Daniel Hedequist
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View article: Navigation is associated with lower risk of neurological injury and transfusion in pediatric idiopathic scoliosis surgery
Navigation is associated with lower risk of neurological injury and transfusion in pediatric idiopathic scoliosis surgery Open
Background Spinal navigation has been shown to improve accuracy with pedicle screw placement and reduce complications in adult spine patients. It remains understudied in the pediatric spine population. Purpose The purpose of this study was…
View article: Using Immersive Virtual Reality to Classify Pediatric Thoracolumbar Spine Injuries
Using Immersive Virtual Reality to Classify Pediatric Thoracolumbar Spine Injuries Open
Objective This study aimed to assess the reliability and reproducibility of the AO Spine Thoracolumbar Injury Classification System by using virtual reality (VR). We hypothesized that VR is a highly reliable and reproducible method to clas…
View article: More Than a Flesh Wound: Trisomy 21 Patients Undergoing Posterior Spinal Fusion for Scoliosis Have High Odds of Wound Complications
More Than a Flesh Wound: Trisomy 21 Patients Undergoing Posterior Spinal Fusion for Scoliosis Have High Odds of Wound Complications Open
Study Design Retrospective cohort study. Objectives Patients with trisomy 21 (T21) often have soft tissue differences that lead to greater risk of postoperative wound complications. Our aim was to use a matched cohort of adolescent idiopat…
View article: The Incidence of Posttraumatic Stress Symptoms in Children
The Incidence of Posttraumatic Stress Symptoms in Children Open
Objective: To determine the incidence of posttraumatic stress disorder (PTSD) symptoms and risk factors for their development in children and adolescents undergoing orthopaedic surgery for trauma. Design: Prospective cohort study. Setting:…
View article: Perioperative Blood Pressure Management for Patients Undergoing Spinal Fusion for Pediatric Spinal Deformity
Perioperative Blood Pressure Management for Patients Undergoing Spinal Fusion for Pediatric Spinal Deformity Open
Posterior spinal instrumentation and fusion has become the gold standard for the definitive management of children and adolescents with spinal deformity. Despite continued innovations designed to improve the safety profile of this complex …
View article: The Use of Immersive Virtual Reality (IVR) in Pediatric Orthopaedic Education
The Use of Immersive Virtual Reality (IVR) in Pediatric Orthopaedic Education Open
The traditional postgraduate surgical master-apprenticeship education model is undergoing a significant paradigm shift. For the past century, the transition from trainee to orthopaedic surgeon has been accomplished through stepwise integra…
View article: Bracing for juvenile idiopathic scoliosis: retrospective review from bracing to skeletal maturity
Bracing for juvenile idiopathic scoliosis: retrospective review from bracing to skeletal maturity Open
Background Juvenile idiopathic scoliosis (JIS) outcomes with brace treatment are limited with poorly described bracing protocols. Between 49 and 100% of children with JIS will progress to surgery, however, young age, long follow-up, and va…
View article: Pedicle Screw Placement in Adolescent Idiopathic Scoliosis: A Comparison between Robotics Coupled with Navigation versus the Freehand Technique
Pedicle Screw Placement in Adolescent Idiopathic Scoliosis: A Comparison between Robotics Coupled with Navigation versus the Freehand Technique Open
(1) Background: Robotics coupled with navigation (RAN) is a modern surgical platform shown to increase screw placement accuracy during pediatric scoliosis surgery. Our institution uses a technique which combines the RAN platform for apical…
View article: The reliability of the AOSpine Thoracolumbar Spine Injury Classification System in children: An international validation study
The reliability of the AOSpine Thoracolumbar Spine Injury Classification System in children: An international validation study Open
Purpose To evaluate the AOSpine Thoracolumbar Spine Injury Classification System and if it is reliable and reproducible when applied to the paediatric population globally. Methods A total of 12 paediatric orthopaedic surgeons were asked to…
View article: The Use of Robotics Coupled With Navigation for Pediatric Congenital Spine Deformity
The Use of Robotics Coupled With Navigation for Pediatric Congenital Spine Deformity Open
Background: Spinal instrumentation in children with congenital spine deformity poses challenges to the surgeon, given the small patient size and the anomalous anatomy often encountered. Purpose: We aimed to investigate the accuracy of scre…
View article: Operative Treatment of Severe Cervical Spine Injuries Sustained in Youth Sports: <b>Experience from a Pediatric Level 1 Trauma Center over a 16-Year Period</b>
Operative Treatment of Severe Cervical Spine Injuries Sustained in Youth Sports: <b>Experience from a Pediatric Level 1 Trauma Center over a 16-Year Period</b> Open
Background: Sports-related cervical spine injuries (CSI) are devastating traumas with the potential for permanent disability. There is a paucity of literature on operative CSI sustained in youth athletes. Hypothesis/Purpose: The aims of th…
View article: Screw Fixation of Pediatric Tibial Tubercle Fractures
Screw Fixation of Pediatric Tibial Tubercle Fractures Open
Background: Tibial tubercle fractures are rare injuries that account for <1% of physeal fractures. These fractures are thought to be increasing in frequency, particularly in young, adolescent males who participate in basketball and other s…
View article: Pediatric Cervical Spine Instrumentation
