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  • Research & Clinical Trials
    Fellowship Resources Locations Patient Stories Research Clinical Trials Research is a top priority of the Division with the goal of discovering the best approaches for treating orthopedic problems and disorders Our Orthopedic Research Program has three key components 1 Orthopedic Biomechanics Research Center The Center is currently Testing new spinal implant constructs for scoliosis Testing different pins available for use in fracture repair Evaluating a new technique for rotator cuff repairs For more information click here 2 Motion Analysis Laboratory The Lab is currently Analyzing pitching motion to understand causes of injuries and train young pitchers in proper body mechanics to avoid injury Evaluating the gait in patients with cerebral palsy to make surgical recommendations based on findings For more information click here 3 Clinical Research Centers There are five centers of clinical research Center for Spinal Deformities Rady Children s is a core site for a multicenter international study on the outcomes of scoliosis surgery This study has reached its 10th year with one of the most comprehensive scoliosis databases in the world more than 3 000 patients and follow up visits up to 15 years post operative Another ongoing study is looking at the effects of spinal fusion operations on trunk motion after surgery International Center for Pediatric Hip Disorders The Center conducts research on the prevalence diagnosis and treatment of pediatric hip deformities specifically Legg Calve Perthes disease slipped capital femoral epiphysis SCFE developmental dysplasia of the hip and femoro acetabular impingement FAI Trauma Research Center The Center investigates patterns and trends of traumatic injury in children as well as outcomes of treating orthopedic injuries including diagnostic assessment of injury and long term sequelae of growth plate injuries Sports Research Center The Center focuses on investigating patterns and trends of sports injury in children and adolescents including

    Original URL path: http://www.rchsd.org/programs-services/orthopedics-scoliosis/research-clinical-trials/ (2015-03-26)
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  • Fellowship
    Scoliosis Fellowship Orthopedics Scoliosis Team Conditions Treated Services Patient and Parent Education Newsletter Research Clinical Trials Fellowship Team Program Description Clinical Training and Research Evaluation and Stipend Alumni Resources Locations Patient Stories Fellowship The Pediatric Orthopedics and Scoliosis Fellowship a joint Rady Children s University of California San Diego School of Medicine program is designed to provide the orthopedic surgeon who has already completed an orthopedic surgery residency program with subspecialty training in all aspects of children s orthopedic surgery and scoliosis This program is ranked as one the top programs in North America and each year the most talented orthopedic residents in the country compete for a position in the program Our one year program combines both clinical training and research Clinical training encompasses all areas of pediatric orthopedics including trauma acute infections scoliosis neuromuscular disease hip and foot ankle conditions sports medicine congenital hand conditions and brachial plexus management On the research side a wide variety of clinical and basic research projects can be pursued The fellow is also expected to complete a research project of publishable quality during the fellowship period Each year our department makes the nearly impossible decision as to which of our four fellows

    Original URL path: http://www.rchsd.org/programs-services/orthopedics-scoliosis/fellowship/ (2015-03-26)
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  • Resources
    Involved Events Publications Health Safety Health Library Ask Your Nurse Videos Safety Store at Rady Children s Rethink Your Drink Injury Prevention Growing Up Columns Locations Main Campus Satellite Locations Emergency Urgent Care Programs Services Orthopedics Scoliosis Resources Rady Children s Specialists Orthopedics Scoliosis Resources Orthopedics Scoliosis Team Conditions Treated Services Patient and Parent Education Newsletter Research Clinical Trials Fellowship Resources Locations Patient Stories Resources American Academy of Orthopaedic Surgeons

