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Orthopedic Procedures

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Pediatric Orthopedic Imaging

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Abstract

A wide variety of surgical procedures may be employed to treat pediatric orthopedic problems. This chapter presents some of the more common procedures, focusing on those involving the spine, lower extremities, and foot. The procedures address issues of alignment (e.g., scoliosis, extremity angulation or asymmetry, and foot deformities), correct sequelae of hip disorders by redirecting the femoral head or by increasing acetabular coverage, or compensate for—or take advantage of—the potential for continued skeletal growth.

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References

  1. Sucato DJ, Duchene C. The position of the aorta relative to the spine: a comparison of patients with and without idiopathic scoliosis. J Bone Joint Surg Am Vol. 2003;85-A(8):1461–9. PubMed PMID: 12925625. Epub 2003/08/20. eng.

    Google Scholar 

  2. Akbarnia BA, Marks DS, Boachie-Adjei O, Thompson AG, Asher MA. Dual growing rod technique for the treatment of progressive early-onset scoliosis: a multicenter study. Spine. 2005;30(17 Suppl):S46–57. PubMed PMID: 16138066. Epub 2005/09/03. eng.

    Article  PubMed  Google Scholar 

  3. Campbell Jr RM, Smith MD, Mayes TC, Mangos JA, Willey-Courand DB, Kose N, et al. The characteristics of thoracic insufficiency syndrome associated with fused ribs and congenital scoliosis. J Bone Joint Surg Am Vol. 2003;85-A(3):399–408. PubMed PMID: 12637423. Epub 2003/03/15. eng.

    Google Scholar 

  4. Campbell Jr RM, Smith MD. Thoracic insufficiency syndrome and exotic scoliosis. J Bone Joint Surg Am Vol. 2007;89 Suppl 1:108–22. PubMed PMID: 17272428. Epub 2007/02/03. eng.

    Article  Google Scholar 

  5. Lenke LG, Betz RR, Harms J, Bridwell KH, Clements DH, Lowe TG, et al. Adolescent idiopathic scoliosis: a new classification to determine extent of spinal arthrodesis. J Bone Joint Surg Am Vol. 2001;83-A(8):1169–81. PubMed PMID: 11507125. Epub 2001/08/17. eng.

    CAS  Google Scholar 

  6. Betz RR, Harms J, Clements 3rd DH, Lenke LG, Lowe TG, Shufflebarger HL, et al. Comparison of anterior and posterior instrumentation for correction of adolescent thoracic idiopathic scoliosis. Spine. 1999;24(3):225–39. PubMed PMID: 10025017. Epub 1999/02/20. eng.

    Article  CAS  PubMed  Google Scholar 

  7. Foley MJ, Calenoff L, Hendrix RW, Schafer MF. Thoracic and lumbar spine fusion: postoperative radiologic evaluation. AJR Am J Roentgenol. 1983;141(2):373–80. PubMed PMID: 6603137. Epub 1983/08/01. eng.

    Article  CAS  PubMed  Google Scholar 

  8. Lauerman WC, Bradford DS, Transfeldt EE, Ogilvie JW. Management of pseudarthrosis after arthrodesis of the spine for idiopathic scoliosis. J Bone Joint Surg Am Vol. 1991;73(2):222–36. PubMed PMID: 1993718. Epub 1991/02/01. eng.

    CAS  Google Scholar 

  9. McMaster MJ. Anterior and posterior instrumentation and fusion of thoracolumbar scoliosis due to myelomeningocele. J Bone Joint Surg Br Vol. 1987;69(1):20–5. PubMed PMID: 3818727. Epub 1987/01/01. eng.

    CAS  Google Scholar 

  10. Saran N, Varghese R, Mulpuri K. Do femoral or salter innominate osteotomies improve femoral head sphericity in Legg-Calve-Perthes disease? A meta-analysis. Clin Orthop Relat Res. 2012;470(9):2383–93. PubMed PMID: 22467420. Epub 2012/04/03. eng.

    Article  PubMed Central  PubMed  Google Scholar 

  11. Salter RB. Role of innominate osteotomy in the treatment of congenital dislocation and subluxation of the hip in the older child. J Bone Joint Surg Am Vol. 1966;48(7):1413–39. PubMed PMID: 5921797. Epub 1966/10/01. eng.

