Resección de Hemivertebra con fusión instrumentada con abordaje posterior en niños

http://www.columnavertebralpediatricaygeriatrica.com.mx/academia/reseccion-de-hemivertebra-con-fusion-instrumentada-con-abordaje-posterior-en-ninos/

                                                                                                                            

 Hemivertebra Resection With Instrumented Fusion by Posterior Approach in Children

Fuente
Este artículo es originalmente publicado en:

https://www.ncbi.nlm.nih.gov/pubmed/27927556

http://www.sciencedirect.com/science/article/pii/S2212134X1500115X

De:

Piantoni L1,Francheri Wilson IA2,Tello CA2,Noel MA2,Galaretto E2,

Remondino RG2,Bersusky ES2.

Spine Deform.

2015 Nov;3(6):541-548. doi: 10.1016/j.jspd.2015.04.008. Epub 2015 Oct 28.

Todos los derechos reservados para:

Copyright © 2015 Scoliosis Research Society. Published by Elsevier Inc. All rights reserved.AbstractSTUDY DESIGN:

We conducted a retrospective study of patients with congenital scoliosis due to hemivertebra (HV) and performed resection with instrumentation through posterior approach-only with long term follow-up.

OBJECTIVES:

The objective of this study was to assess results of HV resection by posterior approach-only with instrumentation between 2002 and 2011.

SUMMARY AND BACKGROUND DATA:

Hemiepiphysiodesis, arthrodesis in situ and resection without instrumentation had been performed in the past with different results. Hemivertebra resection with spinal instrumentation through anterior and posteriorapproach has been advocated as the treatment of choice.

CONCLUSIONS:

We concluded that HV resection by posterior approach-only with instrumentation is a simple, secure, reliable, less invasive and well tolerated technique that can successfully resolve this kind of congenital scoliosis in children.

Copyright © 2015 Scoliosis Research Society. Published by Elsevier Inc. All rights reserved.

KEYWORDS:

Congenital scoliosis; Early-onset scoliosis; Hemivertebra resection; Pediatric spine surgery; Vertebrae malformation

PMID:  27927556   DOI:  

10.1016/j.jspd.2015.04.008

Resumen

DISEÑO DEL ESTUDIO:
Se realizó un estudio retrospectivo de pacientes con escoliosis congénita por hemivertebra (HV) y se realizó resección con instrumentación mediante abordaje posterior, sólo con seguimiento a largo plazo.

OBJETIVOS:
El objetivo de este estudio fue evaluar los resultados de la resección de HV por vía posterior, sólo con instrumentación entre 2002 y 2011.

RESUMEN Y ANTECEDEN:
hemiepifisiodesis, artrodesis in situ y resección sin instrumentación se había realizado en el pasado con diferentes resultados. La resección de Hemivertebra con instrumentación de columna mediante el abordaje anterior y posterior se ha defendido como el tratamiento de elección.

CONCLUSIONES:
Llegamos a la conclusión de que la resección HV por vía posterior-sólo con la instrumentación es una técnica simple, segura, fiable, menos invasiva y bien tolerada que puede resolver con éxito este tipo de escoliosis congénita en los niños.
Copyright © 2015 Sociedad de Investigación de Escoliosis. Publicado por Elsevier Inc. Todos los derechos reservados.

PALABRAS CLAVE:
Escoliosis congénita; Escoliosis de inicio temprano; Resección de Hemivertebra; Cirugía de columna vertebral pediátrica; Malformación de las vértebras

PMID: 27927556 ​​DOI: 10.1016 / j.jspd.2015.04.008

#Escoliosis congénita #Resección de Hemivertebra#Malformación de las vértebras #niños

