2,295 results match your criteria Spinal Orthotics


Sagittal Spinopelvic Alignment in Asymptomatic Iranian Adults Aged 18 to 40 Years.

Arch Iran Med 2020 Jun 1;23(6):391-396. Epub 2020 Jun 1.

Department of Orthotics and Prosthetics, University of Social Welfare and Rehabilitation, Tehran, Iran.

Background: Recent studies have revealed the increasing importance of sagittal spinopelvic alignment. Knowing the values of sagittal spinopelvic parameters, which are affected by ethnicity, is essential in the normal asymptomatic population. In the current study, these parameters were measured in a sample of asymptomatic Iranian population. Read More

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http://dx.doi.org/10.34172/aim.2020.32DOI Listing

Effect of a Spinomed orthosis on balance performance, spinal alignment, joint position sense and back muscle endurance in elderly people with hyperkyphotic posture: A randomized controlled trial.

Prosthet Orthot Int 2020 Jun 7:309364620923816. Epub 2020 Jun 7.

Department of Physiotherapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.

Background: Hyperkyphosis may cause balance impairment in elderly people. Although the effectiveness of orthoses for improving balance in hyperkyphotic elderly people has received much attention, the mechanisms by which devices affect balance remain unknown.

Objectives: The objective of this study was to evaluate changes in balance performance, thoracic kyphosis angle, craniovertebral angle, back muscle endurance and joint position sense after 3 months of wearing a Spinomed orthosis. Read More

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http://dx.doi.org/10.1177/0309364620923816DOI Listing

Energy Efficiency and Patient Satisfaction of Gait With Knee-Ankle-Foot Orthosis and Robot (ReWalk)-Assisted Gait in Patients With Spinal Cord Injury.

Ann Rehabil Med 2020 Apr 29;44(2):131-141. Epub 2020 Apr 29.

Department of Rehabilitation Medicine, National Rehabilitation Center, Seoul, Korea.

Objective: To compare the energy efficiency of gait with knee-ankle-foot orthosis (KAFO) and robot-assisted gait and to develop a usability questionnaire to evaluate the satisfaction of walking devices in paraplegic patients with spinal cord injuries.

Methods: Thirteen patients with complete paraplegia participated and 10 completed the evaluation. They were trained to walk with KAFO (KAFO-gait) or a ReWalk robot (ReWalk-gait) for 4 weeks (20 sessions). Read More

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http://dx.doi.org/10.5535/arm.2020.44.2.131DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7214138PMC

Efficacy of Computer-Aided Design and Manufacturing Versus Computer-Aided Design and Finite Element Modeling Technologies in Brace Management of Idiopathic Scoliosis: A Narrative Review

Asian Spine J 2020 04 24. Epub 2020 Apr 24.

Mechanical Engineering Group, School of Engineering, University of Guelph, Geulph, Canada.

The efficiency and design quality of scoliosis braces produced by the conventional casting method depends highly on the orthotist's experience. Recently, advanced engineering techniques have been used with the aim of improving the quality of brace design and associated clinical outcomes. Numerically controlled machine tools have provided enormous opportunities for reducing the manufacturing time and saving material. Read More

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http://dx.doi.org/10.31616/asj.2019.0263DOI Listing

Evaluation of Static and Dynamic Stability of Spinal Cord Injuries: What Are the Gaps?

Ortop Traumatol Rehabil 2020 Feb;22(1):1-6

Rehabilitation Sciences Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

Background: Depending on the level of lesion, spinal cord injury (SCI) individuals have limited ability to stand and walk. They have to use various assistive devices to restore their abilities. The aim of this study was to evaluate the stability of SCI individuals during walking and quiet standing. Read More

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http://dx.doi.org/10.5604/01.3001.0014.0636DOI Listing
February 2020

Effectiveness of orthoses for treatment in patients with spinal pain.

Yeungnam Univ J Med 2020 Apr 24;37(2):84-89. Epub 2020 Mar 24.

Department of Physical Medicine and Rehabilitation, Yeungnam University College of Medicine, Daegu, Korea.

Spinal pain is a common patient complaint in clinical practice. Conservative treatment methods include oral medication, physical therapy, injections, and spinal orthoses. The clinical application of orthoses is debated because of potential complications associated with long-term use, such as muscle weakness and joint contracture. Read More

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http://dx.doi.org/10.12701/yujm.2020.00150DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7142031PMC

Comparison of the quality of life in individuals with spinal cord injury wearing either reciprocating gait orthosis or hip knee ankle foot orthosis: a cross-sectional study.

Disabil Rehabil Assist Technol 2020 Mar 19:1-5. Epub 2020 Mar 19.

Department of Rehabilitation Management, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.

