David E. Lebel
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View article: Measuring meaningful outcomes for adolescent idiopathic scoliosis: a narrative review and critical appraisal of the Scoliosis Research Society-22 revised (SRS-22r) instrument
Measuring meaningful outcomes for adolescent idiopathic scoliosis: a narrative review and critical appraisal of the Scoliosis Research Society-22 revised (SRS-22r) instrument Open
Our findings characterize the strengths and limitations of the SRS-22r. An ideal AIS HRQL measure should be guided by a conceptual framework informed by, and aligned with the priorities and goals of adolescents with idiopathic scoliosis ba…
View article: Staging growing rod insertion results in increased postoperative complications than the equivalent unstaged procedure
Staging growing rod insertion results in increased postoperative complications than the equivalent unstaged procedure Open
Aims Anchor-related complications are the leading cause for unplanned surgery in early-onset scoliosis (EOS). One strategy to reduce unplanned surgery is staging implant insertion. This study compares the outcomes of staged versus unstaged…
View article: Sequential Rod Rolling for Surgical Correction of Lenke Type 2 Adolescent Idiopathic Scoliosis: A 3D Analysis
Sequential Rod Rolling for Surgical Correction of Lenke Type 2 Adolescent Idiopathic Scoliosis: A 3D Analysis Open
Introduction: Many options have been described to restore balance and create stable fusion in severe adolescent idiopathic scoliosis (AIS), including preoperative gravity halo traction, posterior vertebral column resection, and three colum…
View article: Can Intra-Operative Cell Salvage Reduce the Rate of Allogeneic Transfusion in Pediatric Spinal Deformity Surgery?
Can Intra-Operative Cell Salvage Reduce the Rate of Allogeneic Transfusion in Pediatric Spinal Deformity Surgery? Open
Study Design Retrospective cohort study. Objectives The objective of this study was to characterize the association between cell-salvage and allogeneic transfusion rate in pediatric patients undergoing posterior arthrodesis for scoliosis. …
View article: Oxidative stress induces intervertebral ECM remodelling, elevated tissue stiffness and idiopathic-like scoliosis
Oxidative stress induces intervertebral ECM remodelling, elevated tissue stiffness and idiopathic-like scoliosis Open
Adolescent idiopathic scoliosis (AIS) is the most prevalent paediatric spine disorder, developing in the absence of obvious congenital or physiological defects. Patient genetic sequencing and mouse functional studies have demonstrated asso…
View article: “Ultralow-dose” CT Without Sedation in Pediatric Patients With Neuromuscular Scoliosis
“Ultralow-dose” CT Without Sedation in Pediatric Patients With Neuromuscular Scoliosis Open
Background: Children with neuromuscular scoliosis undergoing scoliosis surgery face substantial rates of complications. To mitigate surgical risks such as blood loss in pediatric patients with neuromuscular scoliosis, this study focuses on…
View article: The global impact of the COVID-19 pandemic on pediatric spinal care: A multi-centric study
The global impact of the COVID-19 pandemic on pediatric spinal care: A multi-centric study Open
Background: The COVID-19 pandemic has affected healthcare worldwide since December 2019. We aimed to identify the effect of the COVID-19 pandemic on outpatient clinic and surgical volumes and peri-operative complications for pediatric spin…
View article: Utility of intraoperative neurophysiological monitoring in detecting motor and sensory nerve injuries in pediatric high-grade spondylolisthesis
Utility of intraoperative neurophysiological monitoring in detecting motor and sensory nerve injuries in pediatric high-grade spondylolisthesis Open
Unimodal IONM using SSEP and MEP alone were accurate in diagnosing sensory and motor nerve root injuries, respectively. The diagnostic accuracy in predicting motor and sensory nerve injuries in pediatric HGS improved further with the use o…
View article: Utilization of individual components of enhanced recovery after surgery (ERAS) protocol improves post-operative outcomes in adolescent idiopathic scoliosis: a blueprint for progressive adoption of ERAS
