Thoracoscopic Spinal Fusion Compared With Posterior Spinal Fusion for the Treatment of Thoracic Adolescent Idiopathic Scoliosis

Lonner, Baron S.; Kondrachov, Dimitry; Siddiqi, Farhan; Hayes, Victor; Scharf, Carrie

doi:10.2106/00004623-200605000-00013

Cited by 25 publications

(20 citation statements)

References 41 publications

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“…16,[29][30][31] The correction rate, however, was lower than the posterior group even without significance, which was also consistent with previous reports. 16,[29][30][31] The correction rate, however, was lower than the posterior group even without significance, which was also consistent with previous reports.…”

Section: Discussionsupporting

confidence: 92%

“…7,12,16,29,30 With respect to the perioperative outcomes, the operation time was greater in the thoracoscopic group, with a mean of 6.8 hours (1.1 h/level), which was slightly longer than the other series. PO indicates postoperative.…”

Section: Discussionmentioning

confidence: 79%

“…[5][6][7] To date, few studies have compared thoracoscopic surgery with posterior surgery using allpedicle-screw fixation for single thoracic AIS correction. 16,[28][29][30] This paper reports our results of thoracoscopic surgery and a comparison with posterior surgery using all-pedicle-screw constructs. 16 However, through our series of thoracoscopic surgery, we encountered some unfavorable cases, which is contrary to the previous favorable reports.…”

Section: Discussionmentioning

confidence: 99%

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A Comparative Study Between Thoracoscopic Surgery and Posterior Surgery Using All-pedicle-screw Constructs in the Treatment of Adolescent Idiopathic Scoliosis

Lee

Park

Chung

et al. 2013

Journal of Spinal Disorders &Amp; Techniques

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 79%

Section: Discussionmentioning

confidence: 99%

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A Comparative Study Between Thoracoscopic Surgery and Posterior Surgery Using All-pedicle-screw Constructs in the Treatment of Adolescent Idiopathic Scoliosis

Lee

Park

Chung

et al. 2013

Journal of Spinal Disorders &Amp; Techniques

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“…[47][48][49] Early studies reported high rates of pseudarthrosis, implant failure, and loss of fixation with thoracoscopic anterior procedures, 50-52 but after the initial steep learning curve in this approach was passed, 39,53 comparable results have been reported with thoracoscopic anterior procedures and with alternative spinal surgical techniques. [54][55][56][57][58] Anterior thoracoscopic techniques are more applicable to the treatment of curves with certain characteristics than to others (Fig. 17.12).…”

Section: Thoracoscopic Anterior Spinal Instrumentation and Fusionmentioning

confidence: 99%

17 Surgical Treatment of the Right Thoracic Curve Pattern

Newton¹,

O’Brien²,

Shufflebarger³

et al. 2011

Idiopathic Scoliosis

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The right main thoracic (MT) curve pattern is the prototypic scoliotic deformity seen in adolescent idiopathic scoliosis (AIS), being found in almost 50% of all cases treated surgically. By definition, the MT curve in AIS has an apex between T2 and T11, and has the largest coronal deviation of any of the curves in this condition as measured by the Cobb-angle method. Measuring apical deviation, relative apical lordosis, and transverse-plane rotation provides a further means of describing the major curve and captures some of the three-dimensional (3D) nature of this deformity that is lost in the largely two-dimensional (2D) imaging of it. Characteristics of the minor curves proximal and distal to the MT curve are as important as the features of the 3D thoracic deformity. Many of the decisions to be made in the treatment of MT curves depend on these minorcurve characteristics. Understanding how minor curves will "respond" to surgical correction of the MT curve is critical in the treatment of scoliosis. This chapter addresses the characteristics of the right MT curve pattern in AIS and discusses the criteria used to decide when and how to address this spinal deformity. Options for selective versus nonselective fusion are discussed, as are the surgical approaches currently used for the correction of right MT curves. Specifically, the particular indications and contraindications for each approach are evaluated, and recommendations are made for surgical technique and for the selection of fusion levels in correcting such curves.

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“…The anterior approach for main thoracic AIS has gained popularity because of the reported benefits of improved curve correction and sparing of arthrodesis levels [1][2][3][4][5][6][7][8] . However, several specific risks and complications have been reported in association with the use of the anterior approach, including implant failure, pseudarthrosis, hemothorax, pneumothorax, postthoracotomy pain, neurological injury, and rare but serious vascular injuries [2][3][4][9][10][11][12][13][14][15][16][17] . To our knowledge, recurrent hemoptysis due to anterior spinal fusion hardware has never been reported.…”

mentioning

confidence: 99%