    CAS  Google Scholar 

  12. Steel HH. Triple osteotomy of the innominate bone. J Bone Joint Surg Am Vol. 1973;55(2):343–50. PubMed PMID: 4572223. Epub 1973/03/01. eng.

    CAS  Google Scholar 

  13. Steel HH. Triple osteotomy of the innominate bone. A procedure to accomplish coverage of the dislocated or subluxated femoral head in the older patient. Clin Orthop Relat Res. 1977;122:116–27. PubMed PMID: 837597. Epub 1977/01/01. eng.

    PubMed  Google Scholar 

  14. Pemberton PA. Pericapsular osteotomy of the ilium for treatment of congenital subluxation and dislocation of the hip. J Bone Joint Surg Am Vol. 1965;47:65–86. PubMed PMID: 14256975. Epub 1965/01/01. eng.

    CAS  Google Scholar 

  15. Pemberton PA. Pericapsular osteotomy of the ilium for the treatment of congenitally dislocated hips. Clin Orthop Relat Res. 1974;98:41–54. PubMed PMID: 4817244. Epub 1974/01/01. eng.

    Article  PubMed  Google Scholar 

  16. Faciszewski T, Kiefer GN, Coleman SS. Pemberton osteotomy for residual acetabular dysplasia in children who have congenital dislocation of the hip. J Bone Joint Surg Am Vol. 1993;75(5):643–9. PubMed PMID: 8501078. Epub 1993/05/01. eng.

    CAS  Google Scholar 

  17. Berkeley ME, Dickson JH, Cain TE, Donovan MM. Surgical therapy for congenital dislocation of the hip in patients who are twelve to thirty-six months old. J Bone Joint Surg Am Vol. 1984;66(3):412–20. PubMed PMID: 6699058. Epub 1984/03/01. eng.

    CAS  Google Scholar 

  18. Klaue K, Sherman M, Perren SM, Wallin A, Looser C, Ganz R. Extra-articular augmentation for residual hip dysplasia. Radiological assessment after Chiari osteotomies and shelf procedures. J Bone Joint Surg Br Vol. 1993;75(5):750–4. PubMed PMID: 8376432. Epub 1993/09/01. eng.

    CAS  Google Scholar 

  19. Kotz R, Chiari C, Hofstaetter JG, Lunzer A, Peloschek P. Long-term experience with Chiari’s osteotomy. Clin Orthop Relat Res. 2009;467(9):2215–20. PubMed PMID: 19521741. Pubmed Central PMCID: 2866931. Epub 2009/06/13. eng.

    Article  PubMed Central  PubMed  Google Scholar 

  20. Chiari K. Medial displacement osteotomy of the pelvis. Clin Orthop Relat Res. 1974;98:55–71. PubMed PMID: 4817245. Epub 1974/01/01. eng.

    Article  PubMed  Google Scholar 

  21. Ito H, Tanino H, Yamanaka Y, Nakamura T, Minami A, Matsuno T. The Chiari pelvic osteotomy for patients with dysplastic hips and poor joint congruency: long-term follow-up. J Bone Joint Surg Br Vol. 2011;93(6):726–31. PubMed PMID: 21586768. Epub 2011/05/19. eng.

    Article  CAS  Google Scholar 

  22. Bickel WH, Breivis JS. Shelf operation for congenital subluxation and dislocation of the hip. Clin Orthop Relat Res. 1975;106:27–34. PubMed PMID: 1126084. Epub 1975/01/01. eng.

    Article  PubMed  Google Scholar 

  23. Hamanishi C, Tanaka S, Yamamuro T. The Spitzy shelf operation for the dysplastic hip. Retrospective 10 (5–25) year study of 124 cases. Acta Orthop Scand. 1992;63(3):273–7.

    Article  CAS  PubMed  Google Scholar 

  24. Nishimatsu H, Iida H, Kawanabe K, Tamura J, Nakamura T. The modified Spitzy shelf operation for patients with dysplasia of the hip. A 24-year follow-up study. J Bone Joint Surg Br Vol. 2002;84(5):647–52. PubMed PMID: 12188478. Epub 2002/08/22. eng.

