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Kenneth J. Noonan - One of the best experts on this subject based on the ideXlab platform.

  • does an intrathecal baclofen pump impact scoliosis progression and complicate Posterior Spine Fusion in patients with cerebral palsy
    Spine deformity, 2020
    Co-Authors: Laura A B Lins, Anatoliy V Nechyporenko, Matthew A Halanski, Scott Hetzel, Kenneth J. Noonan
    Abstract:

    STUDY DESIGN Retrospective comparative study. OBJECTIVES In patients with cerebral palsy (CP), we determine the impact of intrathecal baclofen pumps (ITBPs) on scoliosis curve progression before Posterior Spine Fusion (PSF) and its effects on surgical outcome. BACKGROUND Children with CP can have rapid scoliosis progression, and high rates of surgical complications can be encountered. It is unknown whether the presence of pre-existing ITBP results in more difficult surgery and higher complication rates in similarly affected children. METHODS This is a single-center retrospective study of CP patients undergoing PSF over a 15-year period. Demographics, comorbidities, curve magnitudes, and surgical methods were compared between patients with ITBP and those without. Postoperative complications, length of intensive care unit/hospital stay, drain use and output volume, and need for further surgery were also compared. Curve progression analysis after ITBP placement was performed on a subgroup of patients with high-quality consistent radiographs. RESULTS Nineteen patients with ITBP and 49 patients without ITBP met inclusion criteria. Age, comorbidities, number of levels fused, and fixation techniques during PSF were not significantly different between cohorts. ITBP patients were more likely to have PSF with osteotomy (p = 0.022). Increased intraoperative neurosurgical consultations were found for patients with ITBP (42.1% vs. 4.0%; p < 0.001). Median surgical time was 1.2 h greater in patients with ITBP (6.7 vs. 5.5 h, p = 0.039). There was no difference in hospital course and complications in patients with ITBP and those without ITBP. Thirty-one patients without ITB were compared with 15 ITBP patients for curve progression before PSF, demonstrating a mean rate of scoliosis progression of 9.6° ± 6.7°/year and 14.8° ± 9.1°/year (p = 0.0346), respectively. CONCLUSION The presence of an ITBP appears to be associated with the increase in scoliosis progression; and these patients will likely have a more challenging Spine Fusion. Fortunately, the final outcome is not affected by ITBP. LEVEL OF EVIDENCE Level III.

  • does an intrathecal baclofen pump impact scoliosis progression and complicate Posterior Spine Fusion in patients with cerebral palsy
    Spine deformity, 2020
    Co-Authors: Laura A B Lins, Anatoliy V Nechyporenko, Matthew A Halanski, Scott Hetzel, Kenneth J. Noonan
    Abstract:

    Retrospective comparative study. In patients with cerebral palsy (CP), we determine the impact of intrathecal baclofen pumps (ITBPs) on scoliosis curve progression before Posterior Spine Fusion (PSF) and its effects on surgical outcome. Children with CP can have rapid scoliosis progression, and high rates of surgical complications can be encountered. It is unknown whether the presence of pre-existing ITBP results in more difficult surgery and higher complication rates in similarly affected children. This is a single-center retrospective study of CP patients undergoing PSF over a 15-year period. Demographics, comorbidities, curve magnitudes, and surgical methods were compared between patients with ITBP and those without. Postoperative complications, length of intensive care unit/hospital stay, drain use and output volume, and need for further surgery were also compared. Curve progression analysis after ITBP placement was performed on a subgroup of patients with high-quality consistent radiographs. Nineteen patients with ITBP and 49 patients without ITBP met inclusion criteria. Age, comorbidities, number of levels fused, and fixation techniques during PSF were not significantly different between cohorts. ITBP patients were more likely to have PSF with osteotomy (p = 0.022). Increased intraoperative neurosurgical consultations were found for patients with ITBP (42.1% vs. 4.0%; p < 0.001). Median surgical time was 1.2 h greater in patients with ITBP (6.7 vs. 5.5 h, p = 0.039). There was no difference in hospital course and complications in patients with ITBP and those without ITBP. Thirty-one patients without ITB were compared with 15 ITBP patients for curve progression before PSF, demonstrating a mean rate of scoliosis progression of 9.6° ± 6.7°/year and 14.8° ± 9.1°/year (p = 0.0346), respectively. The presence of an ITBP appears to be associated with the increase in scoliosis progression; and these patients will likely have a more challenging Spine Fusion. Fortunately, the final outcome is not affected by ITBP. Level III.

