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{{Short description|French spinal surgeon}} {{Short description|French spinal surgeon}}


'''Pierre Stagnara''' (January 16, 1917-July 1, 1995) was a French ]. He has been described as a "pioneer" in the study of spinal deformities,<ref>{{Cite journal |last=Dreischarf |first=Marcel |date=2017 |title=The loading, shape and motion of the lumbar spine |url=https://depositonce.tu-berlin.de/items/7ebe858f-e90a-4960-8b0f-269f37e80886 |journal= |language=en |pages=13}}</ref><ref>{{Cite journal |last1=Negrini |first1=Stefano |last2=Grivas |first2=Theodoros B. |last3=Kotwicki |first3=Tomasz |last4=Maruyama |first4=Toru |last5=Rigo |first5=Manuel |last6=Weiss |first6=Hans Rudolf |last7=the members of the Scientific society On Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT) |date=2006-04-10 |title=Why do we treat adolescent idiopathic scoliosis? What we want to obtain and to avoid for our patients. SOSORT 2005 Consensus paper |journal=Scoliosis |volume=1 |issue=1 |pages=4 |doi=10.1186/1748-7161-1-4 |issn=1748-7161 |pmc=1475888 |pmid=16759352 |doi-access=free }}</ref> "one of the greatest figures of French spinal surgery,"<ref name=":1">{{Cite journal |last=DuBousset |first=Jean |date=1996-09-15 |title=A Tribute to Pierre Stagnara (1917–1995) |url=https://journals.lww.com/spinejournal/citation/1996/09150/a_tribute_to_pierre_stagnara__1917_1995_.23.aspx |journal=Spine |language=en-US |volume=21 |issue=18 |pages=2176 |doi=10.1097/00007632-199609150-00023 |issn=0362-2436}}</ref> and the "father of spine surgery in France."{{cn|date=November 2023}} Stagnara was born in January 16, 1917 in ], ].<ref>{{Cite web |title=Pierre Stagnara (1917-1995) |url=https://data.bnf.fr/11925401/pierre_stagnara/ |url-status=live |archive-url=https://web.archive.org/web/20221009212914/https://data.bnf.fr/11925401/pierre_stagnara/ |archive-date=October 9, 2022 |access-date=2023-11-17 |website=data.bnf.fr |language=en}}</ref><ref>{{Cite web |title=Family tree of Pierre Louis Alexandre * STAGNARA |url=https://gw.geneanet.org/leclercj?lang=en&n=stagnara&oc=0&p=pierre+louis+alexandre |url-status=live |archive-url=https://web.archive.org/web/20231117191117/https://gw.geneanet.org/leclercj?lang=en&n=stagnara&oc=0&p=pierre+louis+alexandre |archive-date=November 17, 2023 |access-date=2023-11-17 |website=Geneanet |language=en}}</ref> He studied medicine in the city of ]. During ] he was drafted into the ].<ref name=":0" /> After the war, he worked in a variety of ] throughout Lyon. In 1959 he became the Chief of the Centre des Massues and served in this position until his retirement in 1982.<ref name=":1" /> Whilst working at the institution he pioneered many orthopedic techniques. Including the non-surgical management of ].<ref name=":0" /> '''Pierre Stagnara''' (January 16, 1917-July 1, 1995) was a French ]. He has been described as a "pioneer" in the study of spinal deformities,<ref>{{Cite thesis |last=Dreischarf |first=Marcel |title=The loading, shape and motion of the lumbar spine |date=2017 |url=https://depositonce.tu-berlin.de/items/7ebe858f-e90a-4960-8b0f-269f37e80886 |language=en |pages=13}}</ref><ref>{{Cite journal |last=Negrini |first=Stefano |last2=Grivas |first2=Theodoros B. |last3=Kotwicki |first3=Tomasz |last4=Maruyama |first4=Toru |last5=Rigo |first5=Manuel |last6=Weiss |first6=Hans Rudolf |last7=the members of the Scientific society On Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT) |date=2006-04-10 |title=Why do we treat adolescent idiopathic scoliosis? What we want to obtain and to avoid for our patients. SOSORT 2005 Consensus paper |journal=] |volume=1 |issue=1 |pages=4 |doi=10.1186/1748-7161-1-4 |issn=1748-7161 |pmc=1475888 |pmid=16759352 |doi-access=free}}</ref> "one of the greatest figures of French spinal surgery,"<ref name=":1">{{Cite journal |last=DuBousset |first=Jean |date=1996-09-15 |title=A Tribute to Pierre Stagnara (1917–1995) |url=https://journals.lww.com/spinejournal/citation/1996/09150/a_tribute_to_pierre_stagnara__1917_1995_.23.aspx |journal=Spine |language=en-US |volume=21 |issue=18 |pages=2176 |doi=10.1097/00007632-199609150-00023 |issn=0362-2436}}</ref> and the "father of spine surgery in France."{{cn|date=November 2023}} Stagnara was born in January 16, 1917 in ], ].<ref>{{Cite web |title=Pierre Stagnara (1917-1995) |url=https://data.bnf.fr/11925401/pierre_stagnara/ |url-status=live |archive-url=https://web.archive.org/web/20221009212914/https://data.bnf.fr/11925401/pierre_stagnara/ |archive-date=October 9, 2022 |access-date=2023-11-17 |website=data.bnf.fr |language=en}}</ref><ref>{{Cite web |title=Family tree of Pierre Louis Alexandre * STAGNARA |url=https://gw.geneanet.org/leclercj?lang=en&n=stagnara&oc=0&p=pierre+louis+alexandre |url-status=live |archive-url=https://web.archive.org/web/20231117191117/https://gw.geneanet.org/leclercj?lang=en&n=stagnara&oc=0&p=pierre+louis+alexandre |archive-date=November 17, 2023 |access-date=2023-11-17 |website=Geneanet |language=en}}</ref> He studied medicine in the city of ]. During ] he was drafted into the ].<ref name=":0" /> After the war, he worked in a variety of ] throughout Lyon. In 1959 he became the Chief of the Centre des Massues and served in this position until his retirement in 1982.<ref name=":1" /> Whilst working at the institution he pioneered many orthopedic techniques. Including the non-surgical management of ].<ref name=":0" />


