“Our goal and mission at NewYork-Presbyterian and Columbia Orthopedics is to deliver the most exceptional care possible to young people with orthopedic problems. This mission fuels our passion for research to improve care (31 publications in 2021 alone), our emphasis on quality improvement and surgical safety, and our focus on developing the very best team imaginable to support our patients.”
-Michael Vitale, MD, Chief of Pediatric Orthopedics and POSNA President

Posna 2021: selected presentations

Michael Vitale, MD

Michael Vitale, MD, MPH, is the Ana Lucia Professor of Orthopedic and Neurosurgery, Vice Chief, (Quality and Strategy) of the Department of Orthopaedics at Columbia University Medical Center, and Chief of Pediatric Orthopaedics for NewYork-Presbyterian Hospital, where he has developed his clinical focus in the care of children with spinal deformity. He is a world-renowned specialist in the non-operative and operative treatment of complex pediatric scoliosis and spinal disorders.
Posna podium presentations:

  • Operating Room: Building Your Skill and Your Team – Safety Doesn’t Happen by Accident
    Date and Time: Wednesday - May 12, 2021 from 9:45 AM - 9:50 AM
  • Discordant Lowest Instrumented Vertebra in Adolescent Idiopathic Scoliosis: When Coronal and Sagittal Parameters Conflict
    Date and Time: Thursday - May 13, 2021 from 2:15 PM - 2:19 PM
  • Diversity Program Advancing Justice, Equality, Diversity, & Inclusion in Pediatric Orthopaedics: Introduction: The Importance of Diversity and Being a Good Ally
    Date and Time: Saturday – May 15, 2021 from 7:35AM – 7:40AM
  • Looking Under the Hood: Factors that Drive Successful Study Group Participation and Publications in Pediatric Spine Programs
    Date and Time: Saturday – May 15, 2021 from 8:44AM – 8:48AM

Katherine Rosenwasser, MD

Dr. Katie Rosenwasser specializes in the treatment of musculoskeletal conditions that affect the growing child. She is dual fellowship trained and is uniquely equipped to manage myriad injuries that may befall the growth plate.
Posna podium presentation:

  • The Atypical Clubfoot: Is it Doomed from the Start?
  • Date and Time: Thursday - May 13, 2021 from 10:52 AM - 10:56 AM

The treatment of the atypical clubfoot presents a challenge for many pediatric orthopedists. Characterized by severe equinus, supination, a shortened forefoot and a deep medial to lateral plantar crease, the atypical foot often proves recalcitrant to conventional casting. Our series represents the largest study to date regarding the fate of the idiopathic atypical clubfoot treated from birth. Even after early identification of an atypical clubfoot, the rate of revision surgery was approximately two times higher in atypical clubfeet compared to typical clubfeet. Furthermore, revision surgery was more invasive in the atypical clubfeet compared to the typical clubfeet. These data offer more insight on the expectations for treatment in atypical clubfeet for both clinicians and families.

Benjamin Roye, MD

Dr. Benjamin Roye is an experienced pediatric orthopedist whose practice is dedicated to both surgical and conservative management of pediatric spinal deformity. 
POSNA Panel Discussion:

  • 2021 Arabella Leet Memorial Young Member Forum – Panelist
  • Date and Time: May 12, 2021 12:49PM-1:08 PM

Christen Russo, MD 

Dr. Christen Russo is a pediatric orthopedist whose practice encompasses most community orthopedic pathology with specialty interests in bone health and the conservative management of scoliosis.
POSNA Presentation:

  • Promoting Bone Health in Communities: Early Use of Calcium and Vitamin D Supplements
  • Date and Time: E-Poster

We are working towards guidelines and recommendations regarding calcium and Vitamin D supplementation in the pediatric orthopedic population

Samuel Van de Velde, MD

Dr. Samuel Van de Velde treats all aspects of the lower limb, including child and young adult hip preservation, and sports pathology of the hip and knee. He offers the entire spectrum of specialized surgical interventions for hip pathology, ranging from hip arthroscopy, periacetabular and femoral osteotomies to anterior total hip arthroplasty. 
POSNA Podium Presentation:

  • Anatomic versus Non-anatomic Anterolateral Tenodesis in Combination with Anterior Cruciate Ligament Reconstruction - Sometimes Cheaper is Better
  • Date and Time: Thursday - May 13, 2021 from 10:28 AM - 10:32 AM

Dr. Van de Velde will be presenting at POSNA on “Anatomic versus Non-anatomic Anterolateral Tenodesis in Combination with Anterior Cruciate Ligament Reconstruction - Sometimes Cheaper is Better.” In this cadaveric biomechanics study, we found that the augmentation of ACL reconstruction with an anatomic anterolateral ligament reconstruction offered little benefit but over constrained the knee at 90°. A modified non-anatomic lateral extra-articular tenodesis, on the other hand, was not only biomechanically superior, but is also easy to perform and the risk of tunnel convergence is reduced to zero.

