Surgical Correction of Thoracic Scoliosis Through Anterior and Posterior Approaches

Background.Despite the active implementation of the dynamic correction approach in idiopathic scoliosis, there are no data from comparative studies using dorsal correction and ventral dynamic correction, in particular in patients with completed and terminating growth. The aim of the study was to compare the clinical and radiological results of ASC using traditional dorsal fusion in the treatment of idiopathic Lenke 5 scoliosis in patients with completed or terminating growth. Material and methods.A retrospective non-randomized comparative study. X-ray data were analyzed before the operation, immediately after and more than 2 years after the operation. Blood loss, duration of hospital stay, duration of taking narcotic analgesics in the early postoperative period. Functional results were evaluated using the SRS-22 questionnaire. All clinical and radiological complications were registered. Results.A total of 86 pts. with Lenke 5 deformities (1 gp. , 54 pt, 2 gp. 32 pt.), mean age 22.612.8 and 27.310.9. In 1 gp., the Cobb angle before surgery was 64.416.9, with long-term FU 26.9 5.3. Kyphosis of Th10-L2 before surgery is 20.86.9, with remote observation of 13.12.2. The preoperative angle of the main arc in 2gp. was 52.49.6, with a distant observation of 24.6 9.2. Transient kyphosis of Th10-L2 before surgery is 19.67.5, with remote observation of 19.21.6. Rotation of the apical vertebra according to Nash and Moe in 1gp. before surgery 1.63 0.39, immediately after surgery 0.160.45 and 0.180.32 at the last examination. In patients with dynamic correction, these indicators were 1.82 0.35 before surgery and 0.810.39 at the last measurement. The average number of fixed levels was 6.41 in 1gp. and 5.61.5 in 2gp. The average preoperative lumbar lordosis was 43.512.1, with long-term follow-up 44.211.3, in the group with dynamic correction and in the group with rigid 42.98.7, with long-term FU 43.311.2 Conclusion.Both posterior fusion and dynamic ventral correction and fixation of idiopathic Lenke 5C scoliosis can provide a satisfactory result from the point of view of radiological data with initially similar magnitude of thoracolumbar deformities in patients with completed and terminating growth.

show abstract

Anterior Dynamic Versus Posterior Transpedicular Spinal Fusion for Lenke Type 5 Idiopathic Scoliosis: A Comparison of Long-term Results

Pereverzev

Колесов

Kaz’min

et al. 2023

Traumatology and Orthopedics of Russia

View full text Add to dashboard Cite

show abstract

Computed Tomography as a Component of Preoperative Planning for Metal Transitional Spine Fixation in the Correction of Scoliotic Deformities by Hybrid Constructs

Норкин¹,

Likhachev²,

Zaretskov³

et al. 2018

Vestn. rentgenol. radiol.

View full text Add to dashboard Cite

Objective:to assess whether computed tomography (CT) data can be used for metal transitional spine fixation in patients with thoracic and thoracolumbar scoliosis at the stage of surgical intervention planning.Material and methods.Thirty-nine patients with grades 3 and 4 (according to V.D. Chaklin) or type I–III (according to the classification proposed by L. Lenke) thoracic and thoracolumbar idiopathic scoliosis were examined. All the patients underwent a comprehensive radiographic and CT examinations. The radiomorphometric features of the spine were used to plan surgical interventions.Results.The protocol was clarified for preoperative scoliosis examination using CT data on cervicothoracic and thoracolumbar vertebrae. A personalized approach to planning an operation on the basis of CT examination permits one to eliminate destabilization of the supporting elements of the corrective system at the most. Reducing the risk of postoperative losses of correction contributes to the use of multi-rod constructs.Conclusion.CT that enables a comprehensive assessment of existing pathology and clarification of the nature of impending surgery should be carried out in patients with thoracic and thoracolumbar idiopathic scoliosis at the stage of preoperative planning for metal transitional spine fixation.

show abstract

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

customersupport@researchsolutions.com

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

Surgical Correction of Thoracic Scoliosis Through Anterior and Posterior Approaches

Cited by 2 publications

References 10 publications

Anterior Dynamic Versus Posterior Transpedicular Spinal Fusion for Lenke Type 5 Idiopathic Scoliosis: A Comparison of Long-term Results

Anterior Dynamic Versus Posterior Transpedicular Spinal Fusion for Lenke Type 5 Idiopathic Scoliosis: A Comparison of Long-term Results

Computed Tomography as a Component of Preoperative Planning for Metal Transitional Spine Fixation in the Correction of Scoliotic Deformities by Hybrid Constructs

Contact Info

Product

Resources

About