Surgical Treatment for Scoliosis in Marfan Syndrome

Silvestre, M. Di; Greggi, Tiziana; Giacomini, Stefano; Cioni, Alfredo; Bakaloudis, G.; Lolli, Francesco; Parisini, P.

doi:10.1097/01.brs.0000182317.33700.08

Cited by 39 publications

(29 citation statements)

References 44 publications

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“…Although Di Silvestre et al 8 This fi nding contrasts with a 2.9% infection rate in our AIS group (1 superfi cial and 1 deep infection) and a previously reported rate of 2.8% for severe idiopathic scoliosis. 12 Our study had several strengths when compared with the existing literature.…”

Section: Discussioncontrasting

confidence: 83%

Spinal Deformity Correction in Marfan Syndrome Versus Adolescent Idiopathic Scoliosis

Gjolaj

Sponseller

Shah

et al. 2012

Spine

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Section: Discussioncontrasting

confidence: 83%

Spinal Deformity Correction in Marfan Syndrome Versus Adolescent Idiopathic Scoliosis

Gjolaj

Sponseller

Shah

et al. 2012

Spine

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“…To the best of our knowledge there are only few studies reporting the treatment of scoliosis associated with the Marfan syndrome with the posterior fusion and pedicle screw system. Di Silvestre et al [15] reviewed the results of posterior instrumentation alone in a series of Marfan syndrome patients with scoliosis. All 23 patients were treated with a long posterior instrumented fusion, including 16 patients who were treated with the Harrington distraction rod technique plus sublaminar wires and seven patients who were treated with segmental instrumentation.…”

Section: Discussionmentioning

confidence: 98%

Surgical treatment of scoliosis associated with Marfan syndrome by using posterior-only instrumentation

Liu

Dai³

2011

Journal of Pediatric Orthopaedics B

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Surgical treatment of scoliosis associated with Marfan syndrome poses a challenge to spine surgeons. This retrospective study was undertaken to determine whether posterior-only surgery with instrumented fixation and fusion addresses the correction of scoliosis and maintains curve correction. Twelve consecutive patients with Marfan syndrome were treated between 2002 and 2007 for scoliosis by posterior segmental instrumentation using pedicle screws or hybrid thoracic-hook and lumbar-screw constructs. Their preoperative Cobb angle averaged 66 ± 10° (range: 55-90°). The average operation time was 252 ± 36 min (range: 200-300 min) and the average blood loss was 690 ± 117 ml (range: 550-920 ml). No significant complications were found. All the patients were followed for a minimum of 2 years (range: 2.4-6.8 years). The average Cobb angle was corrected to 23 ± 8° (range: 13-35°) immediately after surgery and 28 ± 9° (range: 14-43°) with a correction rate of 58 ± 13% at final follow-up. The results indicate that posterior-only surgery with instrumented fixation and fusion is effective and safe for the treatment of scoliosis in selected patients with Marfan syndrome.

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“…16,17 Close monitoring by using the forward-bending test at yearly intervals and management by an orthopedist is preferred because surgical stabilization of the spine may be required. 18 FROM THE AMERICAN ACADEMY OF PEDIATRICS however, it is not unique to this condition and is seen in a number of infectious, inflammatory, metabolic, genetic, neoplastic, and traumatic conditions. 21 In Marfan syndrome, the protrusio acetabuli is often asymptomatic, and surgical intervention is rarely indicated.…”

Section: Skeletalmentioning

confidence: 99%