  • comparing results of Posterior Spine Fusion in patients with ais are two surgeons better than one
    Journal of orthopaedics, 2013
    Co-Authors: Matthew A Halanski, Corey M Elfman, Jeffrey Cassidy, Nabil Hassan, Sarah Sund, Kenneth J. Noonan
    Abstract:

    Aims Spinal deformity surgery is one of the most complicated procedures performed in pediatric orthopedics. These surgeries can account for long operative times and blood losses. Finding ways to limit patient morbidity undergoing these procedures may benefit many. We hypothesized that utilizing two fellowship trained pediatric spinal deformity surgeons would lead to decreased operative time and blood loss when compared with single surgeon. We felt very little difference would be found in terms of curve correction.

Laura A B Lins - One of the best experts on this subject based on the ideXlab platform.

  • does an intrathecal baclofen pump impact scoliosis progression and complicate Posterior Spine Fusion in patients with cerebral palsy
    Spine deformity, 2020
    Co-Authors: Laura A B Lins, Anatoliy V Nechyporenko, Matthew A Halanski, Scott Hetzel, Kenneth J. Noonan
    Abstract:

    STUDY DESIGN Retrospective comparative study. OBJECTIVES In patients with cerebral palsy (CP), we determine the impact of intrathecal baclofen pumps (ITBPs) on scoliosis curve progression before Posterior Spine Fusion (PSF) and its effects on surgical outcome. BACKGROUND Children with CP can have rapid scoliosis progression, and high rates of surgical complications can be encountered. It is unknown whether the presence of pre-existing ITBP results in more difficult surgery and higher complication rates in similarly affected children. METHODS This is a single-center retrospective study of CP patients undergoing PSF over a 15-year period. Demographics, comorbidities, curve magnitudes, and surgical methods were compared between patients with ITBP and those without. Postoperative complications, length of intensive care unit/hospital stay, drain use and output volume, and need for further surgery were also compared. Curve progression analysis after ITBP placement was performed on a subgroup of patients with high-quality consistent radiographs. RESULTS Nineteen patients with ITBP and 49 patients without ITBP met inclusion criteria. Age, comorbidities, number of levels fused, and fixation techniques during PSF were not significantly different between cohorts. ITBP patients were more likely to have PSF with osteotomy (p = 0.022). Increased intraoperative neurosurgical consultations were found for patients with ITBP (42.1% vs. 4.0%; p < 0.001). Median surgical time was 1.2 h greater in patients with ITBP (6.7 vs. 5.5 h, p = 0.039). There was no difference in hospital course and complications in patients with ITBP and those without ITBP. Thirty-one patients without ITB were compared with 15 ITBP patients for curve progression before PSF, demonstrating a mean rate of scoliosis progression of 9.6° ± 6.7°/year and 14.8° ± 9.1°/year (p = 0.0346), respectively. CONCLUSION The presence of an ITBP appears to be associated with the increase in scoliosis progression; and these patients will likely have a more challenging Spine Fusion. Fortunately, the final outcome is not affected by ITBP. LEVEL OF EVIDENCE Level III.

