Brice Ilharreborde

Paris Diderot University | UP7 · Pediatric Orthopaedic

Background: In the past decades, it has been recognized that sagittal alignment of the spine is crucial. Although the evolution of spinal alignment with growth has previously been described, there are no data for key parameters such as the exact shapes (extent and magnitude) of spinal curvatures. The goals of this study were therefore to determine...

Background: Therapeutic decisions for patients with adolescent idiopathic scoliosis (AIS) are mostly based on static measurements performed on two-dimensional standing full-spine radiographs. However, the trunk plays an essential role in the human locomotion, and the functional consequences during daily activities of this specific and common spina...

Study design: Retrospective study of a multicenter prospective database. Objective: To determine the organization and correlations between different spinal segments according to pelvic incidence and age. Summary of background data: When planning surgery for correction of adult spinal deformities, considering lumbar lordosis (LL) as a uniform s...

PurposePatient blood management has been recently emphasized to avoid perioperative blood transfusion in AIS surgery. Hydroxyapatite charged collagen sponge (HCS) is a bone substitute material made of collagen and ceramized hydroxyapatite, with associated haemostatic properties. The goal of this study was to assess the impact of HCS in the perioper...

Introduction: Cosmetic concerns are one of the main complaints of patients with adolescent idiopathic scoliosis (AIS). Several studies have shown a significant improvement in self-image scores after thoracoplasty. However, the effects of thoracoplasty on pulmonary function and clinical outcomes remain debated. The objective was to analyze the benef...

Study design National cross-sectional study. Background Thoracic kyphosis (TK) is related to sagittal parameters as pelvic tilt (PT), lumbar lordosis (LL) and pelvic incidence (PI). The equation TK =2 (PT+LL–PI) was validated for adolescents. Objective: to investigate if this equation correctly predicts TK regardless of age. Methods Sagittal alig...

Résumé Contexte La détermination des niveaux instrumentés dans le traitement chirurgical de la scoliose idiopathique de l’adolescent Lenke 1 (AIS) dépend de la réductibilité des courbures principale et secondaire. Cette réductibilité peut être évaluée de diverses manières, la plus courante étant les clichés en bending pour les courbures thoracique...

Résumé Les urgences orthopédiques pédiatriques regroupent principalement les lésions traumatiques et les infections ostéo-articulaires. La prise en charge de ces enfants nécessite une intervention chirurgicale, le plus souvent sous anesthésie générale. La majorité de ces urgences sont différables de quelques heures à quelques jours, ce qui permet d...

The Article Abstract is not available.

Purpose Surgical site infection (SSI) is a major complication after adolescent idiopathic scoliosis (AIS) surgery, with an incidence ranging from 0.5 to 7%. Intraoperative wound decontamination with povidone-iodine (PVP-I) irrigation and/or vancomycin powder in adult spinal surgery has gained attention in the literature with controversial results....

Study design: Retrospective cross-sectional study. Objective: The aim was to describe spinopelvic alignment types by Pelvic Incidence (PI) and age to compare the Roussouly classification between pediatric and adult populations. Summary of background data: The Roussouly classification was validated for adults. Alignment types may vary during gr...

Background: Determining which spinal levels to instrument during surgical treatment of Lenke Type 1 adolescent idiopathic scoliosis (AIS) depends on the reducibility of the primary and secondary curve patterns. This reducibility can be evaluated in several ways, with the most popular being radiographs in bending for moderate thoracic and lumbar cu...

PurposeThe aim was to describe radiographic cervical sagittal alignment variations according to age, gender and pelvic incidence (PI) and to investigate relationships with thoracic alignment.MethodsA total of 2599 individuals (5–93 years) without spinal deformity were studied. Cranial cervical parameters were: McGregor slope, occipita-C2 angle, McG...

The fourth author name has been incorrectly published in the original publication. The complete correct name should read as follows:

Study design: Retrospective cross-sectional study. Objective: The aim was to describe existing global sagittal alignment parameters across ages and to analyze differences according to gender and pelvic incidence (PI). Summary of background data: Variability with age has been reported. It remains unclear how gender and spinopelvic morphology co...

Purpose The importance of sagittal alignment restoration in early onset scoliosis (EOS) management has rarely been investigated to date. The aim was to report the influence of magnetically controlled growing rods (MCGR) insertion on the sagittal alignment of EOS patients. Methods All consecutive ambulatory patients operated with MCGR rods between...

Introduction When performing posterior spinal fusion for adolescent idiopathic scoliosis (AIS), it is of major importance to address both coronal and sagittal deformities. Although several techniques have been described, few data exist comparing them. Our objective was to compare four techniques (in situ bending (ISB), rod derotation (RD), cantilev...

