scholarly journals Adolescent idiopathic scoliosis: surgical treatment and quality of life

2017 ◽  
Vol 25 (3) ◽  
pp. 85-89 ◽  
Author(s):  
Luciano Miller Reis Rodrigues ◽  
Alberto Ofenhejm Gotfryd ◽  
André Nunes Machado ◽  
Matheus Defino ◽  
Leonardo Yukio Jorge Asano
Keyword(s):  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Perioperative Complications ◽  
Case Series ◽  
Clinical Results ◽  
Spine Fusion ◽  
Level Of Evidence ◽  
Posterior Spine ◽  
A Prospective Study

ABSTRACT OBJECTIVES: The purpose of this study was to determine the influence of perioperative factors and their impact on clinical and functional outcomes in Brazilian patients with adolescent idiopathic scoliosis (AIS). METHODS: We performed a prospective study with 49 consecutive AIS patients who underwent spine fusion and had a minimum 2 year follow-up. Clinical and radiographic data were correlated to SRS-30 scores in order to predict postoperative results. RESULTS: There was a negative association between patient age at the time of surgery and back pain. We also observed higher scores in the "satisfaction" domain in patients who underwent surgery after 15 years of age (p < 0.05). The average SRS-30 "mental health" score was significantly higher in males than in females (p= 0.035). Patients treated with braces had worse results than those who did not use them (p= 0.005). CONCLUSIONS: Posterior spine fusion led to improvement of all domains of the SRS-30 questionnaire. Clinical results were influenced by age, sex and the use of braces prior to surgery. There was no correlation between curve correction and presence of perioperative complications. Level of Evidence IV, Case Series.

scholarly journals Bone graft in posterior spine fusion for adolescent idiopathic scoliosis: a meta-analysis

2018 ◽  
Vol 88 (12) ◽  
pp. 1247-1252 ◽  
Author(s):  
Nathan Kirzner ◽  
Luke Hilliard ◽  
Catherine Martin ◽  
Gerald Quan ◽  
Susan Liew ◽  
...  
Keyword(s):  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Bone Graft ◽  
Meta Analysis ◽  
Spine Fusion ◽  
Posterior Spine

Long-term outcomes after posterior spine fusion for adolescent idiopathic scoliosis

2012 ◽  
Vol 24 (1) ◽  
pp. 68-75 ◽  
Author(s):  
Christopher K. Kepler ◽  
Dennis S. Meredith ◽  
Daniel W. Green ◽  
Roger F. Widmann
Keyword(s):  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Spine Fusion ◽  
Long Term Outcomes ◽  
Posterior Spine

scholarly journals Concurrent and overlapping surgery: perspectives from surgeons on spinal posterior instrumented fusion for adolescent idiopathic scoliosis

2021 ◽  
pp. 1-7
Author(s):  
Sachin Allahabadi ◽  
Hao-Hua Wu ◽  
Sameer Allahabadi ◽  
Tiana Woolridge ◽  
Michael A. Kohn ◽  
...  
Keyword(s):  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Level Of Evidence ◽  
Instrumented Fusion ◽  
The Public ◽  
Spine Instrumentation ◽  
Simultaneous Surgery ◽  
Posterior Spine ◽  
Strongly Agree ◽  
Posterior Instrumented Fusion

Purpose The purpose of this study was to determine perspectives of surgeons regarding simultaneous surgery in patients undergoing posterior spine instrumentation and fusion (PSIF) for adolescent idiopathic scoliosis (AIS). Methods A survey was administered to orthopaedic trainees and faculty regarding simultaneous surgery for primary PSIF for AIS. A five-point Likert scale (1: ‘Strongly Disagree’ to 5: ‘Strongly Agree’) was used to assess agreement with statements about simultaneous surgery. We divided simultaneous surgery into concurrent, when critical portions of operations occur at the same time, and overlapping, when noncritical portions occur at the same time. Results The 72 respondents (78.3% of 92 surveyed) disagreed with concurrent surgery for ‘one of my patients’ (response mean 1.76 (sd 1.03)) but were more accepting of overlapping surgery (mean 3.94 (sd 0.99); p < 0.0001). The rating difference between concurrent and overlapping surgery was smaller for paediatric and spine surgeons (-1.25) than for residents or those who did not identify a subspecialty (-2.17; p = 0.0246) or other subspecialty surgeons (-2.57; p = 0.0026). Respondents were more likely to agree with explicit informed consent for concurrent surgery compared with overlapping (mean 4.32 (sd 0.91) versus 3.44 (sd 1.14); p < 0.001). Conclusion Orthopaedic surgeons disagreed with concurrent but were more accepting of overlapping surgery and anaesthesia for PSIF for AIS. Respondents were in greater agreement that patients should be explicitly informed of concurrence than of overlap. The surgical community’s evidence and position regarding simultaneous surgery, in particular overlapping, must be more effectively presented to the public in order to bridge the gap in perspectives. Level of Evidence IV

