{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,10]],"date-time":"2026-11-10T15:23:44Z","timestamp":1794324224482,"version":"4.9.0"},"reference-count":39,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["SPI"],"published-print":{"date-parts":[[2015,2]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECT<\/jats:title>\n                    <jats:p>Almost all pediatric patients who incur a spinal cord injury (SCI) will develop scoliosis, and younger patients are at highest risk for curve progression requiring surgical intervention. Although the use of pedicle screws is increasing in popularity, their impact on SCI-related scoliosis has not been described. The authors retrospectively reviewed the radiographic outcomes of pedicle screw\u2013only constructs in all patients who had undergone SCI-related scoliosis correction at a single institution.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Medical records and radiographs from Shriner's Hospital for Children\u2013Philadelphia for the period between November 2004 and February 2011 were retrospectively reviewed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thirty-seven patients, whose mean age at the index surgery was 14.91 \u00b1 3.29 years, were identified. The cohort had a mean follow-up of 33.2 \u00b1 22.8 months. The mean preoperative coronal Cobb angle was 65.5\u00b0 \u00b1 25.7\u00b0, which corrected to 20.3\u00b0 \u00b1 14.4\u00b0, translating into a 69% correction (p &lt; 0.05). The preoperative coronal balance was 24.4 \u00b1 22.6 mm, with a postoperative measurement of 21.6 \u00b1 20.7 mm (p = 1.00). Preoperative pelvic obliquity was 12.7\u00b0 \u00b1 8.7\u00b0, which corrected to 4.1\u00b0 \u00b1 3.8\u00b0, translating into a 68% correction (p &lt; 0.05). Preoperative shoulder balance, as measured by the clavicle angle, was 8.2\u00b0 \u00b1 8.4\u00b0, which corrected to 2.7\u00b0 \u00b1 3.1\u00b0 (67% correction, p &lt; 0.05). Preoperatively, thoracic kyphosis measured 44.2\u00b0 \u00b1 23.7\u00b0 and was 33.8\u00b0 \u00b1 11.5\u00b0 postoperatively. Thoracolumbar kyphosis was 18.7\u00b0 \u00b1 12.1\u00b0 preoperatively, reduced to 8.1\u00b0 \u00b1 7.7\u00b0 postoperatively, and measured 26.8\u00b0 \u00b1 20.2\u00b0 at the last follow-up (p &lt; 0.05). Preoperatively, lumbar lordosis was 35.3\u00b0 \u00b1 22.0\u00b0, which remained stable at 35.6\u00b0 \u00b1 15.0\u00b0 postoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Pedicle screw constructs appear to provide better correction of coronal parameters than historically reported and provide significant improvement of sagittal kyphosis as well. Although pedicle screws appear to provide good radiographic results, correlation with clinical outcomes is necessary to determine the true impact of pedicle screw constructs on SCI-related scoliosis correction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/2014.10.spine14185","type":"journal-article","created":{"date-parts":[[2014,11,21]],"date-time":"2014-11-21T10:09:51Z","timestamp":1416564591000},"page":"185-191","source":"Crossref","is-referenced-by-count":3,"title":["Management of spinal cord injury\u2013related scoliosis using pedicle screw\u2013only constructs"],"prefix":"10.3171","volume":"22","author":[{"given":"Steven W.","family":"Hwang","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Tufts Medical Center, Boston, Massachusetts; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mina G.","family":"Safain","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Tufts Medical Center, Boston, Massachusetts; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph J.","family":"King","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Shriner's Hospital for Children\u2013Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeff S.","family":"Kimball","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Shriner's Hospital for Children\u2013Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Ames","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Shriner's Hospital for Children\u2013Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Randall R.","family":"Betz","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Shriner's Hospital for Children\u2013Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick J.","family":"Cahill","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Shriner's Hospital for Children\u2013Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amer F.","family":"Samdani","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Shriner's Hospital for Children\u2013Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-spine14185","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"804","DOI":"10.1097\/BRS.0b013e3181996c1b","article-title":"Computed tomography evaluation of rotation correction in adolescent idiopathic scoliosis: a comparison of an all pedicle screw construct versus a hook-rod system","volume":"34","author":"Asghar","year":"2009"},{"key":"b2-spine14185","series-title":"Orthop Trans","first-page":"18","article-title":"The natural history of scoliosis in myelomeningocele","volume":"10","author":"Banta","year":"1986"},{"key":"b3-spine14185","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"171","DOI":"10.1097\/00007632-200301150-00014","article-title":"The relation of thoracic and lumbar fracture configuration to the development of late deformity in childhood spinal cord injury","volume":"28","author":"Bergstr\u00f6m","year":"2003"},{"key":"b4-spine14185","series-title":"Spinal Cord","doi-asserted-by":"publisher","first-page":"838","DOI":"10.1038\/sj.sc.3100928","article-title":"The effect of childhood spinal cord injury on skeletal development: a retrospective study","volume":"37","author":"Bergstr\u00f6m","year":"1999"},{"issue":"Suppl 1","key":"b5-spine14185","series-title":"J Spinal Cord Med","doi-asserted-by":"publisher","first-page":"S11","DOI":"10.1080\/10790268.2004.11753779","article-title":"Acute evaluation and management of pediatric spinal cord injury","volume":"27","author":"Betz","year":"2004"},{"key":"b6-spine14185","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"1277","DOI":"10.1097\/00007632-198912000-00001","article-title":"Traumatic cervical spine injuries in childhood and adolescence","volume":"14","author":"Birney","year":"1989"},{"key":"b7-spine14185","series-title":"J Pediatr Surg","doi-asserted-by":"publisher","first-page":"1107","DOI":"10.1053\/jpsu.2001.25665","article-title":"Cervical spine injuries in children: a review of 103 patients treated consecutively at a level 1 pediatric trauma center","volume":"36","author":"Brown","year":"2001"},{"key":"b8-spine14185","series-title":"J Pediatr Orthop","doi-asserted-by":"publisher","first-page":"214","DOI":"10.1097\/01241398-199003000-00016","article-title":"Scoliosis in pediatric spinal cord-injured patients","volume":"10","author":"Dearolf","year":"1990"},{"issue":"6 Suppl","key":"b9-spine14185","series-title":"J Neurosurg","first-page":"426","article-title":"Thoracolumbar and sacral spinal injuries in children and adolescents: a review of 89 cases","volume":"106","author":"Dogan","year":"2007"},{"key":"b10-spine14185","series-title":"Paraplegia","first-page":"93","article-title":"Statistics of acute paraplegia and tetraplegia on a national scale. 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