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Metastatic Disease in the Thoracic and Lumbar Spine: Evaluation and Management

Spinal metastases are found in most patients who die of cancer. The number of patients with symptomatic spinal metastases likely will increase as therapy for the primary disease improves and as cardiovascular mortality decreases. Understanding the epidemiology of metastatic spine disease and its presentation is essential to developing a diagnostic strategy. Treatment may involve chemotherapy, corticosteroids, radiotherapy, surgery, and/or percutaneous procedures (eg, vertebroplasty, kyphoplasty). A rational treatment plan can help improve quality of life, preserve neurologic function, and prolong survival.

AAOS Member Honored to Ride in Rose Parade

AAOS member serves as living kidney donor; rides in Rose Parade

Peter Pollack

I’d always signed the donor section on the back of my driver’s license,” said James H. Haemmerle, MD, of Savage, Minn.,“but a few years ago I started to think a little more seriously about it.”

Fewer Concussions, More Leg Injuries?

NCAA  targeting rule may be linked to increase in lower extremity injuries

  Recent years have seen a tightening of National  Collegiate Athletic Association (NCAA) regulations aimed at preventing  concussion. Although it is generally agreed that the rules are necessary and  effective, an unintended consequence of implementation may be an increase in  lower extremity injuries. A paper presented at the 2016 Specialty Day meeting  of the American Orthopaedic Society for Sports Medicine attempted to evaluate  such an effect.

Rudolph W. Giuliani to address fellowship tomorrow

By Peter Pollack

Former mayor of New York City shares thoughts on leadership, advocacy.
The son of working-class parents who became mayor of New York City, a citizen with more than 30 years in public service, and a proven leader who believes “the pursuit of excellence is never over,” Rudolph W. Giuliani will share his thoughts on leadership and current events as the AAOS Presidential Guest Speaker. Mr. Giuliani will address the fellowship as part of an educational event immediately following the Business and Ceremonial Meetings tomorrow in the Moscone Center Gateway Ballroom.

Music therapy helps calm young patients

By Peter Pollack

Procedures such as cast application and removal, pin removal, and suture removal are often a source of anxiety for young children. But playing soft music in the cast room can be a simple and inexpensive way to decrease anxiety in young children, according to a team of researchers from Rainbow Babies and Children’s Hospital in Cleveland, Ohio. The results of their randomized, prospective study were presented by Allison Gilmore, MD, at the annual meeting of the Pediatric Orthopaedic Society of North America.

AAOS symposia offer valuable information, tools

One of the most valuable aspects of the AAOS Annual Meeting is the wide range of subjects covered in the symposia. Led by well-known experts in the field, symposia give attendees the opportunity to learn about and ask questions regarding legal and ethical issues, military surgery, and a variety of clinical topics. A few highlights of upcoming symposia follow.

Thursday
Basilar Thumb Arthritis
. 4 p.m. to 6 p.m., La Louisiane Ballroom B. Mod­er­ator: Marco Rizzo, MD. Basilar thumb arthritis is a common cause of hand pain and dysfunction. This symposium reviews current concepts and controversies regarding its treatment. Topics will include surgical and nonsurgical treatment options, pathophysiology, and areas of debate.

Clinical Challenges Facing the Practicing Orthopedic Surgeon in Orthopedic Oncology. 4 p.m. to 6 p.m., La Louisiane Ballroom A. Moderator: Peter S. Rose, MD. Tailored to the non-oncologic orthopaedic surgeon, this symposium will review the diagnosis, work-up, and management of oncologic conditions t hrough case presentations.

Primary THA Has Long-Term Effect on Physical Activity

Lasting positive outcomes seen in large patient cohort

Jennie McKee

Primary total hip arthroplasty (THA) substantially and durably improved physical activity levels in men and women in all age categories,” stated Anne Lubbeke-Wolff, MD, DSc, of the division of orthopaedics and trauma surgery at Geneva University Hospitals in Geneva, Switzerland. She presented the results of research on trends in patient physical activity before and after primary THA yesterday.

Court Upholds Healthcare Reform Law

Madeleine Lovette

On June 28, 2012, the Supreme Court of the United States upheld the constitutionality of the Patient Protection and Affordable Care Act (PPACA). The 5–4 decision came as a shock to many, particularly since it was Chief Justice John Roberts who cast the deciding vote.

Before the decision was announced, former Supreme Court clerks, experienced attorneys, and numerous Supreme Court scholars had all supposed that the Court would strike down the law’s central provision, the individual mandate. Many also anticipated that the mandatory Medicaid coverage expansion would be overturned as well.

Number of Pediatric Scoliosis Cases Rises

Database  review examines trends in pediatric spine surgery
"Over the past 15 years, the treatment of scoliosis has  changed dramatically," explained Jeffrey  R. Sawyer, MD, during the Scoliosis Research Society 2015 annual meeting.  "We've seen increasing volume as well as a relative increase in volume among  younger patients."