Evaluation of Shoulder Balance Through Growing Rod Intervention for Early-onset Scoliosis

Üzümcügil, Onat; Atıcı, Yunus; Öztürkmen, Yusuf; Yalçınkaya, Merter; Caniklioglu, Mustafa

doi:10.1097/bsd.0b013e318227b52d

Cited by 14 publications

(9 citation statements)

References 13 publications

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“…In the beginning, the coronal spinal curvature is more prominent in the posterior part of the scoliosis 35) ; whereas in later stages the posterior spinal sagittal plane begins to gain importance 2,3) . Ignorance of the anterior side of the rib cage leads to postoperative cosmetic failure, physiological distress and increased asymmetry of the breast.…”

Section: Discussionmentioning

confidence: 98%

“…The thoracic curve is successfully treated with final fusion performed with posterior pedicle screw instrumentation following the treatment of EOS with growing rod. Previously, the spine surgeons had concentrated only on the posterior deformity, rather than the deformity of the anterior chest wall 1,2,5,33,35) . However, when scoliosis patients look in the mirror, they can face cosmetic problems as they encounter asymmetry in the breast and anterior wall of the chest.…”

Section: Introductionmentioning

confidence: 99%

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Can Breast Asymmetry Following the Treatment of Juvenile Idiopathic Scoliosis with Growing Rod Be Prevented? : A Preliminary Analysis

Atıcı¹,

Polat

Erdoğan

et al. 2020

J Korean Neurosurg Soc

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It can be assumed that the progression of scoliosis in the juvenile period will increase the asymmetry in the rib cage, and thus will contribute to an increase in the breast asymmetry (BA) in the future. We are looking for answers to the questions; "How will the breasts look with respect to each other and what is the possibility of developing BA in the early follow-up period following the early surgical treatment and final fusion surgery of juvenile idiopathic scoliosis (JIS)?" For this reason, in this study, we aimed to evaluate the breast asymmetries of patients in the period after the final fusion. Methods : Following growing rod treatment, final fusion was achieved in 12 females with JIS. We used the anthropomorphic measurement of the modified BREAST-V formula to assess whether there was an asymmetry between the breasts after an average of 4.8 years (2-11) following final fusion. Results : In comparison, the mean volume of the left breast (222.4 mL [range, 104.1-330.2]) was larger than the mean volume of the right breast volume (214.5 mL [range, 95.2-326.7]) (p=0.034). The left breast was larger in 75% of the patients. BA was observed in 50% of the patients. No correlation was detected between the Cobb angle of the patient after final fusion and BA (p=0.688). Conclusion : In the late follow-up period, BA was detected in 50% of the patients with JIS who achieved final fusion after treatment with growing rod. In majority of the patients, left breast was larger. The patients with JIS and their families can be informed prior to the operation about the probability of BA seen in the follow-up period after fusion.

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Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Can Breast Asymmetry Following the Treatment of Juvenile Idiopathic Scoliosis with Growing Rod Be Prevented? : A Preliminary Analysis

Atıcı¹,

Polat

Erdoğan

et al. 2020

J Korean Neurosurg Soc

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“…They determined that CHD was highly correlated with the clinical evaluation parameters, while CTAD was correlated moderately. Uzümcügil et al .,[ 17 ] evaluated the shoulder balance in early onset scoliosis (EOS) scoliosis patients operated with a growing rod, due to various etiologies. They concluded that the CHD should be the primary parameter to be measured, as it proved to be the best method.…”

Section: Discussionmentioning

confidence: 99%

A comparison of the effects of two different techniques on shoulder balance in the treatment of congenital scoliosis: Vertical expandable prosthetic titanium rib and dual growing rod