The quality of life (QoL) for patients with spinal cord injuries (SCI) is lower than that for healthy individuals. The main purpose of prescribing orthoses for these individuals is to improve their mobility and QoL. The hip knee ankle foot orthosis (HKAFO) has been the conventional choice for such patients, whilst the reciprocating gait orthosis (RGO) is a more contemporary option. Read More

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http://dx.doi.org/10.1080/17483107.2019.1685014DOI Listing

Design, Implementation and Preliminary Testing of a Novel Orthosis for Reducing Erector Spinae Muscle Activity, and Improving Balance Control for Hyperkyphotic Elderly Subjects.

J Biomed Phys Eng 2020 Feb 1;10(1):75-82. Epub 2020 Feb 1.

MD, MPH, PhD, University of Social Welfare and Rehabilitation Sciences, Department of Orthotics and Prosthetics, Tehran, Iran.

Background: Aging often results in thoracic kyphosis and adverse postural changes. This may interfere with physiologic activity of paraspinal muscles. Few styles of spinal orthosis have been already used to reduce thoracic kyphosis. Read More

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http://dx.doi.org/10.31661/jbpe.v0i0.1200DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7036416PMC
February 2020

A current snapshot of the state of 3D printing in hand rehabilitation.

J Hand Ther 2020 Apr - Jun;33(2):156-163. Epub 2020 Mar 7.

Memorial Hospital Miramar, Miramar, FL, USA.

3D printing is often discussed in the field of hand rehabilitation, yet many hand therapists are unaware of this technology and how it either is used or could potentially be used in rehabilitation. To shed some light on the state of 3D printing in hand rehabilitation, we sought insight from a rehabilitation engineer, occupational therapy educator, clinician, and hospital administrator to provide a comprehensive look at the state of 3D printing today. Read More

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http://dx.doi.org/10.1016/j.jht.2019.12.018DOI Listing

A review of methods for achieving upper limb movement following spinal cord injury through hybrid muscle stimulation and robotic assistance.

Exp Neurol 2020 Jun 5;328:113274. Epub 2020 Mar 5.

Rice University, Deptartment of Mechanical Engineering, Houston, TX 77005, USA. Electronic address:

Individuals with tetraplegia, typically attributed to spinal cord injuries (SCI) at the cervical level, experience significant health care costs and loss of independence due to their limited reaching and grasping capabilities. Neuromuscular electrical stimulation (NMES) is a promising intervention to restore arm and hand function because it activates a person's own paralyzed muscles; however, NMES sometimes lacks the accuracy and repeatability necessary to position the limb for functional tasks, and repeated muscle stimulation can lead to fatigue. Robotic devices have the potential to restore function when used as assistive devices to supplement or replace limited or lost function of the upper limb following SCI. Read More

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http://dx.doi.org/10.1016/j.expneurol.2020.113274DOI Listing

The effect of a novel thoracolumbar brace on spinal alignment in Parkinson's disease: a pilot study.

J Phys Ther Sci 2020 Jan 22;32(1):72-78. Epub 2020 Jan 22.

Department of Occupational Therapy, Rangos School of Health Science, Duquesne University: 600 Forbes Ave, Pittsburgh, PA 15282, USA.

[Purpose] Individuals with Parkinson's disease (PD) experience postural dysfunction, which can contribute to pain and an increased risk for falls. One method with limited research for addressing postural dysfunction is bracing. The objective of this pilot study was to establish the immediate impact of a novel thoracolumbar brace on postural alignment in individuals with PD. Read More

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http://dx.doi.org/10.1589/jpts.32.72DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7008014PMC
January 2020

Rehabilitation for Low Back Pain: A Narrative Review for Managing Pain and Improving Function in Acute and Chronic Conditions.

Pain Ther 2020 Jun 31;9(1):83-96. Epub 2020 Jan 31.

NEMA Research, Inc, Naples, FL, USA.

Low back pain (LBP) is prevalent and may transition into chronic LBP (cLBP) with associated reduced quality of life, pain, and disability. Because cLBP affects a heterogenous population, rehabilitation efforts must be individualized to meet the needs of various patient populations as well as individuals. This narrative review evaluated the many approaches to LBP rehabilitation including treatment-based classifications and specific types of rehabilitation efforts from exercise and physical therapy to spinal manipulation and bracing. Read More

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http://dx.doi.org/10.1007/s40122-020-00149-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7203283PMC

Risk Factors for Pseudarthrosis After Surgical Site Infection of the Spine.

Int J Spine Surg 2019 Dec 31;13(6):507-514. Epub 2019 Dec 31.

Rothman Institute, Philadelphia, Pennsylvania.

