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Profile

Nicholas Fletcher

  • Department of Pediatrics
    Professor
  • (404) 255-1933
  • nicholas.d.fletcher@emory.edu
  • Children's Portfolio
  • Facebook
  • Center for Advanced Pediatrics
    Orthopaedics
    1400 Tullie Road NE
Head shot of Nicholas Fletcher

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

  • 3-Dimensional Analysis of Disc and Vertebral Height and their Role in Kyphosis Creation in Adolescent Idiopathic Scoliosis.
    Spine (Phila Pa 1976)
    05/29/2025 Authors: Oba H; Kelly MP; Fletcher N; Parent S; Upasani VV; Farnsworth C; Bartley CE; Yaszay B; Shah SA; Miyanji F
  • Predictors of massive transfusion of allogenic blood products during posterior spinal fusion in patients with cerebral palsy.
    Spine Deform
    05/11/2025 Authors: Asma A; Gajewski N; Shah SA; Ulusaloglu AC; Kraft DB; Yorgova PK; Sponseller PD; Jain A; Yaszay B; Samdani AF
  • Posterior spinal fusion outcomes for moderate adolescent idiopathic scoliosis in boys and girls: should we counsel them the same?
    Spine Deform
    05/09/2025 Authors: Todderud J; Marks MC; Sucato D; Fletcher N; Newton P; Kelly M; Bachmann K; Parent S; Miyanji F; Yaszay B
  • High-density and moderate-density implant constructs for adolescent idiopathic scoliosis have equivalent clinical and radiographic outcomes at 2years.
    Spine Deform Volume: 13 Page(s): 773 - 787
    05/01/2025 Authors: Jackson TJ; Shah SA; Shufflebarger HL; Sucato DJ; Garg S; Sponseller P; Clements D; Fletcher ND; Newton PO; Samdani AF
  • 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
    04/01/2025 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
  • 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
    02/07/2024 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
    11/01/2015 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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