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Orthopaedics
Adolescent Idiopathic Scoliosis (AO Based)
Built from AO Surgery Reference: Spine Trauma, Degenerative, Tumors and Deformities (AO Foundation)
What’s inside
1 sections · 104 slides
Overview
- Introduction
- Clinical and radiographic evaluation
- History in AIS
- Curve magnitude at presentation
- Physical examination
- Physical examination
- Neurological examination
- Neurological examination
- Radiographs for AIS
- Radiographs for AIS
- Measuring Cobb angles
- Measuring Cobb angles
- CSVL, stable and neutral vertebrae
- CSVL, stable and neutral vertebrae
- Radiographic markers of skeletal maturity
- Radiographic markers of skeletal maturity
- The skeletally immature patient
- Surgical strategy in immature patients
- Surgical strategy in immature patients
- Screening for an abnormal neuroaxis
- Screening for an abnormal neuroaxis
- Lenke classification
- The Lenke triad
- Spinal regions in the Lenke system
- Spinal regions in the Lenke system
- Structural criteria for minor curves
- Classifying a curve step by step
- Lenke curve types 1 to 3
- Lenke curve types 1 to 3
- Lenke curve types 4 to 6
- Lumbar spine modifier
- Lumbar spine modifier
- Sagittal thoracic modifier
- Sagittal thoracic modifier
- AO worked examples (standing to bending)
- AO worked examples (standing to bending)
- Indications and choice of procedure
- Treatment options by Lenke type
- Treatment options by Lenke type
- Choosing surgery for a Lenke 1 curve
- Choosing surgery for a Lenke 1 curve
- Choosing surgery for a Lenke 5 curve
- Choosing surgery for a Lenke 5 curve
- Large curves in AIS
- Large curves in AIS
- Two options for large curves
- Posterior spinal osteotomies
- Posterior spinal osteotomies
- Safety steps in PSO and VCR
- Safety steps in PSO and VCR
- Selection of fusion levels
- Choosing the upper instrumented vertebra
- Choosing the upper instrumented vertebra
- Lower instrumented vertebra in types 1 and 2
- Lower instrumented vertebra in types 1 and 2
- Stopping the fusion at L3 rather than L4
- Stopping the fusion at L3 rather than L4
- Fusion levels in types 3 to 6
- Fusion levels in types 3 to 6
- Preparation and approaches
- Positioning for posterior surgery
- Positioning for posterior surgery
- Anaesthesia, blood loss and antibiotics
- Response to a neuromonitoring change
- Posterior approach
- Posterior approach
- Anterior approach to the lumbar spine
- Anterior approach to the lumbar spine
- Anterior thoracoscopic approach
- Anterior thoracoscopic approach
- Operative techniques
- Thoracic pedicle screw entry points
- Thoracic pedicle screw entry points
- Posterior release and PCO
- Posterior release and PCO
- Screws with DVBD: correction sequence
- Screws with DVBD: correction sequence
- Rod choice and fine tuning
- Rod choice and fine tuning
- Posterior screws with and without DVBD
- Posterior screws with and without DVBD
- Hooks used in hybrid constructs
- Hooks used in hybrid constructs
- Hybrid construct for a T5-L1 Lenke 1
- Hybrid construct for a T5-L1 Lenke 1
- Double, triple and lumbar curve variants
- Double, triple and lumbar curve variants
- Anterior release
- Anterior release
- Anterior screw placement
- Anterior screw placement
- Interbody grafting: thoracic vs lumbar
- Interbody grafting: thoracic vs lumbar
- Anterior correction of the deformity
- Aftercare and complications
- Aftercare after deformity correction
- Complications after AIS surgery
- Complications after AIS surgery
- Take-home messages
- References (1 of 4)
- References (2 of 4)
- References (3 of 4)
- References (4 of 4)
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