Stagnara created the ],<ref>{{Cite journal |last1=Karimi |first1=Mohammad Taghi |last2=Rabczuk |first2=Timon |date=2018 |title=Scoliosis conservative treatment: A review of literature |journal=Journal of Craniovertebral Junction & Spine |volume=9 |issue=1 |pages=3–8 |doi=10.4103/jcvjs.JCVJS_39_17 |issn=0974-8237 |pmc=5934961 |pmid=29755230 |doi-access=free }}</ref> also known as the Stagnara brace in 1947.<ref>Bettany- Saltikov, Josette & Cook, Tim & Rigo, Manuel & Mauroy, Jc & Romano, Michele & Negrini, Stefano & Durmala, Jacek & del Campo, Ana & Colliard, Christine & M'hango, Andrejz & Białek, Marianna. (2012). . 10.5772/33296. </ref><ref>{{Cite journal |last1=Berdishevsky |first1=Hagit |last2=Lebel |first2=Victoria Ashley |last3=Bettany-Saltikov |first3=Josette |last4=Rigo |first4=Manuel |last5=Lebel |first5=Andrea |last6=Hennes |first6=Axel |last7=Romano |first7=Michele |last8=Białek |first8=Marianna |last9=M’hango |first9=Andrzej |last10=Betts |first10=Tony |last11=de Mauroy |first11=Jean Claude |last12=Durmala |first12=Jacek |date=2016-08-04 |title=Physiotherapy scoliosis-specific exercises – a comprehensive review of seven major schools |journal=Scoliosis and Spinal Disorders |volume=11 |issue=1 |pages=20 |doi=10.1186/s13013-016-0076-9 |pmid=27525315 |pmc=4973373 |issn=2397-1789 |doi-access=free }}</ref><ref>{{Cite journal |last1=de Mauroy |first1=Jean Claude |last2=Journe |first2=Alexandre |last3=Gagaliano |first3=Fabio |last4=Lecante |first4=Cyril |last5=Barral |first5=Frederic |last6=Pourret |first6=Sophie |date=2015-08-19 |title=The new Lyon ARTbrace versus the historical Lyon brace: a prospective case series of 148 consecutive scoliosis with short time results after 1 year compared with a historical retrospective case series of 100 consecutive scoliosis; SOSORT award 2015 winner |journal=Scoliosis |volume=10 |issue=1 |pages=26 |doi=10.1186/s13013-015-0047-6 |issn=1748-7161 |pmc=4545553 |pmid=26300954 |doi-access=free }}</ref> It was initially made from ] and ], although it was modified in 1985 to be constructed from joints and a faceplate made of steel, ] ] bars, and ] shells.<ref>{{Cite journal |last=Fung |first=Ho Yi |date=2020 |title=Ergonomic brace wear for adolescent idiopathic scoliosis (AIS) |url=https://theses.lib.polyu.edu.hk/handle/200/10411 |url-status=live |journal= |language=English |publisher=] |archive-url=https://web.archive.org/web/20210812090446/https://theses.lib.polyu.edu.hk/bitstream/200/10411/1/991022378658503411.pdf |archive-date=August 12, 2021}}</ref><ref>{{Cite journal |last=Grivas |first=Theodoros |title=Overview on braces used more in Europe |url=https://www.academia.edu/16716230 |journal= |pages=45 |via=]}}</ref><ref>Grivas, Theodoros. (2012). . 10.5772/19509. </ref> Stagnara is also responsible for the creation of the Lyon method of surgical treatment.<ref>{{Cite journal |last1=Bernard |first1=Jean-Claude |last2=Lecante |first2=Cyril |last3=Deceuninck |first3=Julie |last4=Notin |first4=Gregory |last5=Journoud |first5=Lydie |last6=Barral |first6=Frederic |date=2013-02-14 |title=The carbon brace |journal=Scoliosis |volume=8 |issue=1 |pages=3 |doi=10.1186/1748-7161-8-3 |issn=1748-7161 |pmc=3599608 |pmid=23409701 |doi-access=free }}</ref><ref>{{Cite journal |last1=de Mauroy |first1=Jean Claude |last2=Lecante |first2=Cyril |last3=Barral |first3=Frédéric |date=2011-03-20 |title="Brace Technology" Thematic Series - The Lyon approach to the conservative treatment of scoliosis |journal=Scoliosis |volume=6 |issue=1 |pages=4 |doi=10.1186/1748-7161-6-4 |issn=1748-7161 |pmc=3069938 |pmid=21418597 |doi-access=free }}</ref><ref>{{Cite journal |last1=de Mauroy |first1=Jean Claude |last2=Vallèse |first2=Pierre |last3=Fender |first3=Paule |last4=Lecante |first4=Cyril |date=2010-09-10 |title=Historical Lyonaise brace treatment for adolescent hyperkyphosis. Results of 272 cases reviewed 2 years minimum after removal of the brace |journal=Scoliosis |volume=5 |issue=1 |pages=O69 |doi=10.1186/1748-7161-5-S1-O69 |issn=1748-7161 |pmc=2938703 |doi-access=free }}</ref> Stagnara created the ],<ref>{{Cite journal |last=Karimi |first=Mohammad Taghi |last2=Rabczuk |first2=Timon |date=2018 |title=Scoliosis conservative treatment: A review of literature |journal=Journal of Craniovertebral Junction & Spine |volume=9 |issue=1 |pages=3–8 |doi=10.4103/jcvjs.JCVJS_39_17 |issn=0974-8237 |pmc=5934961 |pmid=29755230 |doi-access=free}}</ref> also known as the Stagnara brace in 1947.