Nicholas Fletcher

SOM: Orthopaedics: Admin
Professor

Center for Advanced Pediatrics
Orthopaedics
1400 Tullie Road NE

Academic Appointment

Associate Professor of Orthopaedic Surgery, Orthopaedics, Emory University School of Medicine

Education

Degrees

MD from Vanderbilt University Medical School
BS from Vanderbilt University - Magna Cum Laude, Honors in Molecular Biology

Research

Focus

Management of all pediatric orthopaedic conditions. Particular interests include scoliosis and sagittal spinal deformities, pediatric hip conditions and trauma

Publications

Delayed-Onset Neurologic Changes Following Posterior Spinal Fusion: A Case Series.
J Bone Joint Surg Am Volume: 107 Page(s): e24
04/02/2025 Authors: Fletcher ND; Harris H; Fabregas J; Vorhies JS; Sponseller PD; Lonner BA; George SG; Garg S; Lovejoy JF; Vitale MG
Representation and Race in Adolescent Idiopathic Scoliosis Research: Disparities in Curve Magnitude and Follow-Up.
Global Spine J Volume: 15 Page(s): 1832 - 1838
04/02/2025 Authors: Todderud JE; Jilakara B; Kelly MP; Marks MC; Fletcher ND; Pahys JM; Brooks JT; Newton PO; Harms Study Group; Larson AN
Optimal Selection of Lower Instrumented Vertebra Can Minimize Distal Junctional Kyphosis After Posterior Spinal Fusion for Thoracic Adolescent Idiopathic Scoliosis.
Spine (Phila Pa 1976)
03/19/2025 Authors: Hori Y; Matsumura A; Namikawa T; Isogai N; Almeida da Silva LC; Kaymaz B; Yorgova PK; Gabos PG; Fletcher ND; Kelly MP
Impact of preoperative lumbosacral takeoff flexibility on postoperative correction following spinal fusion for adolescent idiopathic scoliosis: a new consideration for selective thoracic fusion.
Spine Deform
03/13/2025 Authors: Campbell RE; Rudic T; Hafey A; Driskill E; Newton PO; Bachmann KR; Harms Research Study Group
Scoliosis Research Society-22r and Ceiling Effects: Limited Capabilities for Precision Medicine With Adolescent Idiopathic Scoliosis.
Spine (Phila Pa 1976) Volume: 50 Page(s): 34 - 39
01/01/2025 Authors: Stone LE; Ames CP; Pellise F; Newton PO; Upasani VV; Kelly MP; Harms Study Group
High-density and moderate-density implant constructs for adolescent idiopathic scoliosis have equivalent clinical and radiographic outcomes at 2years.
Spine Deform
12/11/2024 Authors: Jackson TJ; Shah SA; Shufflebarger HL; Sucato DJ; Garg S; Sponseller P; Clements D; Fletcher ND; Newton PO; Samdani AF
Intrawound Vancomycin Powder Reduces Delayed Deep Surgical Site Infections Following Posterior Spinal Fusion for Adolescent Idiopathic Scoliosis.
Spine (Phila Pa 1976) Volume: 49 Page(s): 1577 - 1582
11/15/2024 Authors: Shinohara K; Newton PO; Kelly MP; Upasani VV; Bartley CE; Bryan TP; Harms Study Group
In-hospital post-operative fever after posterior spinal fusion for neuromuscular scoliosis in non-ambulatory cerebral palsy patients: is there value for clinical workup for an isolated fever?
Spine Deform Volume: 12 Page(s): 1745 - 1750
11/01/2024 Authors: Shaw KA; Murphy JS; Koehler R; Harris H; Sachwani N; Bruce R; Devito D; Schmitz M; Fabregas J; Raftis D
Prospectively Collected Comparison of Outcomes Between Surgically and Conservatively Treated Patients With Adolescent Idiopathic Scoliosis.
Spine (Phila Pa 1976) Volume: 49 Page(s): 1210 - 1218
09/01/2024 Authors: Whitaker CM; Miyanji F; Samdani AF; Pahys JM; Sponseller PD; Bryan TP; Newton PO; Hwang SW; Harms Study Group
A New Look at Vertebral Body Tethering (VBT): Through the Modified Clavien-Dindo-Sink (mCDS) Classification.
J Pediatr Orthop Volume: 44 Page(s): e389 - e393
05/01/2024 Authors: Vorhies JS; Hauth L; Garcia S; Roye BD; Poon S; Sturm PF; Glotzbecker M; Fletcher ND; Stone JD; Cahill PJ
Double major curvature treated with vertebral body tethering of both curves: how do outcomes compare to posterior spinal fusion?
Spine Deform Volume: 12 Page(s): 651 - 662
05/01/2024 Authors: Lonner B; Eaker L; Hoernschemeyer D; Zhang J; Wilczek A; Elliot P; Boeyer ME; Fletcher ND; Alanay A; Yilgor C
Breaking the Rules in Three Dimensions: What to Expect After a Thoracic-only Fusion With Structural Thoracic and Thoracolumbar Curves.
J Pediatr Orthop Volume: 44 Page(s): e242 - e248
03/01/2024 Authors: Catanzano A; Upasani VV; Bryan TP; Yaszay B; Newton PO; Harms Study Group
The Effect of Implant Density on Adolescent Idiopathic Scoliosis Fusion: Results of the Minimize Implants Maximize Outcomes Randomized Clinical Trial.
