Direct vertebral rotation versus simple rod derotation techniques in correction of adolescent idiopathic scoliosis.

IF 1.6 Q3 CLINICAL NEUROLOGY

Spine deformity Pub Date : 2024-07-01 Epub Date: 2024-03-20 DOI:10.1007/s43390-024-00841-y

Asem Mahmoud Sayed Abdel Rasol, Ahmed Mohamed El Badrawi, Ali Ibrahim Abdel Latif, Fady Michael Fahmy, Hany El Zahlawy, Mohammed Ali Hussien

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引用次数: 0

Abstract

Background: One method for treating adolescent idiopathic scoliosis (AIS), which is characterized by abnormal spinal alignment in the coronal, sagittal, and rotational planes, is surgical correction. The two surgical techniques most typically used to correct spine alignment are simple rod derotation (SRD) and direct vertebral derotation (DVR).

Aim: The study's goal was to assess the effectiveness of two treatment methods for adolescent idiopathic scoliosis: simple rod derotation and direct vertebral rotation.

Subjects and methods: A randomized controlled research involving 36 adolescents with idiopathic scoliosis was done. Patients were randomly split into one of two groups: 18 patients in group A had DVR treatment, while 18 patients in group B received SRD with a 2-year follow-up.

Results: Apical Vertebral Rotation measured from CT scans in DVR group was 24.4° ± 8.38° preoperatively and it decreased significantly postoperatively to 14.4° ± 4.61° with (42.22%) correction rate, while in SRD group, it was 25.03° ± 7.99° preoperatively and it also decreased significantly postoperatively to a mean value of 21.41° ± 7.01° with (14.65%) correction rate. There were statistically significant differences between both groups post-operative (P < 0.001).

Conclusion: The apical vertebral rotation was greatly enhanced in both procedures, with direct vertebral rotation being better. Both Simple rod derotation and direct vertebral rotation reduce the rib hump, although the improvement is much greater with direct vertebral rotation.

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在矫正青少年特发性脊柱侧凸时，椎体直接旋转与简单的杆脱位技术的比较。

背景：青少年特发性脊柱侧弯症（AIS）的特点是脊柱在冠状面、矢状面和旋转面上的排列异常，治疗青少年特发性脊柱侧弯症的方法之一是手术矫正。该研究的目的是评估两种治疗青少年特发性脊柱侧凸方法的有效性：单纯杆状脱位和椎体直接旋转：这项随机对照研究涉及36名特发性脊柱侧凸青少年。患者被随机分为两组：A组18名患者接受DVR治疗，B组18名患者接受SRD治疗，随访2年：DVR组通过CT扫描测得的椎体上旋度在术前为（24.4° ± 8.38°），术后明显降低至（14.4° ± 4.61°），矫正率为（42.22%）；而SRD组在术前为（25.03° ± 7.99°），术后也明显降低至（21.41° ± 7.01°），矫正率为（14.65%）。术后两组间差异有统计学意义（P 结论：术后两组间差异有统计学意义（P 结论：术后两组间差异有统计学意义（P 结论）：两种手术都能大大提高椎体顶端旋转，其中直接椎体旋转效果更好。简易杆脱位和直接椎体旋转都能减少肋骨驼峰，但直接椎体旋转的改善效果更好。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Spine deformity

CiteScore

3.20

自引率

18.80%

发文量

167

期刊介绍： Spine Deformity the official journal of the?Scoliosis Research Society is a peer-refereed publication to disseminate knowledge on basic science and clinical research into the?etiology?biomechanics?treatment?methods and outcomes of all types of?spinal deformities. The international members of the Editorial Board provide a worldwide perspective for the journal's area of interest.The?journal?will enhance the mission of the Society which is to foster the optimal care of all patients with?spine?deformities worldwide. Articles published in?Spine Deformity?are Medline indexed in PubMed.? The journal publishes original articles in the form of clinical and basic research. Spine Deformity will only publish studies that have institutional review board (IRB) or similar ethics committee approval for human and animal studies and have strictly observed these guidelines. The minimum follow-up period for follow-up clinical studies is 24 months.