دورية أكاديمية

Cambios en la lordosis lumbar luego de una artrodesis vertebral posterior de la columna torácica y su relación con la incidencia pelviana

التفاصيل البيبلوغرافية
العنوان: Cambios en la lordosis lumbar luego de una artrodesis vertebral posterior de la columna torácica y su relación con la incidencia pelviana
المؤلفون: Puigdevall, Miguel, Bosio, Santiago Tomas, Halliburton, Carolina, Hokama, Jorge, Maenza, Ruben
المصدر: Revista de la Asociación Argentina de Ortopedia y Traumatología, ISSN 1852-7434, Vol. 81, Nº. 2, 2016, pags. 122-127
سنة النشر: 2016
المجموعة: Dialnet - Portada de revistas (Universidad de La Rioja)
مصطلحات موضوعية: lordosis lumbar, artrodesis vertebral posterior, escoliosis idiopatica adolescente, tornillos pediculares, Thoracic spine, arthrodesis, pelvic incidence, adolescent idiopathic scoliosis, pedicular screws
الوصف: Objective:To evaluate the sagittal profile of surgically treated Lenke type 1 patients and determine which variables affect postoperative lumbar lordosis.Methods: Twenty consecutive patients (average age 14 years) diagnosed with AIS and Lenke type 1 curves that have undergone a selective thoracic PSIF with pedicular screws were retrospectively evaluated. Cervical lordosis, thoracic kyphosis, proximal junctional kyphosis, lumbar lordosis, pelvic incidence and global sagittal balance were measured in preoperative, immediate postoperative and 2-year postoperative standing lateral radiographs. Changes in postoperative lumbar lordosis were correlated with changes in thoracic kyphosis and pelvic incidence. Analysis of variance was used to compare preoperative and postoperative radiographic measures, and Pearson coefficients for the correlation analysis.Results: There was a significant decreased in thoracic kyphosis (24.2° to 14.8° (p<0.0001)) and lumbar lordosis (-60.3° to -39.8° (p<0.00001)) between preoperative and immediate postoperative radiographs, but both parameters showed an increased in 2-year postoperative radiographs (thoracic kyphosis to 18.7° (p=0.021) and lumbar lordosis to -52.4° (p=0.0036)). We also found a significant increased in proximal junctional kyphosis (5.1° to 12.4° (p<0.0001)) and cervical lordosis (-4.2° to -14.8° (p=0.025)) between preoperative and 2-year postoperative radiographs. The only significant postoperative correlation found was between lumbar lordosis and pelvic incidence (r=0.61) at 2-year follow-up radiographs.Conclusion: PSIF with pedicle screws of Lenke type 1 deformities reduces thoracic kyphosis and lumbar lordosis, and increases cervical lordosis and proximal junctional kyphosis. Uninstrumented lumbar lordosis increase at 2-year follow-up and is strongly related to patient pelvic incidence. ; Objetivo: El objetivo de este trabajo fue evaluar las variables del plano sagital en pacientes con escoliosis idiopática del adolescente que fueron operados mediante una ...
نوع الوثيقة: article in journal/newspaper
وصف الملف: application/pdf
اللغة: Spanish; Castilian
العلاقة: https://dialnet.unirioja.es/servlet/oaiart?codigo=5707754Test; (Revista) ISSN 1852-7434
الإتاحة: https://dialnet.unirioja.es/servlet/oaiart?codigo=5707754Test
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رقم الانضمام: edsbas.36795D99
قاعدة البيانات: BASE