Comparative Analysis of Surgical Approaches and Osteotomies for the Correction of Sagittal Plane Spinal Deformity in Adults

Study Design: Historical cohort study. Objective: To evaluate progression in the coronal and sagittal planes in nonsurgical patients with adult spinal deformity (ASD). Methods: A retrospective analysis of nonsurgical ASD patients between 2005 and 2017 was performed. Magnitude of the coronal and sagittal planes were compared on the day of presentation and at most recent follow-up. Previous reported prognostic factors for progression in the coronal plane, including the direction of scoliosis, curve magnitude, and the position of the intercrest line (passing through L4 or L5 vertebra), were studied. Results: Fifty-eight patients were included with a mean follow-up of 59.8 ± 34.5 months. Progression in the coronal plane was seen in 72% of patients. Mean Cobb angle on the day of presentation and most recent follow-up was 37.2 ± 14.6° and 40.8° ± 16.5°, respectively. No significant differences were found in curve progression in left- versus right-sided scoliosis (3.3 ± 7.1 vs 3.7 ± 5.4, P = .81), Cobb angle <30° versus ≥30° (2.6 ± 5.0 vs 4.3 ± 6.5, P = .30), or when the intercrest line passed through L4 rather than L5 vertebra (3.4 ± 5.0° vs 3.8 ± 7.1°, P = .79). No significant differences were found in the sagittal plane between presentation and most recent follow-up. Conclusions: This is the first study that describes progression in the coronal and sagittal planes in nonsurgical patients with ASD. Previous reported prognostic factors were not confirmed as truly relevant. Although progression appears to occur, large variation exists and these results may not be directly applicable to the individual patient.

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Surgical approaches to intramedullary nailing of the tibia: Comparative analysis of knee pain and functional outcomes

Injury ◽

10.1016/j.injury.2015.12.025 ◽

2016 ◽

Vol 47 (4) ◽

pp. 958-961 ◽

Cited By ~ 19

Author(s):

Wajeeh R Bakhsh ◽

Steven M. Cherney ◽

Christopher M. McAndrew ◽

William M. Ricci ◽

Michael J. Gardner

Keyword(s):

Comparative Analysis ◽

Intramedullary Nailing ◽

Knee Pain ◽

Functional Outcomes ◽

Surgical Approaches

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Traumatic Spondyloptosis: Neurological, Surgical, and Outcome Perspectives in a Tertiary Care Center

Indian Journal of Neurosurgery ◽

10.1055/s-0041-1726608 ◽

2021 ◽

Author(s):

Rahul Singh ◽

Ravi Shankar Prasad ◽

Ashvamedh Singh ◽

Kulwant Singh ◽

Anurag Sahu

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Neuropathic Pain ◽

Sagittal Plane ◽

Care Center ◽

Tertiary Care ◽

International Standards ◽

Surgical Approaches ◽

Severity Of Injury ◽

Cord Injury

Abstract Objective To evaluate traumatic spondyloptosis cases for neurological, surgical, and outcome perspectives. Materials and Methods This retrospective study includes 17 patients of spondyloptosis admitted in our department between August 2016 and January 2020. Each patient was evaluated in terms of demographic profile, clinical presentation, duration of injury, mode of injury, associated injuries, level and type of spondyloptosis, spinal cord status, nociceptive and neuropathic pain severity, severity of injury based on International Standards for Neurological Classification of Spinal Cord Injury (ISNCSI) assessment, surgical approaches, complications, and outcome. Unpaired t- test and Chi-square test were used for statistical analysis. Values with p < 0.05 were considered statistically significant. Results Fall from height (58.8%) was the most common mode of injury. Most common level of spondyloptosis was T12–L1 (41.1%). Sagittal–plane spondyloptosis (76.5%) were more common than coronal–plane spondyloptosis (23.5%). Most common associated injury was musculoskeletal (64.7%). Neurological status of the patient at presentation (p = 0.0007) was significantly associated with outcome after 3 months of surgery/conservative management. Residual listhesis was present in 53.3% of patients postoperatively. Postoperative nociceptive pain (p = 0.0171) and neuropathic pain (0.0329) were significantly associated with residual listhesis. Duration of injury (p = 0.0228) was also significantly associated with postoperative residual listhesis. Conclusion Complete reduction of spondyloptosis should be the goal of surgery. Overall prognosis of spinal cord injury (SCI) due to traumatic spondyloptosis is poor.

