EFFECT OF POSTOPERATIVE SHOULDER IMBALANCE ON PATIENT SATISFACTION WITH SURGICAL TREATMENT OF ADOLESCENT IDIOPATHIC SCOLIOSIS
Journal Title: Journal of Turkish Spinal Surgery - Year 2015, Vol 26, Issue 3
Abstract
Objective: We aimed to evaluate whether there is a relation between the level of shoulder imbalance after scoliosis surgery and patients’ satisfaction with treatment. Materials and methods: Twenty-three patients with adolescent idiopathic scoliosis (18 females, 5 males; mean age, 15.9 years; age range, 13-24 years), who were treated by posterior instrumentation and fusion and followed up for an average of 35.4 months (range, 24-67 months) postoperatively, were included in this retrospective clinical study. In order to evaluated shoulder balance on coronal plane, three parameters were measured on postoperative radiography: first rib angle, radiographical shoulder height, and clavicle angle. For the assessment of patients’ satisfaction with scoliosis surgery, Scoliosis Research Society (SRS)-22r Patient Questionnaire was used. Results: Fusion was obtained in all patients. On radiography, mean first rib angle was 2.5º±2.8º, shoulder height was 6.0±5.4 mm, and clavicle angle was 1.7º±1.5º. The mean values for SRS- 22r domain scores were between 3.3 and 3.8, being lowest for mental health and highest for pain and self-image. There was no significant correlation between radiographic parameters and total or domain scores of SRS-22r. Conclusions: Shoulder imbalance is a common undesirable effect of correcting thoracic curve in surgical treatment of adolescent idiopathic scoliosis. However, unless it is severe, shoulder imbalance does not cause patient dissatisfaction.
Authors and Affiliations
Olcay GULER, Erhan BAYRAM, Murat YILMAZ, Mehmet Emin ERDIL, Ali Akın UGRAS, Mahir MAHIROGULLARI
Keywords
Related Articles
- EP ID EP676875
- DOI -
- Views 122
- Downloads 0
THE COMPARİSON OF PULL-OUT STRENGTHS OF THE PEDICLE HOOKS OF DIFFERENT SPINAL INSTRUMENTATION SYSTEMS ON HUMAN CADAVER SPINES
Failure of the bone-metal interface in posterior spinal instrumentation systems is stili a problem in spinal sur-gery. The posterior pull-out of the upper hooks with or without loss of correction is a relatively common p...
AN OVERVIEW OF ADULT SPINAL DEFORMITY
INTRODUCTION The evaluation and treatment of adult spinal deformity remains a challenging clinical entity. Many factors must be analyzed to help decide the best treatment plan for these patients ranging from conserva...
CALL FOR A CONSENSUS ON VERTEBRA TESTS
İn recent years, the number of tests performed on vertebrae and the number of related papers have increased in such a manner that a proper assessment of ali the data that have been gathered seems to be difficult. There i...
EFFECTS OF ETOFENAMATE AND METHYLPREDNISOLONE ON SPINAL CORD INJURY
This study evaluates the effects of etofenamate on secondary damage following a spinal cord injury and compares the effects with those of methylprednisolone. A total of 31 male Wistar-Albino rats were used. A weight-drop...
INTRAOPERATIVE ELECTROPHYSIOLOGIC MONITORING DURING SPINE SURGERY
During spine surgery assesing the integrity of the spinal cord can be difficult. To avoid complications like compression, streching and derangement in circulation it is important to be able to evaluate the neurologic sta...