    Article  CAS  Google Scholar 

  25. Coates CJ, Paterson JM, Woods KR, Catterall A, Fixsen JA. Femoral osteotomy in Perthes’ disease. Results at maturity. J Bone Joint Surg Br Vol. 1990;72(4):581–5. PubMed PMID: 2380208. Epub 1990/07/01. eng.

    CAS  Google Scholar 

  26. Larson AN, Sierra RJ, Yu EM, Trousdale RT, Stans AA. Outcomes of slipped capital femoral epiphysis treated with in situ pinning. J Pediatr Orthop. 2012;32(2):125–30. PubMed PMID: 22327445. Epub 2012/02/14. eng.

    Article  PubMed  Google Scholar 

  27. Kartenbender K, Cordier W, Katthagen BD. Long-term follow-up study after corrective Imhauser osteotomy for severe slipped capital femoral epiphysis. J Pediatr Orthop. 2000;20(6):749–56. PubMed PMID: 11097248. Epub 2000/11/30. eng.

    Article  CAS  PubMed  Google Scholar 

  28. Rab GT. The geometry of slipped capital femoral epiphysis: implications for movement, impingement, and corrective osteotomy. J Pediatr Orthop. 1999;19(4):419–24. PubMed PMID: 10412987. Epub 1999/07/21. eng.

    Article  CAS  PubMed  Google Scholar 

  29. Sponseller PD, McBeath AA, Perpich M. Hip arthrodesis in young patients. A long-term follow-up study. J Bone Joint Surg Am Vol. 1984;66(6):853–9. PubMed PMID: 6234319. Epub 1984/07/01. eng.

    CAS  Google Scholar 

  30. Schafroth MU, Blokzijl RJ, Haverkamp D, Maas M, Marti RK. The long-term fate of the hip arthrodesis: does it remain a valid procedure for selected cases in the 21st century? Int Orthop. 2010;34(6):805–10. PubMed PMID: 19697025. Pubmed Central PMCID: 2989023. Epub 2009/08/22. eng.

    Article  PubMed Central  PubMed  Google Scholar 

  31. Tooke SM, Nugent PJ, Bassett LW, Nottingham P, Mirra J, Jinnah R. Results of core decompression for femoral head osteonecrosis. Clin Orthop Relat Res. 1988;228:99–104. PubMed PMID: 3342594.

    PubMed  Google Scholar 

  32. Rajagopal M, Balch Samora J, Ellis TJ. Efficacy of core decompression as treatment for osteonecrosis of the hip: a systematic review. Hip Int. 2012;22(5):489–93. PubMed PMID: 23100153.

    Article  PubMed  Google Scholar 

  33. Inan M, Chan G, Littleton AG, Kubiak P, Bowen JR. Efficacy and safety of percutaneous epiphysiodesis. J Pediatr Orthop. 2008;28(6):648–51. PubMed PMID: 18724201.

    Article  PubMed  Google Scholar 

  34. Bowen JR, Johnson WJ. Percutaneous epiphysiodesis. Clin Orthop Relat Res. 1984;190:170–3. PubMed PMID: 6488627.

    PubMed  Google Scholar 

  35. Stevens PM. Guided growth for angular correction: a preliminary series using a tension band plate. J Pediatr Orthop. 2007;27(3):253–9. PubMed PMID: 17414005.

    Article  PubMed  Google Scholar 

  36. Birch JG, Samchukov ML. Use of the Ilizarov method to correct lower limb deformities in children and adolescents. J Am Acad Orthop Surg. 2004;12(3):144–54. PubMed PMID: 15161167.

    PubMed  Google Scholar 

  37. Paley D, Fink B, Herzenberg JE. Pseudarthrosis following slipped capital femoral epiphysis: treatment with reduction with use of gradual distraction. A case report. J Bone Joint Surg Am Vol. 1997;79(10):1552–5. PubMed PMID: 9378742.

