التفاصيل البيبلوغرافية
| العنوان: |
Can surgery for adolescent idiopathic scoliosis of less than 50 degrees of main thoracic curve achieve good results? |
| المؤلفون: |
Mimura, Tetsuhiko1, Takahashi, Jun1 jtaka@shinshu-u.ac.jp, Ikegami, Shota1, Kuraishi, Shugo1, Shimizu, Masayuki1, Futatsugi, Toshimasa1, Uehara, Masashi1, Oba, Hiroki1, Koseki, Michihiko2, Kato, Hiroyuki1 |
| المصدر: |
Journal of Orthopaedic Science. Jan2018, Vol. 23 Issue 1, p14-19. 6p. |
| مصطلحات موضوعية: |
*ADOLESCENT idiopathic scoliosis, *SPINAL cord surgery, *SURGICAL complications, *SPINE abnormalities, *SPINAL curvatures, *CHEST X rays, *COMPARATIVE studies, *CONVALESCENCE, *INTERNAL fixation in fractures, *LONGITUDINAL method, *RESEARCH methodology, *MEDICAL cooperation, *RESEARCH, *RISK assessment, *SCOLIOSIS, *SPINAL fusion, *TIME, *EVALUATION research, *TREATMENT effectiveness, *RETROSPECTIVE studies, *SEVERITY of illness index, *PATIENT selection, *EQUIPMENT & supplies |
| مصطلحات جغرافية: |
JAPAN |
| مستخلص: |
Background: It is generally recognized that the main thoracic curve Cobb angle threshold for surgical correction is approximately 50 degrees in patients with adolescent idiopathic scoliosis (AIS). Although AIS with a Cobb angle of <50 degrees is sometimes treated surgically to improve cosmesis, the precise outcomes are unclear. This study analyzed the postoperative results for AIS with a main thoracic curve of 50 degrees.Methods: Thirty-nine consecutive patients with Lenke type 1-2 curves underwent posterior spinal fusion for AIS. These subjects were divided into the <50 degrees of main thoracic curve group (n = 14) and the ≥50 degrees group (n = 25). Clinical and radiographic data were compared.Results: The mean Cobb angle of the main thoracic curve before and at 2 years after surgery for the <50 degrees and ≥50 degrees groups was 44.5 and 60.3 degrees (p < 0.001) and 14.0 and 19.5 degrees (p = 0.016), respectively. Preoperatively, both groups had comparable Scoliosis Research Society-22 (SRS-22) scores (all p > 0.05). Patients with a Cobb angle of <50 degrees displayed significantly milder postoperative pain (4.7 vs. 4.3, p = 0.031), with no remarkable differences in other SRS-22 domain scores. These patients also had a significantly shorter operative time (194 vs. 235 min, p = 0.021) and fused level (9.2 vs. 10.8 vertebrae, p = 0.006) along with similar correction rate (68.1 vs. 65.8%, p = 0.622) and blood loss volume (932 vs. 1009 ml, p = 0.715).Conclusions: Surgical correction of AIS with <50 degrees of main thoracic curve may less invasively achieve results that are comparable with those for AIS with 50 degrees or more, including improvements in self-image. [ABSTRACT FROM AUTHOR] |
| قاعدة البيانات: |
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