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A Comparison of Four Different Surgical Approaches to Adult Spinal Deformity: Which Approach is Best?

The Spine Journal ◽

10.1016/j.spinee.2014.08.205 ◽

2014 ◽

Vol 14 (11) ◽

pp. S80

Author(s):

Han Jo Kim ◽

Michael P. Kelly ◽

Stacie Nguyen ◽

Matthew E. Cunningham ◽

Virginie Lafage ◽

...

Keyword(s):

Spinal Deformity ◽

Adult Spinal Deformity ◽

Surgical Approaches

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A Critical Analysis of Sagittal Plane Deformity Correction with Minimally Invasive Adult Spinal Deformity Surgery: A Two-Year Follow-Up Study

The Spine Journal ◽

10.1016/j.spinee.2015.07.113 ◽

2015 ◽

Vol 15 (10) ◽

pp. S126-S127

Author(s):

International Spine Study Group ◽

Gregory M. Mundis ◽

Jay D. Turner ◽

Vedat Deviren ◽

Juan S. Uribe ◽

...

Keyword(s):

Minimally Invasive ◽

Spinal Deformity ◽

Critical Analysis ◽

Sagittal Plane ◽

Adult Spinal Deformity ◽

Deformity Correction ◽

Follow Up Study ◽

Spinal Deformity Surgery ◽

Plane Deformity

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Multilevel Schwab grade II osteotomies for sagittal plane correction in the management of adult spinal deformity

The Spine Journal ◽

10.1016/j.spinee.2017.05.013 ◽

2017 ◽

Vol 17 (11) ◽

pp. 1594-1600 ◽

Cited By ~ 3

Author(s):

George M. Ghobrial ◽

Nathan H. Lebwohl ◽

Barth A. Green ◽

Joseph P. Gjolaj

Keyword(s):

Spinal Deformity ◽

Sagittal Plane ◽

Adult Spinal Deformity ◽

Grade Ii

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The comparative analysis of surgical approaches to the removal of cysts of the maxillary sinuses

Rossiiskaya rinologiya ◽

10.17116/rosrino20172549-12 ◽

2017 ◽

Vol 25 (4) ◽

pp. 9 ◽

Cited By ~ 1

Author(s):

T. V. Banashek-meshcheryakova ◽

F. V. Semenov

Keyword(s):

Comparative Analysis ◽

Surgical Approaches ◽

Maxillary Sinuses

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Comparison between three techniques for videosinuscopy in cattle

Ciência Rural ◽

10.1590/0103-8478cr20141478 ◽

2016 ◽

Vol 46 (7) ◽

pp. 1262-1267 ◽

Cited By ~ 3

Author(s):

Fernando Zanlorenzi Basso ◽

Eduarda Maciel Busato ◽

Jéssica Rodrigues da Silva ◽

Rogério Luizari Guedes ◽

Ivan Roque de Barros Filho ◽

...

Keyword(s):

Comparative Analysis ◽

Maxillary Sinus ◽

Paranasal Sinuses ◽

Frontal Sinus ◽

Surgical Approaches ◽

Endoscopic Anatomy ◽

Flexible Colonoscope ◽

Frontal Sinuses ◽

Made In

ABSTRACT: Cattle have extensive paranasal sinuses that are susceptible to disease, most commonly sinusitis. The sinuscopy can be used to evaluate these structures, although there are no descriptions of this region for endoscopic anatomy, especially regarding the trocar position and the most appropriate type of endoscope. This study aimed to standardize the surgical approaches to sinuscopy in cattle by comparing the use of three endoscopes. Four accesses by trephination (one hole for each of the maxillary and frontal sinuses) were made in eight heads of slaughtered cattle. Each hole was inspected with three endoscopes: a 10mm flexible colonoscope with up to 180º of angulation, a 10mm 0° laparoscope and a 4mm 30º arthroscope. It was observed that all regions of the maxillary sinus were better visualized with the 4mm endoscope, and the structures of this sinus were less well visualized with the 10mm laparoscope. The frontal sinus was difficult to evaluate due to the tortuosity of its bony projections, and the cranial portion was not observed by the proposed accesses. The caudal regions of the frontal sinus such as the nuchal diverticulum and the back of the orbit had the greatest number of structures visualized by the 4mm endoscope, followed by the colonoscope. The comparative analysis showed that the 4mm endoscope was most efficient and could be adapted to sinuscopy in cattle.

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