    Original URL path: http://www.rchsd.org/programs-services/orthopedics-scoliosis/resources/ (2015-03-26)
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  • Locations
    a Doctor Patients Visitors Your Child s Hospital Stay Pay Your Bill Financial Assistance Medical Records Health Information Exchanges MyChart About Us Who We Are Newsroom Patient Stories Research Get Involved Events Publications Health Safety Health Library Ask Your Nurse Videos Safety Store at Rady Children s Rethink Your Drink Injury Prevention Growing Up Columns Locations Main Campus Satellite Locations Emergency Urgent Care Programs Services Orthopedics Scoliosis Locations Rady Children s Specialists Orthopedics Scoliosis Locations Orthopedics Scoliosis Team Conditions Treated Services Patient and Parent Education Newsletter Research Clinical Trials Fellowship Resources Locations Patient Stories Locations Orthopedics Scoliosis Outpatient Clinics PLEASE BRING ALL PREVIOUS X RAYS TO YOUR CHILD S APPOINTMENT For appointments at all locations call 858 966 6789 Rady Children s Hospital San Diego Map it Orthopedics Scoliosis Center 3030 Children s Way 3rd Floor San Diego CA 92123 Encinitas Map it 477 N El Camino Real Building D Suite 302 Encinitas CA 92024 Sports Medicine Clinic For patients 13 years and older who have already had X rays Escondido Map it 625 W Citracado Parkway Suite 204 Escondido CA 92025 General Orthopedics Clinic Spine Clinic Sports Medicine Murrieta Map it 25485 Medical Center Drive Suite 100 Murrieta CA

    Original URL path: http://www.rchsd.org/programs-services/orthopedics-scoliosis/locations/ (2015-03-26)
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  • Patient Stories
    Health Safety Health Library Ask Your Nurse Videos Safety Store at Rady Children s Rethink Your Drink Injury Prevention Growing Up Columns Locations Main Campus Satellite Locations Emergency Urgent Care Programs Services Orthopedics Scoliosis Patient Stories Rady Children s Specialists Orthopedics Scoliosis Patient Stories Orthopedics Scoliosis Team Conditions Treated Services Patient and Parent Education Newsletter Research Clinical Trials Fellowship Resources Locations Patient Stories Patient Stories Surgery for severe scoliosis put

    Original URL path: http://www.rchsd.org/programs-services/orthopedics-scoliosis/patient-stories/ (2015-03-26)
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  • Rebecca: Stepping into the Future
    to see a three dimensional view of the spine in a standing weight bearing position Scoliosis creates a very complex deformity of the spine said Peter Newton M D an orthopedic surgeon and scoliosis authority at Rady Children s With this technology we can see the spine in a way we ve never seen it before The EOS system allows us to expand our knowledge in the care and treatment of patients Being able to study a 3 D image taken while a child is standing something that is not possible with a CT scan will help doctors determine the ideal orientation of the spine With scoliosis it s so important to get the proper position of the head spine and hips Our goal is to make the spine as normal shaped as possible Dr Newton said The EOS system will help us better monitor progress and the outcomes of our treatments In May Rady Children s became the first pediatric hospital in the nation to install the EOS ultra low dose imaging system unique technology that captures a head to toe 3 D image of a patient in a standing weight bearing position while using a considerably reduced amount of radiation It s a state of the art improvement for patients and physicians alike helping to minimize radiation exposure and provide more comprehensive images for better surgical planning With the EOS system X ray exposure is now about eight times less said Dr Newton That is a huge advantage for these children Children being treated for scoliosis need numerous sets of X rays over several years while doctors monitor them to see if the curve is progressing There is a concern that repeated exposure to radiation could have harmful consequences Being able to significantly reduce the amount of radiation exposure with the EOS system is especially important for children and adolescents Doctors aren t sure what causes the most common types of scoliosis a curvature of the spine that develops during the growth spurt just prior to puberty but it tends to run in families Neuromuscular conditions such as cerebral palsy or muscular dystrophy and birth defects that affect the spine s development cause other kinds of scoliosis Girls and boys develop the disorder at the same rate but girls are at higher risk for the curve to progress and require treatment Treatment can range from routine checks during growth to surgery Sometimes patients wear a brace Rebecca 14 knows that all too well Diagnosed with scoliosis in 2004 she underwent spinal fusion surgery last year to correct a significant curve Scoliosis wasn t a surprise however Her older sister Marie also had scoliosis but to a lesser degree Only a small percentage of patients with scoliosis have a curve that progresses to the level that requires surgery When Rebecca started treatment her spine had a 37 degree curve and she was at very high risk of it progressing to the surgical range Despite an early attempt at bracing

