger than 10 years, it is important to not only preven...