scholarly journals ROLE OF DIFFERENT HORMONES IN THE PATHOGENESIS AND SEVERITY OF ADOLESCENT IDIOPATHIC SCOLIOSIS

2017 ◽  
Vol 25 (1) ◽  
pp. 15-17 ◽  
Author(s):  
RICARDO TEIXEIRA E SILVA ◽  
RENAN JOSE RODRIGUES FERNANDES ◽  
ALLAN HIROSHI DE ARAÚJO ONO ◽  
RAPHAEL MARTUS MARCON ◽  
ALEXANDRE FOGAÇA CRISTANTE ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Cobb Angle ◽  
Inverse Correlation ◽  
Serum Levels ◽  
Diagnostic Study ◽  
Level Of Evidence ◽  
Hydroxyvitamin D

ABSTRACT Objective: To evaluate the hormonal profile of patients with adolescent idiopathic scoliosis (AIS) and its relationship to the severity of the curvature and quality of life . Method: Patients with scoliosis (Cobb angle above 10°), of both genders, diagnosed after 10 years of age were included, excluding those who presented other condition that could lead to scoliosis. Serum levels of 25-hydroxyvitamin D (25-OHD), cortisol and gastrin were correlated with Cobb angle and quality of life, measured by the SRS-30 questionnaire . Results: The levels of 25-OHD decreased in 97% of patients. There was an inverse relationship between gastrin levels and quality of life (p = 0.016). Moreover, there was an inverse correlation between the value of Cobb angle and quality of life (p = 0.036). There were no changes in cortisol levels. There was no correlation between Cobb angle and any of the hormones measured . Conclusion: The patients had levels of 25-OHD diminished, strengthening the hypothesis of its involvement in the development of AIS. This study also suggests that increased gastrin levels may be associated with a worse quality of life in patients with AIS. Level of Evidence II, Diagnostic Study.

Multiple concave rib head resection improved correction rate of posterior spine fusion in treatment of adolescent idiopathic scoliosis

2017 ◽  
Vol 22 (3) ◽  
pp. 415-419 ◽  
Author(s):  
Takashi Namikawa ◽  
Hiroshi Taneichi ◽  
Satoshi Inami ◽  
Hiroshi Moridaira ◽  
Daisaku Takeuchi ◽  
...  
Keyword(s):  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Spine Fusion ◽  
Correction Rate ◽  
Posterior Spine ◽  
Rib Head

Preoperative Bracing Affects Postoperative Outcome of Posterior Spine Fusion With Instrumentation for Adolescent Idiopathic Scoliosis

Spine ◽  
2010 ◽  
Vol 35 (20) ◽  
pp. 1876-1879 ◽  
Author(s):  
Mohammad Diab ◽  
Melinda Sharkey ◽  
John Emans ◽  
Lawrence Lenke ◽  
Timothy Oswald ◽  
...  
Keyword(s):  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Postoperative Outcome ◽  
Spine Fusion ◽  
Posterior Spine

scholarly journals ROTATION ASSESSMENT IN ADOLESCENT IDIOPATHIC SCOLIOSIS WITH ROD DEROTATION

2019 ◽  
Vol 27 (1) ◽  
pp. 42-45
Author(s):  
Fernando Flores de Araujo ◽  
Raphael Martus Marcon ◽  
Alexandre Fogaça Cristante ◽  
Tarcísio Eloy Pessoa de Barros Filho ◽  
Olavo Biraghi Letaif
Keyword(s):  
Surgical Treatment ◽  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Case Series ◽  
Deformity Correction ◽  
Vertebral Rotation ◽  
Level Of Evidence ◽  
Apical Vertebra ◽  
Screw Density ◽  
Cobb Method

ABSTRACT Objective: Adolescent idiopathic scoliosis (AIS) is characterized by rotational and lateral deformity of the spine. The measurement of vertebral rotation is important for prognosis and treatment. Our objective was to evaluate whether the Nash-Moe method can be used to measure axial deformity correction with surgical treatment using the rod derotation maneuver at both the apex and extremities of the deformity in patients with AIS. Methods: Rotation was assessed using the Nash and Moe criteria, on preoperative and postoperative radiographs. We also evaluated the severity on the coronal plane using the Cobb method, ratio of correction achieved, screw density, and number of vertebrae involved in the instrumentation. Results: The Cobb method correction average was 54.8%. When we disregarded vertebrae that presented preoperative Nash-Moe grade 0, the average measurable correction was 54.5% in the first non-instrumented vertebra above, 69.2% in the first instrumented vertebra, 32.2% in the apical vertebra, 36.8% in the last instrumented vertebra, and 30% in the first non-instrumented vertebra below. In our study, 32.14% of the patients presented a measurable correction in the apical vertebra. Conclusion: On the axial plane, correction can be satisfactorily evaluated using the Nash-Moe method. Level of Evidence VI. Case Series.

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