Journal ArticleInjury · October 2025
BACKGROUND: Pediatric extremity fractures represent a frequent cause of emergency department visits, with inequity in care linked to socioeconomic status, race, and insurance type. Despite standardized treatment algorithms, currently available evidence ind ...
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Journal ArticleJ Pediatr Orthop · August 1, 2025
BACKGROUND: Untreated early-onset scoliosis (EOS) is often complicated by decreased thoracic expansion growth and pulmonary complications. Various fusion-less techniques have been developed to address these complications, including growing rods and vertica ...
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Journal ArticleBMJ Open Qual · July 31, 2025
INTRODUCTION: Paediatric patients with elevated healthcare needs have limited access to care, contributing to insufficient preventive services. Social drivers of health (SDOH), such as inadequate nutrition and poor community support, contribute substantial ...
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Journal ArticleSpine Deform · July 2025
PURPOSE: The purpose of this study was twofold: (1) to validate the predictive capabilities of the Scoliosis Assessment App using ST technology against X-ray "ground truth" in patients being evaluated for clinically significant scoliosis; and (2) to compar ...
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Journal ArticleGlobal Spine J · April 2025
Study DesignRetrospective.ObjectiveSevere curves >100° in adolescent idiopathic scoliosis (AIS) are rare and require careful operative planning. The aim of this study was to assess baseline, perioperative, and 2-year differences between anterior release wi ...
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Journal ArticleJ Pediatr Orthop · April 1, 2025
BACKGROUND: Prune belly syndrome (PBS) is a rare condition characterized by absence of abdominal musculature, cryptorchidism, and obstructive uropathy. The most common orthopaedic problem is scoliosis, yet no reports on growth-friendly surgical treatment o ...
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Journal ArticleGlobal Spine J · September 2024
STUDY DESIGN: Systematic literature review and meta-analysis. OBJECTIVES: Predicting patient risk of intraoperative neuromonitoring (IONM) alerts preoperatively can aid patient counselling and surgical planning. Sielatycki et al established an axial-MRI-ba ...
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Journal ArticleJ Am Acad Orthop Surg · May 1, 2024
INTRODUCTION: Health inequities remain a notable barrier for pediatric patients, especially in conditions such as adolescent idiopathic scoliosis (AIS), where the efficacy of nonsurgical treatment is dependent on early diagnosis and referral to a specialis ...
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Journal ArticleJ Pediatr Orthop · April 1, 2024
BACKGROUND: Up to 25% of youth experience a depressive episode by 18 years of age, leading the US Preventive Services Task Force to recommend depression screening within this population. This study aimed to understand the prevalence of depression identifie ...
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Journal ArticleJ Pediatr Orthop · March 1, 2024
OBJECTIVE: Despite guidelines to fuse both thoracic and thoracolumbar/lumbar (TH/L) curves in patients with structural curves in both regions, a thoracic-only fusion allows preservation of lumbar motion segments. The purpose of this study was to assess the ...
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Journal ArticleSpine Deform · January 2024
PURPOSE: The aim of our study was to determine the relationship between Patient Health Questionnaire (PHQ) scores-a simple, validated depression screening tool-and Scoliosis Research Society (SRS)-22 questionnaire scores in patients with idiopathic scolios ...
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Journal ArticleJ Pediatr Orthop · September 1, 2023
BACKGROUND: Femoral shaft fractures are common injuries in children 2 to 7 years of age, with treatments ranging from casting to flexible intramedullary nails (FIN). Each treatment has unique attributes and outcomes are overall similar. Given equivalent ou ...
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Journal ArticleJBJS Rev · June 1, 2023
» Tarsal coalitions most commonly affect the calcaneonavicular and talocalcaneal joints in up to 13% of the general population. They alter the mechanics of the subtalar joint, limiting inversion and eversion, and place excessive stress on neighboring joint ...
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Journal ArticleSpine Deform · January 2023
PURPOSE: As 2-year follow-up may not be sufficient to assess the risk of curve progression following fusion in immature patients with adolescent idiopathic scoliosis (AIS), this study reports on 5-year outcomes of AIS patients, factoring in maturity and su ...
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Journal ArticleJ Bone Joint Surg Am · September 21, 2022
BACKGROUND: Growth modulation through anterior vertebral body tethering (AVBT) has emerged as a fusionless option for the treatment of progressive scoliosis. When tethering the main thoracic curve, the compensatory thoracolumbar/lumbar curve must correct i ...
