POSTERIOR INSTRUMENTATION AND SPINAL FUSION RESULTS IN SURGICAL TREATMENT OF ADOLESCENT IDIOPATHIC SCOLIOSIS
Journal Title: Journal of Turkish Spinal Surgery - Year 2019, Vol 30, Issue 1
Abstract
Objective: To define the relationship between radiological and functional outcomes of AIS more than10 years follow-up. Methods: 22 AIS patients were reviewed retrospectively. Cobb angles were measured from full-length spinal radiography at preoperative, postoperative, mid-term and longterm follow-up. Correction rate and correction loss rate were calculated. The SRS-30 questionnaire form was filled by the patients at the final follow-up examination. Results were compared with the Mann Whitney U test and unpaired t-test. Non-parametric correlation analytical test was performed with the Spearman test. p<0.05 considered as statistically significant. Results: There were 15 female and 7 male with the mean age of 14.5. The mean followup was 35.8 and 134 months for mid-term and final follow-up. The mean fusion levels were 10.4 and the average of last instrumented vertebra was L 1.8. Major curvatures were corrected from 53.1° to 19.7° with a 63.6% correction rate. According to the SRS- 30 questionnaire form, the mean pain, function and activity, self-image appearance, mental health, and satisfaction scores were 4.16 ± 0.29, 4.43 ± 0.28, 4.15 ± 0.31, 3.84 ± 0.30, and 4.15 ± 0.44 at mid-term and 3.96 ± 0.52, 4.22 ± 0.38, 4.35 ± 0.22, 4.14 ± 0.36, and 4.10 ± 0.34 at final follow-up, respectively. While the mental health scores improved statistically (p=0.0214), the pain (p=0,043) and the activity (p=0.038) scores deteriorated and the satisfaction score (p=0.64) remained stable in time. A significant relationship was found between the final cobb angle and pain (p = 0.044, Rho = -0.407). When the SRS-30 results were evaluated among themselves, there was a significant correlation between function and self-image (p= 0.005, Rho = 0.547), also function and pain (p= 0.038, Rho = 0.532). Conclusion: For the surgical treatment of adolescent idiopathic scoliosis, posterior instrumentation and spinal fusion surgery is an efficient and successful method with patient satisfaction, curvature correction, and low complication rates after more than ten years follow-up.
Authors and Affiliations
Mehmet Kürşad BAYRAKTAR, Ali Akın UĞRAŞ, Mustafa Fehmi AKYILDIZ, Mücahit GÖRGEÇ
Keywords
Related Articles
- EP ID EP677025
- DOI -
- Views 145
- Downloads 0
SHORT SEGMENT TRANSPEDİCULAR SCREW APPLICATIONS İN THE TREATMENT OF LUMBAR SPINE FRACTURES
İn unstable spine fractures, short segment instrumentation with transpedicular screws via posterİor approach is one of the choices. İn this paper, 16 paiients, whose L1.3 burst fractures stabilised by Alıcı Splnal Sys...
ASSESSMENT OF SPINAL IMPLANTS UNDER CYCLIC LOADING
An experimental technique is developed to study the transfer of load through spinal Instruments when subjected to cyclic loading. İn this study two series of tests are conducted on in vitro calf spines comprising of thre...
THE EFFECT OF PREOPERATIVE CERVICAL SAGITTAL ALIGNMENT ON POSTOPERATIVE SURGICAL RESULTS IN PATIENTS TREATED BY ANTERIOR CERVICAL DISCECTOMY AND FUSION
Objective: Cervical degenerative disc diseases arise in some degenerative settings. These degenerative cervical changes may be a consequence of cervical sagittal malalignment. The aim of this study is to assess preopera...
PULMONARY CEMENT EMBOLISM AFTER SEGMENTAL POLYMETHYL METHACRYLATE-AUGMENTED PEDICLE SCREW FIXATION
A 75-year-old female patient was admitted to hospital with complaints of lower back pain that began after a fall two months previously, an inability to stand and walk, bilateral leg pain, and urinary incontinence. An L1...
ON THE FRACTURES AND DISLOCATIONS OF THE SPINE IN RHAZES’ KITĀB AL-ḤĀWĪ / LIBER CONTINENS
Abū Bakr Muḥammad b. Zakariyyā al-Rāzī was one of the most scientific figures during the era called Golden Age of civilization and medicine in Islamic world. He was a scientist who made important contributions to both Ea...