J Bone Joint Surg Am Volume: 106 Page(s): 180 - 189
02/01/2024 Authors: Larson AN; Polly DW; Sponseller PD; Kelly MP; Richards BS; Garg S; Parent S; Shah SA; Weinstein SL; Crawford CH
Bilateral vertebral body tethering: identifying key factors associated with successful outcomes.
Eur Spine J Volume: 33 Page(s): 723 - 731
02/01/2024 Authors: Hoernschemeyer DG; Elliott P; Lonner BS; Eaker L; Harms Study Group; Boeyer ME
Regional Anesthesia as an Alternative to Procedural Sedation for Forearm Fracture Reductions in the Pediatric Emergency Department.
Pediatr Emerg Care Volume: 40 Page(s): 83 - 87
02/01/2024 Authors: Sulton CD; Fletcher N; Murphy J; Gillespie S; Burger RK
Surgical Outcomes of Cerebral Palsy Patients With Scoliosis and Lumbar Hyperlordosis: A Comparative Analysis With 2-year Minimum Follow-up.
Spine (Phila Pa 1976) Volume: 48 Page(s): E374 - E381
11/15/2023 Authors: Lau D; Samdani AF; Pahys JM; Miyanji F; Shah SA; Lonner BS; Sponseller PD; Yaszay B; Hwang SW; Harms Study Group Investigators
Pregnancy and Childbirth After Spinal Fusion for Adolescent Idiopathic Scoliosis.
J Pediatr Orthop Volume: 43 Page(s): 620 - 625
11/01/2023 Authors: Landrum M; Nocka HR; Ashebo L; Hilmara D; MacAlpine E; Flynn JM; Ho M; Newton PO; Sponseller PD; Lonner BS
Age and CRP Associated With Improved Tissue Pathogen Identification in Children With Blood Culture Negative Osteomyelitis: Results From the CORTICES Multicenter Database.
J Pediatr Orthop Volume: 43 Page(s): e603 - e607
09/01/2023 Authors: Burns JD; Upasani VV; Bastrom TP; Baldwin KD; Schoenecker JG; Shore BJ; Brighton BK; Goldstein RY; Heyworth BE; Miller ML
Machine Learning for Benchmarking Adolescent Idiopathic Scoliosis Surgery Outcomes.
Spine (Phila Pa 1976) Volume: 48 Page(s): 1138 - 1147
08/15/2023 Authors: Gupta A; Oh IY; Kim S; Marks MC; Payne PRO; Ames CP; Pellise F; Pahys JM; Fletcher ND; Newton PO
SRS-22r Self-Image After Surgery for Adolescent Idiopathic Scoliosis at 10-year Follow-up.
Spine (Phila Pa 1976) Volume: 48 Page(s): 683 - 687
05/15/2023 Authors: Stone LE; Upasani VV; Pahys JM; Fletcher ND; George SG; Shah SA; Bastrom TP; Bartley CE; Lenke LG; Newton PO
Low radius of curvature growth-friendly rib-based implants increase the risk of developing clinically significant proximal junctional kyphosis.
Spine Deform Volume: 11 Page(s): 733 - 738
05/01/2023 Authors: Parker E; Al Anazi M; Hurry JK; Pediatric Spine Study Group; El-Hawary R
Avoiding PICU admission following PSF for neuromuscular scoliosis in non-ambulatory cerebral palsy managed with ERAS protocol.
Spine Deform Volume: 11 Page(s): 671 - 676
05/01/2023 Authors: Shaw KA; Harris H; Sachwani N; Ruska T; Murphy JS; Fletcher ND
The Reliability of the AO Spine Upper Cervical Classification System in Children: Results of a Multi-Center Study.
J Pediatr Orthop Volume: 43 Page(s): 273 - 277
04/01/2023 Authors: O'Neill NP; Mo AZ; Miller PE; Glotzbecker MP; Li Y; Fletcher ND; Upasani VV; Riccio AI; Spence D; Garg S
Drain options after vertebral body tethering.
Spine Deform Volume: 11 Page(s): 367 - 372
03/01/2023 Authors: Haber L; Starring H; Newcomb N; Larson AN; Desai B; Roybal J; Fant W; Milbrandt T; Boeyer M; Marks M
Post-operative steroids in patients with patients with severe cerebral palsy undergoing posterior spinal fusion.
Spine Deform Volume: 11 Page(s): 415 - 422
03/01/2023 Authors: Ruska T; Austin TM; Bruce RW; Fletcher ND
Effects of distraction-based distal fixation on pelvic parameter development in early onset scoliosis.
Spine Deform Volume: 11 Page(s): 495 - 500
03/01/2023 Authors: Shaw KA; Fletcher N; West J; Sachwani N; Romine M; El-Hawary R; Murphy J
Operative differences for posterior spinal fusion after vertebral body tethering: Are we fusing more levels in the end?
Eur Spine J Volume: 32 Page(s): 625 - 633
02/01/2023 Authors: Boeyer ME; Groneck A; Alanay A; Neal KM; Larson AN; Parent S; Newton P; Miyanji F; Haber L; Harms Study Group
Modified Clavien-Dindo-Sink system is reliable for classifying complications following surgical treatment of early-onset scoliosis.