Background: Pseudarthrosis following spinal fusion is a complication that frequently requires revision surgery. Reported rates of pseudarthrosis after surgical site infection (SSI) range from 30% to 85%, but few studies have identified infection as an independent risk factor for its development. The purpose of this study was to determine the incidence of clinically symptomatic pseudarthrosis in patient who developed SSI following lumbar fusion and to identify factors associated with its development. Read More

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http://dx.doi.org/10.14444/6068DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6962005PMC
December 2019

Simulation of the assistance of passive knee orthoses in FES cycling

Conf Proc IEEE Eng Med Biol Soc 2019 07;2019:3811-3814

Although advances in technology promoted new physiotherapy approaches, there is still an urge for equipment and techniques to improve the quality of patients lives with motor disabilities. Functional electrical stimulation cycling (FES cycling) is an example of this type of technology, in which the control of stimulation parameters enables a spinal cord injured person to ride a bicycle. In this work, we aim to investigate the use of passive knee orthoses for FES cycling assistance. Read More

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http://dx.doi.org/10.1109/EMBC.2019.8857912DOI Listing

Singular value decomposition entropy as a measure of ankle dynamics efficacy in a Y-balance test following supportive lower limb taping.

Conf Proc IEEE Eng Med Biol Soc 2019 07;2019:2439-2442

Complexity versus regularity is an important component of appropriate joint position to retain balance but has not received much attention. The Singular value decomposition entropy (SvdEn) characterizes information content or regularity of a signal depending on the number of vectors attributed to the process. The current study aimed to investigate the effect of kinesiology tape compared to static strapping tape and no tape on ankle joint dynamics during the Y balance test. Read More

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http://dx.doi.org/10.1109/EMBC.2019.8856655DOI Listing

Girolamo Fabrici d'Acquapendente and the Oplomochlion: The Several Applications of an Effective Rehabilitation Tool.

Am J Med Sci 2020 01 24;359(1):1-7. Epub 2019 Oct 24.

Medicine History, Department of Cardiac-Thoracic-Vascular Sciences and Public Health, University of Padova, Padova, Italy.

Girolamo Fabrici d'Acquapendente (1533-1619) was an Italian anatomist, surgeon and physiologist and a protagonist of the scientific revolution of the Renaissance. He made anatomy a scientific discipline and is justly considered a precursor of modern orthopaedics. He invented and used several external corrective devices for the treatment of congenital and acquired deformities of the limbs and spinal column, especially those following tubercular infection and rickets, torticollis, vertebral caries kyphosis, scoliosis, and rachitic deformities of the leg, but also congenital dislocation of the hip and congenital club-foot. Read More

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http://dx.doi.org/10.1016/j.amjms.2019.10.007DOI Listing
January 2020

Development of 3D-printed myoelectric hand orthosis for patients with spinal cord injury.

J Neuroeng Rehabil 2019 12 30;16(1):162. Epub 2019 Dec 30.

Department of Biomedical Science and Engineering (BMSE), Institute Integrated Technology (IIT), Gwangju Institute of Science and Technology (GIST), 123 Cheomdan-gwagiro, Buk-gu, Gwangju, 61005, South Korea.

Background: Spinal cord injury (SCI) is a severe medical condition affecting the hand and locomotor function. New medical technologies, including various wearable devices, as well as rehabilitation treatments are being developed to enhance hand function in patients with SCI. As three-dimensional (3D) printing has the advantage of being able to produce low-cost personalized devices, there is a growing appeal to apply this technology to rehabilitation equipment in conjunction with scientific advances. Read More

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http://dx.doi.org/10.1186/s12984-019-0633-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6937865PMC
December 2019

Non-specific chronic low back pain in patients with scoliosis-an overview of the literature on patients undergoing brace treatment.

J Phys Ther Sci 2019 Nov 26;31(11):960-964. Epub 2019 Nov 26.

The London Orthotic Consultancy, UK.

[Purpose] Although there is evidence that non-specific chronic pain can be influenced by physical therapy, some patients with scoliosis and chronic pain may benefit from additional brace treatment. The purpose of this review is to answer the question whether there are studies on the use of brace treatment in patients with scoliosis and pain and to investigate whether brace treatment does positively influence chronic pain. [Methods] A PubMed review has been undertaken using the key words (1) scoliosis and pain and brace treatment and (2) scoliosis and pain and orthotics. Read More

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http://dx.doi.org/10.1589/jpts.31.960DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6879412PMC
November 2019

Compliance with prescriptions for wheelchairs, walking aids, orthotics, and pressure-relieving devices in patients with traumatic spinal cord injury.

Eur J Phys Rehabil Med 2020 Apr 3;56(2):160-168. Epub 2019 Dec 3.

Department of Rehabilitation, First Faculty of Medicine, Medical University of Warsaw, Warsaw, Poland.

