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Optimizing Safety in Spinal Deformity Surgery

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Spinal Osteotomy

Abstract

Spinal deformity corrective surgery is one of the most challenging surgical disciplines requiring thorough preoperative preparation, intraoperative technical execution, and diligent and compulsive postoperative care. All aspects of care must be performed with the greatest of efficiency and geared toward the neurologically safe correction of the deformity with minimal patient morbidity. This chapter will detail the key principles, guidelines, and tips for the successful treatment of all spinal deformity procedures and patients.

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Suggested Reading

  • Auerbach JD, Lenke LG, Bridwell KH, et al. Major complications and comparison between 3-column osteotomy techniques in 105 consecutive spinal deformity procedures. Spine. 2012;37(14):1198–210.

    Article  PubMed  Google Scholar 

  • Cheh G, Lenke LG, Padberg AM, et al. Loss of spinal cord monitoring signals in children during thoracic kyphosis correction with spinal osteotomy. Why does it occur and what should you do? Spine. 2008;33(10):1093–9.

    Article  PubMed  Google Scholar 

  • Dorward I, Lenke LG. Osteotomies in the posterior-only treatment of complex adult spinal deformity: a comparative review. Neurosurg Focus. 2010;28(3):E4.

    Article  PubMed  Google Scholar 

  • Dorward IG, Lenke LG, Stoker GE, et al. Radiographic and clinical outcomes of posterior column osteotomies in spinal deformity correction: Analysis of 128 patients. Spine. 2014;39(11):870–80.

    Google Scholar 

  • Harimaya K, Lenke LG, Mishiro T, et al. Increasing lumbar lordosis of adult spinal deformity patients via intraoperative prone positioning. Spine. 2009;34(22):2406–12.

    Google Scholar 

  • Kim YJ, Lenke LG, Bridwell KH, et al. Free hand pedicle screw placement in the thoracic spine: Is it safe? Spine. 2004;29(3):333–41.

    Article  PubMed  Google Scholar 

  • Kim YJ, Lenke LG, Cheh G, et al. Evaluation of pedicle screw placement in the deformed spine using intraoperative plain radiographs: a comparison with computerized tomography. Spine. 2005;30(18):2084–8.

    Article  PubMed  Google Scholar 

  • Klepps SJ, Lenke LG, Bridwell KH, et al. Prospective comparison of flexibility radiographs in adolescent idiopathic scoliosis. Spine. 2001;26(5):E74–9.

    Article  CAS  PubMed  Google Scholar 

  • Lapp MA, Bridwell KH, Lenke LG, et al. Prospective randomization of parenteral hyperalimentation for long fusions with spinal deformity. Its effect on complications and recovery from postoperative malnutrition. Spine. 2001;26(7):809–17.

    Article  CAS  PubMed  Google Scholar 

  • Lehman Jr RA, Lenke LG, Keeler KA, et al. Computed tomography evaluation of pedicle screws placed in the pediatric deformed spine over an 8-year period. Spine. 2007;32(24):2679–84.

    Article  PubMed  Google Scholar 

  • Lenke LG, O’Leary PT, Bridwell KH, et al. Posterior vertebral column resection for severe pediatric deformity. Minimum two-year follow-up of thirty-five consecutive patients. Spine. 2009;34(20):2213–21.

    Article  PubMed  Google Scholar 

  • Newton PO, Bastrom TP, Emans JB, et al. Antifibrinolytic agents reduce blood loss during pediatric vertebral column resection procedures. Spine. 2012;37(23):E1459–63.

    Article  PubMed  Google Scholar 

  • O’Brien MF, Lenke LG, Bridwell KH, et al. Evoked potential monitoring of the upper extremities during thoracic and lumbar spinal deformity surgery: a prospective study. J Spinal Disord. 1994;7(4):277–84.

    Article  PubMed  Google Scholar 

  • O’Brien MF, Lenke LG, Mardjetko S, et al. Pedicle morphology in thoracic adolescent idiopathic scoliosis. Is pedicle fixation an anatomically viable technique? Spine. 2000;25(18):2285–93.

    Article  PubMed  Google Scholar 

  • Olsen MA, Nepple JJ, Riew KD, Lenke LG, et al. Risk factors for surgical site infection following orthopaedic spinal operations. J Bone Joint Surg Am. 2008;90(1):62–9.