Highlighted Faculty Research (faculty not presenting)

Joshua Hyman, MD  

Dr. Joshua Hyman, St. Giles Professor of Orthopedic Surgery, specializes in non-operative and surgical care for a broad spectrum of pediatric orthopedic conditions including hip diseases and dysplasia, neuromuscular disorders, lower extremity deformities, limb length differences, and complex fracture care.
Research Highlight: Evaluation of assessment of caregiver experience with neuromuscular disease: reliability and responsiveness of a new caregiver-reported outcome measure in patients with cerebral palsy | Cerebral palsy (CP) is the most common cause of chronic childhood disability. Caregivers often provide prolonged care over patients’ life span, thus measuring the impact of the disease and its treatments on caregivers has become a recent focus in research. The current study aims to present an evaluation of the reliability and responsiveness of assessment of caregiver experience with neuromuscular disease (ACEND) following botulinum toxin injection to relieve spasticity in children with CP.

Research
Xu N, Matsumoto H, Hyman J, Roye B, Kim H, Roye DP Jr. Evaluation of assessment of caregiver experience with neuromuscular disease: reliability and responsiveness of a new caregiver-reported outcome measure in patients with cerebral palsy. Transl Pediatr. 2020;9(4):507-512. doi:10.21037/tp-19-176

Charles Popkin, MD

Dr. Charles Popkin is a dual fellowship trained orthopedic surgeon specializing in pediatric, adolescent and adult sports medicine. He has an emphasis on the operative and nonoperative treatment of complex knee pathology.
Research Highlight: Cervical Spine Injuries in the Ice Hockey Player: Current Concepts in Epidemiology, Management and Prevention | Hockey is a sport with one of the highest rates of cervical spine injury, but by understanding the underlying pathophysiology and context in which these injuries can occur, it is possible to reduce their incidence and successfully manage the injured player.

Research
Morrissette C, Park PJ, Lehman RA, Popkin CA. Cervical Spine Injuries in the Ice Hockey Player: Current Concepts in Epidemiology, Management and Prevention. Global Spine Journal. November 2020.

Lauren Redler, MD  

Dr. Lauren Redler specializes arthroscopy/sports medicine injuries in the pediatric, adolescent and adult populations and utilizes advanced arthroscopic surgical techniques for sports-related of injuries of the shoulder, elbow, and knee. She is dual fellowship trained in both adult and pediatric sports medicine.
Research Highlight: MRI following medial patellofemoral ligament reconstruction: assessment of imaging features found with post-operative pain, arthritis, and graft failure | To assess MR features following MPFL reconstruction and determine their influence on post-operative pain, progressive arthritis, or graft failure.

Research
Wong TT, Denning J, Moy MP, Rasiej MJ, Redler LH, Ahmad CS, Popkin CA. MRI following medial patellofemoral ligament reconstruction: assessment of imaging features found with post-operative pain, arthritis, and graft failure. Skeletal Radiol. 2020 Oct 20.

Benjamin Roye, MD  

Dr. Benjamin Roye is an experienced pediatric orthopedist whose practice is dedicated to both surgical and conservative management of pediatric spinal deformity. 
Research Highlight: Establishing consensus on the best practice guidelines for the use of bracing in adolescent idiopathic scoliosis | Bracing is the mainstay of conservative treatment in Adolescent Idiopathic Scoliosis (AIS). The purpose of this study was to establish best practice guidelines (BPG) among a multidisciplinary group of international bracing experts including surgeons, physiatrists, physical therapists, and orthotists utilizing formal consensus building techniques. Currently, there is significant variability in the practice of brace treatment for AIS and, therefore, there is a strong need to develop BPG for bracing in AIS.

Research
Roye BD, Simhon ME, Matsumoto H, Bakarania P, Berdishevsky H, Dolan LA, Grimes K, Grivas TB, Hresko MT, Karol LA, Lonner BS, Mendelow M, Negrini S, Newton PO, Parent EC, Rigo M, Strikeleather L, Tunney J, Weinstein SL, Wood G, Vitale MG. Establishing consensus on the best practice guidelines for the use of bracing in adolescent idiopathic scoliosis. Spine Deform. 2020 Aug;8(4):597-604.

Paulo Selber, MD  

Dr. Paulo Selber is an internationally recognized specialist in the operative and non-operative treatment of orthopedic conditions in children and adults living with cerebral palsy and other neuromuscular disorders.
Research Highlight: Orthopedic Surgery in Dsytonic Cerebral Palsy | Outcomes after orthopaedic interventions in patients with dystonic cerebral palsy (DCP) are historically regarded as unpredictable. This study aims to evaluate the overall outcome of orthopaedic surgery in children with DCP.

Research
Blumetti F, Wu Jenny, Barzi F, Axt M, Waugh MC, Selber, P. Orthopedic Surgery in Dsytonic Cerebral Palsy. Journal of Peds Ortho. Volume 39, Number 4, April 2019, pp. 209-216(8)