Effectiveness and Safety of Surgical Interventions for Treating Adolescent Idiopathic Scoliosis: a Bayesian Meta-analysis

Chen, Long; Sun, Zeyu; He, Jingming; Xu, Yunwen; Li, Zhuhai; Zou, Qian; Li, Bo

doi:10.21203/rs.2.20953/v2

Cited by 4 publications

(3 citation statements)

References 10 publications

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“…1,3,5,12,13 A Bayesian meta-analysis study on the effectiveness and safety of surgical interventions for treating AIS revealed that posterior spinal fusion is a primary surgical treatment due to the lower complication rate. 16 Our present study showed surgical outcomes following single-stage reconstruction to objectively measure values for the quality of Islamic prayer (Salah) range of motion (ROM) following spinal fusion in adolescent idiopathic scoliosis (AIS). The world's Muslim population as of 2021 is estimated as high as over 1.9 billion people, making 24.7% of the world's total population today.…”

Section: Discussionmentioning

confidence: 99%

The impact of spinal fusion of adolescent idiopathic scoliosis in Salah (Islamic Prayer) movement: a case-control study

Irianto

Firas

Binti³

et al. 2022

F1000Res

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Background: Corrective spine surgery is widely accepted for treating severe adolescent idiopathic scoliosis (AIS). Postoperative spinal range of motion (ROM) could be affected after such surgery. In certain populations, such as Muslims, this ROM change can impact daily life, as it may affect the five-times-a-day prayer (Salah). This study aims to assess the influence of spinal fusion (SF) in Adolescent Idiopathic Scoliosis (AIS) during the daily Islamic prayer (Salah). Methods: SF-AIS patients were videoed while performing Salah prayer. The kinematic documentation was assessed and compared to Salah movements of a control group of age-matched Muslim AIS patients, who had not had surgery. The prayer quality changes were subjectively classified into improved, no change/remained, and worsened, according to the Global Perceived Effect (GPE). Functional outcome and pain were assessed by the Scoliosis Research Society Questionnaire Version 30 (SRS-30). Results: Thirty-nine women and five men (mean age±SD: 14.8±2.3 years) met the inclusion criteria, and unoperated AIS patients were used as control (twenty-two women, mean age±SD: 15.32±1.43 years). The prostrations ROM of the SF-AIS group differed significantly from the control group (p<0.05). The GPE of the prayer movement showed improvement in 36.4%, no change in 59.1%, and worsening in 4.5% of Open Peer Review Approval Status AWAITING PEER REVIEWAny reports and responses or comments on the article can be found at the end of the article.

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Section: Discussionmentioning

confidence: 99%

The impact of spinal fusion of adolescent idiopathic scoliosis in Salah (Islamic Prayer) movement: a case-control study

Irianto

Firas

Binti³

et al. 2022

F1000Res

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“…The Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT) consensus de nes conservative modes of scoliosis treatment success as a curve progression (stabilization) of ≤ 5 degrees or a curve decrease (correction) of ≥ 6 degrees at the end of treatment [169][170][171]. On the other hand, surgical interventions aim to terminate the progression of AIS, achieve maximum permanent correction of the 3D deformity, promote appearance by balancing the trunk, and keep lower incidence rate of short-term and long-term complications [172].…”

Section: Discussionmentioning

confidence: 99%

Defining “successful” treatment outcomes in adolescent idiopathic scoliosis: a scoping review

Joarder

Taniguchi

Mendoza³

et al. 2023

Eur Spine J

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Adolescent idiopathic scoliosis (AIS) is the most common type of scoliosis that affects children aged 10 to 18 years old, manifesting in a three dimensional spinal deformity. This study aimed to explore outcome measures used in de ning AIS treatment success. Particularly, analyzing the extent of radiographic and quality of life domains used and whether AIS treatment approaches (surgical, bracing, physiotherapy etc.) in uences outcomes used as proxies of treatment success. MethodsEMBASE and MEDLINE databases were used to conduct a systematic scoping review with 158 papers screened for data extraction. Extractable variables included: study characteristics, study participant characteristics, type of study, type of intervention approach and outcome measures. ResultsAll 158 studies measured quantitative outcomes. 61.38% of papers used radiographic outcomes whilst 38.62% of papers used quantitative quality of life outcomes to evaluate treatment success. Irrespective of treatment intervention utilized, the type of quantitative outcome measure recorded did not differ signi cantly. Moreover, of the radiographic outcome measures, the subcategory Cobb angle was predominantly used across all intervention approaches. For quantitative quality of life measures, questionnaires investigating multiple domains such as SRS were primarily used as proxies of AIS treatment success across all intervention approaches. ConclusionThis study identi ed that no articles employed qualitative measures of describing the psychosocial implications of AIS in de ning treatment success. Although quantitative measures have merit in clinical diagnoses and management, there is increasing value in using qualitative methods such as thematic analysis in guiding clinicians to develop a biopsychosocial approach for patient care.

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“…In general, scoliosis surgery aims to avoid further progression and restore 'healthy' spinal and trunk morphology as much as possible. Posterior scoliosis correction and spinal fusion is the most common technique used for AIS surgery, with in recent meta-analyses good long-term clinical outcomes [3][4][5].…”

Section: Introductionmentioning

confidence: 99%

Convex–concave and anterior–posterior spinal length discrepancies in adolescent idiopathic scoliosis with major right thoracic curves versus matched controls

et al. 2022

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Purpose The apical deformation in adolescent idiopathic scoliosis (AIS) is a combination of rotation, coronal deviation and passive anterior lengthening of the spine. In AIS surgery, posterior–concave lengthening or anterior–convex shortening can be part of the corrective maneuver, as determined by the individual surgeon’s technique. The magnitude of convex–concave and anterior–posterior length discrepancies, and how this needs to be modified to restore optimal spinal harmony, remains unknown. Methods CT-scans of 80 pre-operative AIS patients with right convex primary thoracic curves were sex- and age-matched to 80 healthy controls. The spinal length parameters of the main thoracic curves were compared to corresponding levels in controls. Vertebral body endplates and posterior elements were semi-automatically segmented to determine the length of the concave and convex side of the anterior column and along the posterior pedicle screw entry points while taking the 3D-orientation of each individual vertebra into account. Results The main thoracic curves showed anterior lengthening with a mean anterior–posterior length discrepancy of + 3 ± 6%, compared to a kyphosis of − 6 ± 3% in controls (p < 0.01). In AIS, the convex side was 20 ± 7% longer than concave (0 ± 1% in controls; p < 0.01). The anterior and posterior concavity were 7 and 22 mm shorter, respectively, while the anterior and posterior convexity were 21 and 8 mm longer compared to the controls. Conclusions In thoracic AIS, the concave shortening is more excessive than the convex lengthening. To restore spinal harmony, the posterior concavity should be elongated while allowing for some shortening of the posterior convexity.

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Effectiveness and Safety of Surgical Interventions for Treating Adolescent Idiopathic Scoliosis: a Bayesian Meta-analysis

Cited by 4 publications

References 10 publications

The impact of spinal fusion of adolescent idiopathic scoliosis in Salah (Islamic Prayer) movement: a case-control study

The impact of spinal fusion of adolescent idiopathic scoliosis in Salah (Islamic Prayer) movement: a case-control study

Defining “successful” treatment outcomes in adolescent idiopathic scoliosis: a scoping review

Convex–concave and anterior–posterior spinal length discrepancies in adolescent idiopathic scoliosis with major right thoracic curves versus matched controls

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