  • does an intrathecal baclofen pump impact scoliosis progression and complicate Posterior Spine Fusion in patients with cerebral palsy
    Spine deformity, 2020
    Co-Authors: Laura A B Lins, Anatoliy V Nechyporenko, Matthew A Halanski, Scott Hetzel, Kenneth J. Noonan
    Abstract:

    Retrospective comparative study. In patients with cerebral palsy (CP), we determine the impact of intrathecal baclofen pumps (ITBPs) on scoliosis curve progression before Posterior Spine Fusion (PSF) and its effects on surgical outcome. Children with CP can have rapid scoliosis progression, and high rates of surgical complications can be encountered. It is unknown whether the presence of pre-existing ITBP results in more difficult surgery and higher complication rates in similarly affected children. This is a single-center retrospective study of CP patients undergoing PSF over a 15-year period. Demographics, comorbidities, curve magnitudes, and surgical methods were compared between patients with ITBP and those without. Postoperative complications, length of intensive care unit/hospital stay, drain use and output volume, and need for further surgery were also compared. Curve progression analysis after ITBP placement was performed on a subgroup of patients with high-quality consistent radiographs. Nineteen patients with ITBP and 49 patients without ITBP met inclusion criteria. Age, comorbidities, number of levels fused, and fixation techniques during PSF were not significantly different between cohorts. ITBP patients were more likely to have PSF with osteotomy (p = 0.022). Increased intraoperative neurosurgical consultations were found for patients with ITBP (42.1% vs. 4.0%; p < 0.001). Median surgical time was 1.2 h greater in patients with ITBP (6.7 vs. 5.5 h, p = 0.039). There was no difference in hospital course and complications in patients with ITBP and those without ITBP. Thirty-one patients without ITB were compared with 15 ITBP patients for curve progression before PSF, demonstrating a mean rate of scoliosis progression of 9.6° ± 6.7°/year and 14.8° ± 9.1°/year (p = 0.0346), respectively. The presence of an ITBP appears to be associated with the increase in scoliosis progression; and these patients will likely have a more challenging Spine Fusion. Fortunately, the final outcome is not affected by ITBP. Level III.

Matthew A Halanski - One of the best experts on this subject based on the ideXlab platform.

  • does an intrathecal baclofen pump impact scoliosis progression and complicate Posterior Spine Fusion in patients with cerebral palsy
    Spine deformity, 2020
    Co-Authors: Laura A B Lins, Anatoliy V Nechyporenko, Matthew A Halanski, Scott Hetzel, Kenneth J. Noonan
    Abstract:

    STUDY DESIGN Retrospective comparative study. OBJECTIVES In patients with cerebral palsy (CP), we determine the impact of intrathecal baclofen pumps (ITBPs) on scoliosis curve progression before Posterior Spine Fusion (PSF) and its effects on surgical outcome. BACKGROUND Children with CP can have rapid scoliosis progression, and high rates of surgical complications can be encountered. It is unknown whether the presence of pre-existing ITBP results in more difficult surgery and higher complication rates in similarly affected children. METHODS This is a single-center retrospective study of CP patients undergoing PSF over a 15-year period. Demographics, comorbidities, curve magnitudes, and surgical methods were compared between patients with ITBP and those without. Postoperative complications, length of intensive care unit/hospital stay, drain use and output volume, and need for further surgery were also compared. Curve progression analysis after ITBP placement was performed on a subgroup of patients with high-quality consistent radiographs. RESULTS Nineteen patients with ITBP and 49 patients without ITBP met inclusion criteria. Age, comorbidities, number of levels fused, and fixation techniques during PSF were not significantly different between cohorts. ITBP patients were more likely to have PSF with osteotomy (p = 0.022). Increased intraoperative neurosurgical consultations were found for patients with ITBP (42.1% vs. 4.0%; p < 0.001). Median surgical time was 1.2 h greater in patients with ITBP (6.7 vs. 5.5 h, p = 0.039). There was no difference in hospital course and complications in patients with ITBP and those without ITBP. Thirty-one patients without ITB were compared with 15 ITBP patients for curve progression before PSF, demonstrating a mean rate of scoliosis progression of 9.6° ± 6.7°/year and 14.8° ± 9.1°/year (p = 0.0346), respectively. CONCLUSION The presence of an ITBP appears to be associated with the increase in scoliosis progression; and these patients will likely have a more challenging Spine Fusion. Fortunately, the final outcome is not affected by ITBP. LEVEL OF EVIDENCE Level III.

