Neuromuscular spine deformity

204 Pages·2018·31.133 MB·English

by  Betz, Randal R., Newton, Peter O., Samdani, Amer F., Shufflebarger, Harry L., Sponseller, Paul D.

Neuromuscular Spine Deformity
Amer F. Samdani, MD
Chief of Surgery
Shriners Hospitals for Children-Philadelphia
Philadelphia, Pennsylvania
Peter O. Newton, MD
Professor, Department of Orthopedic Surgery
UC San Diego School of Medicine
Chief, Division of Orthopedics & Scoliosis
Rady Children’s Hospital-San Diego
San Diego, California
Paul D. Sponseller, MD
Sponseller Professor and Head of Pediatric Orthopaedic Surgery
Johns Hopkins Medical Institutions
Baltimore, Maryland
Harry L. Shufflebarger, MD
Director
Division of Spinal Surgery
Nicklaus Children’s Hospital
Miami, Florida
Randal R. Betz, MD
Pediatric Scoliosis and Spine Surgeon
Institute for Spine & Scoliosis
Lawrenceville, New Jersey
264 illustrations
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Names:Samdani,AmerF.,editor.|Newton,PeterO.,editor.| schedulesmentionedthereinorthecontraindicationsstatedbythe
Sponseller,PaulD.,editor.|Shufflebarger,HarryL.,editor.|Betz, manufacturers differ from the statements made in the present
RandalR.,editor. book.Suchexaminationisparticularlyimportantwithdrugsthat
Title:Neuromuscularspinedeformity/[editedby]AmerF. areeitherrarelyusedorhavebeennewlyreleasedonthemarket.
Samdani,PeterO.Newton,PaulD.Sponseller, Everydosagescheduleoreveryformofapplicationusedisentirely
HarryL.Shufflebarger,RandalR.Betz. attheuser’sownriskandresponsibility.Theauthorsandpublishers
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Thisbookwouldnothavebeenpossiblewithoutthesupportofmywifeandbestfriend,Besma,andmanythanks
toourchildren,Umar,Hiba,Zara,andAman,fortheirunderstandingoftheirdad’sworkschedule.
—AmerF.Samdani,MD
Inhopesofchangingtheirlivesforthebetter,wededicatethisbooktothepatientswithneuromuscularscoliosis,
theirfamiliesandthefuturegenerationsofpatientsstrickenbyspinaldeformity.
—PeterO.Newton,MD
Iwouldliketodedicatetheworktomyfamily,Amy,Matt,andNinaSponseller,andtomywonderfulcolleagues
intheHarmsStudyGroup.
—PaulD.Sponseller,MD
Topatientswithneuromuscularspinaldeformity:thoseofthepastfromwhomwhatwehavelearned
constitutesthematerialofthisbook;andthoseofthefuturewhowillbenefitfromthisbookandfromwhom
wewillcontinuetolearn.
—HarryL.ShufflebargerMD
Tothechildrenwholivewithneuromuscularconditionsandfortheirstrengthofspirit,whichissuchaninspiration
totheirphysiciansandsurgeons.
—RandalR.Betz,MD

Contents
Foreword............................................................................................ ix
Preface................................................................................................ x
Acknowledgments.................................................................................. xii
Contributors ....................................................................................... xiii
I. SurgicalandMedicalConsiderations
1. PreoperativeEvaluationandOptimization........................................................ 2
MichaelP.KellyandScottJ.Luhmann
2. NonoperativeManagement ........................................................................ 7
StefanParent
3. SurgicalIndicationsinNeuromuscularScoliosis................................................. 11
CherylR.Lawing,MichaelP.Kelly,andPaulD.Sponseller
4. IntraoperativeIssues:Anesthesia,Neuromonitoring,EstimatedBloodLoss.................. 20
PaulD.Kiely,AkhilA.Tawari,JahangirK.Asghar,andHarryL.Shufflebarger
5. UniqueChallengeswithScoliosisandDislocatedHips.......................................... 25
FirozMiyanjiandRandalR.Betz
6. PredictingComplications:WhentoOperateorNot............................................. 30
MarkF.AbelandAnujSingla
II. DiagnosisSpecific
7. ScoliosisinCerebralPalsy.......................................................................... 40
PaulD.SponsellerandStuartL.Mitchell
8. SurgicalTreatmentofSpinalDeformityinMyelomeningocele................................. 49
PeterG.Gabos
9. ThePatientwithSpinalCordInjury:SurgicalConsiderations .................................. 59
JoshuaM.Pahys,AmerF.Samdani,andRandalR.Betz
10. TheSpineinDuchenneMuscularDystrophy..................................................... 66
BenjaminAlman
11. SpinalMuscularAtrophy........................................................................... 71
BenjaminD.RoyeandMichaelG.Vitale
12. OtherNeuromuscularConditions:RettSyndrome,Charcot–Marie–ToothDisease,and
Friedreich’sAtaxia.................................................................................. 78
KeithR.BachmanandVidyadharV.Upasani
vii
Contents
13. NeurosurgicalCausesofScoliosis ................................................................. 88
MarieRoguski,StevenW.Hwang,andAmerF.Samdani
14. SagittalPlaneSpinalDeformityinPatientswithNeuromuscularDisease..................... 95
KirkW.Dabney
15. SpinalDeformityAssociatedwithNeurodegenerativeDiseaseinAdults.................... 104
DanaL.Cruz,ShaleenVira,VirginieLafage,ThemistoclesProtopsaltis,andThomasJ.Errico
III. SurgicalTechniques
16. SacropelvicFixationTechniques................................................................. 114
SukenA.Shah
17. ComparisonofUnitRodswithModularConstructsinCerebralPalsy........................ 122
MarkShastiandPaulD.Sponseller
18. Halo-GravityTraction:AnAdjunctiveTreatmentforSevereSpinalDeformity.............. 126
JoshuaM.PahysandAmerF.Samdani
19. Osteotomies:PonteandVertebralColumnResection......................................... 132
ScottC.Wagner,RonaldA.LehmanJr.,andLawrenceG.Lenke
20. GrowingSpineOptionsforNeuromuscularScoliosis.......................................... 136
JoshuaS.MurphyandBurtYaszay
21. AnteriorApproachestotheSpineforNeuromuscularSpinalDeformity .................... 143
PeterO.Newton
IV. PostoperativeManagementandComplications
22. IncidenceofMajorComplicationsinSurgeryforNeuromuscularSpineDeformity ........ 150
AndrewH.MilbyandPatrickJ.Cahill
23. ManagementofEarlyandLateInfection ....................................................... 155
MarkShasti,PaulD.Sponseller,andStefanParent
24. PostoperativeIntensiveCareUnitManagement............................................... 161
SandeepKhannaandKathleenGorenc
25. Reoperations:InstrumentationFailure,JunctionalKyphosis,andCervicalExtension...... 167
VidyadharV.Upasani,CoreyB.Fuller,andMunishGupta
26. Health-RelatedQualityofLifeinNeuromuscularScoliosis.................................... 173
JamesH.Stephen,EveHoffman,UnniG.Narayanan,PaulD.Sponseller,andAmerF.Samdani
27. BaclofenPump:Preoperative,Intraoperative,andPostoperativeManagement............ 179
BrianP.ScannellandBurtYaszay
Index............................................................................................... 184
viii