    Article  PubMed  Google Scholar 

  • O’Neill KR, Lenke LG, Bridwell KH, et al. Clinical and radiographic outcomes following 3-column osteotomies with 5-year follow-up. Spine. 2014;39(5):424–32.

    Article  PubMed  Google Scholar 

  • Othman Z, Lenke LG, Bolon SM, et al. Hypotension-induced loss of intraoperative monitoring data during surgical correction of Scheuermann kyphosis: a case report. Spine. 2004;29(12):E258–65.

    Article  PubMed  Google Scholar 

  • Pichelmann MA, Lenke LG, Good CR, et al. Revision rates following primary adult spinal deformity surgery: 643 consecutive patients followed up to 22 years postoperative. Spine. 2010;35(2):219–26.

    Article  PubMed  Google Scholar 

  • Raynor BL, Lenke LG, Kim Y, et al. Can triggered electromyograph thresholds predict safe thoracic pedicle screw placement? Spine. 2002;27(18):2030–5.

    Article  PubMed  Google Scholar 

  • Raynor BL, Lenke LG, Bridwell KH, et al. Correlation between low triggered electromyographic thresholds and lumbar pedicle screw malposition: analysis of 4857 screws. Spine. 2007;32(24):2673–8.

    Article  PubMed  Google Scholar 

  • Raynor BL, Bright JD, Lenke LG, et al. Significant change or loss of intraoperative monitoring data: a 25-year experience in 12,375 spinal surgeries. Spine. 2013;38(2):E101–8.

    Article  PubMed  Google Scholar 

  • Rhee JM, Bridwell KH, Lenke LG, et al. Staged posterior surgery for severe adult spinal deformity. Spine. 2003;28(18):2116–21.

    Article  PubMed  Google Scholar 

  • Schwab F, Blondel B, Chay E, et al. The comprehensive anatomical spinal osteotomy classification. Neurosurgery. 2014;74(1):112–20.

    Article  PubMed  Google Scholar 

  • Sponseller PD, LaPorte DM, Hungerford MW, et al. Deep wound infections after neuromuscular scoliosis surgery. A multicenter study of risk factors and treatment outcomes. Spine. 2000;25(19):2461–6.

    Article  CAS  PubMed  Google Scholar 

  • Takeshita K, Lenke LG, Bridwell KH, et al. Analysis of patients with nonambulatory neuromuscular scoliosis surgically treated to the pelvis with intraoperative halo-femoral traction. Spine. 2006;31(20):2381–5.

    Article  PubMed  Google Scholar 

  • Watanabe K, Lenke LG, Matsumoto M, et al. A novel pedicle channel classification describing osseous anatomy: How many thoracic scoliotic pedicles have cancellous channels? Spine. 2010;35(20):1836–42.

    Article  PubMed  Google Scholar 

  • Watanabe K, Lenke LG, Bridwell KH, et al. Efficacy of perioperative halo-gravity traction in the treatment of severe scoliosis greater than 100 degrees. J Orthop Sci. 2010;15(6):720–30.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Orthopedic Surgery, Washington University School of Medicine, St. Louis, MO, USA

    Lawrence Lenke MD

Authors
  1. Lawrence Lenke MD
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Correspondence to Lawrence Lenke MD .

Editor information

Editors and Affiliations

  1. Orthopedics department, Chinese PLA general hospital, Beijing, China

    Yan Wang

  2. Hospital for Special Surgery, New York, New York, USA

    Oheneba Boachie-Adjei

  3. Department of Orthopedic Surgery, Washington University School of Medicine, St. Louis, Missouri, USA

    Lawrence Lenke

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© 2015 Springer Science+Business Media Dordrecht

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Lenke, L. (2015). Optimizing Safety in Spinal Deformity Surgery. In: Wang, Y., Boachie-Adjei, O., Lenke, L. (eds) Spinal Osteotomy. Springer, Dordrecht. https://doi.org/10.1007/978-94-017-8038-4_15

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  • DOI: https://doi.org/10.1007/978-94-017-8038-4_15

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  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-017-8037-7

  • Online ISBN: 978-94-017-8038-4

  • eBook Packages: MedicineMedicine (R0)

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