<ref>Bettany- Saltikov, Josette & Cook, Tim & Rigo, Manuel & Mauroy, Jc & Romano, Michele & Negrini, Stefano & Durmala, Jacek & del Campo, Ana & Colliard, Christine & M'hango, Andrejz & Białek, Marianna. (2012). . 10.5772/33296.</ref><ref>{{Cite journal |last=Berdishevsky |first=Hagit |last2=Lebel |first2=Victoria Ashley |last3=Bettany-Saltikov |first3=Josette |last4=Rigo |first4=Manuel |last5=Lebel |first5=Andrea |last6=Hennes |first6=Axel |last7=Romano |first7=Michele |last8=Białek |first8=Marianna |last9=M'hango |first9=Andrzej |last10=Betts |first10=Tony |last11=de Mauroy |first11=Jean Claude |last12=Durmala |first12=Jacek |date=2016-08-04 |title=Physiotherapy scoliosis-specific exercises – a comprehensive review of seven major schools |journal=] |volume=11 |issue=1 |pages=20 |doi=10.1186/s13013-016-0076-9 |issn=2397-1789 |pmc=4973373 |pmid=27525315 |doi-access=free}}</ref><ref>{{Cite journal |last=de Mauroy |first=Jean Claude |last2=Journe |first2=Alexandre |last3=Gagaliano |first3=Fabio |last4=Lecante |first4=Cyril |last5=Barral |first5=Frederic |last6=Pourret |first6=Sophie |date=2015-08-19 |title=The new Lyon ARTbrace versus the historical Lyon brace: a prospective case series of 148 consecutive scoliosis with short time results after 1 year compared with a historical retrospective case series of 100 consecutive scoliosis; SOSORT award 2015 winner |journal=] |volume=10 |issue=1 |pages=26 |doi=10.1186/s13013-015-0047-6 |issn=1748-7161 |pmc=4545553 |pmid=26300954 |doi-access=free}}</ref> It was initially made from ] and ], although it was modified in 1985 to be constructed from joints and a faceplate made of steel, ] ] bars, and ] shells.<ref>{{Cite thesis |last=Fung |first=Ho Yi |title=Ergonomic brace wear for adolescent idiopathic scoliosis (AIS) |date=2020 |publisher=] |url=https://theses.lib.polyu.edu.hk/handle/200/10411 |language=English |url-status=live |archive-url=https://web.archive.org/web/20210812090446/https://theses.lib.polyu.edu.hk/bitstream/200/10411/1/991022378658503411.pdf |archive-date=August 12, 2021}}</ref><ref>{{Cite journal |last=Grivas |first=Theodoros |title=Overview on braces used more in Europe |url=https://www.academia.edu/16716230 |journal=SOSORT 2014 4th Educational courses |publisher=Scientific Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT) |pages=45 |via=]}}</ref><ref>{{cite web |last=Grivas |first=Theodoros |year=2012 |url=https://www.researchgate.net/publication/221921732_European_Braces_for_Conservative_Scoliosis_Treatment |title=European Braces for Conservative Scoliosis Treatment |doi=10.5772/19509}}</ref> Stagnara is also responsible for the creation of the Lyon method of surgical treatment.<ref>{{Cite journal |last=Bernard |first=Jean-Claude |last2=Lecante |first2=Cyril |last3=Deceuninck |first3=Julie |last4=Notin |first4=Gregory |last5=Journoud |first5=Lydie |last6=Barral |first6=Frederic |date=2013-02-14 |title=The carbon brace |journal=] |volume=8 |issue=1 |pages=3 |doi=10.1186/1748-7161-8-3 |issn=1748-7161 |pmc=3599608 |pmid=23409701 |doi-access=free}}</ref><ref>{{Cite journal |last=de Mauroy |first=Jean Claude |last2=Lecante |first2=Cyril |last3=Barral |first3=Frédéric |date=2011-03-20 |title="Brace Technology" Thematic Series - The Lyon approach to the conservative treatment of scoliosis |journal=Scoliosis |volume=6 |issue=1 |pages=4 |doi=10.1186/1748-7161-6-4 |issn=1748-7161 |pmc=3069938 |pmid=21418597 |doi-access=free}}</ref><ref>{{Cite journal |last=de Mauroy |first=Jean Claude |last2=Vallèse |first2=Pierre |last3=Fender |first3=Paule |last4=Lecante |first4=Cyril |date=2010-09-10 |title=Historical Lyonaise brace treatment for adolescent hyperkyphosis. Results of 272 cases reviewed 2 years minimum after removal of the brace |journal=] |volume=5 |issue=1 |pages=O69 |doi=10.1186/1748-7161-5-S1-O69 |issn=1748-7161 |pmc=2938703 |doi-access=free}}</ref>


