Sensorial and Physiological Mechanism-based Assessments of Perioperative Pain
ScoliosisThe overall goal of this proposal is to determine if quantitative sensory testing (QST) assessing pain modulation can be used as a clinical tool to optimize perioperative pain management. The central hypothesis is that the identification of patient's sensory pain profile allows personalizing therapeutic approaches to improve individualized pain management and thus prevents pain chronicity.
Safety Outcomes of Vertebral Body Tethering Technique
Idiopathic Adolescent ScoliosisThe objectives of this study is to assess whether the intervention (Anterior Vertebral Tethering) is a safe and efficacious method of anterior approach surgery for spinal deformity in pediatric scoliosis.
Lumbar Interbody Implant Study
Degenerative Disc DiseaseDegenerative Spondylolisthesis3 moreThe objective of this study is to evaluate the safety and performance of NuVasive interbody implants when used during thoracic and/or lumbar spine surgery as measured by reported complications, radiographic outcomes, and patient-reported outcomes. This study is being undertaken to identify possible residual risks and to clarify mid- to long-term clinical performance that may affect the benefit/risk ratios of these interbody implants.
Genetic Study of Idiopathic Scoliosis in a Cohort of Families (SCOGEN)
Scoliosis IdiopathicThis study will focus on a large cohort of multiplex families, to precisely identify candidate genes. The fact of have a large database (fifty families, collected by the principal investigator for more than two decades), will contribute to the discovery of genes of interest. It will also allow testing for the presence or absence of mutations found in other cohorts in previous studies. The main objective of this study is to identify genetic abnormalities associated with the presence and severity of idiopathic scoliosis, in families of scoliosis.
Comparison of Reposition Sense in Scoliosis and Healthy Adolescents
Scoliosis; AdolescenceHealthy1 moreThe aim of the study is to compare the spine joint reposition sense in adolescent idiopathic scoliosis and healthy adolescents and to investigate whether there is a difference.
Clinical Study of Imaging and Endoplant-related Mechanical Complications After Long Segment Fixation...
Degenerative ScoliosisThere is a high probability of mechanical complications in patients with degenerative lumbar scoliosis after long segment fixation and fusion, and there are few studies on distal borderline kyphosis deformity/failure. This study was designed to retrospectively analyze the patients with degenerative lumbar scoliosis (DLS) who underwent posterior selective decompression and long segment fixation and fusion surgery in the lumbar spine department of our hospital from April 2009 to May 2016. Patients' basic data, surgical data and preoperative, immediate postoperative and follow-up imaging data were collected to study the incidence of distal mechanical complications, risk factors and their relationship with clinical symptom scores in DLS patients undergoing posterior selective decompression and long segment fixation and fusion. It has guiding significance for clinical operation decision making.
Rapid Postoperative Recovery Pathway in Adolescent Idiopathic Scoliosis.
Scoliosis Idiopathicthe study will evaluate the clinical outcomes of an intra- and postoperative fast-track protocol in patients undergoing instrumented posterior arthrodesis surgery for adolescent idiopathic scoliosis.
Adolescent Idiopathic Scoliosis and Proprioceptive Defect
Adolescent Idiopathic ScoliosisThis is the first research study to examine the peripheral and spinal proprioceptive deficits in AIS subjects in a comprehensive manner. It will determine normative values with reference to age, the relationship of proprioceptive changes to curve pattern, magnitude and progression, as well as whether all joints are equally affected, and thus address definitively the contribution of spinal proprioception to aetiology. Furthermore, as little is known about the measurement of proprioceptive sense, the present protocol from the study could be a reference measurement guide for detecting the proprioceptive sense in normal individuals, as well as to identify those with high risk for curve progression.
Assessment of Skeletal Maturity Using Proximal Femoral Epiphysis in Patients With Scoliosis
Idiopathic ScoliosisThis study aims to explore the use of proximal femoral head for the assessment of skeletal maturity in patients with idiopathic scoliosis. The aim is to validate the use of the stages of proximal femoral epiphyseal closure in assessing pubertal growth landmarks in this patient cohort. The grading system of this skeletal maturity index will be established and its reliability and reproducibility in clinical use will be examined.
Scoliosis Survey to Development Treatment Decision Tool
Scoliosis; AdolescenceThis is a survey to help understand the influences related to the decision for Adolescent Idiopathic Scoliosis treatment (observation vs. bracing vs. surgery). The investigator then plans to create a decision aid to help families when making a decision about the treatment choice being presented to them.