  • does an intrathecal baclofen pump impact scoliosis progression and complicate Posterior Spine Fusion in patients with cerebral palsy
    Spine deformity, 2020
    Co-Authors: Laura A B Lins, Anatoliy V Nechyporenko, Matthew A Halanski, Scott Hetzel, Kenneth J. Noonan
    Abstract:

    Retrospective comparative study. In patients with cerebral palsy (CP), we determine the impact of intrathecal baclofen pumps (ITBPs) on scoliosis curve progression before Posterior Spine Fusion (PSF) and its effects on surgical outcome. Children with CP can have rapid scoliosis progression, and high rates of surgical complications can be encountered. It is unknown whether the presence of pre-existing ITBP results in more difficult surgery and higher complication rates in similarly affected children. This is a single-center retrospective study of CP patients undergoing PSF over a 15-year period. Demographics, comorbidities, curve magnitudes, and surgical methods were compared between patients with ITBP and those without. Postoperative complications, length of intensive care unit/hospital stay, drain use and output volume, and need for further surgery were also compared. Curve progression analysis after ITBP placement was performed on a subgroup of patients with high-quality consistent radiographs. Nineteen patients with ITBP and 49 patients without ITBP met inclusion criteria. Age, comorbidities, number of levels fused, and fixation techniques during PSF were not significantly different between cohorts. ITBP patients were more likely to have PSF with osteotomy (p = 0.022). Increased intraoperative neurosurgical consultations were found for patients with ITBP (42.1% vs. 4.0%; p < 0.001). Median surgical time was 1.2 h greater in patients with ITBP (6.7 vs. 5.5 h, p = 0.039). There was no difference in hospital course and complications in patients with ITBP and those without ITBP. Thirty-one patients without ITB were compared with 15 ITBP patients for curve progression before PSF, demonstrating a mean rate of scoliosis progression of 9.6° ± 6.7°/year and 14.8° ± 9.1°/year (p = 0.0346), respectively. The presence of an ITBP appears to be associated with the increase in scoliosis progression; and these patients will likely have a more challenging Spine Fusion. Fortunately, the final outcome is not affected by ITBP. Level III.

  • comparing results of Posterior Spine Fusion in patients with ais are two surgeons better than one
    Journal of orthopaedics, 2013
    Co-Authors: Matthew A Halanski, Corey M Elfman, Jeffrey Cassidy, Nabil Hassan, Sarah Sund, Kenneth J. Noonan
    Abstract:

    Aims Spinal deformity surgery is one of the most complicated procedures performed in pediatric orthopedics. These surgeries can account for long operative times and blood losses. Finding ways to limit patient morbidity undergoing these procedures may benefit many. We hypothesized that utilizing two fellowship trained pediatric spinal deformity surgeons would lead to decreased operative time and blood loss when compared with single surgeon. We felt very little difference would be found in terms of curve correction.

Scott Hetzel - One of the best experts on this subject based on the ideXlab platform.

  • does an intrathecal baclofen pump impact scoliosis progression and complicate Posterior Spine Fusion in patients with cerebral palsy
    Spine deformity, 2020
    Co-Authors: Laura A B Lins, Anatoliy V Nechyporenko, Matthew A Halanski, Scott Hetzel, Kenneth J. Noonan
    Abstract:

    STUDY DESIGN Retrospective comparative study. OBJECTIVES In patients with cerebral palsy (CP), we determine the impact of intrathecal baclofen pumps (ITBPs) on scoliosis curve progression before Posterior Spine Fusion (PSF) and its effects on surgical outcome. BACKGROUND Children with CP can have rapid scoliosis progression, and high rates of surgical complications can be encountered. It is unknown whether the presence of pre-existing ITBP results in more difficult surgery and higher complication rates in similarly affected children. METHODS This is a single-center retrospective study of CP patients undergoing PSF over a 15-year period. Demographics, comorbidities, curve magnitudes, and surgical methods were compared between patients with ITBP and those without. Postoperative complications, length of intensive care unit/hospital stay, drain use and output volume, and need for further surgery were also compared. Curve progression analysis after ITBP placement was performed on a subgroup of patients with high-quality consistent radiographs. RESULTS Nineteen patients with ITBP and 49 patients without ITBP met inclusion criteria. Age, comorbidities, number of levels fused, and fixation techniques during PSF were not significantly different between cohorts. ITBP patients were more likely to have PSF with osteotomy (p = 0.022). Increased intraoperative neurosurgical consultations were found for patients with ITBP (42.1% vs. 4.0%; p < 0.001). Median surgical time was 1.2 h greater in patients with ITBP (6.7 vs. 5.5 h, p = 0.039). There was no difference in hospital course and complications in patients with ITBP and those without ITBP. Thirty-one patients without ITB were compared with 15 ITBP patients for curve progression before PSF, demonstrating a mean rate of scoliosis progression of 9.6° ± 6.7°/year and 14.8° ± 9.1°/year (p = 0.0346), respectively. CONCLUSION The presence of an ITBP appears to be associated with the increase in scoliosis progression; and these patients will likely have a more challenging Spine Fusion. Fortunately, the final outcome is not affected by ITBP. LEVEL OF EVIDENCE Level III.

  • does an intrathecal baclofen pump impact scoliosis progression and complicate Posterior Spine Fusion in patients with cerebral palsy
    Spine deformity, 2020
    Co-Authors: Laura A B Lins, Anatoliy V Nechyporenko, Matthew A Halanski, Scott Hetzel, Kenneth J. Noonan
    Abstract:

    Retrospective comparative study. In patients with cerebral palsy (CP), we determine the impact of intrathecal baclofen pumps (ITBPs) on scoliosis curve progression before Posterior Spine Fusion (PSF) and its effects on surgical outcome. Children with CP can have rapid scoliosis progression, and high rates of surgical complications can be encountered. It is unknown whether the presence of pre-existing ITBP results in more difficult surgery and higher complication rates in similarly affected children. This is a single-center retrospective study of CP patients undergoing PSF over a 15-year period. Demographics, comorbidities, curve magnitudes, and surgical methods were compared between patients with ITBP and those without. Postoperative complications, length of intensive care unit/hospital stay, drain use and output volume, and need for further surgery were also compared. Curve progression analysis after ITBP placement was performed on a subgroup of patients with high-quality consistent radiographs. Nineteen patients with ITBP and 49 patients without ITBP met inclusion criteria. Age, comorbidities, number of levels fused, and fixation techniques during PSF were not significantly different between cohorts. ITBP patients were more likely to have PSF with osteotomy (p = 0.022). Increased intraoperative neurosurgical consultations were found for patients with ITBP (42.1% vs. 4.0%; p < 0.001). Median surgical time was 1.2 h greater in patients with ITBP (6.7 vs. 5.5 h, p = 0.039). There was no difference in hospital course and complications in patients with ITBP and those without ITBP. Thirty-one patients without ITB were compared with 15 ITBP patients for curve progression before PSF, demonstrating a mean rate of scoliosis progression of 9.6° ± 6.7°/year and 14.8° ± 9.1°/year (p = 0.0346), respectively. The presence of an ITBP appears to be associated with the increase in scoliosis progression; and these patients will likely have a more challenging Spine Fusion. Fortunately, the final outcome is not affected by ITBP. Level III.

Anatoliy V Nechyporenko - One of the best experts on this subject based on the ideXlab platform.