Background: The use of adaptive equipment (AE) is the basic indication for patients with spinal cord injury (SCI). Inappropriate decisions concerning the use of AE imply treatment results, patient confidence, and patient and state costs. The present study is the first analysis of the causes of non-compliance conducted in Europe with the provision of AE in SCI patients using Wielandt and Strong's classification. Read More

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http://dx.doi.org/10.23736/S1973-9087.19.05920-3DOI Listing

Postoperative Care Pathways Following Lumbar Total Disc Replacement: Results of a Modified Delphi Approach.

Spine (Phila Pa 1976) 2019 Dec;44 Suppl 24:S1-S12

Aesculap Implant Systems, LLC, Center Valley, PA.

Study Design: A modified Delphi method was used to establish consensus. Subject matter experts were invited to participate as the expert panel. Best practice statements were distributed to the panel. Read More

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http://dx.doi.org/10.1097/BRS.0000000000003276DOI Listing
December 2019

Orthotic care needs in a cohort of neurological rehabilitation inpatients.

Disabil Rehabil Assist Technol 2019 Nov 20:1-5. Epub 2019 Nov 20.

Wolfson Neurorehabilitation Centre, St George's University Hospitals NHS Foundation Trust, London, UK.

Orthotic management is frequently part of the rehabilitation of various neurological conditions in adults such as stroke, peripheral neuropathies, spinal cord injuries and multiple sclerosis. Despite this, there are limited data available on the implementation of orthotic care in practice. The primary aim of this study is to establish the proportion of inpatients in a mixed neurorehabilitation cohort which receive orthotic assessment and treatment. Read More

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http://dx.doi.org/10.1080/17483107.2019.1685018DOI Listing
November 2019

Bracing in Adolescent Idiopathic Scoliosis Trial (BrAIST): Development and Validation of a Prognostic Model in Untreated Adolescent Idiopathic Scoliosis Using the Simplified Skeletal Maturity System.

Spine Deform 2019 11;7(6):890-898.e4

3851 Katella Avenue, Suite 255, Los Alamitos, CA 90720, USA.

Study Design: Prognostic study and validation using prospective clinical trial data.

Objective: To derive and validate a model predicting curve progression to ≥45° before skeletal maturity in untreated patients with adolescent idiopathic scoliosis (AIS).

Summary Of Background Data: Studies have linked the natural history of AIS with characteristics such as sex, skeletal maturity, curve magnitude, and pattern. Read More

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http://dx.doi.org/10.1016/j.jspd.2019.01.011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6939758PMC
November 2019

Skeletally Immature Patients With Adolescent Idiopathic Scoliosis Curves 15°-24° Are at High Risk for Progression.

Spine Deform 2019 11;7(6):870-874

Texas Scottish Rite Hospital for Children, 2222 Welborn Street, Dallas, TX 75219, USA.

Study Design: Retrospective review.

Objectives: To evaluate the incidence of adolescent idiopathic scoliosis (AIS) curve progression and brace prescription in skeletally immature patients (Risser 0 to Risser 1) with curves 15°-24°.

Summary Of Background Data: Many skeletally immature patients with mild AIS ask about the likelihood of curve progression. Read More

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http://dx.doi.org/10.1016/j.jspd.2019.02.012DOI Listing
November 2019

Scoliosis Progression After the Nuss Procedure for Pectus Excavatum: A Case Report.

Spine Deform 2019 11;7(6):1003-1009

Texas Scottish Rite Hospital for Children, 2222 Welborn St., Dallas, TX, 75219, USA.

Introduction: Pectus excavatum and scoliosis are associated conditions with a high rate of coincidence. However, there are no reports to guide surgeons on the management of adolescents with moderate scoliosis and pectus excavatum, because there are conflicting conclusions in the literature regarding how the Nuss procedure with substernal bar affects scoliosis.

Cases: In 2017, we encountered two patients with moderate scoliosis treated with a spinal orthosis. Read More

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http://dx.doi.org/10.1016/j.jspd.2019.01.009DOI Listing
November 2019

A semi-rigid thoracolumbar orthosis fitted immediately after spinal surgery : stabilizing effects and patient satisfaction.

J Med Invest 2019 ;66(3.4):275-279

Department of Orthopedics, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan.

Purpose : To evaluate the stabilizing effects of a Fit Cure-Spine® semi-rigid thoracolumbar orthosis and wearer satisfaction after lumbar surgery. Methods : In study 1, the spinal angle, spinal motion angle, and distribution of load were measured in 8 adult male volunteers when the orthosis was worn (1) with no custom-made stay (CMS), (2) with a CMS in the prone position (P-CMS), and (3) with a CMS in the prone position and decreased lordosis (DP-CMS). In study 2, pain scale scores and responses to a questionnaire were recorded in 40 consecutive patients who underwent lumbar spinal surgery in our hospital. Read More

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http://dx.doi.org/10.2152/jmi.66.275DOI Listing
June 2020
2 Reads

Traumatic posterior atlantooccipital dislocation combined with type II dens fracture and C1 anterior arch fracture: Two case reports.

