Correction of thoracic adolescent idiopathic scoliosis with segmental hooks, rods, and Wisconsin wires posteriorly: it's bad and obsolete, correct?

Abstract:

STUDY DESIGN:Forty-four consecutive thoracic idiopathic adolescent curves surgically treated between 1995 and 1999 at one institution were analyzed. All were thoracic curves; there were no lumbar curves, double major curves, or triple major curves. OBJECTIVES:To study the clinical and radiographic results for these 44 patients. SUMMARY OF BACKGROUND DATA:There is currently ongoing discussion regarding the "best treatment" for right thoracic idiopathic scoliosis. METHODS:Patients were administered preoperative and postoperative Scoliosis Research Society questionnaires. Radiographs were studied for coronal correction, sagittal correction, junctional deformities two segments above/two segments below, fusion status, loss of correction status, complications, and imbalance of curves above and below. Radiographic analysis was by two independent observers. All patients were treated with bilateral 5.5-mm CD Horizon (M-10) instrumentation. Corrective forces were translational and in situ contouring. An average of 10 hooks and 4 Wisconsin wires were used for an average of 14 fixation points per 11 segments. Follow-up was minimum 2 years to maximum 5 years, with an average of 3-year, 10-month follow-up. RESULTS:All were out of bed on postoperative day 1; none was braced after surgery. The average preoperative thoracic curve was 56 degrees; the average ultimate postoperative curve was 31 degrees (P = 0.0001). In the sagittal plane T5-T12 averaged 22 degrees preoperation and 20 degrees postoperation. For the complete study group (n = 44), the Cobb measurement (P = 0.001) and apical vertebral translation of the lumbar curve (P = 0.001) below improved. For the false double major curve (n = 11) patterns, the unfused lumbar curve averaged preoperation 46 degrees and postoperation 27 degrees (P = 0.0001). There were no neurologic deficits, no wound infections, and no respiratory complications. In regards to the Scoliosis Research Society questionnaires, significant (P < 0.05) changes preoperative to ultimate postoperative were found for questions 3, 5, 11, and 14. CONCLUSION:"Satisfactory" results were obtained in 44 patients treated with this technique. The complication rate was low and the fusion rate was high. Posterior treatment as described above produces reasonable and dependable results.

journal_name

Spine (Phila Pa 1976)

journal_title

Spine

authors

Bridwell KH,Hanson DS,Rhee JM,Lenke LG,Baldus C,Blanke K

doi

10.1097/00007632-200209150-00018

keywords:

subject

Has Abstract

pub_date

2002-09-15 00:00:00

pages

2059-66

issue

18

eissn

0362-2436

issn

1528-1159

journal_volume

27

pub_type

临床试验,杂志文章

相关文献

SPINE文献大全
  • Cement augmentation in a thoracolumbar fracture model: reduction and stability after balloon kyphoplasty versus vertebral body stenting.

    abstract:STUDY DESIGN:In vitro biomechanical investigation. OBJECTIVE:To assess differences in kyphosis after balloon kyphoplasty (BKP) or vertebral body stenting (VBS). SUMMARY OF BACKGROUND DATA:Cement augmentation techniques allow early mobilization in patients with osteoporotic thoracolumbar fractures. Biomechanically, th...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000000470

    authors: Disch AC,Schmoelz W

    更新日期:2014-09-01 00:00:00

  • Does maintained spinal manipulation therapy for chronic nonspecific low back pain result in better long-term outcome?

    abstract:STUDY DESIGN:A prospective single blinded placebo controlled study was conducted. OBJECTIVE:To assess the effectiveness of spinal manipulation therapy (SMT) for the management of chronic nonspecific low back pain (LBP) and to determine the effectiveness of maintenance SMT in long-term reduction of pain and disability ...

    journal_title:Spine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/BRS.0b013e3181f5dfe0

    authors: Senna MK,Machaly SA

    更新日期:2011-08-15 00:00:00

  • Effectiveness of bracing in male patients with idiopathic scoliosis.

