A Comparison of Anterior and Posterior Instrumentation for Restoring and Retaining Sagittal Balance in Patients With Idiopathic Adolescent Scoliosis

Tao, Fenghua; Wang, Zhiwei; Li, Ming; Pan, Feng; Shi, Zhicai; Zhang, Ye; Wu, Yungang; Xie, Yang

doi:10.1097/bsd.0b013e3182204c3e

Cited by 37 publications

(27 citation statements)

References 22 publications

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“…4). In recent years, posturographic studies in lateral curvatures of the spine were conducted by, among others, Allard et al (2004), Bennett et al (2004), Bruyneel et al (2010), Eshraghi et al (2009), Lee et al (2012), Shi et al (2011), Tao et al (2012, Abreu et al (2012). In these studies, the researchers confirmed the effect of these disorders on the course of scoliosis.…”

Section: Resultsmentioning

confidence: 89%

Location of Scoliosis and Postural Reactions Among Girls Aged 7-18 Years

Wilczyński¹,

Habik²,

Janecka³

et al. 2018

MAS

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The objective of the study was evaluation of the relationships between location of scoliosis and postural reactions in girls aged 7-18. The study included 28 girls aged 7-18 with lateral curvature of the spine and scoliotic posture. Selection of the examined girls was targeted. The children were treated in the Inter-School Centre for Corrective and Compensatory Gymnastics in Starachowice. The study was conducted in June 2011. Digital Exhibeon radiograms were applied to determine the location of the curvature. Postural reactions were evaluated using the static-dynamic platform Tecnobody ST 310 Plus Stability System. The variables were verified for normality of the distribution by means of Shapiro-Wilk test. The variability of the quantitative characteristics with respect to categorial characteristics was verified by using one-way and two-way repeated measures ANOVA. In the case of significant main results or interactions, the Bonferroni test and Tukey test were applied as a post hoc analysis. The p values p<0.05 were considered statistically significant. Analysis of variance showed significant relationships between Average Forward-Backward Speed, Perimeter, Ellipse Area in open eyes test (OE), and location of the curvature. The highest amplitudes of the reactions Average Forward-Backward Speer, Perimeter, Ellipse Area in open eyes test (OE) were observed in lumbar curvatures. In examination with eyes closed (CE), a correlation was found between the location of the curvature and Forward-Backward Standard Deviation, Average Forward-Backward Speer, and Perimeter. The highest amplitudes of reactions Average Forward-Backward Speer, Perimeter, Ellipse Area in eyes closed test (CE) were noted also in lumbar curvatures. The comparative analysis of variance of postural reactions with respect to the location of the secondary curvature showed significant results only for Average Forward-Backward Speed (OE). Average Forward-Backward Speed (OE) was the highest in curvatures with thoracic location.

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Section: Resultsmentioning

confidence: 89%

Location of Scoliosis and Postural Reactions Among Girls Aged 7-18 Years

Wilczyński¹,

Habik²,

Janecka³

et al. 2018

MAS

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“…The conclusions reached by Wang [40] in the only comparative prospective study published so far, in which the anterior and posterior approaches were applied to two identical/perfectly matched cohorts of patients, seem to be in favor of the anterior approach, pending further information about the longer term evolution of the disks subjacent to posterior arthrodesis (this is the main weak point of posterior instrumentations). In a recent retrospective comparative study Tao [38] concluded: ''anterior solid rod-screw instrumentation results in shorter fusion segments and better sagittal alignment and better quality of life than posterior pedicle screw instrumentation in patients with Lenke type 5 AIS''. These two studies are interesting, since the two surgeons in question had acquired similar experience with both approaches.…”

Section: S158mentioning

confidence: 99%

Anterior instrumentation (dual screws single rod system) for the surgical treatment of idiopathic scoliosis in the lumbar area: a prospective study on 33 adolescents and young adults, based on a new system of classification

