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Book: Green's skeletal trauma in children

Mencio, Gregory A. / Swiontkowski, Marc F. / Green, Neil E.

(Expert consult)

2015

Title variant	Skeletal trauma in children
Author's details	Neil E. Green ; Marc F. Swiontkowski
Series title	Expert consult
Keywords	Pediatric orthopedics ; Musculoskeletal system/Wounds and injuries ; Fractures in children ; Fractures in children/Treatment
Subject code	617.4710083
Language	English
Size	XIX, 658 S. : zahlr. Ill., graph. Darst., 29 cm
Edition	5. ed.
Publisher	Elsevier Saunders
Publishing place	Philadelphia, Pa
Publishing country	United States
Document type	Book
Note	Previous edition: 2009.. - Includes Internet access.. - Includes index
Accompanying material	Zugang zur Internetausgabe über Code
HBZ-ID	HT018441898
ISBN	978-0-323-18773-2 ; 0-323-18773-0
Database	Catalogue ZB MED Medicine, Health

In stock of ZB MED Cologne/Königswinter

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2014 A 4147	available for loan (reading room)	Lesesaal EG
Zugang zur Internetausgabe über Code aus lizenzrechtlichen Gründen nicht verfügbar

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Article ; Online: Information exchange on adolescent scoliosis discussion forums among patients and caregivers: a thematic analysis.

Paulson, Ambika E / Martus, Jeffrey E / Mencio, Gregory A / Louer, Craig R

Spine deformity

2024 Volume 12, Issue 2, Page(s) 293–303

Abstract: Purpose: Online health-related support groups have increasingly become a regular resource for patients and caregivers; however, the content of these forums is largely unknown to medical teams. The purposes of this study were to (1) review posts from ... ...

Abstract	Purpose: Online health-related support groups have increasingly become a regular resource for patients and caregivers; however, the content of these forums is largely unknown to medical teams. The purposes of this study were to (1) review posts from scoliosis discussion forums to establish common themes related to the care experience of patients with scoliosis and (2) understand how common themes vary among pediatric and adult patients, as well as caregivers. Methods: Posts were collected from two public scoliosis forums. Analysis was performed using grounded theory-a methodology that relies on the repeated analyses of qualitative data to identify recurring concepts, which are then coded and grouped into categories and ultimately central themes that seek to synthesize the relationships between categories. Information posts were reviewed by a board-certified orthopedic surgeon who performs scoliosis surgery for factual basis or misinformation. Results: Analysis of 911 posts revealed five central themes. The two most common themes among patients ≥ 18 and caregivers involve seeking out emotional support and information about surgical treatment. Patients < 18 frequently sought out emotional support but were also largely interested in information about bracing. The most prevalent theme among all contributors involved seeking out emotional support. There was very little medical misinformation found within posts. Conclusion: Scoliosis forums serve as an informal outlet where patients and families can offer emotional support and share experiences. Physicians should provide direct emotional support to patients and offer these forums as a resource, without significant concerns about propagating medical misinformation.
MeSH term(s)	Adult ; Humans ; Adolescent ; Child ; Caregivers/psychology ; Scoliosis/surgery ; Communication
Language	English
Publishing date	2024-01-04
Publishing country	England
Document type	Journal Article
ZDB-ID	2717704-X
ISSN	2212-1358 ; 2212-134X ; 2212-1358
ISSN (online)	2212-1358 ; 2212-134X
ISSN	2212-1358
DOI	10.1007/s43390-023-00802-x
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Article ; Online: Correction: Information exchange on adolescent scoliosis discussion forums among patients and caregivers: a thematic analysis.