    abstract:STUDY DESIGN:A review of a clinical series was performed. OBJECTIVE:To assess the effectiveness of orthotic treatment in male patients with idiopathic scoliosis and to compare with published data on female patients. SUMMARY OF BACKGROUND DATA:Although males have been included in bracing studies, the number of males h...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200109150-00013

    authors: Karol LA

    更新日期:2001-09-15 00:00:00

  • Mechanical modulation of vertebral body growth. Implications for scoliosis progression.

    abstract:STUDY DESIGN:The authors developed a rat-tail model to investigate the hypothesis that vertebral wedging during growth in progressive spinal deformities results from asymmetric loading in a "vicious cycle." OBJECTIVES:To document growth curves with axial compression or distraction applied to tail vertebrae to determin...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199605150-00007

    authors: Stokes IA,Spence H,Aronsson DD,Kilmer N

    更新日期:1996-05-15 00:00:00

  • Studies in the modified Scoliosis Research Society Outcomes Instrument in adults: validation, reliability, and discriminatory capacity.

    abstract:STUDY DESIGN:Observational study of patients with scoliosis and matched controls. OBJECTIVES:To determine the validity and reliability of the modified Scoliosis Research Society Outcomes Instrument (SRS-22) for use in the assessment of deformity in adults. To demonstrate the discriminate validity of the SRS-22 in diff...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.BRS.0000084666.53553.D6

    authors: Berven S,Deviren V,Demir-Deviren S,Hu SS,Bradford DS

    更新日期:2003-09-15 00:00:00

  • Intra-arterial indocyanine green angiography in the management of spinal arteriovenous fistulae: technical case reports.

    abstract:STUDY DESIGN:We first present 2 cases of spinal arteriovenous fistulae (AVFs) successfully treated with the help of intra-arterial indocyanine green (ICG) angiography. OBJECTIVE:To demonstrate the efficacy of intra-arterial ICG angiography in spinal AVFs compared with the role of intravenous ICG injection and intraope...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31822ba834

    authors: Horie N,So G,Debata A,Hayashi K,Morikawa M,Suyama K,Nagata I

    更新日期:2012-02-15 00:00:00

  • Minimally Invasive Surgery for Neuromuscular Scoliosis: Results and Complications in a Series of One Hundred Patients.

    abstract:STUDY DESIGN:A retrospective review. OBJECTIVE:To report the results of an alternative technique using a minimally invasive fusionless surgery. The originality is based on the progressive correction of the deformities with proximal and distal fixation and on the reliability of the pelvic fixation using iliosacral scre...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000002588

    authors: Miladi L,Gaume M,Khouri N,Johnson M,Topouchian V,Glorion C

    更新日期:2018-08-01 00:00:00

  • Behavioral responses to examination. A reappraisal of the interpretation of "nonorganic signs".

    abstract::Waddell et al in 1980 developed a standardized assessment of behavioral responses to examination. The signs were associated with other clinical measures of illness behavior and distress, and are not simply a feature of medicolegal presentations. Despite clear caveats about the interpretation of the signs, they have be...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199811010-00025

    authors: Main CJ,Waddell G

    更新日期:1998-11-01 00:00:00

  • Prevertebral vascular and esophageal consideration during percutaneous cervical disc procedures.

    abstract:STUDY DESIGN:A retrospective review series. OBJECTIVE:To identify vascular anatomy and esophageal deviations that may interfere with a percutaneous anterior approach in cervical spine surgery. SUMMARY OF BACKGROUND DATA:The percutaneous anterior approach has been used for minimally invasive interventions of cervical ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000000140

    authors: Jeon JK,Oh CH,Chung D,Lee J,Choi SH,Choi E,Ji GY

    更新日期:2014-02-15 00:00:00

  • Adverse Events Related to Transcranial Electric Stimulation for Motor-evoked Potential Monitoring in High-risk Spinal Surgery.

    abstract:STUDY DESIGN:Prospective multicenter study. OBJECTIVE:The aim of this study was to study the incidence of nonneurologic adverse events related to transcranial electric stimulation (TES) for intraoperative spinal cord monitoring (IOM) with motor-evoked potentials (MEPs) (Tc(E)- MEPs) and determine the need for safety p...

