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Thread: Journal of Pediatric Orthopaedics - AIS Supplement Jan/Feb 2011

  1. #1
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    Journal of Pediatric Orthopaedics - AIS Supplement Jan/Feb 2011

    Saw this on Fix's site... good find. Some resemble the talks given at the 2009 POSNA meeting. An example is the one on top AIS theories (really hypotheses, not theories at this point).

    N.B. These results might be false.

    http://journals.lww.com/pedorthopaedics/toc/2011/01001

    Home > January/February 2011 - Volume 31 - Issue
    January/February 2011 - Volume 31 - Number 1 Supplement
    pp: S1-S128

    Adolescent Idiopathic Scoliosis

    Reflections of an Orthopaedic Surgeon on Patient Care and Research Into the Condition of Scoliosis
    Dubousset, Jean

    Adolescent Idiopathic Scoliosis: Should 100% Correction Be the Goal?
    Imrie, Meghan; Yaszay, Burt; Bastrom, Tracey P.; Wenger, Dennis R.; Newton, Peter O.

    Top Theories for the Etiopathogenesis of Adolescent Idiopathic Scoliosis
    Wang, Wei Jun; Yeung, Hiu Yan; Chu, Winne Chiu-Wing; Tang, Nelson Leung-Sang; Lee, Kwong Man; Qiu, Yong; Burwell, Richard Geoffrey; Cheng, Jack Chun Yiu

    Growth and Adolescent Idiopathic Scoliosis: When and How Much?
    Dimeglio, Alain; Canavese, Federico; Charles, Philippe

    Seeing the Spine in 3D: How Will It Change What We Do?
    Labelle, Hubert; Aubin, Carl-Eric; Jackson, Roger; Lenke, Larry; Newton, Peter; Parent, Stefan

    Update on Prognostic Genetic Testing in Adolescent Idiopathic Scoliosis (AIS)
    Ogilvie, James W.

    Idiopathic Scoliosis: Cracking the Genetic Code and What Does It Mean?
    Miller, Nancy Hadley

    Bracing for Adolescent Idiopathic Scoliosis in Practice Today
    Sponseller, Paul D.

    Adolescent Idiopathic Scoliosis: 5-Year to 20-Year Evidence-based Surgical Results
    Westrick, Edward R.; Ward, W. Timothy

    Lowest Instrumented Vertebra Selection in AIS
    Erickson, Mark A.; Baulesh, David M.

    “Does the Outcome of Adolescent Idiopathic Scoliosis Surgery Justify the Rising Cost of the Procedures?”
    Roach, James W.; Mehlman, Charles T.; Sanders, James O.

    Hooks and Wires—Tried and True Plus How To: POSNA1-DayCourse, April 29, 2009
    Raney, Ellen Marie

    The Role of Posterior Spinal Osteotomies in Pediatric Spinal Deformity Surgery: Indications and Operative Technique
    Diab, Michel G.; Franzone, Jeanne M.; Vitale, Michael G.

    Nonfusion Treatment of Adolescent Idiopathic Scoliosis by Growth Modulation and Remodeling
    Aronsson, David D.; Stokes, Ian A.F.

    Clinical Outcomes of Nitinol Staples for Preventing Curve Progression in Idiopathic Scoliosis
    Lavelle, William F.; Samdani, Amer F.; Cahill, Patrick J.; Betz, Randal R.

    Scoliosis “Nonfusion”—A Reality Check
    Sanders, James

    Adolescent Idiopathic Scoliosis Case Panel Discussions
    Sucato, Daniel J.
    Sharon, mother of identical twin girls with scoliosis

    No island of sanity.

    Question: What do you call alternative medicine that works?
    Answer: Medicine


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  2. #2
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    Wow, it's a blast from the past.

    What's out? Pedicle screws. One article suggest that pedicle screws show no real improvement (and far greater cost) compared to older implants, another describes how to go back to using hooks and wires, and other studies the effects of overcorrection achieved with pedicle screws.

    What's in question: One paper states that a 5 to 20 year follow-up shows no medical necessity for surgery, and seems to suggest that it's only use is in cosmetic appearance.

    What's in? Fusionless treatments (including staples and bracing), 3D modeling, and genetics.

    What hasn't changed? They still have absolutely no idea what causes scoliosis, although they're carefully enumerating all the ways in which they don't know.

    I'm guessing the insurance industry is gagging on the skyrocketing costs of spinal surgeries and trying to find some cheaper alternatives.

  3. #3
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    Quote Originally Posted by hdugger View Post
    Wow, it's a blast from the past.

    What's out? Pedicle screws. One article suggest that pedicle screws show no real improvement (and far greater cost) compared to older implants,
    I'd like to see if they address de-rotation. That is the main claim for pedicle screw superiority as I understand it.

    another describes how to go back to using hooks and wires, .
    I don't think it is news that T fusions at least, using any generation instrumentation, are largely successful except that screws allow much more de-rotation.

    and other studies the effects of overcorrection achieved with pedicle screws
    I don't know which one you are referring too.

    What's in question: One paper states that a 5 to 20 year follow-up shows no medical necessity for surgery, and seems to suggest that it's only use is in cosmetic appearance.
    One wonders why the insurance companies kick out so much for a cosmetic procedure. If it doesn't make sense it probably isn't true or at least true on a simplistic reading of an abstract.

    What's in? Fusionless treatments (including staples and bracing), 3D modeling, and genetics.
    Hopefully that is because that is where the need lays and where the evidence is taking the researchers.

    What hasn't changed? They still have absolutely no idea what causes scoliosis, although they're carefully enumerating all the ways in which they don't know.
    I think they have so much on the table that the chances are reasonable it will be one of those or a related thing. What isn't on the table at this point?

    I'm guessing the insurance industry is gagging on the skyrocketing costs of spinal surgeries and trying to find some cheaper alternatives.
    Well, if fusion for AIS is purely cosmetic why didn't they cut funding yesterday?
    Sharon, mother of identical twin girls with scoliosis

    No island of sanity.

    Question: What do you call alternative medicine that works?
    Answer: Medicine


    "We are all African."

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