Research Award Details

Presentations:
Goldberg RW, Standefer KD, Birch JG et al. An analysis of pelvic asymmetry between different sexes and races in a cadaveric collection. E-poster presented at European Pediatric Orthopedic Society annual meeting, April, 2019.

Publications: None to date. Presentations/manuscripts are in preparation addressing:

• Verification of comparability of 2-dimensional (lateral radiograph) and 3-dimensional (3-D MRI reconstruction) pelvic incidence (PI), and absence of difference between normal subjects/specimens and patients with AIS
• Presence of lumbosacral vertebral anomalies producing fixed oblique lumbosacral obliquity not detected on plain radiographs in some patients with presumptive AIS (6/60 in this series)
• Statistically-significant differences between normal subjects/specimens and patients with AIS with respect to innominate and sacral asymmetry, AP translation of the sacrum, and coronal-plane tilt of S1
• Differences in coronal-plane tilt of the sacrum between AIS patients with or without moderate lumbar deformity, and the relationship of that tilt to radiographic lumbar deformity.

Further grant obtained as result of POSNA funding: None to date. Project remains internally funded at host institutions (Texas Scottish Rite Hospital for Children and Case Western Reserve University School of Medicine). The project remains intra-institutionally research committee and Institutional Review Board-approved for continued recruitment of normal and AIS volunteers. Based on our findings to date, we believe we have adequate “normal” subject/specimen reconstructions/data. Further recruitment will focus on surgical-grade deformities, with or without substantial lumbar deformities. We will continue to follow patients who have undergone posterior spinal instrumentation and fusion to determine the impact/response of identified lumbosacral deformity on long-term outcome in these patients.