2023
The Reliability of the AO Spine Upper Cervical Classification System in Children: Results of a Multi-Center Study
O’Neill N, Mo A, Miller P, Glotzbecker M, Li Y, Fletcher N, Upasani V, Riccio A, Spence D, Garg S, Krengel W, Birch C, Hedequist D. The Reliability of the AO Spine Upper Cervical Classification System in Children: Results of a Multi-Center Study. Journal Of Pediatric Orthopaedics 2023, 43: 273-277. PMID: 36706430, DOI: 10.1097/bpo.0000000000002363.Peer-Reviewed Original ResearchConceptsUpper cervical injuriesPediatric populationIntra-rater reliabilityUniform classification systemCervical injuryUpper cervical spine injuriesCervical spine injuryTime of injurySingle senior surgeonMulti-center studyPediatric orthopaedic surgeonsFleiss' kappa coefficientClassification systemSignificant comorbiditiesIntra-rater reproducibilitySpine injuriesPediatric classificationInter-rater reliabilityInclusion criteriaInter-rater agreementOrthopaedic surgeonsSenior surgeonLevel IIIKappa coefficientInjury
2019
Acute Implant-related Complications in Pediatric Cervical Spine Fusion
O’Neill N, Hresko MT, Emans JB, Glotzbecker MP, Verhofste BP, Karlin LI, Proctor MR, Hedequist DJ. Acute Implant-related Complications in Pediatric Cervical Spine Fusion. Journal Of Pediatric Orthopaedics 2019, 40: e662-e666. PMID: 31743291, DOI: 10.1097/bpo.0000000000001471.Peer-Reviewed Original ResearchConceptsImplant-related complicationsCervical fusionInstrumented cervical fusionsMonths of surgeryDay of surgeryCervical spine fusionLateral mass screwsComputed tomography (CT) imagingLate surgeryRetrospective reviewCase seriesMedian timeOverall incidenceSurgical revisionImplant complicationsSyndromic diagnosisDifferent etiologiesScrew protrusionSpine fusionCervical instrumentationIntraoperative useComplicationsLoeys-DietzAnterior plateAverage ageIntraoperative Use of O-arm in Pediatric Cervical Spine Surgery
Verhofste BP, Glotzbecker MP, Hresko MT, MacDougall RD, Birch CM, O’Neill N, Karlin LI, Emans JB, Proctor MR, Hedequist DJ. Intraoperative Use of O-arm in Pediatric Cervical Spine Surgery. Journal Of Pediatric Orthopaedics 2019, 40: e266-e271. PMID: 31192887, DOI: 10.1097/bpo.0000000000001416.Peer-Reviewed Original ResearchConceptsIntraoperative O-armCervical spine instrumentationO-armSpine instrumentationScrew positionPediatric cervical spine surgerySingle-center retrospective studyMean CT dose indexIntraoperative screw revisionsCervical spine surgeryVertebral artery injuryCervical spine fusionPostoperative CT scansDose-length productO-arm imagingCT dose indexFree-hand techniqueOptimal implant positionArtery injuryDural injuryNeurologic deficitsNeurovascular complicationsPediatric patientsPrimary outcomeFrequent indication