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DOING MORE THAN TREATING CHILDREN, TREATING THE ADULTS THEY WILL BECOME.

Our pediatric orthopaedics program at Children’s Hospital at Montefiore (CHAM) is the highest ranked in the NY Metro area and one of the many reasons CHAM is consistently named one of “America’s Best Hospitals” by U.S. News & World Report.

We provide advance treatment solutions for the complete spectrum of musculoskeletal conditions that can occur from birth through young adulthood, including:

  • Cerebral palsy and neuromuscular treatments
  • Pediatric and adolescent sports medicine 
  • Operative and non-operative management of pediatric fractures
  • Adolescent hip preservation surgery
  • Comprehensive, cutting-edge orthopaedic tumor treatment

Patients and their families come to us with a single goal: A great outcome. But with children and adolescents it sometimes takes longer to measure success. 

Take Crystal Gabbe.  When she was two, she fell off a chair and was taken to CHAM with a bad limp. X-rays revealed a fractured hip and Ewing Sarcoma, a rare form of cancer. 

Crystal was placed on a course of chemotherapy both before and after surgery to shrink the tumor and prevent metastases. Midway through her therapy, Crystal underwent surgery to remove the tumor. 

Our team of orthopaedic oncologists built a prosthetic that was small enough to fill the void in Crystal’s tiny leg and could be lengthened incrementally. 

Now 10 years old, she just had a successful hip replacement with a custom implant small enough to fit her as she continues to grow. Crystal is doing well and walking without assistance. 

As an extension of her treatment, Crystal is participating in a clinical trial using DOSI (Diffuse Optical Spectroscopic Imaging) to study the effectiveness of chemotherapy on bone sarcomas. We’re the only hospital using the DOSI imaging device for this purpose.


PEDIATRIC SPINE

Our fellowship-trained surgeons treat the full range of pediatric spinal conditions.

CHAM is one of an elite group of facilities that offers specialized neuromuscular and spina bifida interdisciplinary clinics at our newly formed Function, a collaborative care program to serve children and adults with chronic disabilities of the neuromuscular, musculoskeletal or urological systems.  There our orthopaedics group works in conjunction with other pediatric subspecialists to provide comprehensive care and follow-up.

Scoliosis is Common. Our Treatment is World Class.

Scoliosis is a fairly common spine defect with one in 1,000 people requiring surgical treatment for the condition. Choosing the right surgeon for a child with scoliosis is a decision that can affect the child his or her entire life.

Montefiore has a surgical team that specializes in scoliosis treatment.  After a detailed examination, we’ll determine which treatment method is most appropriate for each patient: observation, casting, bracing or surgery.

Mild cases of scoliosis require only X-rays and an annual exam.  In a growing child, if the curving of the spine is 20-30 degrees, bracing to prevent the curvature from increasing is usually recommended.  If the curving is contained to 45 degrees or less, surgery is usually not required.

When surgery is indicated, Montefiore’s experts are world leaders and use the most advanced surgical and non-surgical advances. For example, our surgeons treat early-onset scoliosis with bracing and serial casting. Most surgical procedures are performed through a linear incision in the back (Posterior Spinal Fusion) with the use of modern pedicle screw (bone screw) placement.  Cutting-edge navigation allows our surgeons to achieve screw placement accuracy close to 100%.


PEDIATRIC SPORTS MEDICINE

Our multidisciplinary pediatric sports medicine team includes surgeons, concussion specialists, physical therapists, nutritionists and certified athletic trainers.

We treat both acute and chronic conditions working closely with primary care specialists, parents, coaches and trainers.

While other programs focus on fixing the injury at hand, we look beyond the immediate treatment to provide comprehensive, state-of-the-art care that helps prevent further injuries and improves the young athlete’s ongoing performance.


PEDIATRIC ORTHOPAEDIC ONCOLOGY

Our specialists are dedicated to diagnosing and managing both benign and malignant tumors in children and adolescents.

We treat primary tumors, such as bone and soft-tissue sarcomas, as well metastatic carcinomas and other secondary tumors.

Experts from multiple disciplines collaborate in a proactive approach designed to provide the best possible outcome for every patient. Discover more. (link to ortho onc page)


THE PEDIATRIC ORTHOPAEDICS TEAM