The amount of surgical correction of the main thoracic curve is the best predictor of postoperative clinical shoulder balance in patients with Adolescent Idiopathic Scoliosis

2020 ◽  
Vol 8 (6) ◽  
pp. 1279-1286
Author(s):  
Andy Hiett ◽  
Robert Tung ◽  
Elisa Emanuelli ◽  
Ashley Sherman ◽  
John T. Anderson ◽  
...  
Keyword(s):  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Surgical Correction ◽  
Thoracic Curve ◽  
Shoulder Balance ◽  
Main Thoracic

Correlation of Radiographic, Clinical, and Patient Assessment of Shoulder Balance Following Fusion Versus Nonfusion of the Proximal Thoracic Curve in Adolescent Idiopathic Scoliosis

Spine ◽  
2002 ◽  
Vol 27 (18) ◽  
pp. 2013-2020 ◽  
Author(s):  
Timothy R. Kuklo ◽  
Lawrence G. Lenke ◽  
Eric J. Graham ◽  
Douglas S. Won ◽  
Fred A. Sweet ◽  
...  
Keyword(s):  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Thoracic Curve ◽  
Patient Assessment ◽  
Shoulder Balance

Key-Vertebral Screws Strategy for Main Thoracic Curve Correction in Patients With Adolescent Idiopathic Scoliosis

2016 ◽  
Vol 29 (8) ◽  
pp. E434-E441 ◽  
Author(s):  
Jingfeng Li ◽  
Kenneth M.C. Cheung ◽  
Dino Samartzis ◽  
Anne K.B. Ganal-Antonio ◽  
Xiaodong Zhu ◽  
...  
Keyword(s):  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Thoracic Curve ◽  
Curve Correction ◽  
Main Thoracic

Comparison of 5-year outcomes between pedicle screw and hybrid constructs in adolescent idiopathic scoliosis

2012 ◽  
Vol 17 (3) ◽  
pp. 212-219 ◽  
Author(s):  
Steven W. Hwang ◽  
Amer F. Samdani ◽  
Ben Wormser ◽  
Hari Amin ◽  
Jeff S. Kimball ◽  
...  
Keyword(s):  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Pedicle Screw ◽  
Screw Fixation ◽  
Pedicle Screw Fixation ◽  
Thoracic Curve ◽  
Patients Âgés ◽  
Thoracic Curvature ◽  
Main Thoracic

Object Pedicle screw fixation has been theorized to provide better correction of scoliotic deformity, but controversy over the benefits of pedicle screw–only constructs remains, and the longer-term impact of pedicle screw fixation as compared with hybrid constructs is unclear. In this study, a retrospective review of a prospectively collected database was conducted to determine the longer-term impact of pedicle screw fixation as compared with hybrid constructs in patients with adolescent idiopathic scoliosis (AIS). Methods The authors retrospectively reviewed a multicenter database of pediatric patients (ages ≤ 18) from 1995 to 2006 and identified 127 patients with Lenke Type 1–4 AIS curves with a minimum 5 years of follow-up. Patients were divided into 2 cohorts based on whether they had undergone pedicle screw fixation or fixation with hybrid constructs. Results The mean main thoracic curvature of 56.1° ± 13.0°, which corrected to 14.9° ± 9.3°, translated into a mean correction of 73% (p < 0.01). The curve was 19.4° ± 10.6° at 2-year follow-up and 20.5° ± 10.4° at 5 years. When comparing preoperative parameters between the groups, differences were noted in the magnitude of the main thoracic curve (p = 0.04), flexibility of the main thoracic curve (p = 0.02), coronal balance (p = 0.04), T2–12 kyphosis (p = 0.02), and sex (p = 0.02). The pedicle screw cohort had fewer spinal segments instrumented (p < 0.01), fewer anterior releases performed (p = 0.02), and fewer thoracoplasties performed (p < 0.01). By 5 years of follow-up, significant differences were apparent between the two cohorts with respect to upper thoracic curvature (p = 0.01), T2–12 (p = 0.02) and T5–12 (p = 0.02) kyphosis, lumbar lordosis (p < 0.01), and sagittal balance (p = 0.01). Conclusions Although some preoperative differences did exist, outcomes were comparable between hybrid and screw constructs at 2 and 5 years. However, hybrid constructs required more concurrent anterior releases and thoracoplasties to achieve similar results.

Can surgery for adolescent idiopathic scoliosis of less than 50 degrees of main thoracic curve achieve good results?

2018 ◽  
Vol 23 (1) ◽  
pp. 14-19 ◽  
Author(s):  
Tetsuhiko Mimura ◽  
Jun Takahashi ◽  
Shota Ikegami ◽  
Shugo Kuraishi ◽  
Masayuki Shimizu ◽  
...  
Keyword(s):  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Thoracic Curve ◽  
Main Thoracic

How to Improve Shoulder Balance in the Surgical Correction of Double Thoracic Adolescent Idiopathic Scoliosis

Spine ◽  
2014 ◽  
Vol 39 (23) ◽  
pp. E1359-E1367 ◽  
Author(s):  
Dong-Gune Chang ◽  
Jin-Hyok Kim ◽  
Sung-Soo Kim ◽  
Dong-Ju Lim ◽  
Kee-Yong Ha ◽  
...  
Keyword(s):  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Surgical Correction ◽  
Shoulder Balance

scholarly journals A retrospective controlled clinical study of Cobb angle distribution of the main thoracic curve in adolescent idiopathic scoliosis

Medicine ◽  
2018 ◽  
Vol 97 (28) ◽  
pp. e11473 ◽  
Author(s):  
Jian Zhao ◽  
Jianping Fan ◽  
Yuanyuan Chen ◽  
Changwei Yang ◽  
Gengwu Li ◽  
...  
Keyword(s):  
Clinical Study ◽  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Cobb Angle ◽  
Thoracic Curve ◽  
Angle Distribution ◽  
Main Thoracic ◽  
Controlled Clinical Study

scholarly journals Evaluating the Rotation Correction of the Main Thoracic Curve in Severe Adolescent Idiopathic Scoliosis: Bending and Traction vs. Fulcrum – A Preliminary Report

2017 ◽  
Vol 23 ◽  
pp. 4981-4988 ◽  
Author(s):  
Qing-Jie Kong ◽  
Xiao-Fei Sun ◽  
Yuan Wang ◽  
Jing-Chuan Sun ◽  
Zi-qiang Chen ◽  
...  
Keyword(s):  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Preliminary Report ◽  
Thoracic Curve ◽  
Main Thoracic
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