Medicine (Baltimore) 2019 Oct;98(43):e17666

Department of Orthopaedic Surgery, Sanggye Paik Hospital, College of Medicine, Inje University, Seoul.

Rationale: Traumatic AOD is rare but highly associated with upper cervical spine injuries. We found no references in the literature of traumatic posterior atlantooccipital dislocation (AOD) combined with type II dens fracture (Anderson-D'Alonzo classification) and C1 anterior arch fracture.

Patient Concerns: The first case was a 93-year-old male patient who was admitted to the Emergency Department complaining of incomplete quadriplegia after a fall from a height. Read More

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http://dx.doi.org/10.1097/MD.0000000000017666DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6824809PMC
October 2019
1 Read

Orthotic management of instability of the knee related to neuromuscular and central nervous system disorders: qualitative interview study of patient perspectives.

BMJ Open 2019 10 17;9(10):e029313. Epub 2019 Oct 17.

York Trials Unit, University of York, York, UK.

Objectives: Adults with knee instability related to neuromuscular disorders or central nervous conditions often experience mobility problems and rely on orthoses to improve function and mobility. Patient views of device effectiveness and acceptability are underexplored. Our study aimed to elicit device users' perspectives regarding fitting, acceptability, effectiveness and use of orthoses, and identify important treatment outcomes. Read More

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http://dx.doi.org/10.1136/bmjopen-2019-029313DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6803152PMC
October 2019
4 Reads

Os Odontoideum in Children: Treatment Outcomes and Neurological Risk Factors.

J Bone Joint Surg Am 2019 Oct;101(19):1750-1760

Department of Pediatric Orthopedics, Arnold Palmer Hospital for Children, Orlando, Florida.

Background: Treatment outcomes and risk factors for neurological deficits in pediatric patients with an os odontoideum are unclear.

Methods: We reviewed the data for 102 children with os odontoideum who were managed at 11 centers between 2000 and 2016 and had a minimum duration of follow-up of 2 years. Thirty-one children had nonoperative treatment, and 71 underwent instrumented posterior cervical spinal arthrodesis for the treatment of C1-C2 instability. Read More

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http://dx.doi.org/10.2106/JBJS.19.00314DOI Listing
October 2019
1 Read

Analysis of the Effect of Surgical Treatment for the Patients with Hirayama Disease from the Perspective of Cervical Spine Sagittal Alignment.

World Neurosurg 2020 Jan 25;133:e342-e347. Epub 2019 Sep 25.

Department of Orthopedics, Huashan Hospital, Fudan University, Shanghai, China. Electronic address:

Objective: This study was carried out to analyze the surgical effect of cervical spine sagittal alignment for patients with Hirayama disease (HD).

Methods: Forty-four subjects were retrospectively analyzed for the parameters of cervical spine sagittal alignment. The case group consisted of 23 patients with HD, whereas the control group consisted of 21 healthy adolescent subjects. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.09.025DOI Listing
January 2020

Late deep cervical infection after anterior cervical discectomy and fusion: a case report and literature review.

BMC Musculoskelet Disord 2019 Sep 25;20(1):437. Epub 2019 Sep 25.

Department of Spine Surgery, Beijing Shijitan Hospital, Capital Medical University, No.10 Tieyi Road, Yangfangdian, Beijing, 100038, China.

Background: Anterior cervical discectomy and fusion (ACDF) is often performed for the treatment of degenerative cervical spine. While this procedure is highly successful, 0.1-1. Read More

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http://dx.doi.org/10.1186/s12891-019-2783-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6761726PMC
September 2019
1 Read

Clinical and radiological outcomes of conservative treatment for unilateral sagittal split fractures of C1 lateral mass.

Acta Orthop Traumatol Turc 2019 Nov 11;53(6):402-407. Epub 2019 Sep 11.

Department of Orthopaedic Surgery, Kyungbuk National University, Daegu, South Korea.

Objective: The aim of this study was to assess the effect of transverse atlantal ligament (TAL) integrity on clinical and radiological outcomes in patients with unilateral sagittal split fracture (USSF) of the C1 lateral mass (LM).

Methods: Twenty-six consecutive patients (16 men and 10 women; mean age: 52 years (range: 32-69)) with C1 LM USSF were included in this study. Sixteen were TAL injury group (nine of type I injuries and seven of type II injuries according to Dickman's classification) and ten were TAL intact group. Read More

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http://dx.doi.org/10.1016/j.aott.2019.08.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6938995PMC
November 2019

[Exercise therapy and bracing in patients with osteoporotic compression vertebral fractures].

