ANALYZING THE PREOPERATIVE AND POSTOPERATIVE SPINOPELVIC PARAMETERS IN LENKE TYPE 1 ADOLESCENT IDIOPATHIC SCOLIOSIS PATIENTS.
Journal Title: Journal of Turkish Spinal Surgery - Year 2017, Vol 28, Issue 4
Abstract
Objective: To analyze the pre and postoperative changes of sagittal spinopelvic parameters in Lenke type 1AIS patients. Methods: Thirty Lenke 1 AIS patients evaluated retrospectively. Thoracic kyphosis, lumbar lordosis, pelvic incidence, sacral slope and pelvic tilt angles were measured on preoperative and last follow-up standing full-length lateral radiographs. Kolmogorov-Smirnov test was utilized to assess distribution of study parameters. Preoperative and postoperative results were compared with Wilcoxen Sum Rank test. p<0.05 considered as statistically significant. Results: There were 28 females and 2 males. Mean age was 13.4 years, mean follow-up was 38 months. Mean preoperative thoracic kyphosis, lumbar lordosis, pelvic incidence, sacral slope and pelvic tilt were 35.3°±11.9°, 50.8°±7.4°, 48.3°±8.5°, 33.4°±5.6°, and 15.5°±4.5°, respectively. Mean postoperative thoracic kyphosis, lumbar lordosis, pelvic incidence, sacral slope and pelvic tilt were 28.6°±4.6°, 46.3°±7.1°, °7.7±°34.3 ,°7.5±°49.5, and 7°.7±°15.2, respectively. Comparison of the preoperative and last follow-up thoracic kyphosis and lumbar lordosis showed that there is a significant difference statistically. However, there is no statistical difference between preoperative and last follow-up pelvic incidence, sacral slope and pelvic tilt. Conclusion: Lenke type 1 AIS thoracic structural curve and fusing the thoracic and lumbar region may change the spinopelvic parameters thus compensatory mechanisms should not be corrupted during the surgery.
Authors and Affiliations
Okan OZKUNT, Kerim SARIYILMAZ, Turgut AKGÜ, Fatih DIKICI, Ünsal DOMANIÇ
Keywords
Related Articles
- EP ID EP676969
- DOI -
- Views 164
- Downloads 0
APPLICATION OF "ALICI" POSTERIOR INSTRUMENTATION IN THORACOLUMBAR VERTEBRAL FRACTURES
Summary: "Alıcı"posterior irıstrumentation was performed in tvventy patients with fractures of thoracolumbar vertebrae İn department of orthopedics & traumatology in Ankara Hospital between August 1990 and December 1991....
THE EFFICIENCY OF CONSERVATIVE TREATMENT OF THE THORACOLUMBAR VERTEBRAE COMPRESSION FRACTURES
Objective: The evaluation of the radiologic and functional efficiency of conservative treatment of the thoracolumbar vertebrae fractures has been aimed. Material and Methods: The study included 25 patients (16 mal...
FREQUENCY OF CERVICAL DISLOCATIONS IN A GROUP OF CERVICAL INJURED PATIENTS
Aim: Cervical spine injuries are the most challenging injuries in the vertebral column. Because of the importance of the passing neurologic structures in the cervical spinal column, morbidity and mortality of the inju...
SPINAL ANESTHESIA FOR SPINAL SURGERY: INDICATIONS AND COMPLICATIONS OF SPINAL ANESTHESIA FOR THE PATIENTS WITH DEGENERATIVE SPINAL DISEASE
Spinal anesthesia can be achieved by injecting small dose of local anesthetic solution into the subarachnoid space. Small volume of local anesthetic blocades sensorial and motor nerves of the lower extremity. Spinal anes...
SURGICAL PRINCIPLES IN POSTERIOR TRANSPEDICULAR SCREW FIXATION AND FUSION FOR TREATMENT OF SPONDYLOLISTHESIS: RETROSPECTIVE EVALUATION OF 77 CASES
Aim: This study aimed to report our surgical principles and outcomes in patients who had posterior transpedicular screw fixation and fusion operation with a diagnosis of spondylolisthesis at our department between 201...