Abstract:
STUDY DESIGN:Retrospective radiographic and clinical study. OBJECTIVE:To examine the long-term outcome of selective thoracic fusion (STF) performed for lumbar "C" modifier curves in adolescent idiopathic scoliosis. SUMMARY OF BACKGROUND DATA:The efficacy of STF in lumbar "C" false double major curves is controversial. We examined the 5- to 24-year outcomes of patients with "C" lumbar curves who underwent STF at a single institution to determine which factors help predict successful outcome. METHODS:Thirty-two patients (age, 14.8 ± 2.0 years) with a lumbar "C" modifier underwent primary STF and had minimum 5-year follow-up (mean, 6.8 years). All patients were fused distally to either T12 or L1. At latest follow-up, 18 were considered successful (group S), 2 required reoperation to accommodate worsening deformity (group R), and 12 were considered marginal outcomes (group M), as defined by >3 cm coronal imbalance (n = 5), >5 mm worsening of lumbar apical vertebra translation compared with preoperative (n = 4), >1 Nash-Moe grade worsening of lumbar apical vertebra rotation (n = 1), >10° thoracolumbar junction kyphosis which was at least 5° worse than preoperative (n = 5), and lumbar Cobb angle >5° worse than preoperative (n = 2). Clinical outcomes were determined by Scoliosis Research Society (SRS)-30 at final follow-up. RESULTS:Of the multiple factors considered, 2-month postoperative standing lumbar sagittal alignment was most predictive for long-term outcome (P < 0.019 by Kruskal-Wallis ANOVA). Satisfactory outcomes had statistically significantly greater T12-S1 lordosis than those that were marginal (64.8° (group S) vs. 52.0° (group M); P = 0.014) or required reoperation (64.8° [group S] vs. 38.0° [group R]; P < 0.001). Traditionally considered variables such as apical vertebra rotation, apical vertebra translation, Cobb angle magnitudes, coronal and sagittal balance, and their respective thoracic-to-lumbar ratios were not independently significant. CONCLUSION:Selective thoracic fusions performed for lumbar "C" modifier scoliotic deformities generally have excellent long-term radiographic and SRS-30 outcomes at 5- to 24-year follow-up. Care should be taken to ensure that overcorrection of the thoracic curve is not performed beyond the ability of the lumbar curve to compensate. Furthermore, consideration of selective thoracic fusion should not be ruled out simply because the patient may have a somewhat stiff lumbar curve based on side-bending radiographs.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Chang MS,Bridwell KH,Lenke LG,Cho W,Baldus C,Auerbach JD,Crawford CH 3rd,O'Shaughnessy BAdoi
10.1097/BRS.0b013e3181e5e36esubject
Has Abstractpub_date
2010-11-15 00:00:00pages
2128-33issue
24eissn
0362-2436issn
1528-1159journal_volume
35pub_type
杂志文章相关文献
SPINE文献大全abstract:STUDY DESIGN:Cross-sectional study. OBJECTIVE:The purpose of this study was to determine the prevalence and distribution of abnormal findings on cervical spine magnetic resonance image (MRI). SUMMARY OF BACKGROUND DATA:Neurological symptoms and abnormal findings on MR images are keys to diagnose the spinal diseases. ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000000775
更新日期:2015-03-15 00:00:00
abstract::A type of bilateral laminotomy with discectomy for segmental lumbar discogenic disease is presented. The procedure includes wide bilateral decompressive laminotomies and radical partial discectomies, partial V-ostectomy of the adjacent spinous processes, partial facetectomies of the inferior and superior articular pro...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198301000-00015
更新日期:1983-01-01 00:00:00
abstract:STUDY DESIGN:By using roentgen stereophotogrammetric analysis in six patients having tantalum indicators implanted at a preoperative external fixation test, the mobility in the spondylolytic lumbosacral level and its adjacent segment could be studied before fusion and during the course of postoperative fusion consolida...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199702150-00012
更新日期:1997-02-15 00:00:00
abstract::The authors present a comprehensive state-of-the-art and critical review of the finite element models of the human cervical spine. They also focused on the developments in model construction (geometry generation), constitutive law (material property) identification, loading and boundary condition details, and validati...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/00007632-199608010-00022
更新日期:1996-08-01 00:00:00
abstract::Iliac crest wedges are commonly used in spinal fusion procedures and must be capable of withstanding considerable mechanical stress during the healing process. Physical parameters, mechanical properties, correlations among physical parameters, and correlations of mechanical properties versus physical parameters have b...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199402000-00007
更新日期:1994-02-01 00:00:00
abstract:STUDY DESIGN:Case report. OBJECTIVE:To report a case of lumbar intraneural hemorrhagic cyst after anticoagulation therapy that caused progressive radiculopathy and cauda equina syndrome. The possible pathogenic mechanism, associated diseases, and treatment options are discussed. SUMMARY OF BACKGROUND DATA:Various pat...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31829e1440
更新日期:2013-09-15 00:00:00
