• Reilly, Christopher

    Titles
    Investigator, BC Children's Hospital

    Head, Department of Pediatric Orthopedics, BC Children's Hospital
    Assistant Professor and Director of Postgraduate Education, Division of Pediatrics, Department of Orthopedics, University of British Columbia

    Degrees / Designations
    MD, FRCSC(Ortho)
    Primary Area of Research
    Evidence to Innovation
    Secondary Area(s) of Research
    Phone
    604-875-3711
    Fax
    604-875-2275
    Lab Phone
    604-875-2359
    Assistant
    Bronwyn Tritt
    Mailing Address
    BC Children's Hospital
    Room A234
    4480 Oak Street
    Vancouver, BC V6H 3V4
    Affiliate Websites
    Research Areas
    • Paediatric spine
    • Paediatric sports injuries
    • Paediatric trauma
    • Medical education
    Summary

    Paediatric Spine: Scoliosis is a curvature of the spine that most commonly affects adolescent females. Severe curves often require surgical correction. My research looks at different surgical techniques for achieving the best possible curve correction.
     
    Paediatric Sports Injuries: Many children and adolescents are injured while participating in sports. As more children and adolescents have become active in sports over the years, anterior cruciate ligament (ACL) injuries have become more common. My research focuses on surgical techniques for reconstruction of the ACL and post-operative functional outcomes of the knee.
     
    Medical Education: As a result of my appointment to Director of Post Graduate Education in the Faculty of Medicine Orthopaedics department, I have become interested in studying how medical students and residents are trained. My goals include finding ways to improve the dissemination of knowledge and enhancing resident education.

    Current Projects

    The efficacy of Video Assisted Thoracoscopic Surgery for anterior release and fusion in the management of paediatric spinal deformities
    Video Assisted Thoracoscopic Surgery (VATS) is a new technique used in spinal deformity surgery that allows the surgeon to avoid opening the entire chest wall. Using selected peri-operative and post-operative measures, VATS was compared to the traditional open thoracotomy. The results of this study have been accepted for publication in The Canadian Journal of Surgery.

    The effect of femoral nerve block on opioid requirements in anterior cruciate ligament (ACL) reconstruction: A prospective double-blind, randomized trial
    Most children receive opioid (morphine-derived) pain relievers in the first 24 to 48 hours after the surgery. Opioids have significant side effects such as nausea, vomiting, itching, urinary retention, and sedation. The side effects from opioids have the potential to increase the length of hospital stay following surgery. By blocking a nerve before surgery (pre-emptive analgesia), the establishment of pain sensation at the site is prevented and less pain will be experienced when the effects of the block have worn off; therefore, there may be less of a need for opioids. Femoral nerve blocks are an accepted technique for use in children; however, to date, this is the first randomized trial examining the effectiveness of femoral nerve block in reducing post-operative pain in children.

    A comparison of two methods of anterior cruciate ligament reconstruction in skeletally immature patients
    This study was a post-operative functional outcomes study. The Lysholm and International Knee Documentation Committee (IKDC) questionnaires were administered in addition to clinical measurements. The patients were divided into two groups, those who had undergone a four strand repair and those who had undergone an over-the-top repair. The outcomes of the two procedures were then compared. The results will be submitted to a peer-reviewed publication for publication.

    Selected Publications

    Reilly CW.: Thoracoplasty. In: Tolo V, Skaggs D, eds. Master Techniques in Orthopaedic Surgery – Pediatrics Lippinoctt Williams & Wilkins, 2008, 35:411-18.

    Jamieson D, Perdios A, Varghese R, Reilly CW.: The use of CT in the development and implementation of a preoperative protocol to aid in pedicle screw placement during scoliosis surgery. Pediatr Radiol. 2008 Apr;38(4):452-6.

    Reilly CW, Steinbok P, Pike J. Cervical Intramedullary Tuberculoma and Tuberculous Kyphosis in a 23-month-old Patient: Case Report. Canadian Journal of Surgery (In press).

    Reilly CW, Choit RC. Proximal Migration of Femoral Staples after Anterior Cruciate Ligament Reconstruction in a Skeletally Immature Patient. Orthopaedics (In press).

    Reilly CW, Leung F. C1 Synchrondrosis Fracture in a Paediatric Patient: Case Report and Review of the Literature. Canadian Journal of Surgery ( In press) .

    Mulpuri K, LeBlanc JG, Reilly CW, Poskitt KJ, Choit RL, Sahajpal V, Tredwell SJ. Sternal Split Approach to Cervicothoracic Junction in Children. Spine (In press).

    Labrom RD , Hoskins M, Reilly CW, Tredwell SJ, Wong PKH. Clinical Usefulness of Somatosensory Evoked Potentials in Detection of Brachial Plexopathy Secondary to Malpositioning in Scoliosis Surgery. Spine (In press).

    Choit RL, Jamieson DH, Reilly CW. Os Odontoideum: A Significant Radiographic Finding. Pediatric Radiology (In press).

    Hirsh D, Farrell K, Reilly C, Dobson S: Pasteurella multocida meningitis and cervical spine osteomyelitis in a neonate. Pediatric Infectious Disease Journal. 23(11):1063-1065, November 2004.

    Song KM, Halliday S, Reilly C, Keezel W: Gait Abnormalities Following Slipped Capital Femoral Epiphysis. Journal of Pediatric Orthopedics. 24(2):148-155, March/April 2004.

    Tredwell SJ, Sawatzky BJ, Reilly CW: Pure distraction vs. multi-hook correction in three dimensions in adolescent idiopathic scoliosis. J Bone Joint Surgy (Br), 82 (Suppl.) 151-2, 2000.

    Sawatzky BJ, Jang SB, Tredwell SJ, Black A, Reilly CW, Booth KS : Intra-operative Analysis of Scoliosis Surgery in 3-D. Computer Methods in Biomechanics and Biomedical Engineering. (3)1:211-221, Jul 1998.

    Grants
    Honours & Awards

    Zimmer Orthopaedic Prize – 1993
    Dean M.M. Weaver Medal and Prize – 1988
    F.P. Patterson Orthopaedic Prize – 1988
    Dr. Jack Margulius Memorial Prize – 1988
    Dr. Ernest Roland Myers Scholarship – 1988
    Dr. E.R. Myers Scholarship – 1987
    Dr. A.E. Trites Memorial Scholarship – 1987
    Dr. D.S. Munroe Memorial Scholarship –1987
    Louis Lipsey Toohill Scholarship – 1986
    Florence E. Heighway Summer Research Award – 1986
    David and Anne Beach Scholarship – 1986
    BC Post Secondary Scholarship – 1985-87
    University Scholarship – 1984

    Research Group Members

    Dr. Sukdeep Dulai, MHSc (Epi) candidate – Graduate Student
    Angie Perdios, MSc – Research Coordinator
    Bronwyn Tritt, BA – Research Coordinator