He invented the ].<ref>{{Cite journal |last=Ali |first=Zulfiqar |date=2019 |title=Intraoperative neurophysiologic monitoring and anaesthetic implications |journal=Indian Journal of Anaesthesia |volume=63 |issue=2 |pages=81–83 |doi=10.4103/ija.IJA_64_19 |issn=0019-5049 |pmc=6383466 |pmid=30814743 |doi-access=free }}</ref><ref>{{Cite web |title=Scoliosis Research Society - SRS |url=https://apps.srs.org/historical-timeline/1970 |url-status=live |archive-url=https://web.archive.org/web/20231117000256/https://apps.srs.org/historical-timeline/1970 |archive-date=November 17, 2023 |access-date=2023-11-17 |website=apps.srs.org}}</ref> It was used to identify potential ] complications resulting from spinal surgery.<ref>{{Cite journal |last1=Vauzelle |first1=C. |last2=Stagnara |first2=P. |last3=Jouvinroux |first3=P. |date=1973 |title=Functional Monitoring of Spinal Cord Activity During Spinal Surgery |url=https://journals.lww.com/clinorthop/citation/1973/06000/functional_monitoring_of_spinal_cord_activity.17.aspx |journal=Clinical Orthopaedics and Related Research |language=en-US |volume=93 |issue=93 |pages=173–178 |doi=10.1097/00003086-197306000-00017 |pmid=4146655 |issn=0009-921X}}</ref> The test involved waking up a patient who had been placed under ] following the completion of the main part of the surgery to monitor their foot movement. This was designed to determine if their spinal cord had remained completely functional.<ref>{{Cite journal |last=Hasler |first=Carol C. |date=2013 |title=A brief overview of 100 years of history of surgical treatment for adolescent idiopathic scoliosis |journal=Journal of Children's Orthopaedics |language=en |volume=7 |issue=1 |pages=57–62 |doi=10.1007/s11832-012-0466-3 |issn=1863-2521 |pmc=3566253 |pmid=24432060}}</ref> Following the completion of the test, the patient will be placed under anesthesia once more. This technique was used from the 1970s-1990s before the development of ]. During this period, it was the only reliable way of determining spinal cord functioning during a spinal surgery. However, it was only able to be used once during surgery, it took a significant amount of time to accomplish the procedure,<ref>{{Cite journal |last=Drummond |first=Denis |title=Four Decades of Advancement for the Surgical Treatment of Spinal Deformity |url=https://www.upoj.org/wp-content/uploads/v19/v19_16.pdf |url-status=live |journal=University of Pennsylvania Orthopaedic Journal |publisher=] |volume=19 |archive-url=https://web.archive.org/web/20231117165854/https://www.upoj.org/wp-content/uploads/v19/v19_16.pdf |archive-date=November 17, 2023}}</ref> and it could result in severe side effects such as accidental ].<ref>{{Citation |last=Nuwer |first=Marc R. |title=Intraoperative wake-up test |date=2010 |url=https://www.cambridge.org/core/books/intraoperative-neurophysiologic-monitoring/intraoperative-wakeup-test/E2C0F9F61BAD243309139E6106768559 |work=Intraoperative Neurophysiologic Monitoring |pages=221–224 |editor-last=Galloway |editor-first=Gloria M. |access-date=2023-11-17 |place=Cambridge |publisher=Cambridge University Press |isbn=978-0-511-77795-0 |editor2-last=Lopez |editor2-first=Jaime R. |editor3-last=Zamel |editor3-first=Khaled M. |editor4-last=Nuwer |editor4-first=Marc R.}}</ref> Techniques such as ] or ] have largely replaced the Stagnara wake-up test.<ref>{{Cite journal |last1=Hasan |first1=M Shahnaz |last2=Tan |first2=Jin-Keat |last3=Chan |first3=Chris Yin Wei |last4=Kwan |first4=Mun Keong |last5=Karim |first5=Fathil Syafiq Abdul |last6=Goh |first6=Khean-Jin |date=2018-09-01 |title=Comparison between effect of desflurane/remifentanil and propofol/remifentanil anesthesia on somatosensory evoked potential monitoring during scoliosis surgery—A randomized controlled trial |url=http://journals.sagepub.com/doi/10.1177/2309499018789529 |journal=Journal of Orthopaedic Surgery |language=en |volume=26 |issue=3 |pages=230949901878952 |doi=10.1177/2309499018789529 |pmid=30058437 |issn=2309-4990|doi-access=free }}</ref> It may be used in certain cases if other monitoring methods are not effective in these scenarios.<ref>{{Cite journal |last1=Thuet |first1=Earl D. |last2=Padberg |first2=Anne M. |last3=Raynor |first3=Barry L. |last4=Bridwell |first4=Keith H. |last5=Riew |first5=K. Daniel |last6=Taylor |first6=Brett A. |last7=Lenke |first7=Lawrence G. |date=2005-09-15 |title=Increased Risk of Postoperative Neurologic Deficit for Spinal Surgery Patients With Unobtainable Intraoperative Evoked Potential Data |url=https://journals.lww.com/spinejournal/abstract/2005/09150/increased_risk_of_postoperative_neurologic_deficit.18.aspx |journal=Spine |language=en-US |volume=30 |issue=18 |pages=2094–2103 |doi=10.1097/01.brs.0000178845.61747.6a |pmid=16166902 |s2cid=20292451 |issn=0362-2436}}</ref> The test may also be used along with other monitoring techniques.<ref>Grottke, Oliver & Dietrich, Peter & Wiegels, Stefanie & Wappler, Frank. (2004). . Anesthesia and analgesia. 99. 1521-7; table of contents. 10.1213/01.ANE.0000134684.25322.26. </ref> He invented the ].