Brachial Plexus Shoulder: Joint Reduction, Tendon Transfers, Humeral and Glenoid Osteotomies Andrea S. Bauer Tendon Transfer—Lengthening and Joint Reduction Pectoralis major musculotendinous lengthening Subscapularis partial lengthening or slide, open or…
Osteochondritis Dissecans Donald S. Bae Overview Osteochondritis dissecans (OCD) of the capitellum is a common cause of pain and functional limitations in adolescent upper extremity weight-bearing or overhead athletes Patients…
Occiput and Posterior Cervical Instrumentation Daniel J. Hedequist Indications Any age Instability Trauma Tumor Deformity Equipment Halo ring/vest Standard spine table Occipital plating system Posterior cervical instrumentation system Titanium cables…
Spondylolysis/Spondylolistheses M. Timothy Hresko Pars Repair Operative Indications Failed nonoperative treatment of documented pars intra-articularis defect MRI—absence of intervertebral disk degeneration Less than 5 mm of translation of superior vertebral…
Growing Rods for Early-Onset Spinal Deformity Grant D. Hogue Indications Evaluated on a case-by-case basis Patients with a rib-vertebral angle difference >20° and Cobb angle >20° should be considered high…
Surgical Decision-Making in Pediatric Hand and Arm Peter M. Waters Decisions regarding reconstructive surgery of the hand and upper limb start and end with function. Will you be able to…
Neuromuscular Scoliosis Brian Snyder Operative Indications Expected benefit outweighs negative consequences of natural history and surgical risks Curve >50° with progression Difficulty with seating, failed bracing Age >10 versus <10…
Myelodysplasia Spine Grant D. Hogue Myelomeningocele Instrumentation and Fusion Techniques for Scoliosis and Kyphosis—General Principles Indications Scoliosis: Deformities of 50° or greater and functional deterioration, proven or predicted Kyphosis: Gibbus…
Posterior Fusion for Idiopathic Scoliosis Craig M. Birch Operative Indications Primary indication: Progressive thoracic curve greater than 50° or thoracolumbar/lumbar curve greater than 40° Pain is not an indication for…
Surgical Decision-Making in Pediatric Spine Surgery John B. Emans Pediatric Spinal Deformity Is Different Abnormal curvature in the pediatric spine carries a unique set of challenges: multiple types of deformity,…