Vopr Kurortol Fizioter Lech Fiz Kult 2019 ;96(4):69-75

National Medical Research Center for Rehabilitation and Balneology, Ministry of Health of Russia, Moscow, Russia.

Osteoporotic vertebral fractures (VF) have a negative impact on quality of life within a year after injury. A recent-onset vertebral body compression fracture in the presence of osteoporosis (OP) is generally accompanied by acute back pain, hypokinesia, and a reduction in daily physical and social activities, further leading to social isolation. Rehabilitation measures are of particular importance to restore quality of life in OP patients, especially in the people who have a history of fractures. Read More

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http://dx.doi.org/10.17116/kurort20199604169DOI Listing
November 2019
1 Read

[Atraumatic fractures of the spine : Current strategies for diagnosis and treatment].

Orthopade 2019 Oct;48(10):879-896

Universitätsklinik für Orthopädie und Unfallchirurgie, Universität Duisburg Essen, Essen, Deutschland.

Atraumatic fractures of the spine are a common orthopedic disease condition that can be asymptomatic or associated with complaints of varying intensity and quality. The risk factors for such fracture forms are often metabolic and genetic diseases, which have a direct or indirect effect on bone metabolism and therefore secondarily affect the stability of the spinal vertebrae. Furthermore, benign and malignant tumors as well as infectious diseases can also be causative for atraumatic spinal fractures; however, those factors that are attributable to lifestyle habits should also not be underestimated. Read More

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http://dx.doi.org/10.1007/s00132-019-03804-8DOI Listing
October 2019
2 Reads

Rapidly Progressing Symptomatic Calcification of Ligamentum Flavum in Thoracic Spine After Osteoporotic Vertebral Fractures.

World Neurosurg 2019 Dec 31;132:63-66. Epub 2019 Aug 31.

Department of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita, Japan.

Background: Symptomatic calcification of the ligamentum flavum (CLF) is common in the cervical spine but rare in the thoracic spine. Rapidly progressing CLF in the thoracic spine has not been reported in the literature.

Case Description: A 76-year-old Asian male experienced back pain after a fall and was diagnosed with osteoporotic vertebral fractures at T11 and L1. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.08.177DOI Listing
December 2019
2 Reads

Safety and efficacy of percutaneous instrumentation combined with antibiotic treatment in spondylodiscitis.

Orthop Traumatol Surg Res 2019 10 27;105(6):1165-1170. Epub 2019 Aug 27.

Service de chirurgie du Rachis, hôpitaux universitaires de Strasbourg, 67200 Strasbourg, France.

Background: Patients with spondylodiscitis are treated with antibiotics and braces for 6 to 12 weeks. Braces aim to decrease pain and prevent kyphotic deformity due to vertebral body collapse. Percutaneous instrumentation could be an alternative to influence pain and patient's autonomy. Read More

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http://dx.doi.org/10.1016/j.otsr.2019.05.016DOI Listing
October 2019
1 Read

Effect of external cervical orthoses on clinical and radiological outcome of patients undergoing anterior cervical discectomy and fusion.

Acta Neurochir (Wien) 2019 10 27;161(10):2195-2200. Epub 2019 Aug 27.

Department of Neurosurgery, S. Anna University Hospital, Ferrara, Italy.

Background: The current use of external cervical orthoses (ECO) after cervical discectomy is still based on a common practice than a solid scientific literature. The aim of this study is to evaluate the impact of ECO on radiological and functional outcomes in patients undergoing anterior cervical discectomy and fusion (ACDF).

Methods: We compared two cohorts of consecutive patients who underwent ACDF with and without ECO after surgery. Read More

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http://dx.doi.org/10.1007/s00701-019-04046-5DOI Listing
October 2019

3D spinal and rib cage predictors of brace effectiveness in adolescent idiopathic scoliosis.

Authors:
Saba Pasha

BMC Musculoskelet Disord 2019 Aug 22;20(1):384. Epub 2019 Aug 22.

Division of Orthopedic Surgery, The Children's Hospital of Philadelphia, 3401 Civic Center Blvd., Philadelphia, PA, 19104, USA.

Background: Scoliotic braces are the standard of curve for management of moderate spinal deformities in pediatric patients. The effectiveness of this treatment method has been shown; however, the spinal and rib cage parameters, in the three anatomical planes, that are associated with bracing outcome in adolescent idiopathic scoliosis (AIS) are not fully identified.

Methods: A total number of 45 right thoracic AIS patients who had received a thoraco-lumbo-scaral brace for the first time were included retrospectively. Read More

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http://dx.doi.org/10.1186/s12891-019-2754-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6706918PMC
August 2019
2 Reads
1.898 Impact Factor

Objective Monitoring of Brace Wearing Time in Adolescents with Scheuermann's Kyphosis.

Asian Spine J 2019 Dec 23;13(6):942-948. Epub 2019 Aug 23.

