Forced Lordosis on the Thoracolumbar Junction Can Correct Coronal Plane Deformity in Adolescents With Double Major Curve Pattern Idiopathic Scoliosis

ABSTRACT Objective: To create a method to measure the overall coronal plane of the spine, called the sacral clavicular angle (SCA). Methods: A line is drawn at the base of the sacrum; a second central line is drawn perpendicular to the first one in the proximal extension of the spine. A third line is drawn passing through the intersections of the superior points of the clavicles with the two second ribs, forming two angles, the greater of which is measured. Therefore, the degrees exceeding 90° are the SCA values. This tool was tested retrospectively in a study of 46 patients with idiopathic scoliosis who underwent short, apical, single or multiple fixations. Third generation instrumentation was used and the SCA was evaluated in the pre- and postoperative periods, which were compared with another group of 46 patients treated with the traditional technique. Results: Patients submitted to the traditional fixation method presented a median SCA of 3° in the preoperative period, and in the postoperative period, the SCA remained in 3°. Therefore, there was a 0% reduction. Patients submitted to short, apical, single or multiple fixation method presented a median preoperative SCA of 6°, and a postoperative median SCA of 1°, a reduction of approximately 83%. Conclusions: The group treated with short, apical, single or multiple instrumentation presented a reduction in the SCA of approximately 83% in the postoperative period compared to the preoperative period. The difference between preoperative and postoperative values was considered statistically significant. Level of Evidence II; Retrospective study.

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FRI0685 Hand functions are affected depending on the curve pattern in idiopathic scoliosis

10.1136/annrheumdis-2018-eular.2156 ◽

2018 ◽

Author(s):

G. Yagci ◽

D. A. Ozcan ◽

C. Ayhan ◽

Y. Yakut

Keyword(s):

Idiopathic Scoliosis ◽

Curve Pattern ◽

Hand Functions

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Long-term outcomes of silicone metacarpophalangeal arthroplasty: a longitudinal analysis of 325 cases

Journal of Hand Surgery (European Volume) ◽

10.1177/1753193418778461 ◽

2018 ◽

Vol 43 (10) ◽

pp. 1076-1082 ◽

Cited By ~ 5

Author(s):

Chelsea Boe ◽

Eric Wagner ◽

Marco Rizzo

Keyword(s):

Survival Rates ◽

Coronal Plane ◽

Functional Improvement ◽

Silicone Implants ◽

Fracture Rate ◽

High Fracture ◽

Level Of Evidence ◽

Time Period ◽

Plane Deformity

An analysis was conducted of 325 consecutive metacarpophalangeal arthroplasties prospectively collected using a single institution’s total joints registry over a 14-year time period to characterize long-term radiographic and functional outcomes. Patients were followed for a mean of 7.2 years (2–18) or until revision. The 5-, 10- and 15-year survival free from revision were 98%, 95% and 95%, respectively. The 5-, 10- and 15-year survival rates free from radiographic implant fracture were 93%, 58% and 35%, respectively. The 5-, 10- and 15-year survival rates free from coronal plane deformity greater than 10° were 81%, 37% and 17%, respectively. Patients had significant improvements in their postoperative pain levels and metacarpophalangeal arc of motion. Neither implant fracture, nor coronal plane deformity >10° had a significant association with worse function. Overall, pain relief and functional improvement are reliable, though silicone implants do not protect from progression of coronal plane deformity and have a high fracture rate. Level of evidence: IV

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Concordance for curve type in idiopathic scoliosis among family members

Acta Ortopédica Brasileira ◽

10.1590/1413-785220172503172684 ◽

2017 ◽

Vol 25 (3) ◽

pp. 90-94 ◽

Cited By ~ 1

Author(s):

Clarissa Miranda Carneiro de Albuquerque olbertz ◽

Jérôme Sales de Gauzy ◽

Paulo Cezar Vidal Carneiro de Albuquerque ◽

Frank Accadbled ◽

Paula Eduarda Miranda Carneiro de Albuquerque ◽

...

Keyword(s):

Idiopathic Scoliosis ◽

Prospective Study ◽

Family Members ◽

P Value ◽

Curve Shape ◽

Curve Pattern ◽

Level Of Evidence ◽

Lenke Classification ◽

The Family ◽

High Concordance

ABSTRACT OBJECTIVE: To evaluate the concordance for the curve pattern, side and levels of the superior apical vertebrae, apex and inferior apical vertebrae of curves in patients and their relatives with idiopathic scoliosis. METHODS: Concordance according to the Lenke classification for curve pattern, side and levels of the superior apical vertebrae, apex and inferior apical vertebrae were evaluated comparative and prospectively in 243 pairs of patients and respective relatives with idiopathic scoliosis. RESULTS: The family concordance for the curve pattern and side was 51.4% (125 pairs). Among these pairs, the concordance of the levels of the vertebrae was 91.2% (114 pairs). The concordance rate for the curve pattern and side between parents/children was 51.6% and between siblings was 50.0% (p-value= 0.411). The concordance rates of the levels of vertebrae were 86.8% and 95.1%, respectively (p-value = 0.219). CONCLUSION: Curve shape in idiopathic scoliosis is related to family and degree of kinship, since the data showed a high concordance for the curve pattern, side and levels of the apical vertebrae and apex between patients and relatives with this deformity. The concordance was higher in those with a closer degree of kinship. Level of Evidence II, Lesser Quality Prospective Study.

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