Purpose: Operative and postoperative management of early onset scoliosis (EOS) patients with programmable implanted devices has not been well characterized in the literature. The aim of this study was to describe current practices for pediatric spine surgeons who operate on patients with these devices. Methods: An electronic survey was distribut...

Treatment options specific to early onset scoliosis (EOS) have rapidly expanded, and the research base has attempted to keep in step. From the literature, certain outcomes have emerged as adequate reflections of the natural history of this disorder. The standard radiographic measures such as major coronal curve angle and kyphosis are most prevalent...

Background: Correcting pelvic obliquity is among the main goals of surgery for neuromuscular scoliosis. Spino-pelvic fixation must be stable and capable of withstanding the considerable mechanical forces applied at the lumbo-sacral junction. Selection of the best anchoring option is therefore crucial. S2-alar-iliac (S2AI) screws, which are used in...

Background: Spinal osteochondroma (or exostosis) is a rare benign tumour whose clinical manifestations are delayed due to their slow growth and location. Few studies have addressed the characteristics and the diagnostic and therapeutic peculiarities of spinal osteochondroma in children. The objective of this multicentre observational study was to a...

Résumé Introduction Les ostéochondromes rachidiens sont des lésions bénignes rares dont les manifestations cliniques sont tardives et liées à la croissance lente de ces tumeurs et à leurs localisations. Les caractéristiques de ces ostéochondromes rachidiens ainsi que leurs spécificités diagnostiques et thérapeutiques demeurent peu étudiées chez l’...

Résumé Introduction La restauration de l’obliquité pelvienne est l’un des principaux enjeux dans la chirurgie des scolioses neuromusculaires. Le choix de la technique est primordial car l’ancrage doit être stable et résistant aux fortes contraintes mécaniques de la charnière lombo-sacrée. L’utilisation des vis sacro-alaires iliaques (S2AI), utilis...

PurposeTo compare the outcomes of anterior Vertebral Body Tethering (AVBT) surgery between overweight and non-overweight patients.MethodsAIS/JIS patients with AVBT with 2-year follow-up from a multi-center pediatric spine database were evaluated pre-operatively, 1st post-operative erect, and 2 years post-operatively. ANOVA was used to compare 3 cat...

Purpose Definitive fusion can be considered in early onset scoliosis (EOS) around triradiate cartilage closure. Halo-gravity traction (HGT) is an old strategy that can help lengthen and balance the spine before fusion. The postoperative changes of the trunk have never been investigated to date with modern imaging. The goal of this study was to anal...

Résumé Introduction La réduction cervicocéphalique par ostéotomies cervicales devient le traitement de choix des épiphysiolyses fémorales supérieures (EFS) à grand déplacement, pour réduire le risque de conflit fémoro-acétabulaire. Les taux de complications sont raisonnables, mais il s’agit de séries mono-opérateurs avec des chirurgiens expériment...

Introduction: Spinal sagittal alignment is often altered in pediatric deformity and should therefore be restored if surgery is considered. Changes of spinal curvatures have been reported during growth, but literature is scarce and to date, physiological values remain unknown. Our objective was to describe spinal sagittal contour changes over growth...

RÉSUMÉ Introduction: Le confinement a imposé un maintien strict des enfants à domicile, modifiant considérablement leur mode de vie avec un risque accru d’accidents domestiques et la tentation de désobéir au cadre légal. L’objectif était d’analyser l’impact du confinement sur l’activité d’urgence pédiatrique dans un centre universitaire de référenc...

Résumé Introduction L’étude de l’envahissement articulaire dans les ostéosarcomes du genou est un élément diagnostique essentiel, orientant le choix de la technique chirurgicale. L’imagerie par résonance magnétique nucléaire (RMN) est l’élément clé de la décision mais l’interprétation des signaux est rendue difficile par l’inflammation et l’œdème...

Introduction: Proximal femoral shortening osteotomies are becoming the treatment of choice for severe slipped capital femoral epiphysis (SCFE) to reduce the risk of femoroacetabular impingement. The reported rates of complication seem reasonable, but these are single-operator series with surgeons highly experienced in this technique. The purpose of...

Introduction: Lockdown involved strict confinement of children at home, radically affecting their way of life, with increased risk of domestic accidents and the temptation to step outside of the legal framework. The aim of the present study was to analyze the impact of lockdown on pediatric emergency turnover in a university reference center situat...

Introduction: The study of tumor extension in knee osteosarcomas is an essential diagnostic tool that helps determine the surgical approach. Magnetic resonance imaging (MRI) is the key component in this decision-making process, but the interpretation of signals can be difficult because peritumoral edema and inflammation may be mistaken for the tumo...

