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 […]

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 […]

Posterior Spinal Fusion for Thoracic Scheuermann’s Kyphosis

Two blog posts ago the topic of thoracic Scheuermann’s Kyphosis (SK) was presented, stopping short of discussing the surgical treatment.  In this post we will show a patient who underwent correction of his SK using posterior column osteotomies (see blog post from 9-6-2020) and posterior spinal fusion (see blog post from 1-16-2022).   The two […]

Congenital Spine Dislocation with 8 Years of Postoperative Follow-up

Congenital dislocation of the spine (CDS) is a rare congenital malformation due to failure of the spine and the spinal cord to develop at a single spinal level. The patient may be completely neurologically intact or, in severe cases, may not have any muscle function or sensation below the level of the dislocation. It is […]

What is a “Spine Fusion”

In the average, normal spine there are 7 cervical, 12 thoracic, and 5 lumbar vertebra, a sacrum and coccyx.  From the skull to the sacrum, each vertebra is separated by a mobile disc, which is a highly complex structure which provides stability and motion at the same time. In spinal deformity, such as scoliosis, the […]

New publication comparing MAGEC Growing Rods, Posterior Spinal Fusion and Vertebral Body Tether in 8-11 year old scoliosis patients

  Spine (Phila Pa 1976). 2021 Oct 1.  doi: 10.1097/BRS.0000000000004245. Online ahead of print. Magnetically Controlled Growing Rods (MCGR) Versus Single Posterior Spinal Fusion (PSF) Versus Vertebral Body Tether (VBT) in Older Early Onset Scoliosis (EOS) Patients: How Do Early Outcomes Compare? Catherine Mackey 1, Regina Hanstein, Yungtai Lo, Majella Vaughan, Tricia St Hilaire, Scott J Luhmann, Michael G Vitale, Michael P Glotzbecker, Amer Samdani, Stefan Parent, Jaime […]

Talking Points between Surgeon and Patient/Family about Thoracic Vertebral Body Tethering vs. Thoracic Posterior Spinal Fusion

Vertebral Body Tethering (VBT) is a procedure which has garnered a lot of attention from surgeons, patients and families.  Below is a list of talking points which should be known about VBT so there can be informative, educated, transparent discussions about VBT, when compared to the other commonly-performed procedure Posterior Spinal Fusions.  Discussions on these […]

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 […]

Congenital Spine Dislocation

Congenital dislocation of the spine (CDS) is a rare congenital malformation due to failure of the spine and the spinal cord to develop at a single spinal level. The patient may be completely neurologically intact or, in severe cases, may not have any muscle function or sensation below the level of the dislocation. It is […]