Dr. James O. Sanders, MD, Sanders Skeletal Maturity Staging, Evolution of EOS, Outcome of AIS Fusion

Video Description

This interview is for educational purposes and covers information provided by Dr. James O. Sanders, MD, regarding his opinions on Sanders Skeletal Maturity Staging, the evolution of EOS treatment and long-term outcomes of AIS Fusion surgery minimum 40 years post surgery. This video is not an endorsement. Viewers should consult their physicians and treating team accordingly.

See highlights via timestamps below.

Chapters
0:00 Introduction.
0:34 Evolution of the Sanders Skeletal Maturity Staging System.
2:39 Focus on peak growth velocity.
3:41 Discovered that best predictor of growth was skeletal maturity of the hand.
5:22 Reproducible and easy to use system.
6:55 Sanders Stage 1
9:04 Sanders Stage 2
9:41 Sanders Stage 3-A
10:12 Sanders Stage 3-B
10:29 Sanders Stage 4
10:56 Sanders Stage 5
11:11 Sanders Stage 6
11:21 Sanders Stage 7-A
11:29 Sanders Stage 7-B
11:43 Sanders Stage 8
12:02 Probability of thoracic curve progressing over 50 degrees.
14:45 Early Onset Scoliosis (EOS).
15:10 EOS: What happens if casting fails?
16:01 EOS treatment goal is to maintain lung health through maturity.
17:11 Evolution of EOS treatment - Casting.
17:24 EOS surgery is challenging.
17:44 EOS: Harrington Rods.
18:12 EOS: Rods without fusion.
19:04 EOS: VEPTR
19:25 EOS: Dual Growing Rods.
19:45 EOS: Magic Rods.
20:10 Halographic Traction.
20:22 EOS treatment is difficult because we don't understand the biology.
20:50 Dr. Sanders treatment approach to EOS.
21:59 The problems inherent with EOS surgery.
22:31 EOS outcomes as an adolescent and adult.
24:08 Dr. Sanders study on minimum 40+ year outcomes of spinal fusion.
27:02 Patients in study categorized into those with fusions at L3 and above or to L4 or below.
28:42 Future study looking at natural history of AIS with & without surgery.

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