Traumatic C6-C7 Dislocation in a 14 Year Old with Posterior Spinal Fusion for Idiopathic Scoliosis

Fuchs, Paul D.; Bertrand, Styles L; Iwinski, Henry J.; Pellet, Jonathan

doi:10.1097/00005373-200111000-00030

Cited by 6 publications

(5 citation statements)

References 12 publications

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“…More commonly reported are post surgical degenerative changes, which occur in young adults [ 62 ] and in adults, sometimes within 2 years post-surgery [ 52 ]. A higher degree of correction results in a higher rate of degenerative osteoarthritis and the high stress on the rigid spine means that even low impact can cause serious injuries [ 63 ]. Surgeons now recommend that in surgically treated scoliosis patients, ' trauma physicians should have a high index of suspicion for potential spinal injuries above a previous multi-level fusion' [ 63 ].…”

Section: Introductionmentioning

confidence: 99%

Rate of complications in scoliosis surgery – a systematic review of the Pub Med literature

2008

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Background: Spinal fusion surgery is currently recommended when curve magnitude exceeds 40-45 degrees. Early attempts at spinal fusion surgery which were aimed to leave the patients with a mild residual deformity, failed to meet such expectations. These aims have since been revised to the more modest goals of preventing progression, restoring 'acceptability' of the clinical deformity and reducing curvature.

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Section: Introductionmentioning

confidence: 99%

Rate of complications in scoliosis surgery – a systematic review of the Pub Med literature

2008

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“…However, the literature included in this review also contains several articles 8,17,19,[28][29][30] of lower quality wherein the authors advise against participating in the athletic activities of healthy subjects. There may be several explanations for this phenomenon.…”

Section: Discussionmentioning

confidence: 99%

“…After each of the remaining 38 articles were read, 4 additional articles were retrieved after considering the articles cited in the references of the articles read. Consensus for inclusion of articles deemed 11 articles 4,8,10,17,19,[25][26][27][28][29][30] acceptable for review, thereby culling 31 articles. All 31 articles 1,5-7,9,11,21,31-53 were excluded because they made no recommendations pertaining to physical activity and scoliosis.…”

Section: Quantity Of Studiesmentioning

confidence: 99%

“…Expert opinion without explicit critical appraisal, or based on physiology, bench research, or "first principles" Case report Fuchs (2001) A patient with a previous posterior T2-L1 fusion for scoliosis sustained a cervical dislocation during a fall on her head/neck during cheer-leading. The authors therefore recommended against collision sport and sports requiring excessive spinal mobility, such as cheer-leading and gymnastics, in postoperative scoliosis patients.…”

Section: Quantity Of Studiesmentioning

confidence: 99%

“…30 Von Strempel et al 29 published the earliest article found on the topic of physical activity and scoliosis. Based upon their experience in operatively and nonoperatively treated scoliosis patients, they made several recommendations regarding the appropriateness of physical activity for their patients.…”

Section: Summary Of Included Studiesmentioning

confidence: 99%

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Is physical activity contraindicated for individuals with scoliosis? A systematic literature review

Green

Johnson

Moreau³

2009

Journal of Chiropractic Medicine

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Objective: The purpose of this study was to perform a systematic review of the literature and other authoritative sources for recommendations regarding the appropriateness of physical and sporting activity for those with scoliosis. Methods: The literature was systematically searched in PubMed, the Cumulative Index to Nursing and Allied Health Literature, the Index to Chiropractic Literature, and the National Guidelines Clearinghouse from the earliest date of each database through July 2008. All languages and research designs were included. Web sites of respected organizations were searched for position/white papers on scoliosis and physical activity. Included articles were rated using the Oxford Centre for Evidence-Based Medicine criteria, and recommendations for physical activity were made using the Oxford Centre's criteria for grades of recommendation. Results: Of 42 articles retrieved, 11 met the inclusion criteria. The Internet review of 18 organizations yielded no previous guidelines or position papers for physical activity and scoliosis. Recommendations were made from 3 level 3b studies and 8 level 5 studies; they

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Impact of spine surgery on signs and symptoms of spinal deformity

Hawes

2006

Pediatric Rehabilitation

132

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Paediatric scoliosis is associated with signs and symptoms including reduced pulmonary function, increased pain and impaired quality of life, all of which worsen during adulthood, even when the curvature remains stable. Spinal fusion has been used as a treatment for nearly 100 years. In 1941, the American Orthopedic Association reported that for 70% of patients treated surgically, outcome was fair or poor: an average 65% curvature correction was reduced to 27% at >2 year follow-up and the torso deformity was unchanged or worse. Outcome was worse in children treated surgically before age 10, despite earlier intervention. Today, a reduced magnitude of curvature obtained by spinal fusion in adolescence can be maintained for decades. However, successful surgery still does not eliminate spinal curvature and it introduces irreversible complications whose long-term impact is poorly understood. For most patients there is little or no improvement in pulmonary function. Some report improved pain after surgery, some report no improvement and some report increased pain. The rib deformity is eliminated only by rib resection which can dramatically reduce respiratory function even in healthy adolescents. Outcome for pulmonary function and deformity is worse in patients treated surgically before the age of 10 years, despite earlier intervention. Research to develop effective non-surgical methods to prevent progression of mild, reversible spinal curvatures into complex, irreversible structural deformities, is long overdue.

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Traumatic C6-C7 Dislocation in a 14 Year Old with Posterior Spinal Fusion for Idiopathic Scoliosis

Cited by 6 publications

References 12 publications

Rate of complications in scoliosis surgery – a systematic review of the Pub Med literature

Rate of complications in scoliosis surgery – a systematic review of the Pub Med literature

Is physical activity contraindicated for individuals with scoliosis? A systematic literature review

Impact of spine surgery on signs and symptoms of spinal deformity

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