    Original URL path: http://www.rchsd.org/about-us/patient-stories/stories-2010/rebecca-stepping-into-the-future/ (2015-03-26)
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  • Motion Analysis Laboratory
    s Specialists Orthopedics Scoliosis Motion Analysis Laboratory Orthopedics Scoliosis Team Conditions Treated Services Patient and Parent Education Newsletter Research Clinical Trials Orthopedic Biomechanics Research Center Motion Analysis Laboratory Fellowship Resources Locations Patient Stories Motion Analysis Laboratory The Motion Analysis Laboratory at Rady Children s has been a pioneer in the field of motion gait analysis and is one of the largest such facilities for clinical studies and research The Motion Analysis Laboratory has been in existence since 1974 and at its present site since 1997 This newly renovated 5 500 square foot facility has the capability to conduct three different patient research studies concurrently The Laboratory s state of the art equipment is designed to enhance the efficiency and accuracy of motion measurement The equipment includes an 8 camera Motion Analysis Corporation movement measurement system three AMTI force plates an 8 channel BioSensory telemetry electromyographic system a 16 channel Konigsberg telemetry electromyographic system a 3 camera Sony color video system a Kistler Gaitway instrumented treadmill a Tekscan foot pressure measurement system and a COSMED oxygen consumption measurement system The Laboratory also houses two patient exam rooms a conference room with the latest multimedia presentation equipment a library a video editing room an electronic workshop and offices for orthopedic surgeons a biomechanical engineer physical therapists and various technical and administrative support staff The Lab staff conducts clinical motion analysis studies with children and adults for the many problems that can interfere with normal locomotion Examples of diagnoses of patients frequently referred to the Lab include Cerebral palsy congenital abnormalities head injuries neuromuscular disorders peripheral nerve injuries central nervous system tumors brain and spinal cord residual effects of trauma to limbs or spine Muscular Dystrophy Poliomyelitis lower extremity limb deficiencies including amputations and functional problems of the upper extremity The Laboratory also

    Original URL path: http://www.rchsd.org/programs-services/orthopedics-scoliosis/research-clinical-trials/motion-analysis-laboratory/ (2015-03-26)
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  • Orthopedic Biomechanics Research Center
    Research Clinical Trials Orthopedic Biomechanics Research Center Rady Children s Specialists Orthopedics Scoliosis Orthopedic Biomechanics Research Center Orthopedics Scoliosis Team Conditions Treated Services Patient and Parent Education Newsletter Research Clinical Trials Orthopedic Biomechanics Research Center Motion Analysis Laboratory Fellowship Resources Locations Patient Stories Orthopedic Biomechanics Research Center Mission The Orthopedic Biomechanics Research Center OBRC complements and advances clinical decision making and clinical understanding of orthopedic problems by using sophisticated analytical techniques incorporated from many different disciplines Scope The OBRC focuses on common congenital deformities of the spine and complex joints while exploring novel methods of fracture fixation and surgical correction Staff The ORBC is directed by Diana Glaser Staff includes pediatric orthopedic surgeons pediatric fellows orthopedic residents medical students graduate engineering students and undergraduates all of whom work together to design and complete all phases of each study Academic Partners University of California San Diego Department of Orthopedics University of California San Diego Department of Bioengineering San Diego State University Department of Mechanical Engineering Equipment Bi axial MTS machine with custom built attachments for physiological loading of spine hip upper and lower extremities Four camera 60Hz Qualisys motion measurement system Four channel Measurements Group strain gauge system Soft tissue strain measurement system Custom built six degree of freedom motion platform for non destructive testing of spine hip upper and lower extremities Custom built testing system for recreating scoliotic curves in intact spine and measuring simulated in vitro corrective loads Modified surgical instrumentation and integrated system for measuring intraoperative in situ loads during corrective procedures Projects Biomechanical evaluation of cervical anterior thoracic and lumbar spine instrumentation systems Fixation characteristics of complex femoral fractures using different materials and insertion sites New surgical technique for acetabular osteotomies and their biomechanical differences Strain stress differences of several types of posterior anterior spinal instrumentation Biomechanics

    Original URL path: http://www.rchsd.org/programs-services/orthopedics-scoliosis/research-clinical-trials/orthopedic-biomechanics-research-center/ (2015-03-26)
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