<ref>{{Cite journal |last=Ali |first=Zulfiqar |date=2019 |title=Intraoperative neurophysiologic monitoring and anaesthetic implications |journal=Indian Journal of Anaesthesia |volume=63 |issue=2 |pages=81–83 |doi=10.4103/ija.IJA_64_19 |issn=0019-5049 |pmc=6383466 |pmid=30814743 |doi-access=free}}</ref><ref>{{Cite web |title=Scoliosis Research Society - SRS |url=https://apps.srs.org/historical-timeline/1970 |url-status=live |archive-url=https://web.archive.org/web/20231117000256/https://apps.srs.org/historical-timeline/1970 |archive-date=November 17, 2023 |access-date=2023-11-17 |website=apps.srs.org}}</ref> It was used to identify potential ] complications resulting from spinal surgery.<ref>{{Cite journal |last=Vauzelle |first=C. |last2=Stagnara |first2=P. |last3=Jouvinroux |first3=P. |date=1973 |title=Functional Monitoring of Spinal Cord Activity During Spinal Surgery |url=https://journals.lww.com/clinorthop/citation/1973/06000/functional_monitoring_of_spinal_cord_activity.17.aspx |journal=Clinical Orthopaedics and Related Research |language=en-US |volume=93 |issue=93 |pages=173–178 |doi=10.1097/00003086-197306000-00017 |issn=0009-921X |pmid=4146655}}</ref> The test involved waking up a patient who had been placed under ] following the completion of the main part of the surgery to monitor their foot movement. This was designed to determine if their spinal cord had remained completely functional.<ref>{{Cite journal |last=Hasler |first=Carol C. |date=2013 |title=A brief overview of 100 years of history of surgical treatment for adolescent idiopathic scoliosis |journal=Journal of Children's Orthopaedics |language=en |volume=7 |issue=1 |pages=57–62 |doi=10.1007/s11832-012-0466-3 |issn=1863-2521 |pmc=3566253 |pmid=24432060}}</ref> Following the completion of the test, the patient will be placed under anesthesia once more. This technique was used from the 1970s-1990s before the development of ]. During this period, it was the only reliable way of determining spinal cord functioning during a spinal surgery. However, it was only able to be used once during surgery, it took a significant amount of time to accomplish the procedure,<ref>{{Cite journal |last=Drummond |first=Denis |title=Four Decades of Advancement for the Surgical Treatment of Spinal Deformity |url=https://www.upoj.org/wp-content/uploads/v19/v19_16.pdf |url-status=live |journal=University of Pennsylvania Orthopaedic Journal |publisher=] |volume=19 |archive-url=https://web.archive.org/web/20231117165854/https://www.upoj.org/wp-content/uploads/v19/v19_16.pdf |archive-date=November 17, 2023}}</ref> and it could result in severe side effects such as accidental ].<ref>{{Citation |last=Nuwer |first=Marc R. |title=Intraoperative wake-up test |date=2010 |url=https://www.cambridge.org/core/books/intraoperative-neurophysiologic-monitoring/intraoperative-wakeup-test/E2C0F9F61BAD243309139E6106768559 |work=Intraoperative Neurophysiologic Monitoring |pages=221–224 |editor-last=Galloway |editor-first=Gloria M. |access-date=2023-11-17 |place=Cambridge |publisher=Cambridge University Press |isbn=978-0-511-77795-0 |editor2-last=Lopez |editor2-first=Jaime R. |editor3-last=Zamel |editor3-first=Khaled M. |editor4-last=Nuwer |editor4-first=Marc R.}}</ref> Techniques such as ] or ] have largely replaced the Stagnara wake-up test.<ref>{{Cite journal |last=Hasan |first=M Shahnaz |last2=Tan |first2=Jin-Keat |last3=Chan |first3=Chris Yin Wei |last4=Kwan |first4=Mun Keong |last5=Karim |first5=Fathil Syafiq Abdul |last6=Goh |first6=Khean-Jin |date=2018-09-01 |title=Comparison between effect of desflurane/remifentanil and propofol/remifentanil anesthesia on somatosensory evoked potential monitoring during scoliosis surgery—A randomized controlled trial |url=http://journals.sagepub.com/doi/10.1177/2309499018789529 |journal=Journal of Orthopaedic Surgery |language=en |volume=26 |issue=3 |pages=230949901878952 |doi=10.1177/2309499018789529 |issn=2309-4990 |pmid=30058437 |doi-access=free}}</ref> It may be used in certain cases if other monitoring methods are not effective in these scenarios.<ref>{{Cite journal |last=Thuet |first=Earl D. |last2=Padberg |first2=Anne M. |last3=Raynor |first3=Barry L. |last4=Bridwell |first4=Keith H. |last5=Riew |first5=K. Daniel |last6=Taylor |first6=Brett A. |last7=Lenke |first7=Lawrence G. |date=2005-09-15 |title=Increased Risk of Postoperative Neurologic Deficit for Spinal Surgery Patients With Unobtainable Intraoperative Evoked Potential Data |url=https://journals.lww.com/spinejournal/abstract/2005/09150/increased_risk_of_postoperative_neurologic_deficit.18.aspx |journal=Spine |language=en-US |volume=30 |issue=18 |pages=2094–2103 |doi=10.1097/01.brs.0000178845.61747.6a |issn=0362-2436 |pmid=16166902 |s2cid=20292451}}</ref> The test may also be used along with other monitoring techniques.<ref>Grottke, Oliver & Dietrich, Peter & Wiegels, Stefanie & Wappler, Frank. (2004). . Anesthesia and analgesia. 99. 1521-7; table of contents. 10.1213/01.ANE.0000134684.25322.26.</ref>


