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Children
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Advances in Paediatric Spine Surgery
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Special Issue "Advances in Paediatric Spine Surgery"

A special issue of Children (ISSN 2227-9067). This special issue belongs to the section "Pediatric Orthopedics".

Deadline for manuscript submissions: 15 May 2024 | Viewed by 1524

Special Issue Editors

Dr. Federico Solla
E-Mail Website
Guest Editor
Paediatric Orthopaedic Unit, Fondation Lenval, 57 Avenue de la Californie, 06200 Nice, France
Interests: paediatric orthopedic surgery; scoliosis; spine surgery
Dr. Luigi Aurelio Nasto
E-Mail Website
Guest Editor
Department of Orthopaedics, School of Medicine, "L. Vanvitelli" University Hospital, Università degli Studi della Campania "L. Vanvitelli", 80138 Naples, Italy
Interests: spine surgery; pediatric orthopaedics

Special Issue Information

Dear Colleagues,

The constantly evolving field of pediatric spine surgery has seen tremendous advancements in recent years. Improvements in surgical techniques, implants, and peri-operative pathways have greatly benefited our patients and their families. Newer technologies have improved patients’ safety and the reproducibility of our results. Nevertheless, there are still many questions waiting to be answered and room for improvements.

Modern technologies, including vertebral body tethering (VBT), patient-specific rods, self-growing rods, minimally invasive, robot-assisted, and surgical navigation, are active areas of investigation. Similarly, enhanced recovery after surgery (ERAS) protocols as well as newer strategies for peri-operative analgesia are promising tools to hasten recovery after surgery.

The aim of this Special Issue is to bring together prominent scholars in the field of pediatric spine surgery and present the most advanced research in the field. This Special Issue will focus on all aspects of pediatric spine surgery, including scoliosis, hyperkyphosis, congenital deformities, spondylolisthesis, with a special interest in new technologies, new surgical techniques, and peri-operative management protocols.

Dr. Federico Solla
Dr. Luigi Aurelio Nasto
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Children is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2400 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • scoliosis
  • adolescent idiopathic scoliosis
  • neuromuscular scoliosis
  • children
  • enhanced recovery after surgery
  • vertebral body tethering
  • 3D
  • kyphosis
  • sagittal
  • spondylolisthesis
  • patient-specific rods
  • spondylodiscitis

Published Papers (3 papers)

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Research

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14 pages, 1777 KiB  
Article
Optimising Intraoperative Fluid Management in Patients Treated with Adolescent Idiopathic Scoliosis—A Novel Strategy for Improving Outcomes
by
Jakub Miegoń
,
Sławomir Zacha
,
Karolina Skonieczna-Żydecka
,
Agata Wiczk-Bratkowska
,
Agata Andrzejewska
,
Konrad Jarosz
,
Monika Deptuła-Jarosz
and
Jowita Biernawska
Children 2023, 10(8), 1371; https://doi.org/10.3390/children10081371 - 10 Aug 2023
Viewed by 580
Abstract
Scoliosis surgery is a challenge for the entire team in terms of safety, and its accomplishment requires the utilization of advanced monitoring technologies. A prospective, single centre, non-randomised controlled cohort study, was designed to assess the efficacy of protocolised intraoperative haemodynamic monitoring and [...] Read more.
Scoliosis surgery is a challenge for the entire team in terms of safety, and its accomplishment requires the utilization of advanced monitoring technologies. A prospective, single centre, non-randomised controlled cohort study, was designed to assess the efficacy of protocolised intraoperative haemodynamic monitoring and goal-directed therapy in relation to patient outcomes following posterior fusion surgery for adolescent idiopathic scoliosis (AIS). The control group (n = 35, mean age: 15 years) received standard blood pressure management during the surgical procedure, whereas the intervention group (n = 35, mean age: 14 years) underwent minimally invasive haemodynamic monitoring. Arterial pulse contour analysis (APCO) devices were employed, along with goal-directed therapy protocol centered on achieving target mean arterial pressure and stroke volume. This was facilitated through the application of crystalloid boluses, ephedrine, and noradrenaline. The intervention group was subjected to a comprehensive protocol following Enhanced Recovery After Surgery (ERAS) principles. Remarkably, the intervention group exhibited notable advantages (p < 0.05), including reduced hospital stay durations (median 7 days vs. 10), shorter episodes of hypotension (mean arterial pressure < 60 mmHg—median 8 vs. 40 min), lesser declines in postoperative haemoglobin levels (−2.36 g/dl vs. −3.83 g/dl), and quicker extubation times. These compelling findings strongly imply that the integration of targeted interventions during the intraoperative care of AIS patients undergoing posterior fusion enhance a set of treatment outcomes. Full article
(This article belongs to the Special Issue Advances in Paediatric Spine Surgery)
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Review