Department of Orthopaedic Surgery, Shafa Yahyaiian Hospital, Iran University of Medical Sciences, Tehran, Iran.

Study Design: This was a prospective cohort study.

Purpose: This study aimed to evaluate the potential differences between the objective and subjective bracing compliances of adolescents with Scheuermann's kyphosis.

Overview Of Literature: Bracing is a well-documented intervention for managing adolescents with progressive thoracic Scheuermann's kyphosis, and the brace should be worn 23 hours every day. Read More

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http://dx.doi.org/10.31616/asj.2019.0008DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6894974PMC
December 2019
3 Reads

New clinical guidelines on the spinal stabilisation of adult trauma patients - consensus and evidence based.

Scand J Trauma Resusc Emerg Med 2019 Aug 19;27(1):77. Epub 2019 Aug 19.

Emergency Medical Services Copenhagen, University Copenhagen, Copenhagen, Denmark.

Traumatic spinal cord injury is a relatively rare injury in Denmark but may result in serious neurological consequences. For decades, prehospital spinal stabilisation with a rigid cervical collar and a hard backboard has been considered to be the most appropriate procedure to prevent secondary spinal cord injuries during patient transportation. However, the procedure has been questioned in recent years, due to the lack of high-quality studies supporting its efficacy. Read More

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http://dx.doi.org/10.1186/s13049-019-0655-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6700785PMC
August 2019
5 Reads

Long-term Results of Conservative Therapy of Adolescent Idiopathic Scoliosis Using the Cheneau Brace.

Klin Padiatr 2019 Sep 13;231(5):248-254. Epub 2019 Aug 13.

Orthopädische Universitätsklinik der Friedrich-Alexander-Universität Erlangen-Nürnberg, Orthopädische Universitätsklinik, Erlangen.

Adolescent idiopathic scoliosis is a disease of the growing skeleton. The goal in therapy is to decelerate or to prevent progression of the spinal curve. As part of a retrospective study the patient group of the scoliosis surgery from 1995-2016 was analysed according to the inclusion criteria of the Scoliosis research Society (SRS). Read More

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http://dx.doi.org/10.1055/a-0963-8996DOI Listing
September 2019
4 Reads

Effects of varying the rest period on the onset angle of lumbar flexion-relaxation in simulated sheep shearing: a preliminary study.

IEEE Int Conf Rehabil Robot 2019 06;2019:83-88

Wool harvesting remains an important industry in Australia, but its workers suffer from extreme rates of injury, in particular, the lower back injuries. Reducing injuries in sheep shearing could be as simple as extending shearer rest periods between sheep, but the effect of this has not previously been studied. The lumbar flexion-relaxation phenomenon is present in sheep shearing and the onset angle of this phenomenon can provide insight into lower back injury risk. Read More

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http://dx.doi.org/10.1109/ICORR.2019.8779480DOI Listing

Regression of Retro-odontoid Pseudotumor Using External Orthosis without Atlantoaxial Fusion: A Case Report.

JBJS Case Connect 2019 Jul-Sep;9(3):e0329

Department of Orthopaedic Surgery, Kitasato University School of Medicine, Kanagawa, Japan.

Case: We treated an 87-year-old woman with noninflammatory retro-odontoid pseudotumor induced by atlantoaxial instability (AAI) using only a Philadelphia collar. Because of perioperative risk factors, fusion surgery was canceled; nevertheless, the neurological symptoms improved gradually. After 11 months of nonoperative treatment, the follow-up magnetic resonance imaging demonstrated that the pseudotumor's size was obviously diminished. Read More

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http://dx.doi.org/10.2106/JBJS.CC.18.00329DOI Listing
June 2020
1 Read

Experimental platform to facilitate novel back brace development for the improvement of spine stability.

Comput Methods Biomech Biomed Engin 2019 Nov 30;22(15):1163-1173. Epub 2019 Jul 30.

Engineering Department, Lancaster University , Lancaster , UK.

The spine or 'back' has many functions including supporting our body frame whilst facilitating movement, protecting the spinal cord and nerves and acting as a shock absorber. In certain instances, individuals may develop conditions that not only cause back pain but also may require additional support for the spine. Common movements such as twisting, standing and bending motions could exacerbate these conditions and intensify this pain. Read More

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http://dx.doi.org/10.1080/10255842.2019.1645837DOI Listing
November 2019
1 Read

Posttraumatic C5 Palsy After Application of Hard Collar in Ankylosing Spondylitis.

World Neurosurg 2019 Nov 26;131:27-31. Epub 2019 Jul 26.

Spinal Trauma Unit, Imperial College Healthcare NHS Trust, St Mary's Hospital, London, England.