    journal_title:Spine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/BRS.0000000000003115

    authors: Yoshida G,Imagama S,Kawabata S,Yamada K,Kanchiku T,Fujiwara Y,Tadokoro N,Takahashi M,Wada K,Yamamoto N,Ushirozako H,Kobayashi K,Yasuda A,Ando M,Tani T,Matsuyama Y

    更新日期:2019-10-15 00:00:00

  • Sagittal Reconstruction and Clinical Outcome Using Traditional ACDF, Versus Stand-alone ACDF Versus TDR: A Systematic Review and Quantitative Analysis.

    abstract:STUDY DESIGN:Systematic review. OBJECTIVE:To determine the difference in postoperative sagittal alignment when single level cervical radiculopathy or myelopathy is treated with an anterior cervical discectomy and fusion (ACDF) using a structural graft and plate, a stand-alone ACDF, or a total disc arthroplasty (TDR). ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000003077

    authors: Katsuura Y,York PJ,Goto R,Yang J,Vaishnav AS,McAnany S,Albert T,Iyer S,Gang CH,Qureshi SA

    更新日期:2019-10-01 00:00:00

  • Age distribution of three radiologic factors for lumbar instability: probable aging process of the instability with disc degeneration.

    abstract:STUDY DESIGN:Cross-sectional study of 880 outpatients with low back and/or leg pain regarding age distribution of three radiologic factors. OBJECTIVES:To investigate the proportion and relationship of three individual radiologic factors with age on segmental instability in sagittal plane in consecutive age groups. SU...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.BRS.0000097162.80495.66

    authors: Iguchi T,Kanemura A,Kasahara K,Kurihara A,Doita M,Yoshiya S

    更新日期:2003-12-01 00:00:00

  • Lumbar degenerative spondylolisthesis is not always unstable: clinicobiomechanical evidence.

    abstract:STUDY DESIGN:A clinicobiomechanical study. OBJECTIVE:To clarify the clinicobiomechanical characteristics of a segment with lumbar degenerative spondylolisthesis (LDS) using an original intraoperative measurement system. SUMMARY OF BACKGROUND DATA:Although radiographical evaluation of LDS is extensively performed, the...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000000621

    authors: Hasegawa K,Kitahara K,Shimoda H,Ishii K,Ono M,Homma T,Watanabe K

    更新日期:2014-12-15 00:00:00

  • Validation of a noninvasive technique to precisely measure in vivo three-dimensional cervical spine movement.

    abstract:STUDY DESIGN:In vivo validation during functional loading. OBJECTIVE:To determine the accuracy and repeatability of a model-based tracking technique that combines subject-specific computed tomographic (CT) models and high-speed biplane x-ray images to measure three-dimensional (3D) in vivo cervical spine motion. SUMM...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31820b7e2f

    authors: Anderst WJ,Baillargeon E,Donaldson WF 3rd,Lee JY,Kang JD

    更新日期:2011-03-15 00:00:00

  • Occupational recovery after open-door type laminoplasty for patients with ossification of the posterior longitudinal ligament.

    abstract:STUDY DESIGN:A cross-sectional survey of occupational recovery after surgery with patients who had ossification of the posterior longitudinal ligament. OBJECTIVES:To evaluate occupational recovery after open-door type laminoplasty for patients with ossification of the posterior longitudinal ligament. SUMMARY OF BACKG...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.BRS.0000083206.24176.C8

    authors: Kamizono J,Matsunaga S,Hayashi K,Shinkura R,Koriyama C,Sakou T,Komiya S

    更新日期:2003-08-15 00:00:00

  • Body mass index as a predictor of complications and mortality after lumbar spine surgery.

    abstract:STUDY DESIGN:Retrospective analysis. OBJECTIVE:A national population-based database was analyzed to characterize the risks of postoperative complications and mortality associated with the patient's body mass index (BMI) after lumbar spinal surgery. SUMMARY OF BACKGROUND DATA:Obesity has been associated with greater p...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000000232

    authors: Marquez-Lara A,Nandyala SV,Sankaranarayanan S,Noureldin M,Singh K

    更新日期:2014-05-01 00:00:00

  • Infection after spinal fusion for pediatric spinal deformity: thirty years of experience at a single institution.

