Mechanisms and Risk Factors of Brachial Plexus Injury in the Treatment of Early-Onset Scoliosis with...
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Transcript of Mechanisms and Risk Factors of Brachial Plexus Injury in the Treatment of Early-Onset Scoliosis with...
![Page 1: Mechanisms and Risk Factors of Brachial Plexus Injury in the Treatment of Early-Onset Scoliosis with Distraction- Based Growing Implants by Elizabeth R.A.](https://reader035.fdocuments.us/reader035/viewer/2022072013/56649e705503460f94b6e88d/html5/thumbnails/1.jpg)
Mechanisms and Risk Factors of Brachial Plexus Injury in the Treatment of Early-Onset Scoliosis with Distraction-
Based Growing Implants
by Elizabeth R.A. Joiner, Lindsay M. Andras, and David L. Skaggs
J Bone Joint Surg AmVolume 95(21):e161November 6, 2013
©2013 by The Journal of Bone and Joint Surgery, Inc.
![Page 2: Mechanisms and Risk Factors of Brachial Plexus Injury in the Treatment of Early-Onset Scoliosis with Distraction- Based Growing Implants by Elizabeth R.A.](https://reader035.fdocuments.us/reader035/viewer/2022072013/56649e705503460f94b6e88d/html5/thumbnails/2.jpg)
The patient with her arms abducted in the typical prone position for spine surgery.
Elizabeth R.A. Joiner et al. J Bone Joint Surg Am 2013;95:e161
©2013 by The Journal of Bone and Joint Surgery, Inc.
![Page 3: Mechanisms and Risk Factors of Brachial Plexus Injury in the Treatment of Early-Onset Scoliosis with Distraction- Based Growing Implants by Elizabeth R.A.](https://reader035.fdocuments.us/reader035/viewer/2022072013/56649e705503460f94b6e88d/html5/thumbnails/3.jpg)
The patient with her arms adducted, which in this case allowed detection of neurological changes that had not been apparent with the arm abducted.
Elizabeth R.A. Joiner et al. J Bone Joint Surg Am 2013;95:e161
©2013 by The Journal of Bone and Joint Surgery, Inc.
![Page 4: Mechanisms and Risk Factors of Brachial Plexus Injury in the Treatment of Early-Onset Scoliosis with Distraction- Based Growing Implants by Elizabeth R.A.](https://reader035.fdocuments.us/reader035/viewer/2022072013/56649e705503460f94b6e88d/html5/thumbnails/4.jpg)
Preoperative posteroanterior and lateral radiographs of a sixteen-month-old patient with congenital scoliosis, fused ribs, thoracic insufficiency syndrome, and Sprengel deformity of the
left scapula who developed left upper-extremity weakness after attempte...
Elizabeth R.A. Joiner et al. J Bone Joint Surg Am 2013;95:e161
©2013 by The Journal of Bone and Joint Surgery, Inc.
![Page 5: Mechanisms and Risk Factors of Brachial Plexus Injury in the Treatment of Early-Onset Scoliosis with Distraction- Based Growing Implants by Elizabeth R.A.](https://reader035.fdocuments.us/reader035/viewer/2022072013/56649e705503460f94b6e88d/html5/thumbnails/5.jpg)
Postoperative radiographs after a second surgery at the age of four years, in which the patient successfully underwent implantation of a rib-anchored growing rod (rib to spine).
Elizabeth R.A. Joiner et al. J Bone Joint Surg Am 2013;95:e161
©2013 by The Journal of Bone and Joint Surgery, Inc.
![Page 6: Mechanisms and Risk Factors of Brachial Plexus Injury in the Treatment of Early-Onset Scoliosis with Distraction- Based Growing Implants by Elizabeth R.A.](https://reader035.fdocuments.us/reader035/viewer/2022072013/56649e705503460f94b6e88d/html5/thumbnails/6.jpg)
Table showing the etiologies of early-onset scoliosis in this series of patients.
Elizabeth R.A. Joiner et al. J Bone Joint Surg Am 2013;95:e161
©2013 by The Journal of Bone and Joint Surgery, Inc.
![Page 7: Mechanisms and Risk Factors of Brachial Plexus Injury in the Treatment of Early-Onset Scoliosis with Distraction- Based Growing Implants by Elizabeth R.A.](https://reader035.fdocuments.us/reader035/viewer/2022072013/56649e705503460f94b6e88d/html5/thumbnails/7.jpg)
Table showing the prevalence of brachial plexus injury (BPI) in patients with and without Sprengel deformity in this series.
Elizabeth R.A. Joiner et al. J Bone Joint Surg Am 2013;95:e161
©2013 by The Journal of Bone and Joint Surgery, Inc.
![Page 8: Mechanisms and Risk Factors of Brachial Plexus Injury in the Treatment of Early-Onset Scoliosis with Distraction- Based Growing Implants by Elizabeth R.A.](https://reader035.fdocuments.us/reader035/viewer/2022072013/56649e705503460f94b6e88d/html5/thumbnails/8.jpg)
Table showing characteristics of the patients who had a brachial plexus injury (BPI).
Elizabeth R.A. Joiner et al. J Bone Joint Surg Am 2013;95:e161
©2013 by The Journal of Bone and Joint Surgery, Inc.
![Page 9: Mechanisms and Risk Factors of Brachial Plexus Injury in the Treatment of Early-Onset Scoliosis with Distraction- Based Growing Implants by Elizabeth R.A.](https://reader035.fdocuments.us/reader035/viewer/2022072013/56649e705503460f94b6e88d/html5/thumbnails/9.jpg)
Description of brachial plexus injuries.
Elizabeth R.A. Joiner et al. J Bone Joint Surg Am 2013;95:e161
©2013 by The Journal of Bone and Joint Surgery, Inc.
![Page 10: Mechanisms and Risk Factors of Brachial Plexus Injury in the Treatment of Early-Onset Scoliosis with Distraction- Based Growing Implants by Elizabeth R.A.](https://reader035.fdocuments.us/reader035/viewer/2022072013/56649e705503460f94b6e88d/html5/thumbnails/10.jpg)
Photograph showing C6 and C7 nerve roots joining to form the long thoracic nerve indicating the close proximity of the hook to the brachial plexus in a patient undergoing VEPTR
instrumentation to the first rib.
Elizabeth R.A. Joiner et al. J Bone Joint Surg Am 2013;95:e161
©2013 by The Journal of Bone and Joint Surgery, Inc.