Spine Deform Volume: 11 Page(s): 205 - 212
01/01/2023 Authors: Roye BD; Fano AN; Quan T; Matsumoto H; Garg S; Heffernan MJ; Poon SC; Glotzbecker MP; Fletcher ND; Sturm PF
Lengthening Behavior of Magnetically Controlled Growing Rods in Early-Onset Scoliosis: A Multicenter Study.
J Bone Joint Surg Am Volume: 104 Page(s): 2186 - 2194
12/21/2022 Authors: Heyer JH; Anari JB; Baldwin KD; Mitchell SL; Luhmann SJ; Sturm PF; Flynn JM; Cahill PJ; Pediatric Spine Study Group
Anterior Vertebral Body Tethering Compared with Posterior Spinal Fusion for Major Thoracic Curves: A Retrospective Comparison by the Harms Study Group.
J Bone Joint Surg Am Volume: 104 Page(s): 2170 - 2177
12/21/2022 Authors: Newton PO; Parent S; Miyanji F; Alanay A; Lonner BS; Neal KM; Hoernschemeyer DG; Yaszay B; Blakemore LC; Shah SA
Outcomes of Posterior Spinal Fusion in Pediatric Patients with Down Syndrome.
J Bone Joint Surg Am Volume: 104 Page(s): 2068 - 2073
12/07/2022 Authors: Fraser HG; Krakow A; Lin A; Harris H; Andras LA; Skaggs DL; Flynn JM; Fletcher ND
1- vs. 2-year follow-up after posterior spinal fusion for AIS: what additional information is gained?
Spine Deform Volume: 10 Page(s): 1359 - 1366
11/01/2022 Authors: Shaw KA; Orland K; Bastrom TP; Newton PO; Harms Study Group; Fletcher ND
Best Practice Guidelines for Surgical Site Infection in High-risk Pediatric Spine Surgery: Definition, Prevention, Diagnosis, and Treatment.
J Pediatr Orthop Volume: 42 Page(s): e1008 - e1017
11/01/2022 Authors: Badin D; Leland CR; Matsumoto H; Roye B; Vitale M; Flynn J; Samdani A; Larson AN; Yaszay B; Pahys J
Ten-year follow-up of Lenke 5 curves treated with spinal fusion.
Spine Deform Volume: 10 Page(s): 1107 - 1115
09/01/2022 Authors: Fletcher ND; Bastrom TP; Larson NA; Parent S; Lonner BA; Yaszay B; Kelly MP; Erickson MA
Complications following surgical treatment of adolescent idiopathic scoliosis: a 10-year prospective follow-up study.
Spine Deform Volume: 10 Page(s): 1097 - 1105
09/01/2022 Authors: Hariharan AR; Shah SA; Petfield J; Baldwin M; Yaszay B; Newton PO; Lenke LG; Lonner BS; Miyanji F; Sponseller PD
Preoperative factors associated with optimal outcomes of selective thoracic fusion at 5years.
Spine Deform Volume: 10 Page(s): 1117 - 1122
09/01/2022 Authors: Lindgren AM; Bastrom TP; Bartley CE; Samdani AF; Shah SA; Miyanji F; Cahill PJ; Upasani VV; Newton PO; Harms Study Group
Does the presence of programmable implanted devices in patients with early onset scoliosis alter typical operative and postoperative practices? A survey of spine surgeons.
Spine Deform Volume: 10 Page(s): 951 - 964
07/01/2022 Authors: McMahon R; Morgan SJ; Brooks JT; Cahill P; Fitzgerald R; Li Y; Pediatric Spine Study Group; Truong WH
To tether or fuse? Significant equipoise remains in treatment recommendations for idiopathic scoliosis.
Spine Deform Volume: 10 Page(s): 763 - 773
07/01/2022 Authors: Shaw KA; Welborn MC; Matsumoto H; Parent S; Sachwani N; El-Hawary R; Skaggs D; Newton PO; Blakemore L; Vitale M
Body mass index affects outcomes after vertebral body tethering surgery.
Spine Deform Volume: 10 Page(s): 563 - 571
05/01/2022 Authors: Mishreky A; Parent S; Miyanji F; Smit K; Murphy J; Bowker R; Al Khatib N; El-Hawary R; Pediatric Spine Study Group
Blood loss estimation during posterior spinal fusion for adolescent idiopathic scoliosis.
Spine Deform Volume: 10 Page(s): 581 - 588
05/01/2022 Authors: Fletcher ND; Gilbertson LE; Bruce RW; Lewis M; Lam H; Austin TM
Use of Vancomycin Powder in Spinal Deformity Surgery in Cerebral Palsy Patients is Associated With Proteus Surgical Site Infections.
J Pediatr Orthop Volume: 42 Page(s): 280 - 284
05/01/2022 Authors: Du JY; Dumaine AM; Klyce W; Miyanji F; Sponseller PD; Glotzbecker MP; Harms Study Group
Surviving Bad Meetings: Efficiencies to Thwart This Increasingly Common Administrative Time Vortex.
J Pediatr Orthop Volume: 42 Page(s): S44 - S46
05/01/2022 Authors: Fletcher ND
Complications following posterior spinal fusion for adolescent idiopathic scoliosis: a retrospective cohort study using the modified Clavien-Dindo-Sink system.
