Is low vitamin D level in pediatric patients with new onset type 1 diabetes common , especially if in ketoacidosis?
VDD and insufficiency are common, even in Caucasians, at onset of T1D in pediatrics, worse in those with DKA.
Transsacral fixation/fusion may allow for safe lumbosacral fusion without iliac fixation in the setting of long-segment constructs in carefully selected patients. This study was retrospective and suffered from some loss to followup; future prospective trials are called for to compare this technique to other, more established approaches.