scholarly journals Effect of Surgical Curve Correction on Exercise Tolerance and Physical Capacities in Patients of Severe Spinal Deformity

Author(s):  
Prateek C Patil
2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Sayo Nakao ◽  
Shinichi Yamada ◽  
Katsuya Tsuda ◽  
Taishi Yokomizo ◽  
Teruyuki Sato ◽  
...  

2021 ◽  
pp. 219256822097913
Author(s):  
Niek te Hennepe ◽  
Maarten Spruit ◽  
Martin H. Pouw ◽  
Marco Hinderks ◽  
Petra Heesterbeek

Study Design: Retrospective cohort study. Objectives: No consensus exists among surgeons on which radiologic method to prefer for the assessment of curve flexibility in spinal deformity. The objective of this study was to evaluate the difference in curve correction on supine traction radiographs versus prone side bending radiographs. Methods: A retrospective analysis of idiopathic scoliosis (IS), degenerative idiopathic scoliosis (DIS) and de novo degenerative lumbar scoliosis (DNDLS) patients was performed on supine traction as well as prone bending films (when available). Age, weight, traction force, diagnosis and Cobb angles of the primary and secondary curves were extracted. Differences in curve correction (percentages) on traction versus prone bending radiographs were analyzed for the primary and secondary curve. Subgroup analyses were performed for the 3 different diagnoses. Results: In total, 170 patients were eligible for inclusion. 43 were diagnosed with IS, 58 with DIS and 69 with DNDLS. For the primary curve, greater curve correction was obtained with bending in the DNDLS group ( P < 0.001). In the DIS group, there was a trend toward more correction on bending ( P = 0.054). In de IS group no difference was found. For the secondary curve, bending showed more curve correction in the IS and DIS group ( P = 0.002 and P <0.001). No difference was found in the DNDLS group. Conclusion: Compared to traction radiographs, bending radiographs better serve the purpose of curve flexibility assessment of IS, DIS and DNDLS spinal deformity, despite the fact that patients are exposed to more radiation.


Author(s):  
Charles T. Mehlman ◽  
Mohammed J. Al-Sayyad ◽  
Alvin H. Crawford

2012 ◽  
Vol 22 (2) ◽  
pp. 417-424 ◽  
Author(s):  
Jing-Ming Xie ◽  
Zhi Zhao ◽  
Hua Yang ◽  
Ying-Song Wang ◽  
Ying Zhang ◽  
...  

2019 ◽  
Vol 7 (1) ◽  
pp. 171-175
Author(s):  
Chelsea S. Mathews ◽  
David B. Bumpass ◽  
Frances Lynn McCullough ◽  
Richard E. McCarthy

2016 ◽  
Vol 21 (4) ◽  
pp. 295
Author(s):  
Syed Asif Ali ◽  
Asad Ali Ch ◽  
Ahmad Sarfraz Humayun ◽  
Usman Zafar Dar ◽  
Syed Muhammad Awais

AbstractBackground:Severe and rigid scoliosis and kyphosis are difficult to treat but with the advent of new spinal operative techniques and implants, it has become man-ageable in expert hands. However these implants are too expensive for developing countries like us. The Halo-pelvic traction is a relatively cheaper device sys-tem used to treat such deformities. Moreover, rapid curve correction and one stage surgery may lead to permanent neurological deficit.Objective:To evaluate treatment outcome of Halo-pelvic Traction in the treatment of severe scoliosis and kyphosis.Methodology:This descriptive study was conducted in the department of Orthopedics surgery and traumatology unit I, King Edward Medical University, Mayo Hospital Lahore from September 2010 to August 2012. The patients with severe spinal deformity which could not be corrected at a single stage were included. A Performa was made for each patient and results were statistically analyzed by using SPSS version 20.Results:Total no. of 07 patients were treated, out of them 04 scoliosis patients having mean Cobbs angle of 77.25 5.31 before treatment, improved significantly to 45 5.35 after surgery (p?0.0001), 03 kyphosis patients with mean Kyphus angle of 96.67 24.66 improved to 58.33 17.56 (p?0.0001). Two major complications i.e. one paraplegia which recovered incompletely and one had CSF discharge from cranial pin that was also revived thoroughly after changing the position of the pin.Conclusion:Halopelvic traction device can help in treating the patients of severe scoliosis and kyphosis.Keywords:Kyphosis, Halo-Pelvic, Kyphus angle, Cobbs angle.


2020 ◽  
Vol 8 (4) ◽  
pp. 711-715
Author(s):  
Nestor Ricardo Davies ◽  
Victor Vasquez Rodriguez ◽  
Rodrigo German Remondino ◽  
Eduardo Galaretto ◽  
Lucas Piantoni ◽  
...  

2008 ◽  
Vol 24 (1) ◽  
pp. E10 ◽  
Author(s):  
Daniel M. Sciubba ◽  
Clarke Nelson ◽  
Patrick Hsieh ◽  
Ziya L. Gokaslan ◽  
Steve Ondra ◽  
...  

✓ Patients with ankylosing spondylitis (AS) who present with spinal lesions are at an increased risk for developing perioperative complications. Due to the rigid yet brittle nature of the ankylosed spines commonly occurring with severe spinal deformity, patients are more prone to developing neurological deficits. Such risks are potentially increased not only during surgical manipulation or deformity correction, but also during image acquisition, positioning within the operating room, and intubation. In this review the complications of AS are reviewed, and recommendations are provided to avoid problems during each stage of patient management.


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