Spine Deform Volume: 10 Page(s): 607 - 614
05/01/2022 Authors: Keil LG; Himmelberg SM; Guiss NF; Nash AB; Fletcher ND; Stone JD
Continued Increase in Cost of Care Despite Decrease in Stay After Posterior Spinal Fusion for Adolescent Idiopathic Scoliosis.
J Am Acad Orthop Surg Glob Res Rev Volume: 6
03/11/2022 Authors: Shaw KA; Ange B; George V; Murphy JS; Fletcher ND
Risk factors for the development of DJK in AIS patients undergoing posterior spinal instrumentation and fusion.
Spine Deform Volume: 10 Page(s): 377 - 385
03/01/2022 Authors: Segal DN; Ball J; Fletcher ND; Yoon E; Bastrom T; Vitale MG; Harms Study Group
Slipped Capital Femoral Epiphysis Associated with Endocrinopathy: A Narrative Review.
JBJS Rev Volume: 10
02/07/2022 Authors: Shaw KA; Shiver AL; Oakes T; Fletcher ND
The Effect of Surgeon Experience on Outcomes Following Growth Friendly Instrumentation for Early Onset Scoliosis.
J Pediatr Orthop Volume: 42 Page(s): e132 - e137
02/01/2022 Authors: Heffernan MJ; Younis M; Glotzbecker MP; Garg S; Leonardi C; Poon SC; Brooks JT; Sturm PF; Sponseller PD; Vitale MG
Modified Clavien-Dindo-sink classification system for adolescent idiopathic scoliosis.
Spine Deform Volume: 10 Page(s): 87 - 95
01/01/2022 Authors: Guiss NF; Stone JD; Keil LG; Bastrom TP; Erickson MA; Yaszay B; Cahill PJ; Parent S; Gabos PG; Newton PO
Surgical Outcomes of Obese Patients With Adolescent Idiopathic Scoliosis From Endemic Areas of Obesity in the United States.
J Pediatr Orthop Volume: 41 Page(s): e865 - e870
11/01/2021 Authors: McDonald TC; Heffernan MJ; Ramo B; Haber L; Sheffer B; Murphy J; Murphy R; Fletcher N; Coyne K; Lubicky J
Comparative cost-utility analysis of postoperative discharge pathways following posterior spinal fusion for scoliosis in non-ambulatory cerebral palsy patients.
Spine Deform Volume: 9 Page(s): 1659 - 1667
11/01/2021 Authors: Shaw KA; Heboyan V; Fletcher ND; Murphy JS
Power versus manual pedicle tract preparation: a multi-center study of early adopters.
Spine Deform Volume: 9 Page(s): 1395 - 1402
09/01/2021 Authors: Skaggs DL; Compton E; Vitale MG; Garg S; Stone J; Fletcher ND; Illingworth KD; Kim HJ; Ball J; Kim EB
The role of traditional growing rods in the era of magnetically controlled growing rods for the treatment of early-onset scoliosis.
Spine Deform Volume: 9 Page(s): 1465 - 1472
09/01/2021 Authors: Varley ES; Pawelek JB; Mundis GM; Oetgen ME; Sturm PF; Akbarnia BA; Pediatric Spine Study Group; Yaszay B
Growth-preserving instrumentation in early-onset scoliosis patients with multi-level congenital anomalies.
Spine Deform Volume: 9 Page(s): 1491
09/01/2021 Authors: Clement RC; Yaszay B; McClung A; Bartley CE; Nabizadeh N; Skaggs DL; Thompson GH; Boachie-Adjei O; Sponseller PD; Shah SA
Short term outcomes of an enhanced recovery after surgery (ERAS) pathway versus a traditional discharge pathway after posterior spinal fusion for adolescent idiopathic scoliosis.
Spine Deform Volume: 9 Page(s): 1013 - 1019
07/01/2021 Authors: Fletcher ND; Murphy JS; Austin TM; Bruce RW; Harris H; Bush P; Yu A; Kusumoto H; Schmitz ML; Devito DP
In-hospital opioid usage following posterior spinal fusion for adolescent idiopathic scoliosis: Does methadone offer an advantage when used with an ERAS pathway?
Spine Deform Volume: 9 Page(s): 1021 - 1027
07/01/2021 Authors: Shaw KA; Fletcher ND; Devito DP; Schmitz ML; Fabregas J; Gidwani S; Chhatbar P; Murphy JS
Indications for Lumbar Fusion in the Skeletally Mature Adolescent: How to Address Oblique Takeoff and Limb Length Discrepancy.
J Pediatr Orthop Volume: 41 Page(s): S59 - S63
07/01/2021 Authors: Li Y; Fletcher ND
Early and late hospital readmissions in adolescent idiopathic scoliosis.
Spine Deform Volume: 9 Page(s): 1041 - 1048
07/01/2021 Authors: Patel A; Pahys JM; Samdani AF; Newton PO; Bastrom TP; Shah SA; Miyanji F; Hwang SW; Harms Study Group
Including the stable sagittal vertebra in the fusion for adolescent idiopathic scoliosis reduces the risk of distal junctional kyphosis in Lenke 1-3 B and C curves.
Spine Deform Volume: 9 Page(s): 733 - 741
05/01/2021 Authors: Marciano G; Ball J; Matsumoto H; Roye B; Lenke L; Newton P; Vitale M; Harms Study Group
Risk factors for gastrointestinal complications after spinal fusion in children with cerebral palsy.
