Clinically orientated classification incorporating shoulder balance for the surgical treatment of adolescent idiopathic scoliosis

Elsebaie, Hazem; Dannawi, Zaher; Altaf, Farhaan; Zaidan, A.; Mukhtar, Mahera; Shaw, Matthew; Gibson, Alexander; Noordeen, Hilali

doi:10.1007/s00586-015-4090-z

Cited by 12 publications

(2 citation statements)

References 27 publications

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“…Incorrect posture will increase the likelihood of scoliosis and lead to impaired vision. The major cardinal feature is joint hypermobility, or ligamentous laxity, [ 29 , 30 ]. In the absence of vision rectification, the impaired vision will promote the creation of forced posture, which in turn exacerbated the occurrence of scoliosis [ 31 ].…”

Section: Discussionmentioning

confidence: 99%

Morphology and epidemiological study of idiopathic scoliosis among primary school students in Chaozhou, China

Cai

Zheng

et al. 2021

Environ Health Prev Med

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Background Idiopathic scoliosis (IS) affects patients’ quality of life, yet there have been few reports of its morphology and epidemiological study in the southeast region of China. The aim of this study is to access the curve characteristics, prevalence, and factors associated with IS in Chaozhou city. Methods A cross-sectional study was performed in 2018, in which scoliosis screening was conducted among 5497 primary school students in Chaozhou city. Then, a case-control study based on the screening involving 2547 children was followed for the exploration of the associated factors. The questionnaires covering demographic characteristics, postural habits, cognition and self-sensation of scoliosis, and physical conditions were addressed for the investigation. ORs with 95%CIs were calculated based on logistic regression analysis to evaluate the factors associated with scoliosis. Results The prevalence of IS among primary school students was 6.15% in Chaozhou city, with 4.04% for males and 8.71% for females. The average Cobb angle was 15° (range 8 to 37°). Multiple logistic regression analysis suggested that female (OR=2.45), BMI (OR=0.67), having myopia (OR=1.49), self-sensation of scoliosis with symptoms (OR=5.52), insufficient sleep time (OR=2.65, 3.33), and less exercise time (OR=7.09, 7.29) were significantly associated with IS. Conclusions The prevalence of IS among primary school students in Chaozhou was at an average level, and it was significantly higher in females than in males. Lower body mass, having myopia, insufficient sleep time, and lower physical activity were associated with IS.

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Section: Discussionmentioning

confidence: 99%

Morphology and epidemiological study of idiopathic scoliosis among primary school students in Chaozhou, China

Cai

Zheng

et al. 2021

Environ Health Prev Med

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“…Nowadays, it had been widely accepted that whether the proximal thoracic (PT) curve should be fused in adolescent idiopathic scoliosis (AIS) patients depended on both the flexibility of PT curve and the directionality of preoperative shoulder height [ 1 , 2 ]. The PT curve had poor flexibility in Lenke type 2 AIS patients with low spontaneous correction ability in case of sole correction of main thoracic (MT) curve [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Full fusion of proximal thoracic curve helps to prevent postoperative cervical tilt in Lenke type 2 adolescent idiopathic scoliosis patients with right-elevated shoulder

Jiang

Qian

Qiu

et al. 2017

BMC Musculoskelet Disord

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BackgroundTo date, no study had reported the phenomenon of deteriorated postoperative cervical tilt in Lenke type 2 adolescent idiopathic scoliosis patients. The purpose of this study is to evaluate the cervical tilt in Lenke type 2 adolescent idiopathic scoliosis patients with right-elevated shoulder treated by either full fusion or partial/non fusion of the proximal thoracic curve.MethodsA total of 30 Lenke type 2 AIS patients with preoperative right-elevated shoulder underwent posterior spinal instrumentation from 2009 to 2011 were included in this study. All the subjects were divided into 2 groups according to the selection of upper instrumented vertebra. There were 14 cases proximally fused to T1 or T2 (Group A) and 16 cases proximally fused to T3 or below (Group B). Both standing anteroposterior and sagittal X-ray films of the spine obtained preoperatively, one week after the operation, and at a minimum of two-year follow-up were analyzed with respect to the following parameters: cervical tilt, T1 tilt, proximal thoracic Cobb angle, main thoracic Cobb angle, apical vertebral translation of proximal thoracic curve, apical vertebral translation of main thoracic curve, radiographic shoulder height, cervical lordosis, proximal thoracic kyphosis and main thoracic kyphosis.ResultsMost (83.3%) of the patients in these two groups gained satisfactory shoulder balance after surgery. However, the cervical tilt significantly improved in group A (p < 0.001) but deteriorated in group B (p < 0.001). In group A, the decrease of cervical tilt significantly positively correlated with that of T1 tilt (p < 0.001). In group B, the increase of cervical tilt significantly positively correlated with both the increase of T1 tilt (p < 0.001) and the increase of apical vertebral translation of proximal thoracic curve (p < 0.05).ConclusionsLenke type 2 AIS patients with right-elevated shoulder gain improved shoulder but deteriorated cervical tilt after partial/non fusion of proximal thoracic curve. Full fusion of proximal thoracic curve helps to prevent the residual cervical tilt in these patients.

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The Story of Shoulder Balance in AIS

Menon

2023

Paediatric Scoliosis

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Clinically orientated classification incorporating shoulder balance for the surgical treatment of adolescent idiopathic scoliosis

Cited by 12 publications

References 27 publications

Morphology and epidemiological study of idiopathic scoliosis among primary school students in Chaozhou, China

Morphology and epidemiological study of idiopathic scoliosis among primary school students in Chaozhou, China

Full fusion of proximal thoracic curve helps to prevent postoperative cervical tilt in Lenke type 2 adolescent idiopathic scoliosis patients with right-elevated shoulder

The Story of Shoulder Balance in AIS

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