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38 results on '"Hresko, Michael T."'

3. Establishing consensus on the best practice guidelines for the use of bracing in adolescent idiopathic scoliosis

Author

Roye, Benjamin D., Simhon, Matthew E., Matsumoto, Hiroko, Bakarania, Prachi, Berdishevsky, Hagit, Dolan, Lori A., Grimes, Kelly, Grivas, Theodoros B., Hresko, Michael T., Karol, Lori A., Lonner, Baron S., Mendelow, Michael, Negrini, Stefano, Newton, Peter O., Parent, Eric C., Rigo, Manuel, Strikeleather, Luke, Tunney, John, Weinstein, Stuart L., Wood, Grant, and Vitale, Michael G.

Published
2020
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14. Establishing consensus on the best practice guidelines for the use of bracing in adolescent idiopathic scoliosis

Author

Roye, Benjamin D., Simhon, Matthew E., Matsumoto, Hiroko, Bakarania, Prachi, Berdishevsky, Hagit, Dolan, Lori A., Grimes, Kelly, Grivas, Theodoros B., Hresko, Michael T., Karol, Lori A., Lonner, Baron S., Mendelow, Michael, Negrini, Stefano, Newton, Peter O., Parent, Eric C., Rigo, Manuel, Strikeleather, Luke, Tunney, John, Weinstein, Stuart L., Wood, Grant, and Vitale, Michael G.

Abstract

Study design: Survey. Objectives: Bracing is the mainstay of conservative treatment in Adolescent Idiopathic Scoliosis (AIS). The purpose of this study was to establish best practice guidelines (BPG) among a multidisciplinary group of international bracing experts including surgeons, physiatrists, physical therapists, and orthotists utilizing formal consensus building techniques. Summary of background data: Currently, there is significant variability in the practice of brace treatment for AIS and, therefore, there is a strong need to develop BPG for bracing in AIS. Methods: We utilized the Delphi process and the nominal group technique to establish consensus among a multidisciplinary group of bracing experts. Our previous work identified areas of variability in brace treatment that we targeted for consensus. Following a review of the literature, three iterative surveys were administered. Topics included bracing goals, indications for starting and discontinuing bracing, brace types, brace prescription, radiographs, physical activities, and physiotherapeutic scoliosis-specific exercises. A face-to-face meeting was then conducted that allowed participants to vote for or against inclusion of each item. Agreement of 80% throughout the surveys and face-to-face meeting was considered consensus. Items that did not reach consensus were discussed and revised and repeat voting for consensus was performed. Results: Of the 38 experts invited to participate, we received responses from 32, 35, and 34 for each survey, respectively. 11 surgeons, 4 physiatrists, 8 physical therapists, 3 orthotists, and 1 research scientist participated in the final face-to-face meeting. Experts reached consensus on 67 items across 10 domains of bracing which were consolidated into the final best practice recommendations. Conclusions: We believe that adherence to these BPG will lead to fewer sub-optimal outcomes in patients with AIS by reducing the variability in AIS bracing practices, and provide a framework future research. Level of evidence: Level IV.

Published
2024
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21. The Reliability of the AOSpine Thoracolumbar Classification System in Children: Results of a Multicenter Study

Author

Mo, Andrew Z., primary, Miller, Patricia E., additional, Glotzbecker, Michael P., additional, Li, Ying, additional, Fletcher, Nicholas D., additional, Upasani, Vidyadhar V., additional, Riccio, Anthony I., additional, Hresko, Michael T., additional, Krengel, Walter F., additional, Spence, David, additional, Garg, Sumeet, additional, and Hedequist, Daniel J., additional

Published
2020
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32. Changing Practice Patterns

Author

Mahan, Susan T., primary, Osborn, Emily, additional, Bae, Donald S., additional, Waters, Peter M., additional, Kasser, James R., additional, Kocher, Mininder S., additional, Snyder, Brian D., additional, and Hresko, Michael T., additional

Published
2012
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37. A Comparison of Methods for Measuring Spinal Motion in Female Patients WithAdolescent Idiopathic Scoliosis

Author

Hresko, Michael T., Mesiha, Mena, Richards, Kathleen, and Zurakowski, David

Abstract

Noninvasive surface measures of spine motion are validated in adult patients but are infrequently used in adolescent scoliosis patients. The agreement between surface and radiographic measurements of spinal motion is not known. We performed a comparative prospective analysis of 3 methods to measure spinal motion in female patients with adolescent idiopathic scoliosis (AIS) to establish normative data of spinal motion in AIS patients and evaluate the relationship between surface and radiographic measurements of spine motion. Measurements were obtained using a cloth tape measure, dual inclinometers, and a 3-dimensional electrogoniometer in 37 female patients with AIS. Radiographic parameters of the deformity were correlated with the spine motion. Differences between methods were evaluated by paired ttests. The Bland-Altman method was applied to evaluate agreement in measuring flexion.

Published
2006
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38. Sagittal plane parameters in growing rod patients following final fusion.

Author

Murphy RF, Emans JB, Troy M, Miller PE, Hresko MT, Karlin LI, Hedequist DJ, and Glotzbecker MP

Subjects
Adolescent, Child, Child, Preschool, Female, Humans, Lumbar Vertebrae diagnostic imaging, Lumbar Vertebrae growth & development, Lumbar Vertebrae surgery, Male, Retrospective Studies, Spinal Fusion instrumentation, Thoracic Vertebrae diagnostic imaging, Thoracic Vertebrae growth & development, Thoracic Vertebrae surgery, Bone Development, Bone Plates trends, Scoliosis diagnostic imaging, Scoliosis surgery, Spinal Fusion trends
Abstract

Almost half of growing rod (GR) patients that undergo final fusion (FF) have an extension of instrumented levels. The purpose of this study was to review sagittal plane radiographic parameters of patients with distal extension of instrumented levels at FF to those whose levels remained the same. Radiographs were assessed preoperatively, after GR insertion/first lengthening, following GR treatment before FFs, and after FF. Measurements included sagittal balance, lumbar lordosis, thoracic kyphosis, and distal junction angle (DJA). Twenty-one patients were included. There was no change in sagittal balance. There was a significant decrease in lordosis and kyphosis following initial GR implantation. Kyphosis and lordosis increased during the GR period, but remained unchanged at time of FF. DJA increased 8° on average. Seven patients had distal extension of instrumented levels at time of FF (average 2 levels, range: 1-4). Indication for distal extension was sagittal plane decompensation in four cases. When comparing patients who had distal extension at the time of FF to those whose levels remained the same, there was no difference in the change in sagittal balance, lordosis, or kyphosis. Final DJA was significantly smaller in those patients with distal extension. Most GR patients that undergo FF demonstrate acceptable correction of sagittal plane radiographic parameters. A small cohort of patients requires distal extension at FF due to sagittal plane decompensation., Level of Evidence: Level IV, Therapeutic.

Published
2018
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