SavedAdd your journal

Journals / Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.) / 2011 / Cilt: 22 - Sayı: 3

Adölesan idiopatik skolyozlu çocuklarda titanyum posteriyor enstrümantasyonun etkinliği ve güvenliliği: Prospektif çalışma

Effectiveness and safety of posterior titanium instrumentation in children with adolescent idiopathic scoliosis: a prospective study

Murat OTO
Suken A. SHAH
Mohammed Ali Hassan MOHAMMED
Kenny J. ROGERS
Petya YORGOVA
Laurens HOLMES
Pages
124–128
Publication Date
2022-10-18
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

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

Results: The main thoracic curve (coronal plane) correction achieved at the first erect period (the first 4 weeks postoperative) (mean 12.21±9.78 degrees), this correction was maintained at 24 months follow-up (mean 15.71±7.15 degrees) and both were significantly lower than the preoperative values (mean 57.0±12.75 degrees), (p

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objectives: This study aims to determine the effectiveness and the relative safety of posterior spinal fusion with titanium instrumentation in children with adolescent idiopathic scoliosis (AIS).
📊
Key Findings & Data:There were 24 patients (21 girls, 3 boys; mean age 14.1±1.8 years; range 11 to 17 years) who underwent surgery between January 2002 and December 2003 in our clinic, with a minimum of two years follow-up.
💡
Conclusion & Impact:Results: The main thoracic curve (coronal plane) correction achieved at the first erect period (the first 4 weeks postoperative) (mean 12.21±9.78 degrees), this correction was maintained at 24 months follow-up (mean 15.71±7.15 degrees) and both were significantly lower than the preoperative values (mean 57.0±12.75 degrees), (p
🔬Design:Research Article
📍Scope:2002 Verileri
⚙️Variables:Domain Parameters

Abstract

Objectives: This study aims to determine the effectiveness and the relative safety of posterior spinal fusion with titanium instrumentation in children with adolescent idiopathic scoliosis (AIS). Patients and methods: A prospective cohort (case-only) study was conducted to determine this effectiveness and safety. There were 24 patients (21 girls, 3 boys; mean age 14.1±1.8 years; range 11 to 17 years) who underwent surgery between January 2002 and December 2003 in our clinic, with a minimum of two years follow-up. Upper thoracic, thoracic, and thoracolumbar coronal curves as well as kyphosis from T5-T12 were measured as main outcome variables and repeated measure ANOVA was used to assess the data. Results: The main thoracic curve (coronal plane) correction achieved at the first erect period (the first 4 weeks postoperative) (mean 12.21±9.78 degrees), this correction was maintained at 24 months follow-up (mean 15.71±7.15 degrees) and both were significantly lower than the preoperative values (mean 57.0±12.75 degrees), (p

Özet

Amaç: Bu çalışmada adölesan idiyopatik skolyozlu (AİS) çocuklarda titanyum enstrümantasyonuyla gerçekleştirilen posteriyor spinal füzyonun etkinliği ve güvenliğinin tespit edilmesi amaçlandı. Hastalar ve yöntemler: Bu etkinlik ve güvenliliğin belirlenmesi için prospektif bir özdeş grup (sadece olgu) çalışması yapıldı. Çalışmada Ocak 2002 ve Aralık 2003 tarihleri arasında kliniğimizde ameliyat edilmiş 24 hasta (21 kız, 3 erkek; ort. yaş 14.1±1.8 yıl; dağılım 11-17 yıl) yer aldı ve en az iki yıllık bir takip uygulandı. Ana sonuç değişkenleri olarak üst torasik, torasik ve torakolomber koronal eğrilikler ve T5-T12 arasındaki kifoz ölçüldü ve tekrar ölçümlü ANOVA kullanılarak veriler değerlendirildi. Bulgular: Ana torasik eğrilikte (koronal planda) ilk doğrulma periyodunda (ameliyat sonrası ilk 4 hafta) düzelme olduğu (ortalama 12.21±9.78 derece), 24 aylık takip sonunda bu düzelmenin korunduğu (ortalama 15.71±7.15 derece) ve her iki ölçümünde ameliyat öncesi derecelerden (ortalama 57.0±12.75 derece) istatistiksel olarak anlamlı şekilde daha düşük olduğu, gözlemlendi (p

