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Spinal Deformity
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Spinal Deformity

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

Deadline for manuscript submissions: closed (10 March 2019) | Viewed by 18932

Special Issue Editors

Prof. Dr. Paul Park

E-Mail Website
Guest Editor
Department of Neurosurgery, University of Michigan, Ann Arbor, Michigan
Interests: surgical treatment of degenerative spinal disorders; spinal trauma; spinal tumors
Dr. David Bumpass

E-Mail Website
Guest Editor
University of Arkansas for Medical Sciences, Little Rock, AR, USA
Interests: spine surgery; musculoskeletal oncology

Special Issue Information

Dear Colleagues,

With an aging population, degenerative spinal deformity is increasingly prevalent and can be a cause for significant pain and disability. Non-operative management of symptomatic spinal deformity is typically multi-modal and can include physical therapy, injection therapy, and medication. Refractory symptoms can lead to evaluation for surgical treatment. Presently, the surgical options for adult spinal deformity are undergoing significant evolution in regards to techniques, instrumentation, and operative goals. The focus of this Special Issue is to review current non-operative and operative treatment options, as well as surgical techniques, medical and surgical outcomes, and potential novel advances in the care of spinal deformity.

Prof. Dr. Paul Park
Dr. David Bumpass
Guest Editors

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

  • Spinal deformity
  • Scoliosis
  • Surgery
  • Minimally invasive
  • Complications
  • Fusion
  • Injection therapy
  • Physical therapy

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Published Papers (3 papers)

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Research

11 pages, 1749 KiB  
Article
Factors Predicting the Surgical Risk of Osteoporotic Vertebral Compression Fractures
by Fu-Cheng Kao, Yu-Jui Huang, Ping-Yeh Chiu, Ming-Kai Hsieh and Tsung-Ting Tsai
J. Clin. Med. 2019, 8(4), 501; https://doi.org/10.3390/jcm8040501 - 12 Apr 2019
Cited by 8 | Viewed by 3277
Abstract
The aim of our study was to investigate the association between global spinal alignment, spinopelvic parameters, and outcomes of osteoporotic vertebral compression fractures (OVCF). Patients with vertebral compression fractures seen at our hospital between October 2017 and November of 2018 with a bone [...] Read more.
The aim of our study was to investigate the association between global spinal alignment, spinopelvic parameters, and outcomes of osteoporotic vertebral compression fractures (OVCF). Patients with vertebral compression fractures seen at our hospital between October 2017 and November of 2018 with a bone mineral density (BMD) T-score < −2.5 were recruited for the study. Surgical intervention was performed after eight weeks of conservative treatment depending on clinical symptoms and the willingness of patients. Spinopelvic and sagittal alignment parameters were compared between patients who had surgery and those that did not. Seventy-nine patients were included in the study. Twenty-five patients (31.6%, mean age: 73.28 ± 9.78 years) received surgery, and 54 (68.3%, mean age: 73 ± 8.58 years) conservative treatment only. Pelvic tilt, pelvic incidence, and local kyphotic angle were statistically different between the groups (all p < 0.05). A sagittal vertical axis ≥ 50 mm, distance between the C7 plumb line and the center of the fractured vertebra (DSVA) ≥ 60 mm, pelvic incidence outside of the range of 44 to 62°), and pelvic tilt ≥ 27° were associted with the need for surgical intervention. Measurement of spinopelvic parameters can predict the need for surgery in patients with OVCF. Full article
(This article belongs to the Special Issue Spinal Deformity)
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13 pages, 940 KiB  
Article
Long Term Outcomes and Effects of Surgery on Degenerative Spinal Deformity: A 14-Year National Cohort Study
by Yu-Chun Chen, Wen-Cheng Huang, Hsuan-Kan Chang, Jiing-Feng Lirng and Jau-Ching Wu
J. Clin. Med. 2019, 8(4), 483; https://doi.org/10.3390/jcm8040483 - 10 Apr 2019
Cited by 5 | Viewed by 2426
Abstract
Degenerative spinal deformity (DSD) has become a prevalent cause of disability and pain among the aging population worldwide. Though surgery has emerged as a promising option for DSD, the natural course, outcomes, and effects of surgery on DSD have remained elusive. This cohort [...] Read more.
Degenerative spinal deformity (DSD) has become a prevalent cause of disability and pain among the aging population worldwide. Though surgery has emerged as a promising option for DSD, the natural course, outcomes, and effects of surgery on DSD have remained elusive. This cohort study used a national database to comprehensively follow up patients of DSD for all-cause mortality, respiratory problems, and hip fracture-related hospitalizations. All patients were grouped into an operation or a non-operation group for comparison. An adjustment of demographics, comorbidities, and propensity-score matching was conducted to ameliorate confounders. A Cox regression hazard ratio (HR) model and Kaplan-Meier analysis were also applied. The study comprised 21,810 DSD patients, including 12,544 of the operation group and 9266 of the non-operation group. During the 14 years (total 109,591.2 person-years) of follow-up, the operation group had lower mortality (crude hazard ratio = 0.40), lower respiratory problems (cHR = 0.45), and lower hip fractures (cHR = 0.63) than the non-operation group (all p < 0.001). After adjustment, the risks for mortality and respiratory problems remained lower (adjusted HR = 0.60 and 0.65, both p < 0.001) in the operation than the non-operation group, while hip fractures were indifferent (aHR = 1.08, p > 0.05). Therefore, surgery for DSD is invaluable since it could reduce the risks of mortality and of hospitalization for respiratory problems. Full article
(This article belongs to the Special Issue Spinal Deformity)
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9 pages, 952 KiB  
Article
Brace Treatment for Adolescent Idiopathic Scoliosis
by Hiroshi Kuroki
J. Clin. Med. 2018, 7(6), 136; https://doi.org/10.3390/jcm7060136 - 4 Jun 2018
Cited by 30 | Viewed by 12631
Abstract
In the past, numerous non-operative treatments for adolescent idiopathic scoliosis (AIS), including exercise, physical therapy, electrical stimulation, and brace treatment, have been tried to delay or prevent the curve progression. Of these, brace treatment is the only option that is widely accepted and [...] Read more.
In the past, numerous non-operative treatments for adolescent idiopathic scoliosis (AIS), including exercise, physical therapy, electrical stimulation, and brace treatment, have been tried to delay or prevent the curve progression. Of these, brace treatment is the only option that is widely accepted and has demonstrated the efficacy to alter the natural history of AIS. Recently, the importance of brace treatment for AIS has been increasing since the efficacy was objectively established by the BrAIST (Bracing in Adolescent Idiopathic Scoliosis Trial) study in 2013. This editorial article summarizes the current status of brace treatment in patients with AIS and discusses future prospects on the basis of our clinical experiences. Full article
(This article belongs to the Special Issue Spinal Deformity)
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