Utilization of individual components of enhanced recovery after surgery (ERAS) protocol improves post-operative outcomes in adolescent idiopathic scoliosis: a blueprint for progressive adoption of ERAS Open
Purpose Enhanced recovery after surgery [ERAS] is an approach for standardization of perioperative care aimed at improving patient outcomes. The primary aim of this study was to determine if length of stay (LOS) differed by protocol type (…
View article: Management of perinatal cervical spine injury using custom-fabricated external orthoses: design considerations, narrative literature review, and experience from the Hospital for Sick Children. Illustrative cases
Management of perinatal cervical spine injury using custom-fabricated external orthoses: design considerations, narrative literature review, and experience from the Hospital for Sick Children. Illustrative cases Open
BACKGROUND Cervical spine injuries in neonates are rare and no guidelines are available to inform management. The most common etiology of neonatal cervical injury is birth-related trauma. Management strategies that are routine in older chi…
View article: A comparison of three- and two-rod constructs in the correction of severe pediatric scoliosis
A comparison of three- and two-rod constructs in the correction of severe pediatric scoliosis Open
Purpose: Managing severe scoliosis is challenging and risky with a significant complication rate regardless of treatment strategy. In this retrospective comparative study, we report our results using a three-rod compared to two-rod constru…
View article: Canadian Spine Society
Canadian Spine Society Open
# Abstract 57. Radiographic reporting in adolescent idiopathic scoliosis: Is there a discrepancy comparing radiologists’ reports and surgeons’ assessments? {#article-title-2} Cobb angle measurement is the standard method for quantification…
View article: Implant-Related Complications Using Uniaxial Implants In Pediatric Spinal Deformity Surgery
Implant-Related Complications Using Uniaxial Implants In Pediatric Spinal Deformity Surgery Open
This study shows that there is a rate of implant-related failure of 1.8% after PISF with uniaxial implants in pediatric spinal deformities. There is a distinction between early and late implant-related complications, with early failure bei…
Canadian Spine Society: 21st Annual Virtual Scientific Conference, Feb. 3, 10, 15, 17 and 24, 2021Abstract 45. Determining clinically important improvement following surgery for degenerative conditions of the spine: analysis of the Canadian Spine Outcomes and Research Network (CSORN) RegistryAbstract 31. Cost-utility analysis of microdiscectomy versus nonoperative management for the treatment of chronic radiculopathy secondary to lumbar disc herniationAbstract 44. Impact of undergoing thoracolumbar spine surgery on patient psychosocial healthAbstract 70. A comparison of functional and quality of life improvement in 6 different types of surgeryAbstract 54. The role of frailty and sarcopenia in predicting adverse events and mortality following en bloc resection of primary bone tumours and isolated metastases of the spineAbstract 27. Feasibility of achieving planned surgical margins in primary spine tumour: a PTRON studyAbstract 32. Care providers’ perspectives on potential expansion of medical assistance in dying criteria to persons with acute spinal cord injury: a qualitative studyAbstract 22. Does wait time for transfer from acute care to rehabilitation affect the outcomes following a traumatic spinal cord injury? A prospective cohort studyAbstract 86. Investigating and validating quantitative MRI biomarkers for demyelination, axon integrity and inflammation after traumatic spinal cord injuryAbstract 23. Does participating in a national spinal cord injury registry improve actual patient outcomes?Abstract 79. Can individuals expect normal quality of life following traumatic spinal cord injury? A cohort study compared with Canadian normative dataAbstract 79. Is the conversion of the American Spinal Injury Association Impairment Scale grade clinically meaningful for functional recovery in all patients with traumatic spinal cord injury?Abstract 101. Predicting massive intraoperative blood loss in adult spinal deformity surgeryAbstract 102. Use of preoperative