Paulson, Ambika E / Martus, Jeffrey E / Mencio, Gregory A / Louer, Craig R

Spine deformity

2024

Language	English
Publishing date	2024-04-15
Publishing country	England
Document type	Published Erratum
ZDB-ID	2717704-X
ISSN	2212-1358 ; 2212-134X ; 2212-1358
ISSN (online)	2212-1358 ; 2212-134X
ISSN	2212-1358
DOI	10.1007/s43390-024-00871-6
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Article ; Online: Flexibility-tilt agreement best predicts shoulder balance following posterior spine fusion for adolescent idiopathic scoliosis.

LaBarge, Matthew E / Waddell, William H / Chanbour, Hani / Stephens, Byron F / Martus, Jeffrey E / Mencio, Gregory A / Louer, Craig R

Spine deformity

2023 Volume 12, Issue 2, Page(s) 391–401

Abstract: Purpose: We propose a novel concept, called flexibility-tilt agreement (FTA), which could be applied intra-operatively to improve shoulder balance following posterior spine fusion for Adolescent Idiopathic Scoliosis (AIS). We retrospectively applied ... ...

Abstract	Purpose: We propose a novel concept, called flexibility-tilt agreement (FTA), which could be applied intra-operatively to improve shoulder balance following posterior spine fusion for Adolescent Idiopathic Scoliosis (AIS). We retrospectively applied this concept to a cohort with thoracic-only curves, seeking to: (1) evaluate the impact of FTA and other peri-operative variables on post-operative shoulder balance, and (2) evaluate deformity characteristics associated with achieving FTA. Methods: A single-institution registry was queried for patients undergoing PSF from 2000 to 2017 with main thoracic and double thoracic curves with at least 2-year follow-up. Flexibility was defined as the Cobb angle of the unfused proximal thoracic curve (cephalad to chosen UIV) on pre-operative bender. Tilt refers to post-operative UIV tilt angle. FTA means these values cancel (Flexibility + Tilt = 0 ± 5°). Logistic regression was performed to determine the association between peri-operative variables and shoulder balance. Results: One hundred and sixty-one patients were included, mean age 13.6 years old, and 47-month mean follow-up. FTA was achieved in 74 (46%) patients and was associated with post-operative (OR = 4.59) and final (OR = 6.98) medial shoulder balance with a threshold of 6° (AUC = 0.77, p = 0.038). FTA was the best predictor of shoulder balance of all tested variables. Conclusion: Patients that showed flexibility-tilt agreement, or FTA, had vastly increased odds of medial and lateral shoulder balance at a minimum of 2-year follow-up for all thoracic curves. Future studies can evaluate whether applying FTA to determine intra-operative corrective maneuvers prospectively leads to improvements in shoulder balance. Level of evidence: Level III-retrospective comparative study.
MeSH term(s)	Humans ; Adolescent ; Scoliosis/surgery ; Shoulder/surgery ; Retrospective Studies ; Thoracic Vertebrae/diagnostic imaging ; Thoracic Vertebrae/surgery ; Kyphosis
Language	English
Publishing date	2023-12-20
Publishing country	England
Document type	Journal Article
ZDB-ID	2717704-X
ISSN	2212-1358 ; 2212-134X ; 2212-1358
ISSN (online)	2212-1358 ; 2212-134X
ISSN	2212-1358
DOI	10.1007/s43390-023-00797-5
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Article ; Online: Practice Improvement Modules: The Pediatric Supracondylar Fracture PIM.

Stans, Anthony A / Mencio, Gregory A

Journal of pediatric orthopedics

2015 Volume 35, Issue 5 Suppl 1, Page(s) S37–8

Language	English
Publishing date	2015-07
Publishing country	United States
Document type	Journal Article
ZDB-ID	604642-3
ISSN	1539-2570 ; 0271-6798
ISSN (online)	1539-2570
ISSN	0271-6798
DOI	10.1097/BPO.0000000000000543
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Book: Green's skeletal trauma in children

