Can anterior dynamic correction be considered a new standard of surgical treatment for idiopathic scoliosis in patients with completed and terminating growth? Retrospective single-center analysis of long-term results

N.N. Priorov Journal of Traumatology and Orthopedics Pub Date : 2024-07-04 DOI:10.17816/vto617680

Sergey V Kolesov, V. Pereverzev, Arkadii I. Kazmin, Nataliya S. Morozova, Vladimir V. Shvec, Michail S. Raspopov, Samir B. Bagirov

{"title":"Can anterior dynamic correction be considered a new standard of surgical treatment for idiopathic scoliosis in patients with completed and terminating growth? Retrospective single-center analysis of long-term results","authors":"Sergey V Kolesov, V. Pereverzev, Arkadii I. Kazmin, Nataliya S. Morozova, Vladimir V. Shvec, Michail S. Raspopov, Samir B. Bagirov","doi":"10.17816/vto617680","DOIUrl":null,"url":null,"abstract":"BACKGROUND: Currently, the gold standard of surgical treatment of idiopathic scoliosis is dorsal or anterior correction using rigid instrumentation. However, anterior dynamic scoliosis correction has recently become a popular method for treating idiopathic scoliosis. It is recommended for patients with a certain growth potential. We present the long-term treatment results of patients with idiopathic scoliosis and the use of a dynamic correction system during completed and ending growth. \nAIM: To evaluate radiological and clinical data on the results of surgical treatment of idiopathic scoliosis in patients with completed and terminating growth and a FU period of 2 years. \nMATERIALS AND METHODS: A retrospective study of demographic data, X-ray (Cobb angle before and after surgery and ≥2 years, Lenke type, Risser test), number of fixation levels, nucleotomy, blood loss, surgery time, and complications, was conducted. The functional result was evaluated using the SRS-22. \nRESULTS: Eighty-seven patients (men, 4; women, 83) were included. ASC (thoracic) was performed in 30 patients; lumbar/ thoracolumbar, 32; 2 sides, 13; and hybrid system, 12. Lenke: Lenke 1 (right-sided, 18; left-sided, 7); Lenke 2, 5; Lenke 3, 19; Lenke 4, 2; Lenke 5 (left-sided, 26; right-sided, 8); and Lenke 6, 2. The average blood loss was 281.2±173 ml; operation time, 174.8±42.3 min; FU, 2.2 years; age, 23.3 years; Risser, 4.42 (3–5); number of fixed levels 7.25±1.6°; and Cobb angle in the thoracic group during the first post-op study, 27.9±5.3°, and the last at 25.2±6.9° compared with the pre-op at 62.4°±10.9° (p 0.05). No significant loss of correction was found in patients with Lenke 5,6 52.5°±8.4° before surgery, 24.2±12.4° after, and a long-term FU of 27.2°±11.6° (p 0.05). \nCONCLUSION: Dynamic scoliosis correction in adults is a new direction in spine surgery and provides a satisfactory radiological and functional result that persists for 2 years.","PeriodicalId":308632,"journal":{"name":"N.N. Priorov Journal of Traumatology and Orthopedics","volume":" 18","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2024-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"N.N. Priorov Journal of Traumatology and Orthopedics","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.17816/vto617680","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

Abstract

BACKGROUND: Currently, the gold standard of surgical treatment of idiopathic scoliosis is dorsal or anterior correction using rigid instrumentation. However, anterior dynamic scoliosis correction has recently become a popular method for treating idiopathic scoliosis. It is recommended for patients with a certain growth potential. We present the long-term treatment results of patients with idiopathic scoliosis and the use of a dynamic correction system during completed and ending growth. AIM: To evaluate radiological and clinical data on the results of surgical treatment of idiopathic scoliosis in patients with completed and terminating growth and a FU period of 2 years. MATERIALS AND METHODS: A retrospective study of demographic data, X-ray (Cobb angle before and after surgery and ≥2 years, Lenke type, Risser test), number of fixation levels, nucleotomy, blood loss, surgery time, and complications, was conducted. The functional result was evaluated using the SRS-22. RESULTS: Eighty-seven patients (men, 4; women, 83) were included. ASC (thoracic) was performed in 30 patients; lumbar/ thoracolumbar, 32; 2 sides, 13; and hybrid system, 12. Lenke: Lenke 1 (right-sided, 18; left-sided, 7); Lenke 2, 5; Lenke 3, 19; Lenke 4, 2; Lenke 5 (left-sided, 26; right-sided, 8); and Lenke 6, 2. The average blood loss was 281.2±173 ml; operation time, 174.8±42.3 min; FU, 2.2 years; age, 23.3 years; Risser, 4.42 (3–5); number of fixed levels 7.25±1.6°; and Cobb angle in the thoracic group during the first post-op study, 27.9±5.3°, and the last at 25.2±6.9° compared with the pre-op at 62.4°±10.9° (p 0.05). No significant loss of correction was found in patients with Lenke 5,6 52.5°±8.4° before surgery, 24.2±12.4° after, and a long-term FU of 27.2°±11.6° (p 0.05). CONCLUSION: Dynamic scoliosis correction in adults is a new direction in spine surgery and provides a satisfactory radiological and functional result that persists for 2 years.

查看原文本刊更多论文

前路动态矫正术是否可被视为特发性脊柱侧凸手术治疗的新标准？对长期结果的回顾性单中心分析

背景：目前，特发性脊柱侧凸手术治疗的金标准是使用刚性器械进行背侧或前侧矫正。然而，近来前路动态脊柱侧凸矫正术已成为治疗特发性脊柱侧凸的一种流行方法。这种方法推荐给具有一定生长潜力的患者。我们将介绍特发性脊柱侧凸患者的长期治疗效果，以及在生长完成和结束期间使用动态矫正系统的情况。目的：评估特发性脊柱侧凸手术治疗结果的放射学和临床数据，这些患者的生长发育已完成和终止，FU期为2年。材料与方法：对人口统计学数据、X光片（手术前后及≥2年的Cobb角、Lenke类型、Risser试验）、固定层数、髓核切除术、失血量、手术时间和并发症进行回顾性研究。使用 SRS-22 评估功能结果。结果：共纳入 87 例患者（男性 4 例，女性 83 例）。30名患者进行了ASC（胸椎）手术；32名患者进行了腰椎/胸腰椎手术；13名患者进行了两侧手术；12名患者进行了混合系统手术。伦克平均失血量为 281.2±173 ml；手术时间为 174.8±42.3 min；FU，2.2 年；年龄，23.3岁；Risser，4.42（3-5）；固定水平数 7.25±1.6°；胸廓组术后第一次研究的 Cobb 角为 27.9±5.3°，最后一次为 25.2±6.9°，而术前为 62.4°±10.9°（P 0.05）。Lenke 5、6 患者术前为 52.5°±8.4°，术后为 24.2±12.4°，长期 FU 为 27.2°±11.6°（P 0.05），未发现明显的矫正损失。结论：成人脊柱侧弯动态矫正术是脊柱手术的一个新方向，可提供令人满意的放射学和功能效果，并可持续2年。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

N.N. Priorov Journal of Traumatology and Orthopedics

CiteScore

0.30

自引率

0.00%

发文量