Special Issue "Clinical Advances in the Diagnosis and Treatment of Spinal Deformities"

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Clinical Neurology".

Deadline for manuscript submissions: 15 May 2023 | Viewed by 1203

Special Issue Editor

Orthopaedics, Rizzoli Orthopaedic Institute, UNIBO - Alma Mater Studiorum, Bologna, Italy
Interests: scoliosis; EOS; congenital scoliosis; adult scoliosis; neuromuscular scoliosis; scoliosis and rare diseases; conservative treatment; surgical treatment

Special Issue Information

Dear Colleagues,

Advances in diagnosis in the treatment of spinal deformities derive from continuous study and development in multiple fields, ranging from genetics to clinical engineering. The objectives of these areas of study and work are all aimed at the prevention, if possible, or early diagnosis of a deformity of the rachis and treatment with conservative or surgical techniques that are effective and less and less aggressive.

The development of new radiographic diagnostic techniques is a valid new system for studying the deformities of the spine of patients of any age (from pediatric to adult scoliosis)  with less and less exposure to radiation. The possibility of performing 3D imaging reconstructions and the use of 3D printers is providing great innovative support for the customized construction of orthopedic corsets and for accurate preoperative planning in the most severe deformities. Surgical techniques with extensible systems allow for the early treatment of scoliosis arising in pediatric age, allowing to maintain the growth of the spine. Minimally invasive surgical techniques are reducing the severity of surgery in developmental age and adulthood, reducing surgical times and hospital stays. The use of intraoperative neurophysiological monitoring reduces neurological risks during the surgical correction of deformities of the spine. The innovative anesthetic techniques make it possible to operate on very complex spine deformities such as those that are neuromuscular and/or associated with rare diseases.  The future of patients with spinal deformity will continue to evolve, allowing more targeted therapeutic decisions, thanks to multidisciplinary involvement, enabling the achievement of increasingly effective clinical results.

This Special Issue will analyze the results of ongoing studies and the most recent experiences still in progress.

Topics will include:

  • The epidemiology of spinal deformities;
  • The role of innovative radiological techniques in the choice of treatment;
  • The current role of the conservative treatment of spinal deformities;
  • Innovative surgical techniques for the treatment of early and adult spinal deformities;
  • Innovative anesthetic techniques that allow the surgical treatment of the most complex spinal deformities.

Dr. Tiziana Greggi
Guest Editor

Manuscript Submission Information

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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. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

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  • scoliosis
  • kyphosis
  • spondylolisthesis
  • conservative treatment
  • surgical treatment

Published Papers (1 paper)

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Systematic Review
Reliability and Validity of Scoliosis Measurements Obtained with Surface Topography Techniques: A Systematic Review
J. Clin. Med. 2022, 11(23), 6998; https://doi.org/10.3390/jcm11236998 - 26 Nov 2022
Cited by 1 | Viewed by 918
Background. Surface topography (ST) is one of the methods in scoliosis assessment. This study aimed to systematically review the reliability and validity of the ST measurements for assessing scoliosis. Methods. A literature search of four databases was performed and is reported following PRISMA [...] Read more.
Background. Surface topography (ST) is one of the methods in scoliosis assessment. This study aimed to systematically review the reliability and validity of the ST measurements for assessing scoliosis. Methods. A literature search of four databases was performed and is reported following PRISMA guidelines. The methodological quality was evaluated using Brink and Louw appraisal tool and data extraction was performed. The results were analyzed and synthesized qualitatively using the level of evidence method. Results. Eighteen studies were included and analyzed. Four were evaluated for reliability, six for validity, and eight for reliability and validity. The methodological quality of fourteen studies was high. Good to excellent intra-investigator reliability was shown on asymmetry, sagittal, horizontal, and most frontal ST measurements (evidence level: strong). Asymmetry and most frontal, sagittal, horizontal ST measurements showed good to excellent inter-investigator reliability (evidence level: moderate). When comparing corresponding ST and radiological measurements, good to strong validity was shown on most frontal, sagittal, and asymmetry measurements (evidence level: strong). Formetric measurements had good intra-investigator reliability and validity (evidence level: strong). Conclusions. Most asymmetry, sagittal, and frontal ST measurements showed satisfactory reliability and validity. Horizontal ST measurements showed good reliability and poor validity. The ST technique may have great potential in assessing scoliosis, especially in reducing radiation exposure and performing cosmetic assessments. Full article
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