    abstract:STUDY DESIGN:A retrospective, consecutive case study of 1571 pediatric patients who underwent spinal deformity surgery and had minimum 2-year follow-up. OBJECTIVE:To identify (1) the rate of infection after pediatric spinal deformity surgery; (2) the number of surgeries required to treat a postoperative infection afte...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181c212d1

    authors: Cahill PJ,Warnick DE,Lee MJ,Gaughan J,Vogel LE,Hammerberg KW,Sturm PF

    更新日期:2010-05-20 00:00:00

  • Somatosensory cortical evoked potential changes after deformity correction.

    abstract::The somatosensory cortical evoked potentials recorded during posterior spine fusion and instrumentation for 99 consecutive patients with idiopathic scoliosis, 18 years of age or younger, were retrospectively reviewed. The potentials were recorded from scalp electrodes while synchronously stimulating both tibial nerves...

    journal_title:Spine

    pub_type: 杂志文章

    doi:

    authors: Albanese SA,Spadaro JA,Lubicky JP,Henderson NA

    更新日期:1991-08-01 00:00:00

  • Regional Differences in the Cost and Utilization of Nonoperative Management Within 3 Months Prior to Lumbar Microdiscectomy.

    abstract:STUDY DESIGN:Retrospective cohort study. OBJECTIVE:The purpose of this investigation was to evaluate the regional variations in the use of nonoperative therapies in patients diagnosed with a lumbar intervertebral disc herniation 3 months prior to undergoing microdiscectomy surgery. SUMMARY OF BACKGROUND DATA:Regional...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000003125

    authors: Davison MA,Lilly DT,Desai SA,Vuong VD,Moreno J,Cheng J,Bagley C,Adogwa O

    更新日期:2019-11-15 00:00:00

  • Outcomes Following Arthrodesis for Atlanto-Axial Osteoarthritis.

    abstract:STUDY DESIGN:Retrospective analysis. OBJECTIVE:We set out to evaluate the radiographic and patient-reported outcomes following C1-C2 arthrodesis for atlantoaxial osteoarthritis (AAOA) using modern instrumentation and techniques. SUMMARY OF BACKGROUND DATA:Few studies have evaluated outcomes following C1-C2 arthrodesi...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000001783

    authors: Kang DG,Lehman RA Jr,Wagner SC,Peters C,Riew KD

    更新日期:2017-03-01 00:00:00

  • Sagittal Alignment Profile Following Selective Thoracolumbar/Lumbar Fusion in Patients With Lenke Type 5C Adolescent Idiopathic Scoliosis.

    abstract:STUDY DESIGN:A retrospective case series. OBJECTIVE:This study aimed to report the sagittal outcome measures in patients with Lenke type 5C adolescent idiopathic scoliosis (AIS) undergoing thoracolumbar/lumbar (TL/L) fusion surgery. SUMMARY OF BACKGROUND DATA:Previous studies have demonstrated coronal correction of L...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000003043

    authors: Tauchi R,Kawakami N,Ohara T,Saito T,Tanabe H,Morishita K,Yamauchi I

    更新日期:2019-09-01 00:00:00

  • Effects on lung function of multiple expansion thoracoplasty in children with thoracic insufficiency syndrome: a longitudinal study.

    abstract:STUDY DESIGN:Longitudinal study of intraoperative pulmonary function in young children with thoracic hypoplasia and scoliosis undergoing multiple expansion thoracoplasty using the vertical expandable prosthetic titanium ribs (VEPTRs). OBJECTIVE:To test the long-term efficacy of VEPTR multiple expansion thoracoplasty. ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000197203.76653.d0

    authors: Motoyama EK,Deeney VF,Fine GF,Yang CI,Mutich RL,Walczak SA,Moreland MS

    更新日期:2006-02-01 00:00:00

  • Anatomic consideration in the anterior approach to the sacro-iliac joint.

    abstract::Anatomical study of L4 nerve branch, L5 nerve root, and bony stock in the sacroiliac region was performed in cadaveric specimens to provide anatomical references for anterior fixation of the sacroiliac joint. At 1 cm intervals along the sacro-iliac joint, the distance to the lateral border of the L4 nerve branch (to t...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199403001-00014

    authors: Ebraheim NA,Padanilam TG,Waldrop JT,Yeasting RA

    更新日期:1994-03-15 00:00:00

  • Economic evaluation of a behavioral-graded activity program compared to physical therapy for patients following lumbar disc surgery.

