Avaliação dos parâmetros espinopélvicos pelo posicionamento intra-operatório na artrodese de coluna lombo-sacra

Filho, Madson Lobato Drummond; Neto, Marcelo Italo Risso; Lechoczi, Maurício Antonelli; Cavali, Paulo Tadeu Maia; Veiga, Ivan Guidolin; Zuiani, Guilherme Rebechi; Pasqualini, Wagner; Rossato, Alexander Junqueira; Landim, Elcio

doi:10.1590/s1808-18512013000300011

Cited by 2 publications

(2 citation statements)

References 18 publications

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“…21,22 Rod molding, together with spinal fixation, influences the pelvic parameters. 23,24 The objective of our study was to evaluate pre-and postoperative parameters to determine whether the normal spinopelvic parameter and sagittal balance values were maintained. Comparing the mean variation in kyphosis became relevant, since there was a great variation in the range of the variable in both the pre-(6.6° -86.2°) and postoperative (18.2° -59.7°) periods; and, consequently, so did determining what type of influence this variation has on overall sagittal alignment with each group and in the comparison among them.…”

Section: Discussionmentioning

confidence: 99%

Pre- And Postoperative Comparative Analysis of the Spinopelvic and Global Sagittal Parameters of Patients With Adolescent Idiopathic Scoliosis

Souza¹,

Avila²,

Aguiar³

et al. 2022

Coluna/Columna

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Objective: To analyze the pre- and postoperative spinopelvic parameters and global sagittal balance of patients with adolescent idiopathic scoliosis (AIS) divided into 3 groups (Group 1 – thoracic arthrodesis, Group 2 - thoracolumbar arthrodesis, and Group 3 – lumbar arthrodesis), observing differences in these two moments and whether the parameter values are maintained or not over a period of up to 2 years following surgery. Methods: We analyzed the radiographs from a single-center database of 99 patients who underwent arthrodesis with posterior instrumentation. Pelvic incidence, pelvic version, sacral slope, lumbar lordosis, thoracic kyphosis, and sagittal vertical axis values were measured in the pre- and postoperative radiographies of each patient. Results: The parameters of pelvic incidence, pelvic version, sacral slope, and sagittal vertical axis did not show statistically significant differences among the 3 groups. There was a difference in preoperative lumbar lordosis between the 3 groups (p = 0.049). Thoracic kyphosis showed differences both in the pre- (p = 0.015) and postoperative (p = 0.042) values, in addition to demonstrating a relationship of dependence between the pre- and postoperative values in the final statistical analysis. Conclusion: The evaluation of the parameters analyzed shows that the study groups have similar values of individual balance, with the exception of thoracic kyphosis and lumbar lordosis, which are measurements that depend on the surgical technique and compensatory mechanisms, but remained within normal ranges. These factors allow the surgeon to be attentive to both the coronal and sagittal planes when planning the correction in order to achieve the equilibrium of the trunk in addition to correction of the deformity. Level of Evidence IIIA: Comparative retrospective study.

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Section: Discussionmentioning

confidence: 99%

Pre- And Postoperative Comparative Analysis of the Spinopelvic and Global Sagittal Parameters of Patients With Adolescent Idiopathic Scoliosis

Souza¹,

Avila²,

Aguiar³

et al. 2022

Coluna/Columna

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“…This becomes even more important when intraoperative sagittal correction with instrumentation and vertebral fusion is necessary. [11][12][13][14] The objectives of this study were to evaluate whether there were any changes in the SA parameters in DLS patients indicated for surgical treatment as compared to a control population and to study the correlation of the SA parameters with the Visual Analog Scale (VAS), 15 Oswestry Disability Index (ODI), 16 and EuroQol -5 Dimensions (EQ--5D) 17 in DLS patients with an indication of surgical treatment.…”

Section: Introductionmentioning

confidence: 99%

Natural History of Lumbar Canal Stenosis: Clinical Aspects and Sagittal Balance

et al. 2019

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Objective To compare the sagittal alignment (SA) parameters in individuals with LCS and surgical indication with a control group and to study the correlations between SA parameters and ODI, VAS and EQ-5D in individuals with LCS and surgical indication. Methods In this multicenter cross-sectional case-control study, the individuals were allocated as follows. A stenosis group (SG) composed by patients with LCS confirmed by magnetic resonance imaging with surgical indication, treated between July 2010 and August 2016 and a control group (CG), without LCS. All subjects underwent anamnesis, completed the Health-related Quality of Life (HRQoL) and total spine radiographs were taken. Clinical data, HRQoL and radiographic parameters were correlated. Results Sixty-four individuals formed the SG and 14 the CG. The SG had higher values of mean age, coronal imbalance, sagittal vertical axis (SVA), pelvic tilt (PT), sacrofemoral distance (SFD), overhang (OH), PI-LL mismatch, Oswestry Disability Index (ODI) and Visual Analog Scale (VAS) for pain and smaller thoracic kyphosis (TK), total (TLPL) and regional lumbopelvic lordosis (RLPL) in all vertebrae, sagittal offset (SO) in all evaluated vertebrae and EuroQol-5D (EQ-5D) with p <0.05. In the SG, the only significant correlations (p <0.05) were between TK and ODI and EQ-5D; all the other sagittal parameters did not correlated with VAS, ODI or EQ-5D. Conclusion SG had SA parameters altered in relation to CG. There was a direct correlation between decrease in TK and worsening of ODI and EQ-5D in SG. Level of evidence: III; Case Control Study.

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Avaliação dos parâmetros espinopélvicos pelo posicionamento intra-operatório na artrodese de coluna lombo-sacra

Cited by 2 publications

References 18 publications

Pre- And Postoperative Comparative Analysis of the Spinopelvic and Global Sagittal Parameters of Patients With Adolescent Idiopathic Scoliosis

Pre- And Postoperative Comparative Analysis of the Spinopelvic and Global Sagittal Parameters of Patients With Adolescent Idiopathic Scoliosis

Natural History of Lumbar Canal Stenosis: Clinical Aspects and Sagittal Balance

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