Surgical Treatment of Lenke 1 Main Thoracic Idiopathic Scoliosis

Spine ◽  
2013 ◽  
Vol 38 (4) ◽  
pp. 328-338 ◽  
Author(s):  
Peter O. Newton ◽  
Michelle C. Marks ◽  
Tracey P. Bastrom ◽  
Randal Betz ◽  
David Clements ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Idiopathic Scoliosis ◽  
Main Thoracic ◽  
Thoracic Idiopathic Scoliosis

scholarly journals EXPERIENCE IN THE USE OF HYBRID INSTRUMENTATION IN SURGICAL TREATMENT OF THORACIC IDIOPATHIC SCOLIOSIS WITH LUMBAR COUNTER-CURVE

2015 ◽  
pp. 30-35
Author(s):  
Aleksandr Vasyura ◽  
◽  
Vyacheslav Novikov ◽  
Vadim Belosyorov ◽  
Inga Udalova ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Idiopathic Scoliosis ◽  
Hybrid Instrumentation ◽  
Thoracic Idiopathic Scoliosis

scholarly journals TACTIC IN SURGICAL TREATMENT OF THORACIC IDIOPATHIC SCOLIOSIS IN CHILDREN

2010 ◽  
Vol 16 (2) ◽  
pp. 82-85
Author(s):  
S. V. Vissarionov ◽  
A. P. Drozdetsky
Keyword(s):  
Surgical Treatment ◽  
Idiopathic Scoliosis ◽  
Growth Potential ◽  
Degree Of Deformation ◽  
Thoracic Scoliosis ◽  
Dorsal Instrumentation ◽  
Thoracic Idiopathic Scoliosis

The results of surgical treatment of 263 patients with thoracic scoliosis from 13 to 18 years old with deformity 50-152° (Cobb) are presented. It was used three tactical variants with dorsal instrumentation Cotrel-Dubousset (CDI). Operation correction in idiopathic thoracic scoliosis varies within in limits from 46,2 to 95%. Lost of correction in 10 years follow up period was 5,10-10,15%. Authors concluded that tactic of surgical treatment of idiopathic thoracic scoliosis should be individual and depends on patient's age, growth potential, and degree of deformation and mobility of the curve.

scholarly journals SURGICAL TREATMENT OF THORACIC IDIOPATHIC SCOLIOSIS

2006 ◽  
pp. 025-032
Author(s):  
Mikhail Vitalyevich Mikhailovsky ◽  
Vyacheslav Viktorovich Novikov ◽  
Aleksandr Sergeyevich Vasyura ◽  
Elena Vladimirovna Gubina ◽  
Albert Leonidovich Khanaev ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Idiopathic Scoliosis ◽  
Interbody Fusion ◽  
Spine Deformity ◽  
Anterior Fusion ◽  
Postoperative Course ◽  
Lowest Instrumented Vertebra ◽  
Thoracic Idiopathic Scoliosis ◽  
Bone Autograft

Objective. To analyze results of surgical treatment of patients with thoracic idiopathic scoliosis. Material and Methods. Fifty-two patients with Lenke type 1 idiopathic scoliosis were operated on. Follow-up periods ranged from 2 weeks to 8 years (mean 1.8 years). Surgical treatment included four types of operation: spine deformity correction with CD instrumentation; supramalleolar-andskull traction and CDI correction; discectomy and interbody fusion with bone autograft and CDI correction; supramalleolar- and-skull traction, discectomy and interbody fusion with bone autograft, and CDI correction. Patients were interrogated with pre- and postoperative SRS-24 questionnaires and examined with Computer Optical Topograph (COMOT). Results. Scoliosis was corrected from a mean of 67.7° to 26.6°, with a mean deformity value being 30.3° at the last follow- up. Thus, postoperative progression of the thoracic curve with a mean follow-up 1.8 years was 3.7° (9 % from the achieved correction). Anterior fusion provided a threefold decrease in postoperative progression. Sagittal shape of the thoracic and lumbar spine remained within norm limits. The location of the lowest instrumented vertebra (LIV) relative to a neutral vertebra, lower stable vertebra and neutralized disc did not reliably influence on the postoperative course. Postoperative deformity progression was associated only with increase in LIV tilt. SRS-24 data showed a high rate of patients’ satisfaction with the obtained effect of treatment, the rate growing with the extension of follow-up terms. Severe complications were not observed. Conclusion. Modern 3rd generation segmental instrumentation allows to obtain stable and high results of treatment for single curve thoracic idiopathic deformities, while all regularities of postoperative course are not fully understood yet.