Purpose Many authors tried to explain proximal junctional kyphosis (PJK) after adolescent idiopathic scoliosis (AIS) surgery by looking for risk factors. Latest publications focus on sagittal alignment. Each healthy adolescent has a specific thoracic kyphosis (TK) depending on their pelvic parameters and lumbar lordosis (LL). The objective of this...

Background: In the 1970s a conservative treatment for clubfoot (CF) deformity based on daily physiotherapy combining specific sequences was developed: the French functional method (FFM). Over time, the FFM technique has improved and additional measures have been introduced. The aim of this study was to report mid-term and long-term results of club...

This chapter presents a clinical scenario of a 3‐year‐old child who is presented with malaise, low‐grade fever, and a limp. Osteoarticular infections (OAI) in young children are frequently caused by organisms carried asymptomatically in the respiratory tract, such as Staphylococcus aureus, Streptococcus pneumoniae, Streptococcus pyogenes, Haemophil...

Résumé Introduction La chirurgie des déformations rachidiennes pédiatriques peut nécessiter la réalisation d’ostéotomies vertébrales dans les cas complexes. Les résections vertébrales complètes (VCR) sont les plus exigeantes techniquement et les plus morbides. Elles peuvent être réalisées par double abord (APVCR), mais les approches postérieures u...

Aims: Opioid-reduced anesthesia (ORA) was suggested to decrease morphine consumption after adolescent idiopathic scoliosis (AIS) surgery and incidence of chronic pain. Materials & methods: A prospective analysis using the ORA in AIS surgery was performed. Two cohorts were compared: a control group (opioid-based anesthesia) and the ORA group. The ma...

Citation: Ilharreborde B, Mallet C Mafi AH, et al. (2021) The Importance of Allis Maneuver in the Management of Traumatic Posterior Hip Dislocation in Children: A Report of Two Cases. Arch of Pedia Surg 5(1):95-99 Open Access | Page 95 | Vol 5 | Issue 1 | Pages 95-99

Background There are no comparative study between guided growth and tibial osteotomy in early stage of Blount disease (BD) to our knowledge. The aim of this work was to compare the results of patients treated by these two techniques. Method This was a retrospective, descriptive, and analytical study over a period of 5 years in including 17 childre...

Central ray amputation results severe esthetic blemish and functional and psychological sequelae. Three main reconstruction procedures have been reported in adults: digital translocation, intracarpal osteotomy, and metacarpal resection; none of these, however, have been studied in children. The aim of this study was to report medium-term results fo...

PurposeTo compare 3D postoperative deformity correction using two distinct commonly utilized techniques for the treatment of adolescent idiopathic scoliosis (AIS).MethodsAIS patients with major thoracic (Lenke 1–2) curves at two sites who underwent deformity correction via posterior spinal instrumented fusion using one of two distinct techniques we...

Background: There are no real comparative study between guided growth and tibial osteotomy in early stage of Blount disease. The aim of this work was to compare the results of patients treated by these two techniques. Method: We had performed a multicenter retrospective, descriptive and analytical study over a period of 05 years. All children admit...

Introduction: Surgery for pediatric spinal deformity may involve vertebral osteotomies in complex cases. Vertebral column resection (VCR) is the most technically demanding procedure, with the severest morbidity. It can use a double AP approach (APVCR), but a single posterior approach (PVCR) is gaining in popularity. Hypothesis: PVCR provides effec...

Background: Hand wounds are frequent in children (31% of hand injuries) and one possible mechanism responsible for profound laceration is metal fences while climbing. These injuries usually require a surgical look to explore soft-tissue damages, but the literature is poor regarding surgical findings and outcomes after this kind of traumatism. The...

Background Few publications in the literature examine enhanced recovery after scoliosis surgery (ERAS) in children, despite significant scientific interest in adults. The objective of the current study was to describe an ERAS protocol for surgical correction of adolescent idiopathic scoliosis (AIS) and its results. Methods ERAS outcomes were measu...

Unfortunately, the authors first name and family name were incorrectly swapped in the original publication. The complete correct names of the author group is given below.

PurposeCutibacterium acnes (C. acnes) is a gram-positive anaerobic bacillus located in pilosebaceous glands, usually responsible for late postoperative surgical site infections (SSI). A recent study performed in our institution highlighted an unexpected emergence of C. acnes early SSI. One potential explanation was the change of the perioperative a...

Since the outbreak of coronavirus disease 2019 (COVID-19) in December 2019 in China, various measures have been adopted in order to attenuate the impact of the virus on the population. With regard to spine surgery, French physicians are devoted to take place in the national plan against COVID-19, the French Spine Surgery Society therefore decided t...