abstract:STUDY DESIGN:Multicenter case-control study. OBJECTIVE:To investigate the prevalence of back problems in adults with idiopathic scoliosis. SUMMARY OF BACKGROUND DATA:Information on the prevalence of back problems in adults with idiopathic scoliosis is scarce, especially in untreated individuals, males, and individual...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000000312
更新日期:2014-05-15 00:00:00
abstract::This article is a preliminary report of a 10-year investigation of the development of an intervertebral disc prosthesis. Spinal fusion is a method for the treatment of chronic, disabling low-back pain that does not respond to nonoperative treatments. Spinal fusion, however, has various adverse effects, and the results...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199106001-00015
更新日期:1991-06-01 00:00:00
abstract:STUDY DESIGN:A retrospective study. OBJECTIVE To clarify the characteristics of respiratory dysfunction associated with chronic-onset cervical myelopathy. SUMMARY OF BACKGROUND DATA:In acute cervical cord injury, respiratory dysfunction, especially vital capacity (VC), is impaired, which causes respiratory complicatio...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200210150-00010
更新日期:2002-10-15 00:00:00
abstract:STUDY DESIGN:An interesting case of spontaneous bleeding from an ependymoma of the filum terminale is presented. OBJECTIVES:To document a rare case of rapid neurologic deterioration as a consequence of spinal tumoral hemorrhage and to highlight important issues regarding tumor histologic subtype and the impact of anti...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/01.brs.0000143663.27275.7f
更新日期:2004-11-01 00:00:00
abstract:STUDY DESIGN:Case series. OBJECTIVE:Evaluation of ultrasound and nerve stimulation-guided L5 nerve root block technique. SUMMARY OF BACKGROUND DATA:Ultrasound-guided peripheral nerve block has become clinically applied. However, selective lumbosacral nerve root block is conducted under radiographic guidance, which in...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181b43c62
更新日期:2009-11-15 00:00:00
abstract:STUDY DESIGN:This study compared isokinetic and non-dynamometric tests for their correlation with subjective low back pain symptoms. METHODS:A total of 185 patients with chronic low back pain were examined. RESULTS:The repetitive arch-up and sit-up tests correlated significantly with pain and disability (Million inde...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199409000-00017
更新日期:1994-09-01 00:00:00
abstract::Eighty-four volunteer asymptomatic men between 18 and 40 years of age were evaluated as to their ability to lift. An innovative isokinetic device was used to measure lifting force. This device does not isolate any specific body part, yet it measures the muscular force of lifting an object whose speed of ascent is cont...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198709000-00008
更新日期:1987-09-01 00:00:00
abstract:STUDY DESIGN:An experimental study to elucidate the initial factors in the pathogenesis of lumbar pain caused by disc herniation. OBJECTIVE:To evaluate the effects of autologous nucleus pulposus on blood flow and endoneurial fluid pressure in dorsal root ganglia. SUMMARY OF BACKGROUND DATA:Human sciatica is known to ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199812010-00006
更新日期:1998-12-01 00:00:00
abstract:STUDY DESIGN:Retrospective study of posterior hemivertebra resection and osteotomies with transpedicular instrumentation in very young children. OBJECTIVE:Assessment of early intervention in congenital scoliosis with almost complete correction of the main deformity. SUMMARY OF BACKGROUND DATA:There is a trend to earl...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181ab6290
更新日期:2009-08-01 00:00:00
abstract:STUDY DESIGN:A preliminary study of magnetic resonance features of the interspinous ligament in degenerative lumbar spine. OBJECTIVES:To classify the magnetic resonance imaging features of the interspinous ligaments in relation to the patient's age, disc degeneration, and radiographic instability. Magnetic resonance i...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200002010-00017
更新日期:2000-02-01 00:00:00
abstract:STUDY DESIGN:The results from cervical laminoplasty in 18 patients with diabetes mellitus were compared with results from the same procedure in 34 nondiabetic patients matched for age, gender, and disease. OBJECTIVE:To analyze the effects of diabetes mellitus on the surgical outcome after cervical laminoplasty. SUMMA...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200003010-00004
更新日期:2000-03-01 00:00:00
abstract:STUDY DESIGN:A case report. OBJECTIVES:To describe the unique challenges and novel surgical approach to treatment of vertebral osteosarcoma involving the dura as a margin. SUMMARY OF BACKGROUND DATA:Osteosarcoma of the vertebral column is a rare, malignant osseous tumor, carrying a poor prognosis. Currently, best ava...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000153396.39009.a3
更新日期:2005-02-15 00:00:00
abstract:STUDY DESIGN:We used the Climent Quality of Life for Spinal Deformities Scale prospectively in a nonrandomized prospective comparative cohort of operative versus observational management of adolescent idiopathic scoliosis. OBJECTIVE:To compare the change in disease-specific quality of life associated with operating on...
