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Plastic multilayered closure versus orthopedic surgeon closure after spinal instrumentation in pediatric neuromuscular scoliosis

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World Journal of Pediatric Surgery 2023年第1期6卷 30-35页

作者： ekene u ezeokoli Poornima L Tamma Neritan Borici Ifeoma Inneh Edward P Buchanan Brian G Smith Department of Orthopedic Surgery Texas Children's HospitalHoustonTexasUSA Baylor College of Medicine HoustonTexasUSA Department of Plastic Surgery Texas Children's HospitalHoustonTexasUSA Department of Orthopedic Surgery Baylor College of MedicineHoustonTexasUSA

Objective To compare wound complication rates between orthopedic closure(OC)and plastic multilayered closure(PMC)in patients undergoing primary posterior spinal fusion for neuromuscular scoliosis(NMS).We hypothesize that multilayered closure will be associated with better postoperative *** We collected data on pediatric patients diagnosed with NMS who underwent first time spinal instrumentation between 1 January 2018 and 31 May *** demographics,length of surgery,spinal levels fused and operative variables,wound complication rate,treatments,and need for wound washout were reviewed in depth and *** In total,86 patients were reviewed:46 with OC and 40 with *** was a significant increase in operating room(OR)time with PMC compared with OC(6.7±1.2 vs 7.3±1.3,p=0.016).There was no difference in complication rate,mean postoperative day of complication or unplanned return to the OR for OC and PMC,*** was a slightly significant increase in the number of patients going home with a drain in the PMC cohort compared with the OC cohort(2.1%vs 15%,p=0.046).Conclusions PMC demonstrated longer OR times than OC and did not demonstrate a statistically significant reduction in wound complications or unplanned returns to the ***,other studies have demonstrated statistical and clinical significance with these *** programs should review internal patient volumes and outcomes for spinal fusion in NMS patients and consider if PMC after spinal fusions in pediatric patients with NMS or other scoliosis subtypes is an appropriate option in their institution to minimize postoperative wound complications.

关键词： wound pediatric closure

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Presentations,treatment and outcomes of unifocal and multifocal osseous appendicular Langerhans cell histiocytosis lesions in a pediatric population

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World Journal of Pediatric Surgery 2023年第1期6卷 55-57页

作者： ekene u ezeokoli Parker Mitchell Eva Schlehr Neritan Borici Nicole Montgomery Department of Orthopedic Surgery Texas Children's HospitalHoustonTexasUSA Oakland university William Beaumont School of Medicine RochesterMichiganUSA Department of Orthopedic Surgery Baylor College of MedicineHoustonTexasUSA Baylor College of Medicine HoustonTexasUSA university at Buffalo Jacobs School of Medicine and Biomedical Sciences BuffaloNew YorkUSA

Langerhans cell histiocytosis(LCH)is a rare disease most commonly presenting in the pediatric population and characterized by neoplastic clonal proliferation of Langerhans dendritic cells with accumulation in various sites,including skeletal and visceral lesions.1 There are three levels of classification per the Histiocyte Society:single-system single-site(SS-s),single-system multiple-site(SS-m),and multisystem(MS).2 SS-s predominantly carries a better prognosis with more conservative treatment while MS requires a more aggressive treatment that is more likely to have an inferior outcome.

关键词： Langerhans lesions treatment

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