opioids is a risk factor for persistent chronic postoperative opioid use in adult spinal deformity patientsAbstract 102. Comparison of a general (NSQIP) and spine specific (SAVES) database for the identification of spine surgery acute care adverse eventsAbstract 55. Trends in length of stay at a quaternary spinal care centre from 2006–2020Abstract 89. The impact of the COVID-19 pandemic on scheduled adult spine surgery in Toronto academic health sciences centres (AHSC): a wave 1 through early wave 2 experienceAbstract 60. Patient acceptance and satisfaction with virtual care in Ontario during and after COVID-19 lockdown restrictionsAbstract 39. Prospective randomized control study to evaluate the role of injection Cerebrolysin in operated cases of degenerative cervical myelopathyAbstract 47. Association between patient-reported outcomes and construct length in posterior cervical instrumentation for cervical spine myelopathyAbstract 52. Rate of revision surgery at adjacent and same segment for cervical disc replacement versus anterior cervical discectomy and fusionAbstract 104. Analysis of complication rates in cervical spine surgery between older patients and younger cohorts using the CSORN registry: Is age just a number?Abstract 49. Factors associated with increased length of stay in degenerative cervical spine surgery: cohort analysis from the Canadian Spine Outcomes and Research Network (CSORN)Abstract 51. Association between preoperative sagittal alignment and radiographic measures of decompression following cervical laminectomyAbstract 3. Analysis of the morphometric change in the uncinate process of cervical spondylosis patients: a study of radiologic anatomyAbstract 4. Does body mass index affect outcomes after vertebral body tethering surgery?Abstract 5. Congenital kyphosis: progressive correction with an instrumented posterior epiphysiodesisAbstract 6. The use of halo gravity traction in severe, stiff scoliosisAbstract 7. Fusing to the pelvis in the correction of scoliosis associated with Rett syndromeAbstract 8. Tuberculosis of the craniovertebral junction: its altered biomechanics and treatment strategyAbstract 9. Anatomic considerations and functional outcomes of endoscopic transiliac approach for access to L5–S1 disc and foramenAbstract 10. Five-year revision rates for elective multilevel lumbar instrumented fusions in the elderly: an analysis of state databasesAbstract 11. Lumbar PLIF without inpatient admission. Results of a standardized care protocol in over 100 selected patients treated over a 5-year periodAbstract 12. Frailty is an important predictor of 30-day morbidity in patients treated for lumbar spondylolisthesis using a posterior surgical approach: analysis of outcomes in 15 658 patients from the NSQIP databaseAbstract 13. Scoliosis flexibility correlates with postoperative outcomes following growth-friendly surgeryAbstract 14. Lumbar fusion surgery for patients with back pain and degenerative disc disease: an observational study f Open
# Abstract 45. Determining clinically important improvement following surgery for degenerative conditions of the spine: analysis of the Canadian Spine Outcomes and Research Network (CSORN) Registry {#article-title-2} There is significant v…
View article: Responding to Intraoperative Neuromonitoring Changes During Pediatric Coronal Spinal Deformity Surgery
Responding to Intraoperative Neuromonitoring Changes During Pediatric Coronal Spinal Deformity Surgery Open
Study Design: Retrospective case study on prospectively collected data. Objectives: The purpose of this explorative study was: 1) to determine if patterns of spinal cord injury could be detected through intra-operative neuromonitoring (ION…
View article: EFFECT ON PAIN OF AN ORAL SUCROSE SOLUTION VERSUS PLACEBO IN CHILDREN 1 TO 3 MONTHS OLD NEEDING NASOPHARYNGEAL ASPIRATION; A RANDOMIZED CONTROLLED TRIAL
EFFECT ON PAIN OF AN ORAL SUCROSE SOLUTION VERSUS PLACEBO IN CHILDREN 1 TO 3 MONTHS OLD NEEDING NASOPHARYNGEAL ASPIRATION; A RANDOMIZED CONTROLLED TRIAL Open
\nBACKGROUND: Early recognition and treatment of pain among children is important for their cognitive development and their future response to pain throughout their life. Oral sweet solutions have been accepted as effective pain reducing a…