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Children
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Advancements in Pediatric Orthopedics: Integrating Emerging Technologies for Enhanced Care
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Advancements in Pediatric Orthopedics: Integrating Emerging Technologies for Enhanced Care

A special issue of Children (ISSN 2227-9067). This special issue belongs to the section "Pediatric Orthopedics & Sports Medicine".

Deadline for manuscript submissions: 15 June 2025 | Viewed by 1135

Special Issue Editors

Dr. Sergio De Salvatore

E-Mail Website
Guest Editor
Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo 21, 00128 Rome, Italy
Interests: orthopedic; spine; pediatric orthopedics; scoliosis; flatfoot; low back pain; spondylolisthesis; robotic spine; augmented reality; shoulder; hip; knee; navigation
Dr. Fabrizio Donati

E-Mail Website
Guest Editor
Department of Orthopedics, Children’s Hospital Bambino Gesù, Palidoro, 00165 Rome, Italy
Interests: orthopedic surgery; children

Special Issue Information

Dear Colleagues,

The field of pediatric orthopedics is undergoing a significant transformation through the integration of emerging technologies, leading to improved diagnostic accuracy and therapeutic outcomes for children with musculoskeletal conditions. Innovations such as 3D printing, robotic-assisted surgery, artificial intelligence, and augmented reality are increasingly being adopted to address the pediatric population's complex orthopedic challenges. This Special Issue aims at compiling cutting-edge research and clinical studies that explore the application and impact of these technologies in pediatric orthopedic practice. We invite submissions that investigate the development and implementation of advanced imaging modalities, minimally invasive surgical techniques, personalized prosthetics, and rehabilitation strategies enhanced by technological advancements. Additionally, contributions that discuss the ethical considerations, cost-effectiveness, and long-term outcomes associated with these innovations are highly encouraged. By bringing together diverse perspectives and expertise, this Special Issue seeks to provide a comprehensive overview of how emerging technologies are reshaping pediatric orthopedic care, ultimately aiming at improving the quality of life for young patients. Researchers, clinicians, and healthcare professionals are invited to submit original articles, reviews, and case reports that contribute to this evolving discourse.

Dr. Sergio De Salvatore
Dr. Fabrizio Donati
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Children is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2400 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • novel technologies
  • pediatric orthopedics
  • flatfoot
  • genu valgum
  • hip dysplasia
  • pediatric trauma
  • virtual reality
  • clubfoot
  • early-onset scoliosis
  • Scheuermann disease
  • Perthes
  • epiphysiolysis
  • scoliosis
  • pediatric spine
  • neurological disorder

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Further information on MDPI's Special Issue policies can be found here.

Published Papers (2 papers)

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Research

10 pages, 806 KiB  
Article
Child Opportunity Index Predicts Outcomes in Pediatric Spine Trauma: A Novel Application of Social Determinants of Health
by Gabriel Urreola, Omar Ortuno, Michael Juma and Jose Castillo
Children 2025, 12(3), 380; https://doi.org/10.3390/children12030380 - 19 Mar 2025
Viewed by 289
Abstract
Objectives: Social factors play a crucial role in health outcomes for pediatric patients, yet in the neurosurgery pediatric literature, these factors are rarely reported. To develop a deeper understanding of pediatric spine trauma outcomes, we investigate demographic and social factors measured by the [...] Read more.
Objectives: Social factors play a crucial role in health outcomes for pediatric patients, yet in the neurosurgery pediatric literature, these factors are rarely reported. To develop a deeper understanding of pediatric spine trauma outcomes, we investigate demographic and social factors measured by the Child Opportunity Index (COI) and Social Deprivation Index (SDI). We hypothesize that social factors predict clinical presentation, injury severity, and clinical outcomes. Methods: We conducted a retrospective cohort study of pediatric patients treated for spinal trauma at a Level 1 trauma center in Sacramento, California. We collected patient clinical data such as mechanisms of injury (MOIs), length of stay (LOS), treatment type, hospital disposition, polytrauma incidence, and follow-up attendance. Each patient’s social environment was characterized using COI and SDI metrics. Statistical comparisons were performed to assess associations between social factors and clinical outcomes. Results: Patients with worse childhood opportunity (lower COI and higher SDI) were more likely to be insured through Medi-Cal, identify as Hispanic, and experience violent MOI. Female patients were more likely to sustain polytrauma and had a higher likelihood of requiring surgical intervention. Additionally, patients from underserved communities demonstrated longer hospital stays and poorer follow-up adherence, with COI and SDI scores correlating with these disparities. Conclusion: Social disparities are associated with worse outcomes in pediatric spine trauma. We found COI and SDI to be valuable clinical metrics, motivating further research to be carried out at the state and national levels. These findings highlight health disparities in pediatric spine trauma. Full article
(This article belongs to the Special Issue Advancements in Pediatric Orthopedics: Integrating Emerging Technologies for Enhanced Care)
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9 pages, 2757 KiB  
Article
The Efficacy of a Novel Hybrid Brace in the Treatment of Adolescent Idiopathic Scoliosis: A Prospective Case-Series Study
by Hyoungmin Kim, Sam Yeol Chang, Bong Soon Chang, Jun Yeop Lee, Seonpyo Jang and Sung Taeck Kim
Children 2025, 12(3), 328; https://doi.org/10.3390/children12030328 - 5 Mar 2025
Viewed by 538
Abstract
Background/Objectives: Bracing is an effective treatment for preventing curve progression in skeletally immature adolescent idiopathic scoliosis (AIS) patients. A novel hybrid brace has been developed to overcome the limitations of conventional rigid and soft braces. This study aimed to evaluate the clinical [...] Read more.
Background/Objectives: Bracing is an effective treatment for preventing curve progression in skeletally immature adolescent idiopathic scoliosis (AIS) patients. A novel hybrid brace has been developed to overcome the limitations of conventional rigid and soft braces. This study aimed to evaluate the clinical efficacy of the novel hybrid brace. Methods: We enrolled AIS patients who were candidates for brace treatment: aged 10–18 years, with a coronal Cobb angle of 20–45° and a Risser stage of 0–2. The primary outcome was the rate of successful brace treatment, defined as meeting all three criteria: (1) less than 5° of progression in the Cobb angle during follow-up, (2) less than 45° of Cobb angle at the final follow-up, and (3) avoidance of surgical treatment. Results: A total of 24 patients (1 male, 23 female) with a mean age of 12.2 ± 1.2 years were included in this study. At the initiation of bracing, the major curve had a mean Cobb angle of 34.5 ± 6.3° and an in-brace correction (IBC) rate of 41.5 ± 16.0%. The hybrid brace demonstrated a success rate of 91.7% (22/24) during a mean follow-up period of 22.1 ± 6.4 months. After brace treatment, seven (29.2%) patients showed an improvement of more than 5° in their Cobb angle. When compared to a matched control from a retrospective cohort, the hybrid brace demonstrated a greater success rate (91.7% vs. 83.3%) and a higher proportion of patients with an improved curve (29.2% vs. 12.5%), although statistically insignificant. Conclusions: A novel hybrid brace was effective in preventing curve progression in skeletally immature patients with AIS. Full article
(This article belongs to the Special Issue Advancements in Pediatric Orthopedics: Integrating Emerging Technologies for Enhanced Care)
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