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The Bone & Joint Journal
Vol. 102-B, Issue 10 | Pages 1368 - 1374
3 Oct 2020
McDonnell JM Ahern DP Lui DF Yu H Lehovsky J Noordeen H Molloy S Butler JS Gibson A

Aims

Whether a combined anteroposterior fusion or a posterior-only fusion is more effective in the management of patients with Scheuermann’s kyphosis remains controversial. The aim of this study was to compare the radiological and clinical outcomes of these surgical approaches, and to evaluate the postoperative complications with the hypothesis that proximal junctional kyphosis would be more common in one-stage posterior-only fusion.

Methods

A retrospective review of patients treated surgically for Scheuermann’s kyphosis between 2006 and 2014 was performed. A total of 62 patients were identified, with 31 in each group. Parameters were compared to evaluate postoperative outcomes using chi-squared tests, independent-samples t-tests, and z-tests of proportions analyses where applicable.


The Bone & Joint Journal
Vol. 102-B, Issue 1 | Pages 5 - 10
1 Jan 2020
Cawley DT Rajamani V Cawley M Selvadurai S Gibson A Molloy S

Aims

Intraoperative 3D navigation (ION) allows high accuracy to be achieved in spinal surgery, but poor workflow has prevented its widespread uptake. The technical demands on ION when used in patients with adolescent idiopathic scoliosis (AIS) are higher than for other more established indications. Lean principles have been applied to industry and to health care with good effects. While ensuring optimal accuracy of instrumentation and safety, the implementation of ION and its associated productivity was evaluated in this study for AIS surgery in order to enhance the workflow of this technique. The aim was to optimize the use of ION by the application of lean principles in AIS surgery.

Methods

A total of 20 consecutive patients with AIS were treated with ION corrective spinal surgery. Both qualitative and quantitative analysis was performed with real-time modifications. Operating time, scan time, dose length product (measure of CT radiation exposure), use of fluoroscopy, the influence of the reference frame, blood loss, and neuromonitoring were assessed.


The Bone & Joint Journal
Vol. 98-B, Issue 11 | Pages 1427 - 1430
1 Nov 2016
Powell JM Rai A Foy M Casey A Dabke H Gibson A Hutton M

Many hospitals do not have a structured process of consent, the attainment of which can often be rather ‘last-minute’ and somewhat chaotic. This is a surprising state of affairs as spinal surgery is a high-risk surgical specialty with potential for expensive litigation claims. More recently, the Montgomery ruling by the United Kingdom Supreme Court has placed the subject of informed consent into the spotlight.

There is a paucity of practical guidance on how a consent process can be achieved in a busy clinical setting. The British Association of Spinal Surgeons (BASS) has convened a working party to address this need. To our knowledge this is the first example of a national professional body, representing a single surgical specialty, taking such a fundamental initiative.

In a hard-pressed clinical environment, the ability to achieve admission reliably on the day of surgery, in patients at ease with their situation and with little likelihood of late cancellation, will be of great benefit. It will reduce litigation and improve the patient experience.

Cite this article: Bone Joint J 2016;98-B:1427–30.


The Journal of Bone & Joint Surgery British Volume
Vol. 72-B, Issue 2 | Pages 317 - 317
1 Mar 1990
Bannister G Gibson A Ackroyd C Newman J


The Journal of Bone & Joint Surgery British Volume
Vol. 62-B, Issue 3 | Pages 368 - 371
1 Aug 1980
Blockey N Gibson A Goel K

Seven out of 22 children with monarticular juvenile rheumatoid arthritis (MJRA) developed involvement of other joints between six months and three and a half years from the onset. In the other 15 patients the disease has remained monarticular for between one and 16 years (mean six years). Chronic iridocyclitis was seen in three of the five boys, two with antinuclear antibodies. Children with MJRA and antinuclear antibodies should have periodic ophthalmic assessment. Synovial biopsy was of value primarily in excluding other cases of arthritis, but there was only limited correlation between the histological findings and the subsequent course of the disease.


The Journal of Bone & Joint Surgery British Volume
Vol. 33-B, Issue 1 | Pages 119 - 121
1 Feb 1951
Gibson A Williams TH


The Journal of Bone & Joint Surgery British Volume
Vol. 32-B, Issue 4 | Pages 587 - 600
1 Nov 1950
Harris RI Acker TB Gallie WE Gibson A McLachlin A Mewburn FHH Nutter JA Patterson JP


The Journal of Bone & Joint Surgery British Volume
Vol. 32-B, Issue 2 | Pages 183 - 186
1 May 1950
Gibson A