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Clinical Management and Treatment of Spinal Deformities
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Clinical Management and Treatment of Spinal Deformities

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Orthopedics".

Deadline for manuscript submissions: closed (20 March 2022) | Viewed by 7934

Special Issue Editor

Dr. Tiziana Greggi

E-Mail Website
Guest Editor
IRCCS Rizzoli Orthopaedic Institute, Bologna, Bologna, Italy
Interests: scoliosis; Eos; congenital scoliosis; adult scoliosis; kyphosis; flatback syndrome; sagittal balance; coronal balance; spondylolisthesis

Special Issue Information

Dear Colleagues,

Spine deformity can happen when unnatural curvature occurs, as in scoliosis, kyphosis, and spondylolisthesis.

Spinal deformities can sometimes compromise the state of health in an extremely important way. The type of deformity and the age of the patient are conditions that often determine the evolution of the deformity and its consequences. Early diagnosis, clinical experience, and the availability of innovative diagnostic and surgical techniques, as well as multidisciplinary study, allow the right choice of treatment. Knowing your experience, which characterizes you in this super-specialized field, it is my hope that you will offer your precious scientific contribution, which will be published for the benefit of all.

Dr. Tiziana Greggi
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • scoliosis
  • kyphosis
  • spondylolisthesis
  • conservative treatment
  • surgical treatment

Published Papers (3 papers)

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11 pages, 1706 KiB  
Article
The Efficacy of Single-Stage Correction by Posterior Approach for Neglected Congenital Scoliosis: Comparative Analysis According to the Age of Surgical Intervention
by Jae Hyuk Yang, Hong Jin Kim, Dong-Gune Chang, Seung Woo Suh, Yunjin Nam and Jae-Young Hong
J. Clin. Med. 2022, 11(9), 2278; https://doi.org/10.3390/jcm11092278 - 19 Apr 2022
Cited by 2 | Viewed by 2873
Abstract
Background: A single-stage correction for congenital scoliosis through a posterior-only approach is a commonly used surgical technique. However, there are few studies on the surgical treatment effect of posterior single-stage correction in patients with neglected congenital scoliosis. Methods: Patients who underwent a single-stage [...] Read more.
Background: A single-stage correction for congenital scoliosis through a posterior-only approach is a commonly used surgical technique. However, there are few studies on the surgical treatment effect of posterior single-stage correction in patients with neglected congenital scoliosis. Methods: Patients who underwent a single-stage posterior correction for congenital scoliosis with a minimum follow-up of 2 years were divided into three groups based on age: Group A (7–11 years), B (12–18 years) and C (>18 years). A comparison of surgical, radiological, and clinical outcomes was performed for three groups. Results: The Cobb angle changed form 75 ± 18° to 37 ± 18° with a correction rate of 53%. Group A showed a significantly higher correction rate than Group B and C (all p < 0.001). The amount of blood loss in Groups B and C was significantly larger than that of Group A (p = 0.015). Pulmonary complications were significantly higher in Group C (p = 0.007). Conclusions: A single-stage correction with pedicle screws through a posterior-only approach achieved a significant correction with improved outcomes, even in neglected cases. However, the early correction for younger patients was still more beneficial in terms of bleeding loss, complications, and flexible curve correction. Full article
(This article belongs to the Special Issue Clinical Management and Treatment of Spinal Deformities)
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12 pages, 1466 KiB  
Article
Surgical Strategy for the Management of Cervical Deformity Is Based on Type of Cervical Deformity
by Han Jo Kim, Sohrab Virk, Jonathan Elysee, Christopher Ames, Peter Passias, Christopher Shaffrey, Gregory Mundis, Themistocles Protopsaltis, Munish Gupta, Eric Klineberg, Robert Hart, Justin S. Smith, Shay Bess, Frank Schwab, Renaud Lafage, Virginie Lafage and on behalf of the International Spine Study Group
J. Clin. Med. 2021, 10(21), 4826; https://doi.org/10.3390/jcm10214826 - 21 Oct 2021
Cited by 7 | Viewed by 2107
Abstract
Objectives: Cervical deformity morphotypes based on type and location of deformity have previously been described. This study aimed to examine the surgical strategies implemented to treat these deformity types and identify if differences in treatment strategies impact surgical outcomes. Our hypothesis was that [...] Read more.
Objectives: Cervical deformity morphotypes based on type and location of deformity have previously been described. This study aimed to examine the surgical strategies implemented to treat these deformity types and identify if differences in treatment strategies impact surgical outcomes. Our hypothesis was that surgical strategies will differ based on different morphologies of cervical deformity. Methods: Adult patients enrolled in a prospective cervical deformity database were classified into four deformity types (Flatneck (FN), Focal kyphosis (FK), Cervicothoracic kyphosis (CTK) and Coronal (C)), as previously described. We analyzed group differences in demographics, preoperative symptoms, health-related quality of life scores (HRQOLs), and surgical strategies were evaluated, and postop radiographic and HROQLs at 1+ year follow up were compared. Results: 90/109 eligible patients (mean age 63.3 ± 9.2, 64% female, CCI 1.01 ± 1.36) were evaluated. Group distributions included FN = 33%, FK = 29%, CTK = 29%, and C = 9%. Significant differences were noted in the surgical approaches for the four types of deformities, with FN and FK having a high number of anterior/posterior (APSF) approaches, while CTK and C had more posterior only (PSF) approaches. For FN and FK, PSF was utilized more in cases with prior anterior surgery (70% vs. 25%). For FN group, PSF resulted in inferior neck disability index compared to those receiving APSF suggesting APSF is superior for FN types. CTK types had more three-column osteotomies (3CO) (p < 0.01) and longer fusions with the LIV below T7 (p < 0.01). There were no differences in the UIV between all deformity types (p = 0.19). All four types of deformities had significant improvement in NRS neck pain post-op (p < 0.05) with their respective surgical strategies. Conclusions: The four types of cervical deformities had different surgical strategies to achieve improvements in HRQOLs. FN and FK types were more often treated with APSF surgery, while types CTK and C were more likely to undergo PSF. CTK deformities had the highest number of 3COs. This information may provide guidelines for the successful management of cervical deformities. Full article
(This article belongs to the Special Issue Clinical Management and Treatment of Spinal Deformities)
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Other