Stagnara utilized the halo device, invented in the 1960s by doctors at ], to develop ] in 1971.<ref>Esposito, Teresa & Varriale, Bruno & DiMartino, G.F. & Chierchia, M. & Carnevale, A. & Ronca, D.. (2012). . Scoliosis: Causes, Symptoms and Treatment. 1-47.</ref><ref>Stagnara P. . Rev Chir Orthop Reparatrice Appar Mot. 1971 Jun;57(4):287-300. French. PMID: 4256619.</ref><ref name=":5">{{Cite journal |last1=Li |first1=Gabriel |last2=Compson |first2=Keith |last3=Stone |first3=Joseph |last4=Sanders |first4=James |last5=Louer |first5=Craig |date=2021-02-01 |title=Pathway for Implementation of Halo-Gravity Traction for the Treatment of Severe Spinal Deformities at a New Institution |url=https://www.jposna.org/index.php/jposna/article/view/227 |journal=Journal of the Pediatric Orthopaedic Society of North America |language=en |volume=3 |issue=1 |doi=10.55275/JPOSNA-2021-227 |s2cid=252373572 |issn=2768-2765|doi-access=free }}</ref> This method of treating severe spinal deformities has since become one of the most popular treatments for spinal issues. In 1982 he helped found the ]. Stagnara served as the president of the society in the same year.<ref>{{Cite journal |last1=Kandziora |first1=Frank |last2=Teli |first2=Marco |last3=Meier |first3=Jürgen |last4=Noel |first4=Julie-Lyn |date=2023-08-02 |title=25 years of EUROSPINE |journal=Brain & Spine |volume=3 |pages=101790 |doi=10.1016/j.bas.2023.101790 |issn=2772-5294 |pmid=37635915|pmc=10458953 }}</ref> In 1985 he authored a book on spinal deformities entitled ''Les Déformations du rachis: scolioses, cyphoses, lordoses.''<ref>{{Cite web |title=Les Déformations du rachis : scolioses, cyphoses, lordoses / P. Stagnara |url=https://ulysse.univ-lorraine.fr/discovery/fulldisplay?vid=33UDL_INST:UDL&search_scope=MyInst_and_CI&tab=Everything&docid=alma991000232499705596&lang=fr&context=L&adaptor=Local%20Search%20Engine&query=sub,exact,Rachis%20--%20imagerie%20diagnostique,AND&mode=advanced |url-status=live |archive-url=https://web.archive.org/web/20231117002623/https://ulysse.univ-lorraine.fr/discovery/fulldisplay?vid=33UDL_INST:UDL&search_scope=MyInst_and_CI&tab=Everything&docid=alma991000232499705596&lang=fr&context=L&adaptor=Local%20Search%20Engine&query=sub,exact,Rachis%20--%20imagerie%20diagnostique,AND&mode=advanced |archive-date=November 17, 2023 |access-date=2023-11-17 |website=ulysse.univ-lorraine.fr |language=en}}</ref> Stagnara utilized the halo device, invented in the 1960s by doctors at ], to develop ] in 1971.<ref>Esposito, Teresa & Varriale, Bruno & DiMartino, G.F. & Chierchia, M. & Carnevale, A. & Ronca, D.. (2012). . Scoliosis: Causes, Symptoms and Treatment. 1-47.</ref><ref>Stagnara P. . Rev Chir Orthop Reparatrice Appar Mot. 1971 Jun;57(4):287-300. French. PMID: 4256619.</ref><ref name=":5">{{Cite journal |last=Li |first=Gabriel |last2=Compson |first2=Keith |last3=Stone |first3=Joseph |last4=Sanders |first4=James |last5=Louer |first5=Craig |date=2021-02-01 |title=Pathway for Implementation of Halo-Gravity Traction for the Treatment of Severe Spinal Deformities at a New Institution |url=https://www.jposna.org/index.php/jposna/article/view/227 |journal=Journal of the Pediatric Orthopaedic Society of North America |language=en |volume=3 |issue=1 |doi=10.55275/JPOSNA-2021-227 |issn=2768-2765 |s2cid=252373572 |doi-access=free}}</ref> This method of treating severe spinal deformities has since become one of the most popular treatments for spinal issues. In 1982 he helped found the ]. Stagnara served as the president of the society in the same year.<ref>{{Cite journal |last=Kandziora |first=Frank |last2=Teli |first2=Marco |last3=Meier |first3=Jürgen |last4=Noel |first4=Julie-Lyn |date=2023-08-02 |title=25 years of EUROSPINE |journal=Brain & Spine |volume=3 |pages=101790 |doi=10.1016/j.bas.2023.101790 |issn=2772-5294 |pmc=10458953 |pmid=37635915}}</ref> In 1985 he authored a book on spinal deformities entitled ''Les Déformations du rachis: scolioses, cyphoses, lordoses.''<ref>{{Cite web |title=Les Déformations du rachis : scolioses, cyphoses, lordoses / P. Stagnara |url=https://ulysse.univ-lorraine.fr/discovery/fulldisplay?vid=33UDL_INST:UDL&search_scope=MyInst_and_CI&tab=Everything&docid=alma991000232499705596&lang=fr&context=L&adaptor=Local%20Search%20Engine&query=sub,exact,Rachis%20--%20imagerie%20diagnostique,AND&mode=advanced |url-status=live |archive-url=https://web.archive.org/web/20231117002623/https://ulysse.univ-lorraine.fr/discovery/fulldisplay?vid=33UDL_INST:UDL&search_scope=MyInst_and_CI&tab=Everything&docid=alma991000232499705596&lang=fr&context=L&adaptor=Local%20Search%20Engine&query=sub,exact,Rachis%20--%20imagerie%20diagnostique,AND&mode=advanced |archive-date=November 17, 2023 |access-date=2023-11-17 |website=ulysse.univ-lorraine.fr |language=en}}</ref>


