7-10-2024 13 year old female, active athlete Low back pain when participates in athletics Left trunk shift Right shoulder is higher than the left Near the end of skeletal growth Due to the magnitude of her deformity and skeletal age, surgery was discussed and, after discussions with patient and family, a posterior spinal fusion of […]
Category: Idiopathic Scoliosis
Isolated Thoracic Fusion for Idiopathic Scoliosis, T2-T12
4-6-2024 Above is a 15-year-old female with a right thoracic idiopathic scoliosis measuring 55 degrees. His Risser stage is 4 and Sanders stage is 7, which means there is some, but not a lot, of vertical spinal growth remaining until she reaches skeletal maturity.From the side there is a lower amount of thoracic kyphosis (25 […]
Is Physical Therapy necessary AFTER Posterior Spinal Fusions for Idiopathic Scoliosis?
3-12-2024 [Slide 1] So you or your child just went through a four-hour posterior spinal fusion for scoliosis, a three-day hospital stay, has stopped their postoperative prescription pain meds, is finally sleeping and eating normally and your thoughts are about how to get back “to normal”. What is the next step in recovery? Commonly the […]
Another new publication in Spine Deformity
Severe Idiopathic Scoliosis, Treated with Preoperative Halo-Gravity Traction and then Posterior Spinal Fusion
The patient presented with the below scoliosis, no prior treatment. The proximal thoracic curve measured 57 degrees, and the main thoracic 91 degrees in skeletally mature patient. The patient has developed daily back pain, which is interfering with school and sporting activities. Not only does scoliosis cause chest asymmetry and back pain, but it can […]
The Natural History of Curve Behavior after Brace Removal in Adolescent Idiopathic Scoliosis
First, I want to recognize Daphna Zaaroor-Regev for all of her hard work on this project and without her initiative and drive would not have been possible. Why do this project? To help answer the common parent question, “What will happen to my daughter’s scoliosis, now that we are stopping her bracing?” To […]
Development of a Treatment Matrix for Adolescent Idiopathic Scoliosis (IS)
The following post is an abridged version of a PowerPoint talk I recently presented to the Washington University School of Medicine Orthopaedics Residents on 3-21-2023. It is important to understand the purpose of this talk is to present these big treatment topics in a high-level manner, a 30,000 foot view, to provide a framework to […]
Idiopathic Scoliosis – Lumbar (5CN Curve Pattern)
14 year old female with progressive, painful thoracolumbar curve Highly athletic, three sport athlete. She has tried physical therapy for 3 months but has not helped decrease the intensity or frequency of her back pain. Participating in her sports is becoming difficult and is having back pain which is interfering with normal activities she does […]
Idiopathic Scoliosis
Below is a 16 year old female with idiopathic scoliosis, who is otherwise healthy. She noticed gradual development of waist asymmetry and a right rib prominence in the back. She was have daily back pain with athletics and having pain while in school. The below radiographs/x-rays demonstrate she has a 71 degree right thoracic curve […]
Utility of Preoperative Labs in Posterior Spinal Fusions for Idiopathic Scoliosis
https://rdcu.be/cizNe
Idiopathic Scoliosis Bracing Handout
Our latest Idiopathic Scoliosis Bracing Handout, courtesy of Keith Patten, FNP-C
Adolescent Idiopathic Scoliosis (AIS) FAQ’s
Surgical treatment of scoliosis in adolescents, in 2016, is most commonly a posterior spinal fusion with instrumentation (PSF/PSSI). Though this blog is, in general, dedicated to the “growing spine” this entry will focus on adolescent idiopathic scoliosis (AIS) and the many questions that are asked by parents/caregivers about PSF/PSSI. Top Frequently Asked Questions about […]