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12 pages, 3407 KiB  
Review
Minimally Invasive Surgery for Posterior Spinal Instrumentation and Fusion in Adolescent Idiopathic Scoliosis: Current Status and Future Application
by
Ludmilla Bazin
,
Alexandre Ansorge
,
Tanguy Vendeuvre
,
Blaise Cochard
,
Anne Tabard-Fougère
,
Oscar Vazquez
,
Giacomo De Marco
,
Vishal Sarwahi
and
Romain Dayer
Children 2023, 10(12), 1882; https://doi.org/10.3390/children10121882 - 30 Nov 2023
Viewed by 181
Abstract
The posterior minimally invasive spine surgery (MISS) approach—or the paraspinal muscle approach—for posterior spinal fusion and segmental instrumentation in adolescent idiopathic scoliosis (AIS) was first reported in 2011. It is less invasive than the traditionally used open posterior midline approach, which is associated [...] Read more.
The posterior minimally invasive spine surgery (MISS) approach—or the paraspinal muscle approach—for posterior spinal fusion and segmental instrumentation in adolescent idiopathic scoliosis (AIS) was first reported in 2011. It is less invasive than the traditionally used open posterior midline approach, which is associated with significant morbidity, including denervation of the paraspinal muscles, significant blood loss, and a large midline skin incision. The literature suggests that the MISS approach, though technically challenging and with a longer operative time, provides similar levels of deformity correction, lower intraoperative blood loss, shorter hospital stays, better pain outcomes, and a faster return to sports than the open posterior midline approach. Correction maintenance and fusion rates also seem to be equivalent for both approaches. This narrative review presents the results of relevant publications reporting on spinal segmental instrumentation using pedicle screws and posterior spinal fusion as part of an MISS approach. It then compares them with the results of the traditional open posterior midline approach for treating AIS. It specifically examines perioperative morbidity and radiological and clinical outcomes with a minimal follow-up length of 2 years (range 2–9 years). Full article
(This article belongs to the Special Issue Advances in Paediatric Spine Surgery)
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Other

Jump to: Research, Review

9 pages, 1279 KiB  
Brief Report
Feasibility, Safety and Reliability of Surgeon-Directed Transcranial Motor Evoked Potentials Monitoring in Scoliosis Surgery
by
Aude Kerdoncuff
,
Patrice Henry
,
Roxane Compagnon
,
Franck Accadbled
,
Jérôme Sales de Gauzy
and
Tristan Langlais
Children 2023, 10(9), 1560; https://doi.org/10.3390/children10091560 - 15 Sep 2023
Viewed by 387
Abstract
(1) Background: Neuromonitoring is essential in corrective surgery for scoliosis. Our aim was to assess the feasibility, safety and reliability of “surgeon-directed” intraoperative monitoring transcranial motor evoked potentials (MEP) of patients. (2) Methods: A retrospective single-center study of a cohort of 190 scoliosis [...] Read more.
(1) Background: Neuromonitoring is essential in corrective surgery for scoliosis. Our aim was to assess the feasibility, safety and reliability of “surgeon-directed” intraoperative monitoring transcranial motor evoked potentials (MEP) of patients. (2) Methods: A retrospective single-center study of a cohort of 190 scoliosis surgeries, monitored by NIM ECLIPSE (Medtronic), between 2017 and 2021. Girls (144) and boys (46) (mean age of 15 years) were included. There were 149 idiopathic and 41 secondary scoliosis. The monitoring consisted of stimulating the primary motor cortex to record the MEP with muscular recording on the thenar, vastus lateralis, tibialis anterior and adductor hallucis muscles. (3) Results: The monitoring data was usable in 180 cases (94.7%), with 178 true negatives, no false negatives and one false positive. There was one true positive case. The predictive negative value was 100%. The monitoring data was unusable in 10 cases (i.e., three idiopathic and seven secondary scoliosis). (4) Conclusions: Simplified transcranial MEP monitoring known as “surgeon-directed module” is usable, safety and reliable in surgery for moderate scoliosis. It is feasible in 95% of cases with a negative predictive value of 100%. Full article
(This article belongs to the Special Issue Advances in Paediatric Spine Surgery)
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