Spine Deform Volume: 9 Page(s): 567 - 578
03/01/2021 Authors: Verhofste BP; Berry JG; Miller PE; Crofton CN; Garrity BM; Fletcher ND; Marks MC; Shah SA; Newton PO; Samdani AF
Sinister! The high pre-op left shoulder is less likely to be radiographically balanced at 2 years post-op.
Spine Deform Volume: 9 Page(s): 451 - 460
03/01/2021 Authors: Bram JT; Mehta N; Flynn JM; Anari JB; Baldwin KD; Yaszay B; Pahys JM; Harms Study Group; Cahill PJ
Growth-friendly Spinal Instrumentation in Marfan Syndrome Achieves Sustained Gains in Thoracic Height Amidst High Rates of Implant Failure.
J Pediatr Orthop Volume: 41 Page(s): e204 - e210
03/01/2021 Authors: Bellaire LL; Zhang C; Smith JT; Heflin JA; Klatt J; Roye D; Sponseller P; Samdani A; Fedorak GT; Pediatric Spine Study Group
Congenital Scoliosis of the Pediatric Cervical Spine: Characterization of a 17-Patient Operative Cohort.
J Pediatr Orthop Volume: 41 Page(s): e211 - e216
03/01/2021 Authors: Toll BJ; Samdani AF; Amanullah AA; Pahys JM; Janjua MB; Hwang SW; Pediatric Spine Study Group
What are parents willing to accept? A prospective study of risk tolerance in AIS surgery.
Spine Deform Volume: 9 Page(s): 381 - 386
03/01/2021 Authors: Lonner B; Jain A; Sponseller P; Eaker L; Samdani A; Kelly M; Castillo A; Marrache M; Ames CP; Shah SA
Effects of race on blood loss in spinal fusions for adolescent idiopathic scoliosis.
J Neurosurg Pediatr Volume: 27 Page(s): 213 - 217
02/01/2021 Authors: Kaushal N; Orland KJ; Schwartz AM; Wilson JM; Fletcher ND; Patel A; Menapace B; Ramirez M; Wetzel M; Devito D
Evaluation of pediatric distal femoral physeal fractures and the factors impacting poor outcome requiring further corrective surgery.
J Pediatr Orthop B Volume: 30 Page(s): 6 - 12
01/01/2021 Authors: Bellamy JT; Ward LA; Fletcher ND
Application of a Halo Fixator for the Treatment of Pediatric Spinal Deformity.
JBJS Essent Surg Tech Volume: 11
01/01/2021 Authors: Shaw KA; Griffith M; Schmitz ML; Brahma B; Fletcher ND; Murphy JS
Associations between three-dimensional measurements of the spinal deformity and preoperative SRS-22 scores in patients undergoing surgery for major thoracic adolescent idiopathic scoliosis.
Spine Deform Volume: 8 Page(s): 1253 - 1260
12/01/2020 Authors: Ohashi M; Bastrom TP; Bartley CE; Yaszay B; Upasani VV; Newton PO; Harms Study Group
Selecting the "Touched Vertebra" as the Lowest Instrumented Vertebra in Patients with Lenke Type-1 and 2 Curves: Radiographic Results After a Minimum 5-Year Follow-up.
J Bone Joint Surg Am Volume: 102 Page(s): 1966 - 1973
11/18/2020 Authors: Beauchamp EC; Lenke LG; Cerpa M; Newton PO; Kelly MP; Blanke KM; Harms Study Group Investigators
Postoperative Dexamethasone Following Posterior Spinal Fusion for Adolescent Idiopathic Scoliosis.
J Bone Joint Surg Am Volume: 102 Page(s): 1807 - 1813
10/21/2020 Authors: Fletcher ND; Ruska T; Austin TM; Guisse NF; Murphy JS; Bruce RW
Fusions ending above the sagittal stable vertebrae in adolescent idiopathic scoliosis: does it matter?
Spine Deform Volume: 8 Page(s): 983 - 989
10/01/2020 Authors: Segal DN; Orland KJ; Yoon E; Bastrom T; Fletcher ND; Harms Study Group
BMI change following spinal fusion for neuromuscular scoliosis surgery.
Spine Deform Volume: 8 Page(s): 1081 - 1087
10/01/2020 Authors: Baldwin KD; Cahill PJ; Sponseller PD; Abel MF; Spiegel DA; Flynn JM; Pahys JM; Harms Study Group Investigators
Variability in length of stay following neuromuscular spinal fusion.
Spine Deform Volume: 8 Page(s): 725 - 732
08/01/2020 Authors: Fletcher ND; Bellaire LL; Dilbone ES; Ward LA; Bruce RW
Doing Our Part to Conserve Resources: Determining Whether All Personal Protective Equipment Is Mandatory for Closed Reduction and Percutaneous Pinning of Supracondylar Humeral Fractures.
J Bone Joint Surg Am Volume: 102 Page(s): e66
07/01/2020 Authors: Wilson JM; Schwartz AM; Farley KX; Devito DP; Fletcher ND
Doing Our Part to Conserve Resources: Determining Whether All Personal Protective Equipment Is Mandatory for Closed Reduction and Percutaneous Pinning of Supracondylar Humeral Fractures.