Mencio, Gregory A / Swiontkowski, Marc F

2015

Title variant	Skeletal trauma in children
Author's details	[edited by] Gregory A. Mencio, Marc F. Swiontkowski
MeSH term(s)	Fractures, Bone ; Adolescent ; Child ; Infant ; Joint Dislocations
Language	English
Size	xix, 658 pages :, illustrations.
Edition	Fifth edition.
Document type	Book
Note	Preceded by Skeletal trauma in children / [edited by] Neil E. Green, Marc F. Swiontkowski. 4th ed. c2009.
ISBN	9780323187732 ; 0323187730
Database	Catalogue of the US National Library of Medicine (NLM)

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Book ; Online: Green's Skeletal Trauma in Children

Mencio, Gregory A / Swiontkowski, Marc F

2015

Abstract: Obtain the best outcomes from the latest techniques with help from a "who's who" of pediatric orthopaedic trauma experts! Considered as the "go-to" reference for orthopaedic trauma surgeons and pediatric orthopaedic trauma surgeons, Green's Skeletal ... ...

Title variant	Skeletal trauma in children
Author's details	[edited by] Gregory A. Mencio, Marc F. Swiontkowski
Abstract	Obtain the best outcomes from the latest techniques with help from a "who's who" of pediatric orthopaedic trauma experts! Considered as the "go-to" reference for orthopaedic trauma surgeons and pediatric orthopaedic trauma surgeons, Green's Skeletal Trauma in Children presents practical, focused guidance on managing traumatic musculoskeletal injuries in children and adolescents. It emphasizes the unique aspects of children's fractures in terms of epidemiology, mechanisms, management, and the challenges of treating the skeletally immature patient. State-of-the-art coverage includes crucial chapters on skeletal trauma related to child abuse, anesthesia and analgesia, management of children's fractures, and outcome measures and rehabilitation
MeSH term(s)	Adolescent ; Child ; Dislocations ; Fractures, Bone ; Infant
Keywords	Fractures in children
Language	English
Size	Online-Ressource, illustrations (chiefly color)
Edition	Fifth edition
Publisher	Saunders/Elsevier
Publishing place	Philadelphia, PA
Document type	Book ; Online
Note	Includes bibliographical references and index ; Preceded by Skeletal trauma in children / [edited by] Neil E. Green, Marc F. Swiontkowski. 4th ed. c2009
ISBN	0323187730 ; 9780323187732
Database	Former special subject collection: coastal and deep sea fishing

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Article ; Online: Clinical and radiographic outcomes following correction of idiopathic scoliosis in adolescence vs young adulthood.

LaBarge, Matthew E / Chanbour, Hani / Waddell, William H / Vickery, Justin / Jonzzon, Soren / Roth, Steven G / Croft, Andrew J / Abtahi, Amir M / Louer, Craig R / Martus, Jeffrey E / Mencio, Gregory A / Zuckerman, Scott L / Stephens, Byron F

Spine deformity

2023 Volume 11, Issue 6, Page(s) 1443–1451

Abstract: Purpose: The natural history of adolescent idiopathic scoliosis (AIS) has been well documented, but the impact of age at the time of surgical correction is relatively understudied. In this study, we matched patients undergoing surgical correction of ... ...

