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 eminencePatientsChestMonthsThe 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
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 durationSIMDiscovery: a simulation-based preparation program for adolescents undergoing spinal fusion surgery
Potthoff LM, Glotzbecker MP, O’Connell B, O’Neill N, Graber KM, Byrne CA, Tremmel JM, Weinstock P, Mednick L. SIMDiscovery: a simulation-based preparation program for adolescents undergoing spinal fusion surgery. Spine Deformity 2021, 9: 1363-1370. PMID: 33689156, PMCID: PMC7943935, DOI: 10.1007/s43390-021-00322-6.Peer-Reviewed Original ResearchConceptsSpinal fusion surgeryFusion surgeryPost-operative periodSurgical processProgram 30Medical appointmentsPatientsSurgeryIndependent sample t-testFeelings of preparednessFamily feedbackEvidenceLevel IIICaregiversSample t-testLower state anxietyMedical proceduresT-testAnxietySelf-report measuresState anxietyCurrent studyOverall experienceParticipantsHigh levelsQuantitative Sensory Changes Following Posterior Spinal Fusion in Adolescent Idiopathic Scoliosis
O'Neill N, Lins L, Ghessese S, Hedequist D, Hresko T, Emans J, Karlin L, Cornelissen L, Glotzbecker M. Quantitative Sensory Changes Following Posterior Spinal Fusion in Adolescent Idiopathic Scoliosis. Pediatrics 2021, 147: 804-805. DOI: 10.1542/peds.147.3ma8.804.Peer-Reviewed Original ResearchScoliosis 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
2020
Acute Neurological Deficits in Instrumented Pediatric Cervical Spine Fusions
Verhofste B, Glotzbecker M, Hresko M, Miller P, Birch C, Troy M, O'Neill N, Karlin L, Emans J, Proctor M, Hedequist D. Acute Neurological Deficits in Instrumented Pediatric Cervical Spine Fusions. Pediatrics 2020, 146: 434-435. DOI: 10.1542/peds.146.1ma5.434b.Peer-Reviewed Original ResearchAcute Neurological Deficits in Instrumented Pediatric Cervical Spine Fusions
Verhofste B, Glotzbecker M, Hresko M, Miller P, Birch C, Troy M, O'Neill N, Karlin L, Emans J, Proctor M, Hedequist D. Acute Neurological Deficits in Instrumented Pediatric Cervical Spine Fusions. Journal Of The Pediatric Orthopaedic Society Of North America 2020, 2: 99. DOI: 10.55275/jposna-2020-99.Peer-Reviewed Original ResearchUse of recombinant human bone morphogenetic protein for revision cervical spine fusion in children with Down syndrome: a case series.
Cohen LL, Yang BW, O'Neill NP, Proctor MR, Glotzbecker MP, Hedequist DJ. Use of recombinant human bone morphogenetic protein for revision cervical spine fusion in children with Down syndrome: a case series. Journal Of Neurosurgery Pediatrics 2020, 25: 535-539. PMID: 32005018, DOI: 10.3171/2019.11.peds19622.Peer-Reviewed Original ResearchCervical spine fusionSpine fusionAtlantoaxial instabilityRecombinant human bone morphogenetic protein-2Postoperative complicationsCase seriesFirst case seriesLength of stayIliac crest boneSolid fusion massNeurological deteriorationCervical fusionLast radiographRetrospective reviewDural tearPosterior fusionPseudarthrosis rateSurgical dataHalo useRevision surgeryImplant revisionCrest boneDS populationInclusion criteriaRecombinant human bone morphogenetic protein
2019
Halo-gravity traction for the treatment of pediatric cervical spine disorders.
Verhofste BP, Glotzbecker MP, Birch CM, O'Neill NP, Hedequist DJ. Halo-gravity traction for the treatment of pediatric cervical spine disorders. Journal Of Neurosurgery Pediatrics 2019, 25: 384-393. PMID: 31881541, DOI: 10.3171/2019.10.peds19513.Peer-Reviewed Original ResearchHalo-gravity tractionSuperficial pin-site infectionGrade I complicationsPin site infectionCervical spine deformityNeurological deficitsTransient paresthesiaHalo vestRotatory subluxationBasilar invaginationGradual correctionOccipitocervical instabilitySpine deformityBaseline neurological deficitPreexisting neurological deficitsSevere cervical deformityMean hospital stayGrade II complicationsCervical spine disordersPediatric spine surgeonsCervical kyphosisClavien-DindoHospital stayCervical deformityCommon complicationAcute 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 ageHalo-Gravity Traction for the Treatment of Cervical Spine Disorders
Verhofste B, Hresko T, Emans J, Glotzbecker M, Snyder B, Birch C, O’Neill N, Karlin L, Proctor M, Hedequist D. Halo-Gravity Traction for the Treatment of Cervical Spine Disorders. Spine Deformity 2019, 7: 1026-1027. DOI: 10.1016/j.jspd.2019.09.007.Peer-Reviewed Original ResearchIntraoperative 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