Upper instrumented vertebra to the right of the lowest instrumented vertebra as a predictor of an increase in the main thoracic curve after selective posterior fusion for the thoracolumbar/lumbar curve in Lenke type 5C adolescent idiopathic scoliosis: multicenter study on the relationship between fusion area and surgical outcome

2019 ◽  
Vol 31 (6) ◽  
pp. 857-864 ◽  
Author(s):  
Hiroki Oba ◽  
Jun Takahashi ◽  
Sho Kobayashi ◽  
Tetsuro Ohba ◽  
Shota Ikegami ◽  
...  
Keyword(s):  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Cobb Angle ◽  
Posterior Fusion ◽  
Main Thoracic ◽  
Lowest Instrumented Vertebra ◽  
Line Tilt ◽  
The Right ◽  
Upper Instrumented Vertebra

OBJECTIVEUnfused main thoracic (MT) curvatures occasionally increase after selective thoracolumbar/lumbar (TL/L) fusion. This study sought to identify the predictors of an unacceptable increase in MT curve (UIMT) after selective posterior fusion (SPF) of the TL/L curve in patients with Lenke type 5C adolescent idiopathic scoliosis (AIS).METHODSForty-eight consecutive patients (44 females and 4 males, mean age 15.7 ± 2.5 years, range 13–24 years) with Lenke type 5C AIS who underwent SPF of the TL/L curve were analyzed. The novel “Shinshu line” (S-line) was defined as a line connecting the centers of the concave-side pedicles of the upper instrumented vertebra (UIV) and lowest instrumented vertebra (LIV) on preoperative radiographs. The authors established an S-line tilt to the right as S-line positive (S-line+, i.e., the UIV being to the right of the LIV) and compared S-line+ and S-line− groups for thoracic apical vertebral translation (T-AVT) and MT Cobb angle preoperatively, early postoperatively, and at final follow-up. The predictors for T-AVT > 20 mm at final follow-up were evaluated as well. T-AVT > 20 mm was defined as a UIMT.RESULTSAmong the 48 consecutively treated patients, 26 were S-line+ and 22 were S-line−. At preoperative, early postoperative, and final follow-up a minimum of 2 years later, the mean T-AVT was 12.8 mm (range −9.3 to 32.8 mm), 19.6 mm (range −13.0 to 41.0 mm), and 22.8 mm (range −1.9 to 68.7 mm) in the S-line+ group, and 10.8 mm (range −5.1 to 27.3 mm), 16.2 mm (range −11.7 to 42.1 mm), and 11.0 mm (range −6.3 to 26.9 mm) in the S-line− group, respectively. T-AVT in S-line+ patients was significantly larger than that in S-line− patients at the final follow-up. Multivariate analysis revealed S-line+ (odds ratio [OR] 23.8, p = 0.003) and preoperative MT Cobb angle (OR 7.9, p = 0.001) to be predictors of a UIMT.CONCLUSIONSS-line+ was defined as the UIV being to the right of the LIV. T-AVT in the S-line+ group was significantly larger than in the S-line− group at the final follow-up. S-line+ status and larger preoperative MT Cobb angle were independent predictors of a UIMT after SPF for the TL/L curve in patients with Lenke type 5C AIS. Surgeons should consider changing the UIV and/or LIV in patients exhibiting S-line+ during preoperative planning to avoid a possible increase in MT curve and revision surgery.

scholarly journals Comparison of the sagittal profiles among thoracic idiopathic scoliosis patients with different Cobb angles and growth potentials

2014 ◽  
Vol 9 (1) ◽  
pp. 19 ◽  
Author(s):  
Bo Ran ◽  
Guo-you Zhang ◽  
Feng Shen ◽  
Jia-yu Chen ◽  
Ji-bin Wu ◽  
...  
Keyword(s):  
Idiopathic Scoliosis ◽  
Thoracic Idiopathic Scoliosis

Migration of Thoracic Aorta After the Anterior Correction of Thoracic Idiopathic Scoliosis Without Parietal Pleura Closure

2011 ◽  
Vol 24 (6) ◽  
pp. 390-396 ◽  
Author(s):  
Feng Zhu ◽  
Wen-jun Chen ◽  
Wei-jun Wang ◽  
Bing Wang ◽  
Ze-zhang Zhu ◽  
...  
Keyword(s):  
Idiopathic Scoliosis ◽  
Thoracic Aorta ◽  
Parietal Pleura ◽  
Anterior Correction ◽  
Thoracic Idiopathic Scoliosis

scholarly journals Idiopathic scoliosis surgical treatment. Results in Mexico’s National Rehabilitation Institute. 24-month follow-up

2019 ◽  
Vol 86 (5) ◽  
Author(s):  
Barón Zárate-Kalfópulos ◽  
Héctor R. Martínez-Ríos ◽  
Francisco López-Meléndez ◽  
Carla L. García-Ramos ◽  
Luis M. Rosales-Olivarez ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Idiopathic Scoliosis ◽  
Treatment Results
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