Thoracic and Lumbar Spine Dissection for Pediatric Deformity
(1) Subperiosteal dissection after splitting the apophysis is essential to achieving hemostasis.(2) Errant dissection of the thoracic spine can cause durotomy, pneumothorax, and neurologic injury.(3) Supraspinous ligament violation near the UIV can increase the risk of junctional kyphosis.(4) Preserving the UIV and LIV facet joints is essential to maintain adjacent segment joint health.(5) Safe placement of all spinal instrumentation (hooks, screws, and sublaminar fixation) requires adequate spinal exposure.
Authors
- Ravi Agrawal (ORCID: https://orcid.org/0000-0002-6905-4547)
- Keith H. Bridwell (ORCID: https://orcid.org/0000-0001-9228-8782)
- Munish Chandra Gupta (ORCID: https://orcid.org/0000-0002-4711-4377)
- Blake K. Montgomery (ORCID: https://orcid.org/0000-0001-7768-7929)
Institutions
- St. Louis Children's Hospital (US)
Publication Details
- Journal
- Journal of the Pediatric Orthopaedic Society of North America
- Published
- 2025-05-28
- DOI
- https://doi.org/10.1016/j.jposna.2025.100213
- Primary Topic
- Scoliosis diagnosis and treatment
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- National Institutes of Health
- National Center for Advancing Translational Sciences