  • does an intrathecal baclofen pump impact scoliosis progression and complicate Posterior Spine Fusion in patients with cerebral palsy
    Spine deformity, 2020
    Co-Authors: Laura A B Lins, Anatoliy V Nechyporenko, Matthew A Halanski, Scott Hetzel, Kenneth J. Noonan
    Abstract:

    STUDY DESIGN Retrospective comparative study. OBJECTIVES In patients with cerebral palsy (CP), we determine the impact of intrathecal baclofen pumps (ITBPs) on scoliosis curve progression before Posterior Spine Fusion (PSF) and its effects on surgical outcome. BACKGROUND Children with CP can have rapid scoliosis progression, and high rates of surgical complications can be encountered. It is unknown whether the presence of pre-existing ITBP results in more difficult surgery and higher complication rates in similarly affected children. METHODS This is a single-center retrospective study of CP patients undergoing PSF over a 15-year period. Demographics, comorbidities, curve magnitudes, and surgical methods were compared between patients with ITBP and those without. Postoperative complications, length of intensive care unit/hospital stay, drain use and output volume, and need for further surgery were also compared. Curve progression analysis after ITBP placement was performed on a subgroup of patients with high-quality consistent radiographs. RESULTS Nineteen patients with ITBP and 49 patients without ITBP met inclusion criteria. Age, comorbidities, number of levels fused, and fixation techniques during PSF were not significantly different between cohorts. ITBP patients were more likely to have PSF with osteotomy (p = 0.022). Increased intraoperative neurosurgical consultations were found for patients with ITBP (42.1% vs. 4.0%; p < 0.001). Median surgical time was 1.2 h greater in patients with ITBP (6.7 vs. 5.5 h, p = 0.039). There was no difference in hospital course and complications in patients with ITBP and those without ITBP. Thirty-one patients without ITB were compared with 15 ITBP patients for curve progression before PSF, demonstrating a mean rate of scoliosis progression of 9.6° ± 6.7°/year and 14.8° ± 9.1°/year (p = 0.0346), respectively. CONCLUSION The presence of an ITBP appears to be associated with the increase in scoliosis progression; and these patients will likely have a more challenging Spine Fusion. Fortunately, the final outcome is not affected by ITBP. LEVEL OF EVIDENCE Level III.

  • does an intrathecal baclofen pump impact scoliosis progression and complicate Posterior Spine Fusion in patients with cerebral palsy
    Spine deformity, 2020
    Co-Authors: Laura A B Lins, Anatoliy V Nechyporenko, Matthew A Halanski, Scott Hetzel, Kenneth J. Noonan
    Abstract:

    Retrospective comparative study. In patients with cerebral palsy (CP), we determine the impact of intrathecal baclofen pumps (ITBPs) on scoliosis curve progression before Posterior Spine Fusion (PSF) and its effects on surgical outcome. Children with CP can have rapid scoliosis progression, and high rates of surgical complications can be encountered. It is unknown whether the presence of pre-existing ITBP results in more difficult surgery and higher complication rates in similarly affected children. This is a single-center retrospective study of CP patients undergoing PSF over a 15-year period. Demographics, comorbidities, curve magnitudes, and surgical methods were compared between patients with ITBP and those without. Postoperative complications, length of intensive care unit/hospital stay, drain use and output volume, and need for further surgery were also compared. Curve progression analysis after ITBP placement was performed on a subgroup of patients with high-quality consistent radiographs. Nineteen patients with ITBP and 49 patients without ITBP met inclusion criteria. Age, comorbidities, number of levels fused, and fixation techniques during PSF were not significantly different between cohorts. ITBP patients were more likely to have PSF with osteotomy (p = 0.022). Increased intraoperative neurosurgical consultations were found for patients with ITBP (42.1% vs. 4.0%; p < 0.001). Median surgical time was 1.2 h greater in patients with ITBP (6.7 vs. 5.5 h, p = 0.039). There was no difference in hospital course and complications in patients with ITBP and those without ITBP. Thirty-one patients without ITB were compared with 15 ITBP patients for curve progression before PSF, demonstrating a mean rate of scoliosis progression of 9.6° ± 6.7°/year and 14.8° ± 9.1°/year (p = 0.0346), respectively. The presence of an ITBP appears to be associated with the increase in scoliosis progression; and these patients will likely have a more challenging Spine Fusion. Fortunately, the final outcome is not affected by ITBP. Level III.