J Bone Joint Surg Am
05/04/2020 Authors: Wilson JM; Schwartz AM; Farley KX; Devito DP; Fletcher ND
Preoperative SRS pain score is the primary predictor of postoperative pain after surgery for adolescent idiopathic scoliosis: an observational retrospective study of pain outcomes from a registry of 1744 patients with a mean follow-up of 3.4years.
Eur Spine J Volume: 29 Page(s): 754 - 760
04/01/2020 Authors: Hwang SW; Pendleton C; Samdani AF; Bastrom TP; Keeny H; Lonner BS; Newton PO; Harms Study Group; Pahys JM
Fusions ending at the thoracolumbar junction in adolescent idiopathic scoliosis: comparison of lower instrumented vertebrae.
Spine Deform Volume: 8 Page(s): 205 - 211
04/01/2020 Authors: Segal DN; Grabel ZJ; Konopka JA; Boissonneault AR; Yoon E; Bastrom TP; Flynn JM; Harms Study Group; Fletcher ND
Resource Utilization for Patients With Distal Radius Fractures in a Pediatric Emergency Department.
JAMA Netw Open Volume: 3 Page(s): e1921202
02/05/2020 Authors: Orland KJ; Boissonneault A; Schwartz AM; Goel R; Bruce RW; Fletcher ND
The Lumbosacral Takeoff Angle Can Be Used to Predict the Postoperative Lumbar Cobb Angle Following Selective Thoracic Fusion in Patients with Adolescent Idiopathic Scoliosis.
J Bone Joint Surg Am Volume: 102 Page(s): 143 - 150
01/15/2020 Authors: Bachmann KR; Lu E; Novicoff WM; Newton PO; Abel MF; Harms Study Group
Managing Resident Workforce and Education During the COVID-19 Pandemic: Evolving Strategies and Lessons Learned.
JB JS Open Access Volume: 5 Page(s): e0045
01/01/2020 Authors: Schwartz AM; Wilson JM; Boden SD; Moore TJ; Bradbury TL; Fletcher ND
The Reliability of the AOSpine Thoracolumbar Classification System in Children: Results of a Multicenter Study.
J Pediatr Orthop Volume: 40 Page(s): e352 - e356
01/01/2020 Authors: Mo AZ; Miller PE; Glotzbecker MP; Li Y; Fletcher ND; Upasani VV; Riccio AI; Hresko MT; Krengel WF; Spence D
Establishing Consensus on the Best Practice Guidelines for Use of Halo Gravity Traction for Pediatric Spinal Deformity.
J Pediatr Orthop Volume: 40 Page(s): e42 - e48
01/01/2020 Authors: Roye BD; Campbell ML; Matsumoto H; Pahys JM; Welborn MC; Sawyer J; Fletcher ND; McIntosh AL; Sturm PF; Gomez JA
The Effect of Spinal Arthrodesis on Health-Related Quality of Life for Patients with Nonambulatory Cerebral Palsy: A Critical Analysis Review.
JBJS Rev Volume: 7 Page(s): e1
12/01/2019 Authors: Shaw KA; Reifsnyder J; Hire JM; Fletcher ND; Murphy JS
Use of an Accelerated Discharge Pathway in Patients With Severe Cerebral Palsy Undergoing Posterior Spinal Fusion for Neuromuscular Scoliosis.
Spine Deform Volume: 7 Page(s): 804 - 811
09/01/2019 Authors: Bellaire LL; Bruce RW; Ward LA; Bowman CA; Fletcher ND
A three-dimensional analysis of scoliosis progression in non-idiopathic scoliosis: is it similar to adolescent idiopathic scoliosis?
CHILDS NERVOUS SYSTEM Volume: 35 Page(s): 1585 - 1590
09/01/2019 Authors: Bachmann KR; Yaszay B; Bartley CE; Bastrom TP; Reighard FG; Upasani VV; Newton PO; Buckland A; Samdani A; Jain A
Use of an Accelerated Discharge Pathway in Patients With Severe Cerebral Palsy Undergoing Posterior Spinal Fusion for Neuromuscular Scoliosis.
Spine Deform Volume: 7 Page(s): 804 - 811
09/01/2019 Authors: Bellaire LL; Bruce RW; Ward LA; Bowman CA; Fletcher ND
Don't You Wish You Had Fused to the Pelvis the First Time: A Comparison of Reoperation Rate and Correction of Pelvic Obliquity.
Spine (Phila Pa 1976) Volume: 44 Page(s): E465 - E469
04/15/2019 Authors: Nielsen E; Andras LM; Bellaire LL; Fletcher ND; Minkara A; Vitale MG; Troy M; Glotzbecker M; Skaggs DL
Improving Complex Pediatric and Adult Spine Care While Embracing the Value Equation.
Spine Deform Volume: 7 Page(s): 228 - 235
03/01/2019 Authors: Sethi RK; Yanamadala V; Shah SA; Fletcher ND; Flynn J; Lafage V; Schwab F; Heffernan M; DeKleuver M; Mcleod L
Corrigendum to: Agreement Between Manual and Computerized Designation of Neutral Vertebra in Idiopathic Scoliosis [Spine Deformity 6/6 (2018) 644-650].
Spine Deform Volume: 7 Page(s): 380
03/01/2019 Authors: DeFrancesco CJ; Pasha S; Miller DJ; Betz RR; Clements DH; Fletcher ND; Glotzbecker MG; Hwang SW; Kelly MP; Lehman RA
Improving Complex Pediatric and Adult Spine Care While Embracing the Value Equation.
