Can anterior dynamic correction be considered a new standard of surgical treatment for idiopathic scoliosis in patients with completed and terminating growth? Retrospective single-center analysis of long-term results
- 作者: Kolesov S.V.1, Pereverzev V.S.1, Kazmin A.I.1, Morozova N.S.1, Shvec V.V.1, Raspopov M.S.1, Bagirov S.B.1
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隶属关系:
- Priorov Central Institute of Traumatology and Orthopedic
- 期: 卷 31, 编号 2 (2024)
- 页面: 147-157
- 栏目: Original study articles
- URL: https://journal-vniispk.ru/0869-8678/article/view/265233
- DOI: https://doi.org/10.17816/vto617680
- ID: 265233
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详细
BACKGROUND: Currently, the gold standard of surgical treatment of idiopathic scoliosis is dorsal or anterior correction using rigid instrumentation. However, anterior dynamic scoliosis correction has recently become a popular method for treating idiopathic scoliosis. It is recommended for patients with a certain growth potential. We present the long-term treatment results of patients with idiopathic scoliosis and the use of a dynamic correction system during completed and ending growth.
AIM: To evaluate radiological and clinical data on the results of surgical treatment of idiopathic scoliosis in patients with completed and terminating growth and a FU period of >2 years.
MATERIALS AND METHODS: A retrospective study of demographic data, X-ray (Cobb angle before and after surgery and ≥2 years, Lenke type, Risser test), number of fixation levels, nucleotomy, blood loss, surgery time, and complications, was conducted. The functional result was evaluated using the SRS-22.
RESULTS: Eighty-seven patients (men, 4; women, 83) were included. ASC (thoracic) was performed in 30 patients; lumbar/ thoracolumbar, 32; 2 sides, 13; and hybrid system, 12. Lenke: Lenke 1 (right-sided, 18; left-sided, 7); Lenke 2, 5; Lenke 3, 19; Lenke 4, 2; Lenke 5 (left-sided, 26; right-sided, 8); and Lenke 6, 2. The average blood loss was 281.2±173 ml; operation time, 174.8±42.3 min; FU, 2.2 years; age, 23.3 years; Risser, 4.42 (3–5); number of fixed levels 7.25±1.6°; and Cobb angle in the thoracic group during the first post-op study, 27.9±5.3°, and the last at 25.2±6.9° compared with the pre-op at 62.4°±10.9° (p <0.05). No significant loss of correction was found in patients with Lenke 5,6 52.5°±8.4° before surgery, 24.2±12.4° after, and a long-term FU of 27.2°±11.6° (p <0.05).
CONCLUSION: Dynamic scoliosis correction in adults is a new direction in spine surgery and provides a satisfactory radiological and functional result that persists for 2 years.
作者简介
Sergei Kolesov
Priorov Central Institute of Traumatology and Orthopedic
Email: dr-kolesov@yandex.ru
ORCID iD: 0000-0002-4252-1854
SPIN 代码: 1989-6994
MD, Dr. Sci. (Med.), professor
俄罗斯联邦, 10 Priorova str., Moscow, 127299Vladimir Pereverzev
Priorov Central Institute of Traumatology and Orthopedic
Email: vcpereverz@gmail.com
ORCID iD: 0000-0002-6895-8288
SPIN 代码: 8164-1389
俄罗斯联邦, 10 Priorova str., Moscow, 127299
Arkadii Kazmin
Priorov Central Institute of Traumatology and Orthopedic
Email: kazmin.cito@mail.ru
ORCID iD: 0000-0003-2330-0172
SPIN 代码: 4944-4173
MD, Cand. Sci. (Med.)
俄罗斯联邦, 10 Priorova, Moscow, 127299Nataliya Morozova
Priorov Central Institute of Traumatology and Orthopedic
Email: morozcito@gmail.com
ORCID iD: 0000-0001-7448-3904
SPIN 代码: 4593-3231
MD, Cand. Sci. (Med.)
俄罗斯联邦, 10 Priorova str., Moscow, 127299Vladimir Shvec
Priorov Central Institute of Traumatology and Orthopedic
Email: vshvetcv@yandex.ru
ORCID iD: 0000-0001-8884-2410
MD, Dr. Sci. (Med.)
俄罗斯联邦, 10 Priorova str., Moscow, 127299Michail Raspopov
Priorov Central Institute of Traumatology and Orthopedic
Email: mihail.raspopov74@mail.com
ORCID iD: 0009-0005-9517-7347
俄罗斯联邦, 10 Priorova str., Moscow, 127299
Samir Bagirov
Priorov Central Institute of Traumatology and Orthopedic
编辑信件的主要联系方式.
Email: bagirov.samir22@gmail.com
ORCID iD: 0000-0003-1038-1815
SPIN 代码: 9620-7038
俄罗斯联邦, 10 Priorova str., Moscow, 127299
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