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Journal ArticleTechniques in Orthopaedics · June 18, 2022
Introduction: Osteitis pubis and pubic instability represent an uncommon, yet a potentially debilitating problem for patients. While many cases are amendable to conservative measures, the few recalcitrant cases present a difficult challenge for surgical ma ...
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Journal ArticleGlobal Spine J · April 2022
STUDY DESIGN: Retrospective cohort study. OBJECTIVE: The purpose of this study was to compare outcomes between different treatment modalities for metastatic disease with indeterminate instability (Spinal Instability Neoplastic Score [SINS] 7-12). METHODS: ...
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Chapter · January 1, 2022
Even within the pediatric population, surgical site infections (SSIs) after spinal surgery lead to substantial patient morbidity and are an overall burden to the healthcare and hospital systems. The overall incidence ranges from 2% to 15% depending on the ...
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Journal ArticleGlobal Spine J · September 2021
STUDY DESIGN: Retrospective study. OBJECTIVE: Previous studies have demonstrated that increased implant density (ID) results in improved coronal deformity correction. However, low-density constructs with strategically placed fixation points may achieve sim ...
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Journal ArticleSpine Deform · December 2020
STUDY DESIGN: Retrospective cohort study. OBJECTIVES: To investigate radiographic sagittal and spinopelvic parameters of patients with adolescent idiopathic scoliosis (AIS) treated with bracing and assess differences among those treated successfully and un ...
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Journal ArticleSpine (Phila Pa 1976) · June 15, 2020
STUDY DESIGN: Retrospective review. OBJECTIVE: To determine if adjuvant radiation therapy (RT) improves overall survival (OS) following surgical resection of chordomas. SUMMARY OF BACKGROUND DATA: The role of RT for the treatment of chordomas remains incom ...
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Journal ArticleSpine J · December 2019
BACKGROUND CONTEXT: Malignant primary spinal tumors are rare making it difficult to perform large studies comparing epidemiologic, survival, and treatment trends. We investigated the largest registry of primary bone tumors, the National Cancer Database (NC ...
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Journal ArticleSarcoma · 2019
BACKGROUND: Although chondrosarcomas (CS) are mostly considered radioresistant, advancements in radiotherapy have brought attention to its use in these patients. Using the largest registry of primary bone tumors, the National Cancer Database (NCDB), we sou ...
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ConferenceTechniques in Orthopaedics · September 1, 2018
Although frozen section analysis remains the standard for intraoperative margin detection for some cancers, there are critical limitations with using this method in the treatment of musculoskeletal tumors. Extensive work has been done to develop more accur ...
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Journal ArticleJBJS Case Connect · 2018
CASE: Osteopetrosis is a heritable disease that causes brittle bones that are prone to fracture. Furthermore, these brittle bones have a poor healing response and a high risk of subsequent refracture. Many treatment strategies have been described for initi ...
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Journal ArticleOrthopedics · July 1, 2017
Glenoid component loosening is a commonly encountered complication of total shoulder replacements. Therefore, focus has been placed on glenoid fixation. Porous metal implants, which promote biological fixation through osteointegration, have provided an unc ...
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Journal ArticlePlast Reconstr Surg Glob Open · May 2017
BACKGROUND: The vascularized free fibula epiphyseal transfer provides an option for the preservation of limb lengthening after resection of the proximal humerus in pediatric sarcoma patients. The purpose of this study was to provide a long-term follow-up o ...
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Journal ArticleJ Arthroplasty · August 2016
BACKGROUND: Hospital reimbursement for Medicare/Medicaid/self-pay patients has not kept pace with rising expenses, and even well run efficient organizations struggle to maintain a positive margin on these cases. Therefore, hospitals rely on commercially in ...
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Journal ArticleJ Arthroplasty · March 2016
BACKGROUND: A first-generation cephalosporin is the recommended antibiotic prophylaxis for implants. However, this standard does not address the increasing prevalence and virulence of gram-negative pathogens infecting patients. We found that gram-negative ...
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Journal ArticleIowa Orthop J · 2014
INTRODUCTION: The indications for vancomycin prophylaxis to prevent Methicillin-resistant Staphylococcus aureus (MRSA) surgical site infections are increasing. The recommended dose of vancomycin has traditionally been 1 gram intravenous. However, the incre ...
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Journal ArticleDiscov Med · July 2011
Advancements in the technical aspects of tendon repair have significantly improved the treatment of tendon injuries. Arthroscopic techniques, suture material, and improved rehabilitation have all been contributing factors. Biological augmentation and tissu ...
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