Atıcı

Akman

Balioğlu

et al. 2015

J Craniovert Jun Spine

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Purpose:The purpose of this study is to compare the effects of two different growth guidance techniques (dual growing rod and vertical expandable prosthetic titanium rib [VEPTR]) on shoulder balance, in the surgical treatment of congenital scoliosis.Materials and Methods:Thirteen patients who were operated due to congenital scoliosis are divided into two groups. The coracoid height difference and clavicular tilt angle difference were measured on standing anteroposterior X-ray images in the preoperative, early postoperative periods, and during the last follow-up.Results:Clinical improvement in shoulder balance was obtained in VEPTR during the last follow-up, but there was no significance in the comparison among the two groups during the last follow-up.Conclusion:The effect of the growth guidance techniques on shoulder balance positively contributes in the surgical treatment of congenital scoliosis.

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“…They determined that CHD and CRID were highly correlated with the clinical evaluation parameters, while CTAD was correlated moderately. Uzumcugil et al [7] , evaluated the shoulder balance in EOS scoliosis patients operated with a growing rod, due to various etiologies. They concluded that the CHD should be the primary parameter to be measured, as it proved to be the best method.…”

Section: Discussionmentioning

confidence: 99%

“…These parameters include CHD in two patients, CRID in 7 patients and CTAD in 4 patients. Uzumcugil et al [7] published a report indicating that the single growing rod technique provided better improvement for shoulder imbalance. In our study, the single rod technique, when compared to the dual rod and VEPTR groups, provided greater improvement in shoulder imbalance, however we have found that in Group 3 there have been regression by means of shoulder imbalance.…”

Section: Discussionmentioning

confidence: 99%

Comparative Analysis of Shoulder Balance through Growth Guidance Techniques in the Surgical Treatment of Early-onset Scoliosis

Bulent¹

2015

J Spine

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Objective: The purpose of this study was to compare the efficacy of growth guidance techniques (single and dual growing rods, Vertical Expandable Prosthetic Titanium Rod-VEPTR) on shoulder balance, in the surgical treatment of early-onset scoliosis.Methods: Thirty six patients with early-onset scoliosis (EOS) due to various etiologies who were operated on in two different institutions were included in the study and they were divided in 3 groups. Group 1 consisted of 11 patients (mean age 7.5 years) who were treated with a single growing rod, Group 2 had 13 patients (mean age 8.1 years) who were treated with dual growing rods, and Group 3 consisted of 12 patients (mean age 4.1 years) who were treated with VEPTR technique. The coracoid height difference (CHD), clavicular tilt angle difference (CTAD) and clavicula-rib cage intersection difference (CRID) were measured on standing anteroposterior X-ray images in the preoperative, early postoperative and the last follow-up periods. Data obtained from these measurements were subject to statistical analysis. Results:The average postoperative follow up period was 3.04 (range: 2.3 to 4.8) years for Group 1, 2.23 (range: 1 to 3.1) years for Group 2 and 2.18 (range: 1 to 3.2) years for Group 3. Clinical improvement in shoulder balance was obtained for Group 1 and Group 2 post-operatively, but there was no significance in the comparison among the three groups. Conclusion:The effect of growth guidance techniques on shoulder balance remains unpredictable in the surgical treatment of early-onset scoliosis.

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Evaluation of Shoulder Balance Through Growing Rod Intervention for Early-onset Scoliosis

Abstract: When evaluated separately, single rod technique does improve shoulder balance significantly. For a more definitive evaluation, a comparison study having more patients in both groups is essential.

Cited by 14 publications

References 13 publications

Can Breast Asymmetry Following the Treatment of Juvenile Idiopathic Scoliosis with Growing Rod Be Prevented? : A Preliminary Analysis

Can Breast Asymmetry Following the Treatment of Juvenile Idiopathic Scoliosis with Growing Rod Be Prevented? : A Preliminary Analysis

A comparison of the effects of two different techniques on shoulder balance in the treatment of congenital scoliosis: Vertical expandable prosthetic titanium rib and dual growing rod

Comparative Analysis of Shoulder Balance through Growth Guidance Techniques in the Surgical Treatment of Early-onset Scoliosis

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