    CAS  Google Scholar 

  38. Ruck J, Dahan-Oliel N, Montpetit K, Rauch F, Fassier F. Fassier-Duval femoral rodding in children with osteogenesis imperfecta receiving bisphosphonates: functional outcomes at one year. J Child Orthop. 2011;5(3):217–24. PubMed PMID: 22654983. Pubmed Central PMCID: 3100465.

    Article  PubMed Central  PubMed  Google Scholar 

  39. Birke O, Davies N, Latimer M, Little DG, Bellemore M. Experience with the Fassier-Duval telescopic rod: first 24 consecutive cases with a minimum of 1-year follow-up. J Pediatr Orthop. 2011;31(4):458–64. PubMed PMID: 21572286.

    Article  PubMed  Google Scholar 

  40. Halanski MA, Davison JE, Huang JC, Walker CG, Walsh SJ, Crawford HA. Ponseti method compared with surgical treatment of clubfoot: a prospective comparison. J Bone Joint Surg Am Vol. 2010;92(2):270–8. PubMed PMID: 20124052.

    Article  Google Scholar 

  41. Levin MN, Kuo KN, Harris GF, Matesi DV. Posteromedial release for idiopathic talipes equinovarus. A long-term follow-up study. Clin Orthop Relat Res. 1989;242:265–8. PubMed PMID: 2706856.

    PubMed  Google Scholar 

  42. DePuy J, Drennan JC. Correction of idiopathic clubfoot: a comparison of results of early versus delayed posteromedial release. J Pediatr Orthop. 1989;9(1):44–8. PubMed PMID: 2915038.

    Article  CAS  PubMed  Google Scholar 

  43. van Gelder JH, van Ruiten AG, Visser JD, Maathuis PG. Long-term results of the posteromedial release in the treatment of idiopathic clubfoot. J Pediatr Orthop. 2010;30(7):700–4. PubMed PMID: 20864856.

    Article  PubMed  Google Scholar 

  44. Child BJ, Hix J, Catanzariti AR, Mendicino RW, Saltrick K. The effect of hindfoot realignment in triple arthrodesis. J Foot Ankle Surg. 2009;48(3):285–93. PubMed PMID: 19423028.

    Article  PubMed  Google Scholar 

  45. Westberry DE, Davids JR, Anderson JP, Pugh LI, Davis RB, Hardin JW. The operative correction of symptomatic flat foot deformities in children: the relationship between static alignment and dynamic loading. Bone Joint J. 2013;95-B(5):706–13. PubMed PMID: 23632686.

    Article  CAS  PubMed  Google Scholar 

  46. Westberry DE, Davids JR, Pugh LI. The Boyd amputation in children: indications and outcomes. J Pediatr Orthop. 2014;34(1):86–91. PubMed PMID: 23872807.

    Article  PubMed  Google Scholar 

  47. Canavese F, Wright JG, Cole WG, Hopyan S. Unicameral bone cysts: comparison of percutaneous curettage, steroid, and autologous bone marrow injections. J Pediatr Orthop. 2011;31(1):50–5. PubMed PMID: 21150732.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, UC Davis Children’s Hospital and Shriners Hospital for Children Northern California, 2425 Stockton Blvd, Sacramento, CA, 95817, USA

    Brian M. Haus MD & Debra Templeton Popejoy MD

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  1. Brian M. Haus MD
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  2. Debra Templeton Popejoy MD
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Correspondence to Brian M. Haus MD .

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Editors and Affiliations

  1. Department of Radiology, University of California Davis, Medical Center and UC Davis Children’s Hospital, Sacramento, California, USA

    Rebecca Stein-Wexler

  2. Department of Radiology, University of California Davis, Medical Center and UC Davis Children’s Hospital, Sacramento, California, USA

    Sandra L. Wootton-Gorges

  3. Department of Radiology, University of California Davis, Sacramento, California, USA

    M.B. Ozonoff

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Haus, B.M., Popejoy, D.T. (2015). Orthopedic Procedures. In: Stein-Wexler, R., Wootton-Gorges, S., Ozonoff, M. (eds) Pediatric Orthopedic Imaging. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-45381-6_27

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  • DOI: https://doi.org/10.1007/978-3-642-45381-6_27

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