Spine Deform Volume: 7 Page(s): 228 - 235
03/01/2019 Authors: Sethi RK; Yanamadala V; Shah SA; Fletcher ND; Flynn J; Lafage V; Schwab F; Heffernan M; DeKleuver M; Mcleod L
Development of Consensus Based Best Practice Guidelines for Perioperative Management of Blood Loss in Patients Undergoing Posterior Spinal Fusion for Adolescent Idiopathic Scoliosis.
Spine Deform Volume: 6 Page(s): 424 - 429
07/01/2018 Authors: Fletcher ND; Marks MC; Asghar JK; Hwang SW; Sponseller PD; Harms Study Group; Newton PO
Complications following lengthening of spinal growing implants: is postoperative admission necessary?
J Neurosurg Pediatr Volume: 22 Page(s): 102 - 107
07/01/2018 Authors: Shaw KA; Fletcher ND; Devito DP; Murphy JS
How Precise Are Height Measurements in Scoliosis Clinic?
Volume: 141
01/01/2018 Authors: Woon RP; Skaggs DL; Garg S; Sanders J; Sawyer J; Fletcher ND; Andras LM
Agreement Between Manual and Computerized Designation of NeutralVertebra in Idiopathic Scoliosis.
Spine Deform Volume: 6 Page(s): 644 - 650
01/01/2018 Authors: DeFrancesco CJ; Pasha S; Miller DJ; Betz RR; Clements DH; Fletcher ND; Glotzbecker MG; Hwang SW; Kelly MP; Lehman RA
Development of Consensus Based Best Practice Guidelines for Perioperative Management of Blood Loss in Patients Undergoing Posterior Spinal Fusion for Adolescent Idiopathic Scoliosis.
Spine Deform Volume: 6 Page(s): 424 - 429
01/01/2018 Authors: Fletcher ND; Marks MC; Asghar JK; Hwang SW; Sponseller PD; Harms Study Group; Newton PO
The Use of a Transolecranon Pin in the Treatment of Pediatric Flexion-type Supracondylar Humerus Fractures.
J Pediatr Orthop Volume: 37 Page(s): e347 - e352
09/01/2017 Authors: Green BM; Stone JD; Bruce RW; Fletcher ND
Radiographic Assessment of Guided Growth: The Correlation Between Screw Divergence and Change in Anatomic Alignment.
J Pediatr Orthop Volume: 37 Page(s): e261 - e264
06/01/2017 Authors: Sweeney KR; Shi WJ; Gottschalk MB; Kappa JE; Bruce RW; Fletcher ND
Development of Consensus-Based Best Practice Guidelines for Postoperative Care Following Posterior Spinal Fusion for Adolescent Idiopathic Scoliosis.
Spine (Phila Pa 1976) Volume: 42 Page(s): E547 - E554
05/01/2017 Authors: Fletcher ND; Glotzbecker MP; Marks M; Newton PO; Harms Study Group
Use of a Novel Pathway for Early Discharge Was Associated With a 48% Shorter Length of Stay After Posterior Spinal Fusion for Adolescent Idiopathic Scoliosis.
J Pediatr Orthop Volume: 37 Page(s): 92 - 97
03/01/2017 Authors: Fletcher ND; Andras LM; Lazarus DE; Owen RJ; Geddes BJ; Cao J; Skaggs DL; Oswald TS; Bruce RW
Continuing Delay in the Diagnosis of Slipped Capital Femoral Epiphysis.
J Pediatr Volume: 177 Page(s): 250 - 254
10/01/2016 Authors: Schur MD; Andras LM; Broom AM; Barrett KK; Bowman CA; Luther H; Goldstein RY; Fletcher ND; Millis MB; Runner R
Impact of insurance status on ability to return for outpatient management of pediatric supracondylar humerus fractures.
J Child Orthop Volume: 10 Page(s): 421 - 427
10/01/2016 Authors: Fletcher ND; Sirmon BJ; Mansour AS; Carpenter WE; Ward LA
Early Career Experience of Pediatric Orthopaedic Fellows: What to Expect and Need for Their Services.
J Pediatr Orthop Volume: 36 Page(s): 429 - 432
06/01/2016 Authors: Glotzbecker MP; Shore BJ; Fletcher ND; Larson AN; Hydorn CR; Sawyer JR; Practice Management Committee of the Pediatric Orthopaedic Society of North America
Cryoablation of Osteoid Osteoma in the Pediatric and Adolescent Population.
J Vasc Interv Radiol Volume: 27 Page(s): 232 - 237
02/01/2016 Authors: Whitmore MJ; Hawkins CM; Prologo JD; Marshall KW; Fabregas JA; Yim DB; Monson D; Oskouei SV; Fletcher ND; Williams RS
Improving perioperative care for adolescent idiopathic scoliosis patients: the impact of a multidisciplinary care approach.
J Multidiscip Healthc Volume: 9 Page(s): 435 - 445
01/01/2016 Authors: Borden TC; Bellaire LL; Fletcher ND
Medicaid insurance is associated with larger curves in patients who require scoliosis surgery.