🔖

Cite This Article

OTO, M., SHAH, S. A., MOHAMMED, M. A. H., ROGERS, K. J., YORGOVA, P., HOLMES, L. (2022). Adölesan idiopatik skolyozlu çocuklarda titanyum posteriyor enstrümantasyonun etkinliği ve güvenliliği: Prospektif çalışma. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), Cilt: 22 - Sayı: 3, 124–128. https://ajindex.com/articles/498697

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (14)

  1. Cochran T, Irstam L, Nachemson A. Long-term anatomic and functional changes in patients with adolescent idiopathic scoliosis treated by Harrington rod fusion. Spine (Phila Pa 1976) 1983;8:576-84
  2. Connolly PJ, Von Schroeder HP, Johnson GE, Kostuik JP. Adolescent idiopathic scoliosis. Long-term effect of instrumentation extending to the lumbar spine. J Bone Joint Surg [Am] 1995;77:1210-6
  3. Dickson JH, Erwin WD, Rossi D. Harrington instrumentation and arthrodesis for idiopathic scoliosis. A twenty-one-year follow-up. J Bone Joint Surg [Am] 1990;72:678-83
  4. Goldstein LA. Treatment of idiopathic scoliosis by Harrington instrumentation and fusion with fresh autogenous iliac bone grafts. J Bone Joint Surg [Am] 1969;51:209-22
  5. Harrington PR. Treatment of scoliosis. Correction and internal fixation by spine instrumentation. J Bone Joint Surg [Am] 1962;44:591-610
  6. King HA, Moe JH, Bradford DS, Winter RB. The selection of fusion levels in thoracic idiopathic scoliosis. J Bone Joint Surg [Am] 1983;65:1302-13
  7. Mielke CH, Lonstein JE, Denis F, Vandenbrink K, Winter RB. Surgical treatment of adolescent idiopathic scoliosis. A comparative analysis. J Bone Joint Surg [Am] 1989;71:1170-7
  8. Weinstein SL, Zavala DC, Ponseti IV. Idiopathic scoliosis: long-term follow-up and prognosis in untreated patients. J Bone Joint Surg [Am] 1981;63:702-12
  9. Arlet V, Marchesi D, Aebi M. Correction of adolescent idiopathic thoracic scoliosis with a new type of offset apical instrumentation: preliminary results. J Spinal Disord 1998;11:404-9
  10. Dick JC, Bourgeault CA. Notch sensitivity of titanium alloy, commercially pure titanium, and stainless steel spinal implants. Spine (Phila Pa 1976) 2001;26:1668-72
  11. Lindsey C, Deviren V, Xu Z, Yeh RF, Puttlitz CM. The effects of rod contouring on spinal construct fatigue strength. Spine (Phila Pa 1976) 2006;31:1680-7
  12. Wedemeyer M, Parent S, Mahar A, Odell T, Swimmer T, Newton P. Titanium versus stainless steel for anterior spinal fusions: an analysis of rod stress as a predictor of rod breakage during physiologic loading in a bovine model. Spine (Phila Pa 1976) 2007;32:42-8
  13. Burger EL, Baratta RV, King AG, Easton R, Lu Y, Solomonow M, et al. The memory properties of coldworked titanium rods in scoliosis constructs. Spine (Phila Pa 1976) 2005;30:375-9
  14. Rupp R, Ebraheim NA, Savolaine ER, Jackson WT. Magnetic resonance imaging evaluation of the spine with metal implants. General safety and superior imaging with ti