Stagnara married a woman named Denise Locard in 1942.<ref name=":0" /><ref>{{Cite web |title=Denise Stagnara (1917-2016) |url=https://data.bnf.fr/11925400/denise_stagnara/ |url-status=live |archive-url=https://web.archive.org/web/20210510142652/https://data.bnf.fr/11925400/denise_stagnara/ |archive-date=May 10, 2021 |access-date=2023-11-17 |website=data.bnf.fr |language=en}}</ref><ref>{{Cite book |last1=Carol |first1=Anne |url=https://recherches.archives-lyon.fr/media/8c7b29dc-b3d6-4277-b203-3c3060c0a166.pdf |title=Edmond Locard et la police scientifique |last2=Chauvaud |first2=Frédéric |date=December 11, 2020 |publisher=Centre Alexandre Koyré |language=fr |archive-url=https://web.archive.org/web/20231117185841/https://recherches.archives-lyon.fr/media/8c7b29dc-b3d6-4277-b203-3c3060c0a166.pdf |archive-date=November 17, 2023 |url-status=live}}</ref> He had 10 ] with her and had 31 ] over the course of his life.<ref name=":0" /> Together, they founded the Sésame group in 1966.<ref>{{Cite web |last=La-Croix.com |date=2016-03-01 |title=Denise Stagnara, pionnière de l'éducation sexuelle, est décédée |url=https://doc-catho.la-croix.com/Urbi-et-Orbi/Actualite/Carnet/Denise-Stagnara-pionniere-education-sexuelle-decedee-2016-03-01-1200743518 |url-status=live |archive-url=https://web.archive.org/web/20231117193842/https://doc-catho.la-croix.com/Urbi-et-Orbi/Actualite/Carnet/Denise-Stagnara-pionniere-education-sexuelle-decedee-2016-03-01-1200743518 |archive-date=November 17, 2023 |access-date=2023-11-17 |website=Documentation catholique - La Croix |language=fr}}</ref> This group was devoted to promoting ] throughout France.<ref>{{Cite web |last=Miot |first=Fx |date=2023-07-07 |title=Qui sommes-nous |url=https://www.sesame-educ.org/association/qui-sommes-nous.html |url-status=live |archive-url=https://web.archive.org/web/20230528000223/https://www.sesame-educ.org/association/qui-sommes-nous.html |archive-date=May 28, 2023 |access-date=2023-11-17 |website=Association Sésame |language=fr-fr}}</ref><ref>{{Cite web |title=Odenas - nécrologie. Denise Stagnara, fille d'Edmond Locard, s'est éteinte |url=https://www.leprogres.fr/beaujolais/2016/02/29/denise-stagnara-fille-d-edmond-locard-s-est-eteinte |url-status=live |archive-url=https://web.archive.org/web/20221003165949/https://www.leprogres.fr/beaujolais/2016/02/29/denise-stagnara-fille-d-edmond-locard-s-est-eteinte |archive-date=October 3, 2022 |access-date=2023-11-17 |website=www.leprogres.fr |language=FR-fr}}</ref> Stagnara retired in 1982. During his retirement, he cultivated vineyards and coauthored a book with his wife named ''Faithful Love - Utopia or Reality?'' He died on July 1, 1995.<ref name=":0">{{Cite web |title=Stagnara, Pierre (1917 - 1995) |url=https://livesonline.rcseng.ac.uk/client/en_GB/lives/search/detailnonmodal/ent:$002f$002fSD_ASSET$002f0$002fSD_ASSET:380521/one?qu=%22rcs:+E008338%22&rt=false%7C%7C%7CIDENTIFIER%7C%7C%7CResource+Identifier |url-status=live |archive-url=https://web.archive.org/web/20231116235458/https://livesonline.rcseng.ac.uk/client/en_GB/lives/search/detailnonmodal/ent:$002f$002fSD_ASSET$002f0$002fSD_ASSET:380521/one?qu=%22rcs%3A+E008338%22&rt=false%7C%7C%7CIDENTIFIER%7C%7C%7CResource+Identifier |archive-date=November 16, 2023 |access-date=2023-11-16 |website=livesonline.rcseng.ac.uk}}</ref> Stagnara married a woman named Denise Locard in 1942.<ref name=":0" /><ref>{{Cite web |title=Denise Stagnara (1917-2016) |url=https://data.bnf.fr/11925400/denise_stagnara/ |url-status=live |archive-url=https://web.archive.org/web/20210510142652/https://data.bnf.fr/11925400/denise_stagnara/ |archive-date=May 10, 2021 |access-date=2023-11-17 |website=data.bnf.fr |language=en}}</ref><ref>{{Cite book |last=Carol |first=Anne |url=https://recherches.archives-lyon.fr/media/8c7b29dc-b3d6-4277-b203-3c3060c0a166.pdf |title=Edmond Locard et la police scientifique |last2=Chauvaud |first2=Frédéric |date=December 11, 2020 |publisher=Centre Alexandre Koyré |language=fr |archive-url=https://web.archive.org/web/20231117185841/https://recherches.archives-lyon.fr/media/8c7b29dc-b3d6-4277-b203-3c3060c0a166.pdf |archive-date=November 17, 2023 |url-status=live}}</ref> He had 10 ] with her and had 31 ] over the course of his life.<ref name=":0" /> Together, they founded the Sésame group in 1966.<ref>{{Cite web |last=La-Croix.com |date=2016-03-01 |title=Denise Stagnara, pionnière de l'éducation sexuelle, est décédée |url=https://doc-catho.la-croix.com/Urbi-et-Orbi/Actualite/Carnet/Denise-Stagnara-pionniere-education-sexuelle-decedee-2016-03-01-1200743518 |url-status=live |archive-url=https://web.archive.org/web/20231117193842/https://doc-catho.la-croix.com/Urbi-et-Orbi/Actualite/Carnet/Denise-Stagnara-pionniere-education-sexuelle-decedee-2016-03-01-1200743518 |archive-date=November 17, 2023 |access-date=2023-11-17 |website=Documentation catholique - La Croix |language=fr}}</ref> This group was devoted to promoting ] throughout France.<ref>{{Cite web |last=Miot |first=Fx |date=2023-07-07 |title=Qui sommes-nous |url=https://www.sesame-educ.org/association/qui-sommes-nous.html |url-status=live |archive-url=https://web.archive.org/web/20230528000223/https://www.sesame-educ.org/association/qui-sommes-nous.html |archive-date=May 28, 2023 |access-date=2023-11-17 |website=Association Sésame |language=fr-fr}}</ref><ref>{{Cite web |title=Odenas - nécrologie. Denise Stagnara, fille d'Edmond Locard, s'est éteinte |trans-title=Odenas - obituary. Denise Stagnara, daughter of Edmond Locard, has passed away |url=https://www.leprogres.fr/beaujolais/2016/02/29/denise-stagnara-fille-d-edmond-locard-s-est-eteinte |url-status=live |archive-url=https://web.archive.org/web/20221003165949/https://www.leprogres.fr/beaujolais/2016/02/29/denise-stagnara-fille-d-edmond-locard-s-est-eteinte |archive-date=October 3, 2022 |access-date=2023-11-17 |website=] |language=FR-fr}}</ref> Stagnara retired in 1982. During his retirement, he cultivated vineyards and coauthored a book with his wife named ''Faithful Love - Utopia or Reality?'' He died on July 1, 1995.<ref name=":0">{{Cite web |title=Stagnara, Pierre (1917 - 1995) |url=https://livesonline.rcseng.ac.uk/client/en_GB/lives/search/detailnonmodal/ent:$002f$002fSD_ASSET$002f0$002fSD_ASSET:380521/one?qu=%22rcs:+E008338%22&rt=false%7C%7C%7CIDENTIFIER%7C%7C%7CResource+Identifier |url-status=live |archive-url=https://web.archive.org/web/20231116235458/https://livesonline.rcseng.ac.uk/client/en_GB/lives/search/detailnonmodal/ent:$002f$002fSD_ASSET$002f0$002fSD_ASSET:380521/one?qu=%22rcs%3A+E008338%22&rt=false%7C%7C%7CIDENTIFIER%7C%7C%7CResource+Identifier |archive-date=November 16, 2023 |access-date=2023-11-16 |website=livesonline.rcseng.ac.uk}}</ref>