Pediatric Cervical Spine Instrumentation Open
Pediatric cervical spine fixation can be challenging to place as it must accommodate small and often abnormal anatomy. However, multiple safe options exist. Halo-vest orthosis is a useful adjuvant technique to modern rigid implants. Occipi…
View article: Acute Neurological Deficits in Instrumented Pediatric Cervical Spine Fusions
Acute Neurological Deficits in Instrumented Pediatric Cervical Spine Fusions Open
Recipient: Bram Verhofste, MD Acute Neurological Deficits in Instrumented Pediatric Cervical Spine Fusions Bram P. Verhofste, MD1; Michael P. Glotzbecker, MD2; M Timothy Hresko, MD2; Patricia Miller, MS1; Craig M. Birch, MD1; Michael Troy…
View article: Navigation and Robotics in Pediatric Spine Surgery
Navigation and Robotics in Pediatric Spine Surgery Open
Navigation and robotics in pediatric spine surgery have evolved due to the desire for improved safety and efficiency of pedicle screw placement. Computer guided navigation for pedicle screw placement is based on instrument registration to …
View article: Use of recombinant human bone morphogenetic protein for revision cervical spine fusion in children with Down syndrome: a case series
Use of recombinant human bone morphogenetic protein for revision cervical spine fusion in children with Down syndrome: a case series Open
OBJECTIVE Patients with trisomy 21 (Down syndrome; DS) often have atlantoaxial instability (AAI), which, if severe, causes myelopathy and neurological deterioration. Children with DS and AAI who undergo cervical spine fusion have a high ra…
View article: Halo-gravity traction for the treatment of pediatric cervical spine disorders
Halo-gravity traction for the treatment of pediatric cervical spine disorders Open
OBJECTIVE Halo-gravity traction (HGT) is an effective and safe method for gradual correction of severe cervical deformities in adults. However, the literature is limited on the use of HGT for cervical spine deformities that develop in chil…
View article: Os Odontoideum in Children
Os Odontoideum in Children Open
Os odontoideum is a rare entity of the second cervical vertebra, characterized by a circumferentially corticated ossicle separated from the body of C2. The ossicle is a distinct entity from an odontoid fracture or a persistent ossiculum te…
View article: The AOSpine thoracolumbar spine injury classification system: A comparative study with the thoracolumbar injury classification system and severity score in children
The AOSpine thoracolumbar spine injury classification system: A comparative study with the thoracolumbar injury classification system and severity score in children Open
Background: There is no uniform classification in the pediatric population for thoracolumbar (TL) fractures, nor any operative guidelines. This study evaluates the AOSpine TL spine injury classification in the pediatric population and comp…
View article: Multidisciplinary management of spinal aneurysmal bone cysts: A single-center experience
Multidisciplinary management of spinal aneurysmal bone cysts: A single-center experience Open
Objective The management of spinal aneurysmal bone cysts (ABCs) is complex and often requires multimodality therapy, including surgical intervention to stabilize the axial skeleton, and avoid neurologic injury or death. With en bloc resect…
View article: A comparison of screw <i>versus</i> drill and curettage epiphysiodesis to correct leg-length discrepancy
A comparison of screw <i>versus</i> drill and curettage epiphysiodesis to correct leg-length discrepancy Open
Purpose To compare two common surgical techniques of epiphysiodesis: drill/curettage epiphysiodesis (PDED) versus cross screw epiphysiodesis (PETS). The hypothesis is that the two techniques have similar efficacy but demonstrate difference…
View article: Combined preoperative traction with instrumented posterior occipitocervical fusion for severe ventral brainstem compression secondary to displaced os odontoideum: technical report of 2 cases
Combined preoperative traction with instrumented posterior occipitocervical fusion for severe ventral brainstem compression secondary to displaced os odontoideum: technical report of 2 cases Open
Severe os odontoideum causing ventral brainstem compression is a rare and difficult entity to treat. It is generally accepted that severe os odontoideum causing ventral brainstem compression and neurological deficits warrants surgical trea…
View article: Pediatric forearm fractures with in situ intramedullary implants
Pediatric forearm fractures with in situ intramedullary implants Open
Purpose The purpose of this investigation is to present our institutional experience with fractures of the pediatric forearm with in situ intramedullary nails. Methods Six patients treated at our institution for forearm fracture with in si…
View article: Surgical management for displaced pediatric proximal humeral fractures: A cost analysis
Surgical management for displaced pediatric proximal humeral fractures: A cost analysis Open
Purpose The purpose of this investigation was to determine which of the following methods of fixation, percutaneous pinning (PP) or intramedullary nailing (IMN), was more cost-effective in the treatment of displaced pediatric proximal hume…
View article: Spinal deformity progression after posterior segmental instrumentation and fusion for idiopathic scoliosis
Spinal deformity progression after posterior segmental instrumentation and fusion for idiopathic scoliosis Open
Study design Retrospective chart and radiographic review. Purpose To assess the incidence of and variables associated with spinal deformity progression after posterior segmental instrumentation and fusion at a single institution. Progressi…