spinal and scoliosis program
Few pediatric hospitals see as many pediatric patients with scoliosis and other spinal conditions as the orthopedic center at Dayton Children’s. We specialize in all types of treatment for scoliosis and other spinal problems, including non-surgical and minimally invasive. Our doctors are at the forefront of cutting-edge research and innovation, including being involved in the early development of BandLoc spinal surgery. Continue reading for more information about our spinal and scoliosis program.
about the scoliosis screening program
Affecting more than 100,000 children in the United States each year, scoliosis, or the abnormal curvature of the spine, is just one condition that Dayton Children’s is attempting to prevent in young children.
According to the Scoliosis Research Society (SRS), “in more than 85 percent of cases, a specific cause is not known,” giving the experts at Dayton Children’s the incentive to provide children with the right care in hopes of preventing the long lasting, negative effects of scoliosis.
Dayton Children's began it's scoliosis school screening program in 2010 and since then has screened over 40,000 children with 2,500 referrals for scoliosis. The program primarily targets sixth through eighth graders but will occasionally screen in other grades as well.
In 90 percent of cases, curves are mild and do not require active treatment, but should be monitored for change. If you suspect your child has scoliosis, please contact your pediatrician or family physician.
In those that require treatment, modern bracing can be used on the majority of them to prevent progression and the need for surgery. When a child does meet the requirement and are cleared for surgery they will be treated by the orthopedics team at Dayton Children’s.
Dayton Children’s performs the majority of pediatric spine surgeries done in our region. This level of experience is not available at any other facility and is the reason families outside out region seek care from our spine experts.
signs of scoliosis
There are certain warning signs that your doctor will look for if suspected of having scoliosis. They are:
- One shoulder may be higher than the other
- One shoulder blade (scapula) may be higher or more prominent than the other
- Extra space may exist between the arm and the body when arms are hanging at the sides
- One hip may appear to be higher or more prominent than the other
- The head is not centered over the pelvis
- When bending over so the back (spine) is horizontal, one side of the back may appear higher than the other
for school nurses: bring this program to your school
As a school nurse we know that you are stretched with both your time and budget and that it can often be difficult to find the time to perform scoliosis screenings. That is why we want to partner with you! If you are interested in bringing this program to your school please contact Molly Depoorter, RN, spine clinic coordinator at DepoorterM@childrensdayton.org or 937-641-5829 .
As part of our spinal and scoliosis program, we offer a therapy program called scolio-pilates. This exercise program combines pilates movements with therapy excercises to help:
· Elongation of the spine and posture
· Corrective breathing techniques
· Corrective placement towards spinal neutral
experience the EOS difference
what is EOS medical imaging?
The EOS imaging system is a low-dose, 3-D imaging system that scans your child standing up. An EOS scan shows us your child's natural, weight-bearing posture and allows us to see the interaction between the joints and the rest of the musculoskeletal system, particularly the spine, hips and legs.
benefits of EOS
EOS imaging uses an ultra-low dose of radiation to provide extremely detailed, high-quality images. It uses a significantly lower radiation dose than a general radiography X-ray. With EOS scans, we can make more informed diagnoses and create individualized treatment plans for children with musculoskeletal disorders.
reduced radiation dose
We take every safety precaution and have set the standards for reducing children's exposure to radiation across all imaging tests and procedures. The EOS technology is yet another tool that enables us to provide the best imaging services while reinforcing our commitment to safety and low-dose imaging options for our patients.
- EOS delivers a radiation dose that is two to three times less than a general computed radiography X-ray and 20 times less than basic computed tomography (CT) scans.
- Reducing radiation dose is particularly beneficial for children who need to be imaged frequently, such as children with spinal deformities like scoliosis.
better diagnostics and image accuracy
- 3-D weight-bearing images of children in an upright, standing position give us the most accurate view of the spine and lower limbs. Physicians can better evaluate balance and posture and analyze the bones, joints and ligaments from multiple angles.
- This type of imaging enables us to view all areas of the body with one image, rather than stitching together multiple images. It gives us an accurate view of the musculoskeletal system that is essential to diagnosis and treatment planning.
when is EOS used?
EOS imaging offers 3-D weight-bearing images physicians can use to get the most accurate view of your child's spine and lower limbs in a natural standing position. The EOS imaging machine is primarily used to assess patients with spine, hip, and leg disorders.
Dr. Albert was the first surgeon in Ohio to use 3D printing technology called FIREFLY® Pedicle Screw Navigation Guides by Mighty Oak Medical through partnership with OrthoPediatrics. The technology allows doctors to print a scale model of the spine to plot the most efficient placement of screws before the surgery, leading to safer, more accurate and faster operations.
Dr. Albert also serves as the surgeon advisor for AMB Surgical II, LLC, a medical device developer and owner of the FLYTE™ Smart Automated Growing Rod (SAGR) technology. Through the use of this technology, which uses magnets and mechanics to help lengthen and straighten spines and limbs, children will no longer be subjected to repeated surgeries to correct limb and spinal deformities. “Automated limb and spinal lengthening is in its infantile stages, but I believe the concept of electro-mechanical lengthening is a game changer”- Dr. Albert.
BandLoc spinal procedure
Pioneered by Dr. Albert, the BandLoc spinal surgery procedure designed to allow more efficiency in surgery and gain a better correction outcome. BandLoc is a speacialized sublaminar polyester implant that is used to improve spinal deformity and correction. Think of it like a big zip tie made of polyester. The surgeon weaves the polyester band from pins and rods through the spine. The bands are simple, versatile and powerful, gradually correcting even large spinal deformities with no bone or band failures.
Entirely focused on the pediatric patient
- Designed and tested to specifically address the distinct needs of pediatric patients with spinal deformities
- One of the only spinal systems cleared for pediatric application on the market by the FDA
- System takes the place of screws which are difficult to place in some spinal curvatures
- Can reduces the risk of infection and create a better correction outcome
ApiFix’s Minimally Invasive Deformity Correction (MID-C) System is a posterior dynamic deformity correction system device that allows our surgeons to perform a surgical curve correction while retaining spine flexibility with a least invasive approach. The MID-C system has been used to treat more than 300 young patients internationally that were diagnosed with progressive scoliosis with follow-up exceeding eight years.
The unique ApiFix approach provides an alternative to failed bracing before considering spinal fusion for many patients as the least invasive spine deformity correction option. The MID-C system acts as an “internal brace” with motion-preserving polyaxial joints and a patented unidirectional, self-adjusting rod mechanism allowing additional post-operative correction over time and is ultimately removable.
The ApiFix device patient recovery is relatively pain-free and is measured in days, not months – children are discharged from the hospital in 1-2 days and return to school in 1-2 weeks!