Spine Division

Why choose the Spine Division at Boston Children’s Hospital?

Few hospitals in the world see as many pediatric patients with scoliosis and other spinal problems as our Spine Division. The experts in our comprehensive program care for children and young adults with a wide array ofspinal problems。

我们的专业包括：

• abnormal curvatures of the spine such asscoliosis,Lordosis， 和kyphosis
• 脊椎分解和脊柱骨折这是由于创伤或过度使用的
• 脊柱的肿瘤和血管畸形
• congenital and neuromuscular spine deformities related to conditions such asspina bifida,Marfan syndrome， 和Prader-Willi syndrome

波士顿儿童致力于脊柱问题的非侵入性护理

With early intervention, the majority of our patients are treated successfully with支撑和other非侵入性治疗。用于脊柱侧弯的最广泛使用的支架，波士顿布雷斯，在40多年前在波士顿儿童开发。今天，我们继续不懈地努力进一步改善脊柱侧弯和其他脊柱疾病的非手术治疗方法。提供多个支架选项以及与接受过培训的物理治疗师的咨询施罗斯方法。

波士顿儿童对手术脊柱护理质量和安全的承诺

利用我们的专业知识脊柱融合和仪器，我们为每个患者定制治疗。我们每个手术患者的目标是在维持和培养安全文化的同时进行最高质量的手术。

我们的surgical team includes surgeons, anesthesiologists, and nurses with specific skills and expertise in spine surgery. Each member of the team plays a role in ensuringquality and safetybefore, during, and after surgery.

波士顿儿童对技术的创新使用

我们的surgical team works continuously to improve clinical care and outcomes for patients with spinal issues. We are at the forefront of adopting emerging technologies proven to increase the safety of spinal surgery.

Advanced technologies we use include:

• Mazor X Stealth robotic navigation：波士顿儿童是世界上最早使用此的儿科医院之一robotic guidance systemwith real-time CT scanning for spine surgeries. This is particularly helpful when the patient is very small or has a severe spine deformity.
• O-arm intraoperative CT scanning, which allows surgical teams to confirm the appropriate position of spinal instrumentation. This minimizes neurologic risk or the need for revision surgery.
• 垂直可扩展的假肢钛肋骨(VEPTR™) for treatment of thoracic insufficiency syndrome in skeletally immature patients.
• 磁扩展控制（MAGEC）系统，一种可调节的生长杆系统，使用磁技术和遥控器来无创延长设备。当某些患者使用时，该设备可以减少纠正脊柱畸形所需的手术数量。

Services for Boston Children’s patients as they prepare for spine surgery

For our patients and their families facing spine surgery for scoliosis, our SIMPeds program provides a preview of each aspect of the surgical experience, starting with pre-surgical planning and continuing all the way through post-surgical recovery. Offered in the spring and summer, SIMPeds gives patients and their families the opportunity to take a tour of our simulation laboratory and meet many of the clinicians they might encounter on the day of surgery. Many of our patients tell us that the realistic set up of the surgical unit and ability to ask questions helped them feel more in control and empowered about their upcoming surgery.

Research and leadership in improving care for spine problems

波士顿儿童脊柱部门的专家进行了许多研究，这有助于塑造脊柱在全国各地中心的质量和安全指南。通过参与以下研究小组，我们继续为全国各地的脊柱护理设定标准：

• The Harms Study Group, an international group of surgeons dedicated to the advancement of treatment of children and adolescents with spinal deformities. Among its many active projects, the Scoliosis Outcomes Database Registry is the largest prospective database for idiopathic scoliosis in the world. More than 45 abstracts are presented and 15 peer-reviewed publications are produced every year based on this database.
• 小儿颈椎研究组是一个合作的全国外科医生小组，在管理儿童颈椎疾病方面具有专业知识。
• CORTICES, a national study group whose mission is to improve the orthopedic trauma care of children, including children with spinal trauma.
• 复杂的脊柱研究组, a multi-center study of patients undergoing surgical treatment of a spinal disease or deformity.