Prospective 10-year follow-up assessment of spinal fusions for thoracic AIS: radiographic and clinical outcomes

Newton, Peter O.; Ohashi, Masayuki; Bastrom, Tracey P.; Bartley, Carrie E.; Yaszay, Burt; Marks, Michelle C.; Betz, Randal R.; Lenke, Lawrence G.; Clements, David H.

doi:10.1007/s43390-019-00015-1

Cited by 20 publications

(13 citation statements)

References 58 publications

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“…[4][5][6] Yet even with modern instrumentation the revision rate at 10 years is 7%. 7 Observed increased range of motion with accelerated disc degeneration caudal to fusions raise questions about long-term outcomes. 8,9 Thus fusionless treatments of progressive curves in the skeletally immature are appealing.…”

mentioning

confidence: 99%

Anterior Vertebral Body Tethering for Treatment of Idiopathic Scoliosis in the Skeletally Immature

Rushton

Nasto

Parent

et al. 2021

Spine

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confidence: 99%

Anterior Vertebral Body Tethering for Treatment of Idiopathic Scoliosis in the Skeletally Immature

Rushton

Nasto

Parent

et al. 2021

Spine

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“…There were 20 [100%] had surgical techniques [Spondylodesis]. Rahma et al [24] found that the mean number of fused segments, the mean number of fused segments in our study was 14 ± 1.15 [range: [12][13][14][15][16][17]. In the Bullmann et al [28] series [combined], the number of fused segments was 11.2 ± 1.2 [range: [9][10][11][12][13].…”

Section: Discussionmentioning

confidence: 50%

“…Also, another research showed a higher rate of complications after major corrections, comprising iatrogenic trunk imbalance [10] . But, the degree of correction after surgical intervention was a significant predictor of the functional scores, self-image/appearance and satisfaction [8][9][10][11][12].…”

Section: Introductionmentioning

confidence: 98%

The Functional Outcome of Surgical Treatment of Adolescent Idiopathic Scoliosis

Abdel-Monem

El-Shoura²,

Negm³

2023

International Journal of Medical Arts

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Article informationBackground: Adolescent idiopathic scoliosis [AIS] is a structural spinal deformity of unknown etiology that affects adolescents at or near their onset of puberty. It adversely affects patient's quality of life. Aim of the Work:The current work aimed to assess the clinical, radiological and functional results of AIS surgical correction. Patients and Methods:The study included 20 subjects with AIS who were treated by surgical intervention. Then, they were evaluated for clinical, radiological and functional outcome. Demographic data were collected on a preformed sheet. The preoperative assessment consisted of history taking and clinical examination. A standing posteroanterior, and lateral plain X-ray were performed for total spine [T1-S1]. The functional outcome was evaluated by the Scoliosis Research Society-30 [SRS-30].Results: There was a female sex predominance [16 were females].Patients below 15 years of age represented 70.0%. The mean ± SD Lenke classification was 3.20 ± 1.74, while number vertebrae was 10.35 ± 1.66. The primary Cobb angle ranged between 45 and 85 °, while the secondary Cobb angle ranged between 0 to 50 ° before surgery, and there was significant reduction of both primary and secondary Cobb angles after than before surgery. The shoulder imbalance was reported in all patients perioperatively, that was absent in all but one patient had slight elevation of the right shoulder after surgery. All had pelvic tilt before surgery that was absent postoperatively except for two patients who had slight tilt with significant improvement after surgery. Only 1 [5.0%] had postoperative complications [hypovolemic shock]. Conclusion:Surgical treatment of AIS had the highest probability to achieve better Cobb angle correction with good function and lower complication rate.

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“…Several studies [62][63][64][65][83][84][85][86][87] suggest pain may improve initially but may recur over time, even to baseline levels. Upasani et al 62 found a statistically significant decrease in the SRS-22 pain score from the 2-to 5-year postoperative mark, although the 5-year pain score was still an improvement from baseline.…”

Section: Fusion Surgerymentioning

confidence: 99%

“…Compared to a matched healthy control group, pain scores were similar, although surgically treated patients performed significantly worse in function scores. Newton et al 65 collected prospective data on 174 AIS patients. SRS-22 pain score significantly improved at 2-year follow-up, but returned to baseline level at the 10-year mark.…”

Section: Fusion Surgerymentioning

confidence: 99%

Back pain in adolescent idiopathic scoliosis: A comprehensive review

Berman

Schulz

2023

Journal of Children's Orthopaedics

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Purpose: Adolescent idiopathic scoliosis (AIS) is a common spinal deformity that affects millions of children worldwide. A variety of treatment algorithms exist for patients based on radiographic parameters such as the Cobb angle and the Risser stage. However, there has been a growing focus on nonradiographic outcomes such as back pain, which can cause functional disability and reduced quality of life for patients. In spite of this, back pain in AIS is poorly characterized in the literature. We aimed to summarize various factors that may influence back pain in AIS and the impact of different treatment methods on pain reduction. Methods: A comprehensive systematic review was undertaken using the PubMed and Cochrane database. Keywords that were utilized and combined with “Adolescent Idiopathic Scoliosis” included, “back pain,” “treatment,” “biomechanics,” “biochemistry,” “epidemiology,” and “biopsychosocial.” The literature was subsequently evaluated and deemed relevant or not relevant for inclusion. Results: A total of 93 articles were ultimately included in this review. A variety of contradictory literature was present for all sections related to epidemiology, underlying biomechanics and biochemistry, biopsychosocial factors, and treatment methodologies. Conclusion: Back pain in AIS is common but remains difficult to predict and treat. The literature pertaining to causative factors and treatment options is heterogeneous and inconclusive. Longer-term prospective studies combining biopsychosocial intervention in conjunction with existing curve correction techniques would be meaningful.

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Prospective 10-year follow-up assessment of spinal fusions for thoracic AIS: radiographic and clinical outcomes

Cited by 20 publications

References 58 publications

Anterior Vertebral Body Tethering for Treatment of Idiopathic Scoliosis in the Skeletally Immature

Anterior Vertebral Body Tethering for Treatment of Idiopathic Scoliosis in the Skeletally Immature

The Functional Outcome of Surgical Treatment of Adolescent Idiopathic Scoliosis

Back pain in adolescent idiopathic scoliosis: A comprehensive review

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