Dolor en niños / Pain in children

Febrero 16, 2017. No. 2602

Intervenciones psicológicas basadas en la evidencia para el manejo del dolor crónico pediátrico: nuevas direcciones en la investigación y la práctica clínica. Evidence-Based Psychological Interventions for the Management of Pediatric Chronic Pain: New Directions in Research and Clinical Practice. Coakley R1,2, Wihak T3. Children (Basel). 2017 Feb 4;4(2). pii: E9. doi: 10.3390/children4020009. Abstract Over the past 20 years our knowledge about evidence-based psychological interventions for pediatric chronic pain has dramatically increased. Overall, the evidence in support of psychological interventions for pediatric chronic pain is strong, demonstrating positive psychological and behavioral effects for a variety of children with a range of pain conditions. However, wide scale access to effective psychologically-based pain management treatments remains a challenge for many children who suffer with pain. Increasing access to care and reducing persistent biomedical biases that inhibit attainment of psychological services are a central focus of current pain treatment interventions. Additionally, as the number of evidence-based treatments increase, tailoring treatments to a child or family's particular needs is increasingly possible. This article will (1) discuss the theoretical frameworks as well as the specific psychological skills and strategies that currently hold promise as effective agents of change; (2) review and summarize trends in the development of well-researched outpatient interventions over the past ten years; and (3) discuss future directions for intervention research on pediatric chronic pain. KEYWORDS: child; chronic pain; empirically supported; evidence-based; parent; pediatric; psychological intervention PDF Validación de la escala de Satisfacción de Adolescentes con Manejo Postoperatorio del Dolor - Escoliosis idiopática (SAP-S). Validation of the scale on Satisfaction of Adolescents with Postoperative pain management - idiopathic Scoliosis (SAP-S). Khadra C1, Le May S2, Ballard A2, Théroux J3, Charette S4, Villeneuve E5, Parent S6, Tsimicalis A7, MacLaren Chorney J8. J Pain Res. 2017 Jan 11;10:137-143. doi: 10.2147/JPR.S124365. eCollection 2017. Abstract BACKGROUND: Spinal fusion is a common orthopedic surgery in children and adolescents and is associated with high pain levels postoperatively. If the pain is not well managed, negative outcomes may ensue. To our knowledge, there is no measure in English that assesses patient's satisfaction with postoperative pain management following idiopathic scoliosis surgery. The aim of the present study was to assess the psychometric properties of the satisfaction subscale of the English version of the Satisfaction of Adolescents with Postoperative pain management - idiopathic Scoliosis (SAP-S) scale. METHODS: Eighty-two participants aged 10-18 years, who had undergone spinal fusion surgery, fully completed the SAP-S scale at 10-14 days postdischarge. Construct validity was assessed through a principal component analysis using varimax rotation. RESULTS: Principal component analysis indicated a three-factor structure of the 13-item satisfaction subscale of the SAP-S scale. Factors referred to satisfaction regarding current medication received (Factor 1), actions taken by nurses and doctors to manage pain (Factor 2) and information received after surgery (Factor 3). Cronbach's alpha was 0.91, showing very good internal consistency. Data on satisfaction and clinical outcomes were also reported. CONCLUSION: The SAP-S is a valid and reliable measure of satisfaction with postoperative pain management that can be used in both research and clinical settings to improve pain management practices. Although it was developed and validated with adolescents who had undergone spinal fusion surgery, it can be used, with further validation, to assess adolescents' satisfaction with pain management in other postoperative contexts. KEYWORDS: adolescents; orthopedics; pain management; postoperative pain; satisfaction; scoliosis PDF Práctica actual y avances recientes en el manejo del dolor pediátrico Current practice and recent advances in pediatric pain management A. CHIARETTI, F. PIERRI *, P. VALENTINI, I. RUSSO*, L. GARGIULLO, R. RICCARDI* European Review for Medical and Pharmacological Sciences 2013; 17(Suppl 1): 112-126 Abstract  BACKGROUND: Differently from the adult patients, in pediatric age it is more difficult to assess and treat efficaciously the pain and often this symptom is undertreated or not treated. In children, selection of appropriate pain assessment tools should consider age, cognitive level and the presence of eventual disability, type of pain and the situation in which it is occurring. Improved understanding of developmental neurobiology and paediatric analgesic drugs pharmacokinetics should facilitate a better management of childhood pain. AIM: The objective of this review is to discuss current practice and recent advances in pediatric pain management. METHODS: Using PubMed we conducted an extensive literature review on pediatric pain assessment and commonly used analgesic agents from January 2000 to January 2012. CONCLUSIONS: A multimodal analgesic regimen provides better pain control and functional outcome in children. Cooperation and communication between the anaesthesiologist, surgeon, and paediatrician are essential for successful anaesthesia and pain management. Key Words: Pain, Pain assessment, Analg PDF Curso sobre Anestesia en Trasplantes, Cirugía abdominal, Plástica, Oftalmología y Otorrinolaringología. Committee for European Education in Anaesthesiology (CEEA)  y el Colegio de Anestesiólogos de León A.C. Abril 7-9, 2017, León Guanajuato, México Informes  (477) 716 06 16, kikinhedz@gmail.com Regional Anesthesiology and Acute Pain Medicine Meeting April 6-8, 2017, San Francisco, California, USA ASRA American Society of Regional Anesthesia and Pain Medicine Información / Information