== References == == References ==

Revision as of 12:20, 4 December 2023

French spinal surgeon

Pierre Stagnara (January 16, 1917-July 1, 1995) was a French spinal surgeon. He has been described as a "pioneer" in the study of spinal deformities, "one of the greatest figures of French spinal surgery," and the "father of spine surgery in France." Stagnara was born in January 16, 1917 in Loriol-sur-Drôme, France. He studied medicine in the city of Lyon. During World War II he was drafted into the French army. After the war, he worked in a variety of hospitals throughout Lyon. In 1959 he became the Chief of the Centre des Massues and served in this position until his retirement in 1982. Whilst working at the institution he pioneered many orthopedic techniques. Including the non-surgical management of scoliosis.

Stagnara created the Lyon brace, also known as the Stagnara brace in 1947. It was initially made from leather and steel, although it was modified in 1985 to be constructed from joints and a faceplate made of steel, radio-transparent duralumin bars, and poly(methyl methacrylate) shells. Stagnara is also responsible for the creation of the Lyon method of surgical treatment.

He invented the Stagnara wake-up test. It was used to identify potential spinal cord complications resulting from spinal surgery. The test involved waking up a patient who had been placed under anesthesia following the completion of the main part of the surgery to monitor their foot movement. This was designed to determine if their spinal cord had remained completely functional. Following the completion of the test, the patient will be placed under anesthesia once more. This technique was used from the 1970s-1990s before the development of spinal cord monitoring. During this period, it was the only reliable way of determining spinal cord functioning during a spinal surgery. However, it was only able to be used once during surgery, it took a significant amount of time to accomplish the procedure, and it could result in severe side effects such as accidental extubation. Techniques such as somatosensory evoked potential or motor evoked potential have largely replaced the Stagnara wake-up test. It may be used in certain cases if other monitoring methods are not effective in these scenarios. The test may also be used along with other monitoring techniques.

Stagnara utilized the halo device, invented in the 1960s by doctors at Riancho Los Amigos Hospital, to develop Halo-gravity traction in 1971. This method of treating severe spinal deformities has since become one of the most popular treatments for spinal issues. In 1982 he helped found the European Spinal Deformity Society. Stagnara served as the president of the society in the same year. In 1985 he authored a book on spinal deformities entitled Les Déformations du rachis: scolioses, cyphoses, lordoses.

Stagnara married a woman named Denise Locard in 1942. He had 10 children with her and had 31 grandchildren over the course of his life. Together, they founded the Sésame group in 1966. This group was devoted to promoting sex education throughout France. Stagnara retired in 1982. During his retirement, he cultivated vineyards and coauthored a book with his wife named Faithful Love - Utopia or Reality? He died on July 1, 1995.

References

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