Abstract	Purpose: The natural history of adolescent idiopathic scoliosis (AIS) has been well documented, but the impact of age at the time of surgical correction is relatively understudied. In this study, we matched patients undergoing surgical correction of adult idiopathic scoliosis (AdIS) with a cohort of AIS patients to compare: (1) coronal and sagittal radiographic correction, (2) operative variables, and (3) postoperative complications. Methods: A single-institution scoliosis registry was queried for patients undergoing idiopathic scoliosis surgery from 2000-2017. Inclusion criteria: patients with idiopathic scoliosis, no previous spine surgery, and 2-year follow-up. AdIS patients were matched 1:2 with AIS patients based on Lenke classification and curve characteristics. Independent sample t-test and Chi-square test was used to analyze the data. Results: 31 adults underwent surgical correction of idiopathic scoliosis and were matched with 62 adolescents. Mean age of adults was 26.2 ± 11.05, mean BMI was 25.6 ± 6.0, and 22 (71.0%) were female. Mean age of adolescents was 14.2 ± 1.8, mean BMI was 22.7 ± 5.7, and 41(66.7%) were female. AdIS had significantly less postoperative major Cobb correction (63.9% vs 71.3%, p = 0.006) and final major Cobb correction (60.6% vs 67.9%, p = 0.025). AdIS also had significantly greater postoperative T1PA (11.8 vs 5.8, p = 0.002). AdIS had longer operative times (p = 0.003), higher amounts of pRBCs transfused (p = 0.005), longer LOS (p = 0.016), more ICU requirement (p = 0.013), higher overall complications (p < 0.001), higher rate of pseudarthrosis (p = 0.026), and more neurologic complications (p = 0.013). Conclusion: Adult patients undergoing surgical correction of idiopathic scoliosis had significantly worse postoperative coronal and sagittal alignment when compared with adolescent patients. Adult patients also had higher rates of complications, longer operative times, and longer hospital stays. Level of evidence: III.
Language	English
Publishing date	2023-07-11
Publishing country	England
Document type	Journal Article
ZDB-ID	2717704-X
ISSN	2212-1358 ; 2212-134X ; 2212-1358
ISSN (online)	2212-1358 ; 2212-134X
ISSN	2212-1358
DOI	10.1007/s43390-023-00708-8
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Article ; Online: Internal Rotation Stress Test Reduces Cross-Pinning and Improves Outcomes in Displaced Pediatric Supracondylar Humeral Fractures.

Rees, Andrew B / Schultz, Jacob D / Wollenman, Lucas C / Moore-Lotridge, Stephanie N / Martus, Jeffrey E / Mencio, Gregory A / Schoenecker, Jonathan G

JB & JS open access

2021 Volume 6, Issue 3

Abstract: Stabilization of the medial column is vital in preventing the loss of fixation and malunion in displaced pediatric supracondylar humeral fractures (SCHFs). The preferred percutaneous pin configuration for medial column fixation remains controversial ... ...

Abstract	Stabilization of the medial column is vital in preventing the loss of fixation and malunion in displaced pediatric supracondylar humeral fractures (SCHFs). The preferred percutaneous pin configuration for medial column fixation remains controversial between medial pinning (cross-pinning) and additional lateral-based pinning. The intraoperative internal rotation stress test (IRST) has been proposed to reliably determine the optimal fixation strategy for each unique fracture. This study evaluated the impact of implementing the IRST on both the choice of pin configuration and institution-wide complications in pediatric patients treated operatively for SCHFs. Methods: Pediatric patients undergoing percutaneous pinning for SCHFs between 2007 and 2017 at a single center were retrospectively reviewed. The IRST was made a universal institutional practice in 2013. Patients were divided into 2 groups for analysis: (1) patients who underwent treatment before the IRST was implemented in 2013 (the pre-IRST group), and (2) patients who were treated after the IRST was implemented in 2013 (the IRST group). Subgroup analysis was completed for patients in the IRST group who were treated with cross-pinning or 3 lateral-based pins. Results: In this study, 820 patients in the pre-IRST group and 636 patients in the IRST group were included. After the IRST implementation, the rate of loss of fixation fell from 1.2% to 0% (p = 0.003), and the reoperation rate fell from 3.3% to 0.2% (p < 0.001). No cases resulted in a loss of fixation after the adoption of the IRST. The number of patients treated with cross-pinning decreased significantly from 53.2% to 31.6% (p < 0.001) after the IRST implementation, yet cross-pinning continued to be used for more severe fractures. Complication rates within the IRST group were not significantly different (p > 0.05) between cross-pinning and 3 lateral-based pins. Conclusions: In the largest cohort reported on to date, to our knowledge, institutional implementation of the IRST resulted in a significant reduction in the use of cross-pinning. Although the usage of cross-pinning decreased, cross-pinning was still used frequently in the most severe fractures. The IRST use also resulted in significantly fewer complications such as loss of fixation after institution-wide implementation of the IRST for treating pediatric SCHFs. Level of evidence: Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.
Language	English
Publishing date	2021-07-28
Publishing country	United States
Document type	Journal Article
ISSN	2472-7245
ISSN (online)	2472-7245
DOI	10.2106/JBJS.OA.21.00014
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: A Mini-Open Approach to Medial Pinning in Pediatric Supracondylar Humeral Fractures May Be Safer Than Previously Thought.