Background: Ankylosing spondylitis (AS) is a systemic enthesopathy. In its presence, spinal fractures are often unstable. Acknowledging the preinjury level of kyphosis is key in the management of cervical fractures, and placement into a hard collar has been shown to result in life-threatening spinal cord complications. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.07.158DOI Listing
November 2019
1 Read

Thoracic spine Langerhans cell histiocytosis in a child with achondroplasia.

BMJ Case Rep 2019 Jul 24;12(7). Epub 2019 Jul 24.

Paediatric Neurosurgery, Royal Hospital for Sick Children, Edinburgh, UK.

Multifocal bone Langerhans cell histiocytosis (LCH) is usually treated with prednisolone and vinblastine. We present a case conservatively treated with indomethacin with good clinical and radiological response. A 7-year-old achondroplastic boy presented with worsening thoracic back pain and leg weakness. Read More

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http://dx.doi.org/10.1136/bcr-2018-228801DOI Listing
July 2019
5 Reads

Could the Clinical Effectiveness Be Improved Under the Integration of Orthotic Intervention and Scoliosis-Specific Exercise in Managing Adolescent Idiopathic Scoliosis?: A Randomized Controlled Trial Study.

Am J Phys Med Rehabil 2019 08;98(8):642-648

From the Center of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China (CG, CH); Department of Biomedical Engineering, The Hong Kong Polytechnic University, Hong Kong, China (CG, MW); Institute for Disaster Management and Reconstruction, Sichuan University-The Hong Kong Polytechnic University, Chengdu, Sichuan Province, China (CG, CH, MW); Department of Rehabilitation Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu Province, China (YZ); and Department of Rehabilitation Medicine, Wuxi Rehabilitation Hospital, Wuxi, Jiangsu Province, China (CG, YZ, CF, YY, MW).

Objective: The aim of the study was to compare the effectiveness of the integration of orthotic intervention and scoliosis-specific exercise with orthotic intervention only via assessing the spinal deformity, back muscle endurance, and pulmonary function of the patients with adolescent idiopathic scoliosis.

Design: It is a prospective randomized controlled study. Patients who fulfilled the SRS criteria for orthotic intervention were randomly assigned to the orthosis combined with exercise group (combined orthotic and exercise intervention) or the orthotic intervention group (orthotic intervention only). Read More

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http://dx.doi.org/10.1097/PHM.0000000000001160DOI Listing
August 2019
2 Reads

[Refugee/immigrant children with cerebral palsy in the Swedish health care organization].

Lakartidningen 2019 Jul 1;116. Epub 2019 Jul 1.

Institutionen för kliniska vetenskaper Lund - Orthopaedics Lund, Sweden - Orthopaedics Lund, Sweden.

Cerebral palsy (CP) is present in about 200 children per birth-year cohort in Sweden. From 2001 to 2016, the annual number of immigrants to Sweden with CP enrolled at the (re)habilitation services increased from less than ten to 40-90 individuals per year; about 70 % came to Sweden as refugees. At a group level, children with CP born abroad had greater functional impairment than children born in Sweden, based on information in the Swedish national surveillance program and health care quality register for CP (CPUP). Read More

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July 2019
5 Reads

Effective factors on brace compliance in idiopathic scoliosis: a literature review.

Disabil Rehabil Assist Technol 2019 Jun 28:1-7. Epub 2019 Jun 28.

b Pediatric Neurorehabilitation Research Centre , University of Social Welfare and Rehabilitation Sciences , Tehran , Iran.

Compliance plays a major role in the success of brace treatment and is influenced by factors such as the kind of brace, measurements method, regimen for brace wear, pattern wearing at night/day or full/part time and another factor is also psychological condition of the wearer. The objective of this review is to assess affecting factors on compliance of spinal braces in idiopathic scoliosis. The guideline of the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) was used for conducting review and assessing the quality of evidence. Read More

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http://dx.doi.org/10.1080/17483107.2019.1629117DOI Listing
June 2019
8 Reads

Prevalence and goal attainment with spinal orthoses for children with cerebral palsy.

J Pediatr Rehabil Med 2019 ;12(2):197-203

Department of Clinical Sciences Lund, Lund University, Orthopaedics, Lund, Sweden.

Purpose: Analyze the goals for treatment and attained goals for spinal orthoses in children with cerebral palsy (CP), and describe the use of spinal orthoses in relation to age, sex, gross motor function, and scoliosis.

Methods: Cross-sectional data for all children born between 2000 and 2014 and registered in the Swedish CP registry were analyzed in relation to age, sex, Gross Motor Function Classification System (GMFCS), and scoliosis. Treatment goals were to 1) prevent deformity; 2) improve stability/positioning; 3) improve head control; and 4) improve arm/hand function. Read More

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http://dx.doi.org/10.3233/PRM-180596DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6700629PMC
May 2020
17 Reads