Purpose Extravasation of cytotoxic vesicant drugs is a surgical emergency (within six hours) since this incident can lead to severe skin and soft-tissue damage. Outcomes after the saline washout procedure have been extensively described in adults, but rarely in children. The aim of this study was to evaluate the outcome of early saline washout proc...

Study designMulticenter retrospective.Objective To determine the long-term complication rate associated with surgical treatment of spondylolisthesis in adolescents.Summary of background dataThere is limited information on the complication rate associated with posterior spinal fusion (PSF) of spondylolisthesis in the pediatric and adolescent populat...

Résumé Introduction Les fractures du rachis sont rares chez l’enfant ; elles représentent 2 à 5 %, des traumatismes rachidiens. Si le traitement de la burst fracture est bien établi chez l’adulte, il n’est pas consensuel chez l’enfant, en raison des spécificités du rachis en croissance. L’objectif de cette étude était d’analyser les résultats clin...

Purpose Spinal sagittal alignment restoration has been associated with improved functional outcomes and with reduced complications rates. Several limitations exist for radiological analysis in cerebral palsy (CP) patients. The goal of this study was to summarize the existing literature and report the important considerations to evaluate in a CP pat...

Study designRetrospective monocentric study.Objectives To report radiologic outcomes of a consecutive series of AIS patients, operated with a bivertebral autostable claw for the upper instrumentation over a 5-year period.Summary of background dataThe upper fixation represents the weakest part of long constructs because of local anatomy and the high...

Les plaies représentent 31 % des traumatismes de la main de l’enfant. Parmi ces plaies, le mécanisme par grillage est responsable de plaies délabrantes avec des lésions cutanées souvent longitudinales. Ces plaies nécessitent une exploration chirurgicale à la recherche de lésions vasculaires et nerveuses. Le but de cette étude était de décrire les l...

Study design: Cross-sectional and longitudinal retrospective study. Objectives: To measure thoracic dimensions and volume during growth in early-onset idiopathic scoliosis (EOIS) patients and to compare them to a population of asymptomatic adults and to the previous literature. Summary of background data: Data on trunk growth for scoliotic chi...

Background: Spinal fractures are rare in children, in whom they contribute only 2% to 5% of all traumatic spinal injuries. The management of burst fractures is well standardised in adults but remains controversial in paediatric patients, due to specific growth-related considerations. The objective of this study was to assess the clinical and radio...

Résumé Introduction La chirurgie des syndactylies congénitales complètes complexes (SCCC) ou leurs reprises chirurgicales exposent à un risque de complications pouvant altérer l’aspect final, telles que la macération commissurale ou l’infection aboutissant à la perte de greffe ou de lambeau. Peu de descriptions des soins postopératoires existent d...

Study design: Prospective monocentric study. Objectives: To describe the radiologic characteristics and evolution of spinal shapes in a pediatric cohort of patients with Friedreich ataxia (FA). Summary of background data: FA is a spinocerebellar degenerative disorder responsible for gait impairment in children and young adults, and several ort...

Study design: Retrospective cohort study. Objective: To analyze the morbidity of thoracoplasty, and more specifically its effect on pulmonary function, after surgery with hybrid constructs using sublaminar bands in adolescent idiopathic scoliosis (AIS). Background: Cosmetic concern is one of the main reasons to consider surgery in adolescent i...

Background: Primary and revision surgery for complete complex congenital syndactyly (CCCS) of the hand carries a risk of complications such as web maceration, which can result in flap or graft loss and alter the final appearance. No consensus emerges from the scant published data on postoperative care after CCCS surgery. The objective of this stud...

Purpose The aim of this study was to investigate the opioid-sparing effect of a cooling brace after surgical correction of idiopathic surgery in children. Methods We compared two consecutive cohorts of patients before and after introducing this technique in our institution. Management of patients was standardized. The primary objective of the stud...

Purpose Postoperative standing radiographs are usually performed before hospital discharge after AIS fusion. However, patients are often still painful and have not recovered yet their physiological balance. The aim of this study was therefore to evaluate the relevance of such early radiographs and more specifically investigate whether postoperative...

Unfortunately, one co-author name was incorrectly published in the original publication. The complete correct name of the co-author is given below.

Study design: Retrospective monocentric database study. Objectives: To describe the "frame" reduction technique and report the 3D quantitative analysis of postoperative corrections in a consecutive series of thoracic adolescent idiopathic scoliosis (AIS) patients. Summary of background data: Posteromedial translation technique using sublaminar...