Bergoin¹

2012

Eur Spine J

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Objectives/purpose The choice of anterior instrumentation in the treatment of lumbar scoliosis in adolescents and young adults is not a new topic for the authors. The first results achieved using the Dwyer surgical modality were reported by one of the authors followed by the results achieved using Zielke (VDS) instrumentation. Today, new techniques and new instrumentations have been developed that challenge the instrumentation choices. Here we describe how the new system of classification of scoliotic curves we developed has been used as a basis for treating idiopathic scoliosis in lumbar area in adolescents and young adults using an anterior approach. Materials A prospective study was carried out between 1998 and 2010 at two hospital centers on 33 adolescents and young adult with idiopathic lumbar scoliosis involving curves of three kinds, on whom surgical treatment was performed using a single solid rod. Topography of curves: our system of classification includes curves corresponding to the following three type of scoliosis: Type K I: double thoracic and lumbar curves (lumbar predominant) scoliosis (17 cases) mean age 16 years all female patients. Mean Cobb angle of lumbar curve 41°. Mean Cobb angle of thoracic curve 28°. The lumbar curve was left hand convex in 15 cases and right hand convex in 2 cases. Horizontal tilting of L4 mean value 22°. C7 offset mean value 3 cm. Type K IV A: unbalanced thoracolumbar scoliosis (13 cases) mean age 17 years, ten female patients and three male patients. Mean Cobb angle of thoracolumbar curve 39°. The thoracolumbar curve was left hand convex 4 times and right hand convex 9 times. Horizontal tilting of L4 mean value 18°. C 7 offset mean value 2.5 cm. Type K VI A: real lumbar (three cases). Age: 17, 15 and 13 years; all female patients. Cobb angle of the lumbar curve 66°, 29°a nd 70°(all LH convex). Horizontal tilting of L4: 40°, 20°a nd 46°. C 7 offset: 7 cm, 1 cm and 4 cm. 123Eur Spine J (2013) 22 (Suppl 2):S149-S163 DOI 10.1007/s00586-012-2343-7 failure: there were three cases of screw breakage, all occurred on the lowest implant. Revision surgery was undertaken in both cases, only the last plate needed to be replaced and the rod could be kept without any other modification of the construct. In both cases, fusion has been achieved without any loss of correction. The mean loss of correction of the main curve was 2.5°for the three series. Conclusions Anterior instrumentation of lumbar idiopathic scoliosis gives highly satisfactory morphological and functional results, since the lumbar musculature is spared and the instrumentation placed at the apex of the curvature has selective effects. Despite our preference and that of other surgeons throughout the world for anterior instrumentation, we are still a minority in comparison with the users of posterior instrumentation. There are several reasons for this reticence, including surgeons' training and ideas about pedicular screw fixation, but the main reason has been the lack of a sufficiently exact system of classificat...

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“…Многие хирурги пытались сочетать положительные качества обоих широко применяемых методов для удержания коррекции деформации [4,18]. В конце восьмидесятых и начале девяностых годов прошлого века появилась модификация Lugue, разработанная Dove и названная рамой Hartschill [14,44]. Конструкция представляла собой замкнутый прямоугольник из нержавеющей стали 4,8 мм в диаметре.…”

Section: Turner Scientific and Research Institute For Children's Orthunclassified

Surgical Correction of Spinal Deformity in Idiopathic Scoliosis: The History and Current State (Review)

Vissarionov

Sobolev²,

Ефремов³

2013

Traumatology and Orthopedics of Russia

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The article presents the historical and contemporary aspects of the state of the question correct scoliosis spine with dorsal and ventral spinal systems. The variants of spinal deformity correction method from Harrington to modern surgical techniques using both hook and metal screw. Detailed technological aspects of surgical interventions for the correction of spinal deformity using a variety of spinal structures. A comparative estimate of the correction of spinal deformity, the impact on the result of the initial mobility of the spine, level metallofiksatsii vertebral-motor segment, as well as the degree of true derotation vertebrae at the top of the curvature in a variety of surgical procedures. Describes the advantages and disadvantages of options for surgery.

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A Comparison of Anterior and Posterior Instrumentation for Restoring and Retaining Sagittal Balance in Patients With Idiopathic Adolescent Scoliosis

Abstract: Anterior solid rod-screw instrumentation results in shorter fusion segments, and better sagittal alignment and quality of life than posterior pedicle screw instrumentation in patients with Lenke type 5 AIS.

Cited by 37 publications

References 22 publications

Location of Scoliosis and Postural Reactions Among Girls Aged 7-18 Years

Location of Scoliosis and Postural Reactions Among Girls Aged 7-18 Years

Anterior instrumentation (dual screws single rod system) for the surgical treatment of idiopathic scoliosis in the lumbar area: a prospective study on 33 adolescents and young adults, based on a new system of classification

Surgical Correction of Spinal Deformity in Idiopathic Scoliosis: The History and Current State (Review)

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