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Journals / Ankara Medical Journal / 2021 / Cilt: 21 - Sayı: 3

OUTCOMES OF POSTERIOR SPINAL FUSION AND VERTEBRAL BODY TETHERING IN PATIENTS WITH ADOLESCENT IDIOPATHIC SCOLIOSIS AND EVALUATION OF QUALITY OF LIFE

ADÖLESAN İDİYOPATİK SKOLYOZLU HASTALARDA POSTERİOR SPİNAL FÜZYON VE VERTEBRA CİSİM GERDİRME CERRAHİSİNİN SONUÇLARININ VE YAŞAM KALİTESİNİN DEĞERLENDİRİLMESİ

Gokhan ERGENE
Altuğ YÜCEKUL
Pages
441–453
Publication Date
2022-10-12
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The surgical correction percentage in the MT curve was greater in the PEF group (84%–53%, p

📌 3 Key Takeaways

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Objective & Hypothesis:Objectives: Posterior instrumentation and fusion (PEF) is the standard surgical approach and vertebral body tethering (VBT) emerged as an alternative non-fusion technique in the treatment of idiopathic scoliosis.
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Key Findings & Data:Materials and Methods: Matched cohorts were obtained among patients whose curves ranged between 40⁰- 70⁰ who had >2 years follow-up.
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Conclusion & Impact:The surgical correction percentage in the MT curve was greater in the PEF group (84%–53%, p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objectives: Posterior instrumentation and fusion (PEF) is the standard surgical approach and vertebral body tethering (VBT) emerged as an alternative non-fusion technique in the treatment of idiopathic scoliosis. The aim of this study was to compare the correction and health-related life quality of the patients who have undergone PEF and VBT. Materials and Methods: Matched cohorts were obtained among patients whose curves ranged between 40⁰- 70⁰ who had >2 years follow-up. Patients with a lumbar curve included in surgery were excluded. Patients' demographic data, perioperative and follow-up radiographic measurements, and SRS-22 scores were compared. Results: 16 PEF and 18 VBT patients (30F, 4M) were included. The mean age and follow-up were 13.4 (10-17) years and 25.7 (24–32) months. Preoperative upper thoracic, main thoracic (MT), and thoracolumbar (TL) curves were similar among groups. The surgical correction percentage in the MT curve was greater in the PEF group (84%–53%, p

Özet

Amaç: Adölesan idiopatik skolyoz’un (AIS) cerrahi tedavisinde standart yaklaşımı posterior enstrümentasyon ve füzyon (PEF) oluşturur. Tedaviye alternatif, füzyonsuz cerrahi yöntem olan vertebra cisim gerdirme (VBT) ise giderek daha sık kullanılmaktadır. Bu çalışmayla, PEF ve VBT yöntemleri ile ameliyat edilmiş AIS hastalarının düzelme miktarları ve yaşam kalitelerinin karşılaştırılması amaçlanmıştır. Materyal ve Metot: Eşleşmiş kohortlar, 2 yıl takipli 40⁰-70⁰ eğriliği olan AIS hastaları incelenerek elde edildi. Lomber eğriliğin cerrahiye dahil edildiği hastalar çalışmadan çıkartıldı. Hastaların demografik verileri, perioperatif ve takip radyografik ölçümleri ve hasta tarafından bildirilen SRS-22 skorları karşılaştırıldı. Bulgular: Çalışmaya, 16 PEF ve 18 VBT hastası (30K, 4E) dahil edildi. Kohortun ortalama yaşı 13,4 (10-17) yıl ve takip süresi 25,7 (24–32) aydı. Grupların preoperatif üst torasik, ana torasik (MT) ve torakolomber (TL) skolyoz açıları benzerdi. PEF grubunda MT eğrilikte cerrahi düzelme oranı daha fazla (%84–%53, p

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Cite This Article

ERGENE, G., YÜCEKUL, A. (2022). OUTCOMES OF POSTERIOR SPINAL FUSION AND VERTEBRAL BODY TETHERING IN PATIENTS WITH ADOLESCENT IDIOPATHIC SCOLIOSIS AND EVALUATION OF QUALITY OF LIFE. Ankara Medical Journal, Cilt: 21 - Sayı: 3, 441–453. https://ajindex.com/articles/441718

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References (12)

  1. Hattori T, Sakaura H, Iwasaki M, Nagamoto Y, Yoshikawa H, Sugamoto K. In vivo three-dimensional segmental analysis of adolescent idiopathic scoliosis. Eur Spine J. 2011;20(10):1745-50. (doi:10.1007/s00586-011-1869-4)
  2. Addai D, Zarkos J, Bowey AJ. Current concepts in the diagnosis and management of adolescent idiopathic scoliosis. Childs Nerv Syst. 2020;36(6):1111-9. (doi:10.1007/s00381-020-04608-4)
  3. Wagner SC, Lehman RA, Lenke LG. Surgical management of adolescent idiopathic scoliosis. Seminars in Spine Surgery. 2015;27(1):33-8. (doi: 10.1053/j.semss.2015.01.008)
  4. Suk SI, Lee CK, Kim WJ, Chung YJ, Park YB. Segmental pedicle screw fixation in the treatment of thoracic idiopathic scoliosis. Spine (Phila Pa 1976). 1995;20(12):1399-405
  5. Driscoll M, Aubin CE, Moreau A, Parent S. Biomechanical comparison of fusionless growth modulation corrective techniques in pediatric scoliosis. Med Biol Eng Comput. 2011;49(12):1437-45. (doi:10.1007/s11517-011-0801-8)
  6. Mehlman CT, Araghi A, Roy DR. Hyphenated history: the Hueter-Volkmann law. Am J Orthop (Belle Mead NJ). 1997;26(11):798-800
  7. Alanay A, Yucekul A, Abul K, et all. Thoracoscopic Vertebral Body Tethering for Adolescent Idiopathic Scoliosis: Follow-up Curve Behavior According to Sanders Skeletal Maturity Staging. Spine (Phila Pa 1976). 2020;45(22):E1483-E92. (doi:10.1097/BRS.0000000000003643)
  8. Samdani AF, Ames RJ, Kimball JS, et all. Anterior vertebral body tethering for idiopathic scoliosis: twoyear results. Spine (Phila Pa 1976). 2014;39(20):1688-93. (doi:10.1097/BRS.0000000000000472)
  9. Samdani AF, Ames RJ, Kimball JS, et all. Anterior vertebral body tethering for immature adolescent idiopathic scoliosis: one-year results on the first 32 patients. Eur Spine J. 2015;24(7):1533-9. (doi:10.1007/s00586-014-3706-z)
  10. Newton PO, Kluck DG, Saito W, Yaszay B, Bartley CE, Bastrom TP. Anterior Spinal Growth Tethering for Skeletally Immature Patients with Scoliosis: A Retrospective Look Two to Four Years Postoperatively. J Bone Joint Surg Am. 2018;100(19):1691-7. (doi:10.2106/JBJS.18.00287)
  11. Wong HK, Ruiz JNM, Newton PO, Gabriel Liu KP. Non-Fusion Surgical Correction of Thoracic Idiopathic Scoliosis Using a Novel, Braided Vertebral Body Tethering Device: Minimum Follow-up of 4 Years. JB JS Open Access. 2019;4(4):e0026. (doi:10.2106/JBJS.OA.19.00026)
  12. Asher M, Min Lai S, Burton D, Manna B. The reliability and concurrent validity of the scoliosis research society-22 patient questionnaire fo