Am J Orthop (Belle Mead NJ) Volume: 44 Page(s): E454 - E457
04/01/2015 Authors: Fletcher ND; Lazarus DE; Desai MJ; Patel NN; Bruce RW
Reliability of Proximal Junctional Kyphosis Measurements for Young Children With Scoliosis.
Spine Deform Volume: 2 Page(s): 448 - 453
11/01/2014 Authors: Al Khudairy A; Gauthier L; Heflin JA; Fletcher ND; Matz J; Soroceanu A; El-Hawary R
A critical appraisal of the first-year experience of 5 pediatric orthopaedic surgeons.
J Pediatr Orthop Volume: 34 Page(s): 655 - 659
09/01/2014 Authors: Fletcher ND; Larson AN; Glotzbecker MP; Shore BJ; Hydorn CR
Operative treatment of type II supracondylar humerus fractures: does time to surgery affect complications?
J Pediatr Orthop Volume: 34 Page(s): 382 - 387
06/01/2014 Authors: Larson AN; Garg S; Weller A; Fletcher ND; Schiller JR; Kwon M; Browne R; Copley LA; Ho CA
Clinical and economic implications of early discharge following posterior spinal fusion for adolescent idiopathic scoliosis.
J Child Orthop Volume: 8 Page(s): 257 - 263
05/01/2014 Authors: Fletcher ND; Shourbaji N; Mitchell PM; Oswald TS; Devito DP; Bruce RW
Clinical characteristics of severe supracondylar humerus fractures in children.
J Pediatr Orthop Volume: 34 Page(s): 34 - 39
01/01/2014 Authors: Garg S; Weller A; Larson AN; Fletcher ND; Kwon M; Schiller J; Browne R; Copley L; Ho C
Management of the pediatric pulseless supracondylar humeral fracture: is vascular exploration necessary?
J Bone Joint Surg Am Volume: 95 Page(s): 1906 - 1912
11/06/2013 Authors: Weller A; Garg S; Larson AN; Fletcher ND; Schiller JR; Kwon M; Copley LAB; Browne R; Ho CA
The mechanical stability of extra-articular distal radius fractures with respect to the number of screws securing the distal fragment.
J Hand Surg Am Volume: 38 Page(s): 1097 - 1105
06/01/2013 Authors: Crosby SN; Fletcher ND; Yap ER; Lee DH
Increased severity of type III supracondylar humerus fractures in the preteen population.
J Pediatr Orthop Volume: 32 Page(s): 567 - 572
09/01/2012 Authors: Fletcher ND; Schiller JR; Garg S; Weller A; Larson AN; Kwon M; Browne R; Copley L; Ho C
Early onset scoliosis: current concepts and controversies.
Curr Rev Musculoskelet Med Volume: 5 Page(s): 102 - 110
06/01/2012 Authors: Fletcher ND; Bruce RW
Lumbar curve is stable after selective thoracic fusion for adolescent idiopathic scoliosis: a 20-year follow-up.
Spine (Phila Pa 1976) Volume: 37 Page(s): 833 - 839
05/01/2012 Authors: Larson AN; Fletcher ND; Daniel C; Richards BS
Residual thoracic hypokyphosis after posterior spinal fusion and instrumentation in adolescent idiopathic scoliosis: risk factors and clinical ramifications.
Spine (Phila Pa 1976) Volume: 37 Page(s): 200 - 206
02/01/2012 Authors: Fletcher ND; Hopkins J; McClung A; Browne R; Sucato DJ
Serial casting as a delay tactic in the treatment of moderate-to-severe early-onset scoliosis.
J Pediatr Orthop Volume: 32 Page(s): 664 - 671
01/01/2012 Authors: Fletcher ND; McClung A; Rathjen KE; Denning JR; Browne R; Johnston CE
Current treatment preferences for early onset scoliosis: a survey of POSNA members.
J Pediatr Orthop Volume: 31 Page(s): 326 - 330
01/01/2011 Authors: Fletcher ND; Larson AN; Richards BS; Johnston CE
Asymmetrical arthrogryposis of the upper extremity associated with congenital spine anomalies.
J Pediatr Orthop Volume: 30 Page(s): 936 - 941
12/01/2010 Authors: Fletcher ND; Rathjen KE; Bush P; Ezaki M
Bacterial meningitis after traumatic thoracic fracture-dislocation: two case reports and review of the literature.
J Orthop Trauma Volume: 24 Page(s): e49 - e53
05/01/2010 Authors: Morris BJ; Fletcher N; Davis RA; Mencio GA
Prevention of perioperative infection.
J Bone Joint Surg Am Volume: 89 Page(s): 1605 - 1618
07/01/2007 Authors: Fletcher N; Sofianos D; Berkes MB; Obremskey WT
Trauma: life in the ER--education or entertainment? The patient's perspective.
South Med J Volume: 100 Page(s): 248 - 251
03/01/2007 Authors: Hemphill RR; Santen SA; Spanier CM; Fletcher ND
'Sorry, it's my first time!' Will patients consent to medical students learning procedures?
Med Educ Volume: 39 Page(s): 365 - 369
04/01/2005 Authors: Santen SA; Hemphill RR; Spanier CM; Fletcher ND
Common bile duct papillary adenoma causing obstructive jaundice: case report and review of the literature.
Am Surg Volume: 70 Page(s): 448 - 452
05/01/2004 Authors: Fletcher ND; Wise PE; Sharp KW

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Nicholas Fletcher

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