Rees, Andrew B / Schultz, Jacob D / Wollenman, Lucas C / Moore-Lotridge, Stephanie N / Martus, Jeffrey E / Schoenecker, Jonathan G / Mencio, Gregory A

The Journal of bone and joint surgery. American volume

2021 Volume 104, Issue 1, Page(s) 33–40

Abstract: Background: Displaced pediatric supracondylar humeral fractures (SCHFs) are stabilized after reduction by smooth pins. Although some SCHFs are biomechanically stable after lateral-only entry pinning (lateral pinning), an additional medial entry pin ( ... ...

Abstract	Background: Displaced pediatric supracondylar humeral fractures (SCHFs) are stabilized after reduction by smooth pins. Although some SCHFs are biomechanically stable after lateral-only entry pinning (lateral pinning), an additional medial entry pin (cross-pinning) confers superior stabilization in some SCHFs. There is a recognized risk of iatrogenic ulnar nerve injury with medial entry pinning. The best existing evidence has estimated an iatrogenic ulnar nerve injury rate of approximately 3.4% in cross-pinning. In similar studies, the rate of iatrogenic nerve injury (all nerves) in lateral pinning is estimated at 1.9%. This study aimed to use a large, single-center, single-technique (mini-open) retrospective case series to determine the rate of iatrogenic ulnar nerve injury in cross-pinning. Methods: Patients undergoing percutaneous cross-pinning via the mini-open technique for SCHFs from 2007 to 2017 were retrospectively reviewed. Injury characteristics, operative variables, fixation technique, and complications, such as iatrogenic nerve injury, were recorded. Patients who underwent operative treatment at another hospital, had no postoperative follow-up, or died due to polytrauma were excluded. Results: In this study, 698 patients undergoing cross-pinning during the study period were identified. Patients treated with cross-pinning had severe fractures, including a total of 198 preoperative neurovascular injuries (28.4%), 32 patients (4.6%) with skin tenting, and 19 patients (2.7%) with open fractures. Iatrogenic nerve injury was reported in 3 cases (0.43%), all of which affected the ulnar nerve. In 2 of 3 cases of iatrogenic nerve injury, the ulnar nerve symptoms resolved at a mean follow-up of 15 weeks. Conclusions: The mini-open approach for medial pin insertion is safer than previous estimates. Here, in the largest single-center study of cross-pinning for SCHFs, the iatrogenic ulnar nerve injury rate of 0.43% was nearly 10 times lower than estimated rates from recent meta-analyses. Considering all nerves, the iatrogenic injury rate for this cross-pinning cohort was also lower than the estimated iatrogenic nerve injury rate for lateral pinning. Level of evidence: Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
MeSH term(s)	Adolescent ; Bone Nails/adverse effects ; Child ; Child, Preschool ; Female ; Fracture Fixation, Internal/adverse effects ; Fracture Fixation, Internal/methods ; Humans ; Humeral Fractures/surgery ; Iatrogenic Disease/prevention & control ; Infant ; Male ; Retrospective Studies ; Ulnar Nerve/injuries
Language	English
Publishing date	2021-10-12
Publishing country	United States
Document type	Journal Article
ZDB-ID	220625-0
ISSN	1535-1386 ; 0021-9355
ISSN (online)	1535-1386
ISSN	0021-9355
DOI	10.2106/JBJS.21.00301
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