    abstract:STUDY DESIGN:An economic evaluation was conducted alongside a randomized controlled trial. SUMMARY OF BACKGROUND DATA:Little is known about the effectiveness of cognitive-behavioral treatment options for patients following lumbar disc surgery. If the knowledge available was supported by an economic evaluation, the inf...

    journal_title:Spine

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1097/01.brs.0000115130.42394.0b

    authors: Ostelo RW,Goossens ME,de Vet HC,van den Brandt PA

    更新日期:2004-03-15 00:00:00

  • The Effect of Substance P on an Intervertebral Disc Rat Organ Culture Model.

    abstract:STUDY DESIGN:Laboratory study. OBJECTIVE:Evaluate the effect of substance P (SP) on an intervertebral disc rat organ culture model. SUMMARY OF BACKGROUND DATA:Monolayer cell experiments have demonstrated that exposure intervertebral disc tissue cells to SP leads to upregulation in inflammatory cytokine expression; ho...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000001676

    authors: Koerner JD,Markova DZ,Schroeder GD,Rihn JA,Hilibrand AS,Vaccaro AR,Anderson DG,Kepler CK

    更新日期:2016-12-15 00:00:00

  • Bone biomarkers as tools in osteoporosis management.

    abstract::Biochemical tests that can index bone turnover rate in the patient are increasingly being used in the study and management of osteoporosis. Markers of bone formation and resorption are reviewed here, including their molecular basis, relative strengths and weaknesses in clinical performance, and future potential. A bon...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/00007632-199712151-00004

    authors: Eyre DR

    更新日期:1997-12-15 00:00:00

  • Intersegmental spinal flexibility with lumbosacral instrumentation. An in vitro biomechanical investigation.

    abstract::Flexibility of the porcine lumbosacral spine was measured after application of six different types of surgical instrumentation, and in a control state. Fifteen adult pig spines were tested with flexion, extension, lateral bending, and axial rotation torques applied to the upper end with the pelvis fixed. Instrumentati...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199011010-00013

    authors: Asazuma T,Stokes IA,Moreland MS,Suzuki N

    更新日期:1990-11-01 00:00:00

  • Sir William Gowers 1845-1915.

    abstract::This is a brief review of the life and contributions to neurologic science of Sir William Gowers. He was a neurologist in England in the late 19th century who, before the availability of modern diagnostic aids, established the importance of clinical examination, including history and physical signs, in the diagnosis o...

    journal_title:Spine

    pub_type: 传,历史文章,杂志文章

    doi:10.1097/00007632-199605010-00024

    authors: Mulholland RC

    更新日期:1996-05-01 00:00:00

  • Comparison of the lowest instrumented, stable, and lower end vertebrae in "single overhang" thoracic adolescent idiopathic scoliosis: anterior versus posterior spinal fusion.

    abstract:STUDY DESIGN:A retrospective multicenter study. OBJECTIVE:To investigate the relationship between the lowest instrumented, stable, and lower end vertebrae in patients with "single overhang" thoracic (main thoracic) curves treated with anterior or posterior spinal fusion. SUMMARY OF BACKGROUND DATA:Previous studies ha...

    journal_title:Spine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/01.brs.0000232799.19179.79

    authors: Kuklo TR,O'Brien MF,Lenke LG,Polly DW,Sucato DS,Richards BS,Lubicky J,Ibrahim K,Kawakami N,King A,Spinal Deformity Study Group: AIS Section.

    更新日期:2006-09-01 00:00:00

  • Intraoperative experience with neuromotor evoked potentials. A review of 60 consecutive cases.

    abstract:STUDY DESIGN:A review of 60 surgical cases for correction of scoliosis, during which neuromotor evoked potentials and somatosensory evoked potentials were monitored. OBJECTIVES:To determine the validity and reliability of intraoperative neuromotor evoked potential monitoring in cases of scoliosis, where damage to the ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199910010-00012

    authors: Lubitz SE,Keith RW,Crawford AH

    更新日期:1999-10-01 00:00:00