2023
Quantitative Sensory Changes Following Posterior Spinal Fusion to Treat Adolescent Idiopathic Scoliosis
O’Neill N, Ghessese S, Hedequist D, Lins L, Birch C, Hresko M, Emans J, Karlin L, Cornelissen L, Glotzbecker M. Quantitative Sensory Changes Following Posterior Spinal Fusion to Treat Adolescent Idiopathic Scoliosis. Journal Of Pediatric Orthopaedics 2023, 43: 218-226. PMID: 36737054, DOI: 10.1097/bpo.0000000000002362.Peer-Reviewed Original ResearchConceptsQuantitative sensory testingPosterior spinal fusionAdolescent idiopathic scoliosisChest wallAIS patientsSpinal fusionSensory changesIdiopathic scoliosisPostoperative sensory changesPain detection thresholdTouch-detection thresholdQuantitative sensoryProspective cohortSensory disturbancePostoperative expectationsRight chestLeft chestDeformity correctionIncision siteSensory testingInferior angleThenar eminencePatientsChestMonths
2022
Early Adherence to Prescribed Brace Wear for Adolescent Idiopathic Scoliosis Is Associated With Future Brace Wear
Linden G, Emans J, Karlin L, O’Neill N, Williams K, Hresko M. Early Adherence to Prescribed Brace Wear for Adolescent Idiopathic Scoliosis Is Associated With Future Brace Wear. Spine 2022, 48: 8-14. PMID: 35917288, DOI: 10.1097/brs.0000000000004446.Peer-Reviewed Original ResearchConceptsAdolescent idiopathic scoliosisBrace wearFuture adherenceAdherent patientsIdiopathic scoliosisScoliosis Research Society (SRS) criteriaInitial adherenceRisser stage 4Consecutive AIS patientsRetrospective cohort studyCurve improvementNonadherent patientsCohort studySingle centerNonadherent groupPrescription lengthAIS patientsEarly recognitionSociety criteriaBACKGROUND DATACobb angleImproved adherenceThoracic curvePatientsSupportive interventionsEarly outcomes of growth friendly instrumentation in children with Williams syndrome
O’Neill N, Cook D, Verhofste B, Smith J, Emans J. Early outcomes of growth friendly instrumentation in children with Williams syndrome. Spine Deformity 2022, 10: 717-725. PMID: 35000131, DOI: 10.1007/s43390-021-00453-w.Peer-Reviewed Original ResearchConceptsEarly-onset scoliosisVertical expandable prosthetic titanium ribGrowth-friendly treatmentGrowth-friendly instrumentationSurgical treatmentCardiovascular complicationsCase seriesCurve magnitudeExpandable prosthetic titanium ribSevere early onset scoliosisPerioperative cardiac complicationsSpine deformity surgeryT1-S1 lengthT1-T12 lengthWilliams syndromeInitial surgical treatmentCoronal curve magnitudeMedian followCardiac complicationsIndex surgeryInitial surgeryMedian durationResultsSeven patientsMedian ageAssociated complications
2021
Performing Multiple Posterior Spinal Fusions in 1 Day: A Comparison of Perioperative Outcomes Between Morning and Afternoon Cases
O’Neill N, Hedequist D, Glotzbecker M, Cook D, Yang T, McCann M, Chacko S, Cravero J, Hresko M. Performing Multiple Posterior Spinal Fusions in 1 Day: A Comparison of Perioperative Outcomes Between Morning and Afternoon Cases. Journal Of Pediatric Orthopaedics 2021, 41: e722-e726. PMID: 34334697, DOI: 10.1097/bpo.0000000000001893.Peer-Reviewed Original ResearchConceptsPosterior spinal fusionPerioperative outcomesIdiopathic scoliosisSame surgeonPSF casesCurve correctionSpinal fusionScoliosis Research Society-30 scoresMean age 15.6 yearsScoliosis Research Society-30Initial curve correctionInpatient opioid consumptionRate of complicationsHigh-volume centersPatient-reported outcomesLength of stayOperating room availabilityOpioid consumptionPostoperative outcomesBlood lossComplication ratePain outcomesRetrospective reviewPatient weightSurgical durationScoliosis with Chiari I malformation without associated syringomyelia
O’Neill N, Miller PE, Hresko MT, Emans JB, Karlin LI, Hedequist DJ, Snyder BD, Smith ER, Proctor MR, Glotzbecker MP. Scoliosis with Chiari I malformation without associated syringomyelia. Spine Deformity 2021, 9: 1105-1113. PMID: 33471302, DOI: 10.1007/s43390-021-00286-7.Peer-Reviewed Original ResearchConceptsPosterior fossa decompressionChiari I malformationScoliosis progressionAverage initial curveNon-idiopathic scoliosisNon-surgical populationMethodsA retrospective reviewResultsThirty-two patientsPresence of symptomsPurposeMany patientsAssociated syringomyeliaSurgical treatmentRetrospective reviewFossa decompressionMean ageRadiographic characteristicsCerebellar tonsilsCurve magnitudeCurve progressionIdiopathic scoliosisPatientsAverage progressionScoliosisForamen magnumSymptoms
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