Anestesiología y Medicina del Dolor 52 664 6848905 vwhizar@anestesia-dolor.org anestesia-dolor.org Copyright © 2015

Evaluación radiográfica sistemática de la hemimelia tibial con implicaciones ortopédicas

http://www.traumayortopedia.space/academia/evaluacion-radiografica-sistematica-de-la-hemimelia-tibial-con-implicaciones-ortopedicas/

Systematic radiographic evaluation of tibial hemimelia with orthopedic implications

Fuente
Este artículo es originalmente publicado en:

https://www.ncbi.nlm.nih.gov/pubmed/28050636

http://link.springer.com/article/10.1007%2Fs00247-016-3730-8

De:

Kaplan-List K¹, Klionsky NB^2,3, Sanders JO^2,4,5, Katz ME⁶.

Pediatr Radiol. 2017 Jan 3. doi: 10.1007/s00247-016-3730-8. [Epub ahead of print]

Todos los derechos reservados para:
© 2017 Springer International Publishing AG. Part of Springer Nature.

Abstract

Tibial hemimelia is a rare lower-extremity pre-axial longitudinal deficiency characterized by complete or partial absence of the tibia. The reported incidence is 1 in 1 million live births. In this pictorial essay, we define tibial hemimelia and describe associated conditions and principles of preoperative imaging assessment for a child with tibial hemimelia. We also indicate the imaging findings that might influence the choice of treatment, describe the most widely used classification systems, and briefly discuss current treatment approaches.

KEYWORDS:

Children; Congenital limb deficiency; Jones classification; Lower extremity; Magnetic resonance imaging; Paley classification; Radiography; Tibia; Tibial hemimelia; Weber classification

Resumen

La hemimelia tibial es una deficiencia longitudinal preaxial de extremidad inferior rara caracterizada por ausencia total o parcial de la tibia. La incidencia reportada es de 1 en 1 millón de nacidos vivos. En este ensayo pictórico, definimos la hemimelia tibial y describimos las condiciones asociadas y los principios de la evaluación de imagen preoperatoria para un niño con hemimelia tibial. También indicamos los hallazgos de imágenes que podrían influir en la elección del tratamiento, describir los sistemas de clasificación más utilizados y discutir brevemente los abordajes de tratamiento actuales.

PALABRAS CLAVE:
Niños; Deficiencia congénita de la extremidad; Clasificación de Jones; Extremidad baja; Imagen de resonancia magnética; Clasificación Paley; Radiografía; Tibia; Hemimelia tibial; Clasificación Weber

PMID: 28050636   DOI:  10.1007/s00247-016-3730-8

[PubMed - as supplied by publisher]