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26 pages, 471 KiB  
Systematic Review
Reliability and Validity of Scoliosis Measurements Obtained with Surface Topography Techniques: A Systematic Review
by Xinyu Su, Rui Dong, Zhaoyong Wen and Ye Liu
J. Clin. Med. 2022, 11(23), 6998; https://doi.org/10.3390/jcm11236998 - 26 Nov 2022
Cited by 8 | Viewed by 2277
Abstract
Background. Surface topography (ST) is one of the methods in scoliosis assessment. This study aimed to systematically review the reliability and validity of the ST measurements for assessing scoliosis. Methods. A literature search of four databases was performed and is reported following PRISMA [...] Read more.
Background. Surface topography (ST) is one of the methods in scoliosis assessment. This study aimed to systematically review the reliability and validity of the ST measurements for assessing scoliosis. Methods. A literature search of four databases was performed and is reported following PRISMA guidelines. The methodological quality was evaluated using Brink and Louw appraisal tool and data extraction was performed. The results were analyzed and synthesized qualitatively using the level of evidence method. Results. Eighteen studies were included and analyzed. Four were evaluated for reliability, six for validity, and eight for reliability and validity. The methodological quality of fourteen studies was high. Good to excellent intra-investigator reliability was shown on asymmetry, sagittal, horizontal, and most frontal ST measurements (evidence level: strong). Asymmetry and most frontal, sagittal, horizontal ST measurements showed good to excellent inter-investigator reliability (evidence level: moderate). When comparing corresponding ST and radiological measurements, good to strong validity was shown on most frontal, sagittal, and asymmetry measurements (evidence level: strong). Formetric measurements had good intra-investigator reliability and validity (evidence level: strong). Conclusions. Most asymmetry, sagittal, and frontal ST measurements showed satisfactory reliability and validity. Horizontal ST measurements showed good reliability and poor validity. The ST technique may have great potential in assessing scoliosis, especially in reducing radiation exposure and performing cosmetic assessments. Full article
(This article belongs to the Special Issue Clinical Management and Treatment of Spinal Deformities)
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