journal_title:Spine
pub_type: 临床试验,杂志文章
doi:10.1097/BRS.0b013e31815a51cd
更新日期:2007-11-15 00:00:00
abstract:STUDY DESIGN:This study retrospectively, reviewed the effects of pedicle screw fixation on lumbosacral fusion for degenerative conditions. The records and radiographs of a group of patients treated by wide decompression and fusion of the lumbosacral spine and by one surgeon were studied. Two treatment groups were ident...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199509150-00014
更新日期:1995-09-15 00:00:00
abstract:STUDY DESIGN:Pragmatic randomized clinical trial. OBJECTIVE:This study investigated differences in the clinical outcomes of public physiotherapy (public PT) versus private physiotherapy (private PT) for general practitioner-referred patients with acute and chronic low back pain (LBP). SUMMARY OF BACKGROUND DATA:Healt...
journal_title:Spine
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1097/BRS.0b013e3182127457
更新日期:2012-01-15 00:00:00
abstract:STUDY DESIGN:Prospective, multicenter, observational study. OBJECTIVE:The aim of this study was to investigate the efficacy of intervention after an alert in intraoperative neurophysiological monitoring (IONM) using transcranial motor-evoked potentials (Tc-MEPs) during surgery for thoracic ossification of the posterio...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003774
更新日期:2021-02-15 00:00:00
abstract:STUDY DESIGN:Retrospective review of 13 cases with craniovertebral tuberculosis treated conservatively. OBJECTIVE:To evaluate the results of conservative treatment of craniovertebral tuberculosis and compare with the literature. SUMMARY OF BACKGROUND DATA:Craniovertebral tuberculosis is a rare entity even in endemic ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e318074d41e
更新日期:2007-07-01 00:00:00
abstract::Twenty-nine fragments from herniated lumbar discs of patients over 60 years of age were studied pathohistologically. For comparison, 109 discs from patients under 59 years of age also were observed. They were classified into seven types according to their composition. In 70% of discs from patients between 60 and 69 an...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198909000-00017
更新日期:1989-09-01 00:00:00
abstract:STUDY DESIGN:Retrospective study. OBJECTIVE:The purpose of the study was to examine survival after surgery for a metastatic spinal tumor using prognostic factors in the new Katagiri score. SUMMARY OF BACKGROUND DATA:Surgery for spinal metastasis can improve quality of life and facilitate treatment of the primary canc...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003415
更新日期:2020-07-01 00:00:00
abstract:STUDY DESIGN:Retrospective analysis. OBJECTIVE:The objective of this study was to describe the microbiology of surgical site infection (SSI) in spine surgery and relationship with surgical management characteristics. SUMMARY OF BACKGROUND DATA:SSI is an important complication of spine surgery that results in signific...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3182a42a68
更新日期:2013-10-15 00:00:00
abstract:STUDY DESIGN:Cervical facet capsular strains were determined during bending and at failure in the human cadaver. OBJECTIVE:To determine the effect of an axial pretorque on facet capsular strains and estimate the risk for subcatastrophic capsular injury during normal bending motions. SUMMARY OF BACKGROUND DATA:Epidemi...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200005150-00007
更新日期:2000-05-15 00:00:00
abstract:STUDY DESIGN:Retrospective study. OBJECTIVE:To evaluate the incidence of fusion failure after anterior screw fixation of type II and rostral shallow type III fractures and to identify related risk factors. SUMMARY OF BACKGROUND DATA:Although several studies have reported fusion rates after anterior odontoid screw fix...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31820e6418
更新日期:2012-01-01 00:00:00
abstract:STUDY DESIGN:Analysis of Swedish national and regional register data. OBJECTIVES:The aim of this study was to characterize healthcare resource utilization, productivity loss, and costs of patients with low back pain (LBP) with or without leg pain, who have been referred from primary care settings to orthopedic special...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000002089
更新日期:2017-09-01 00:00:00
abstract:STUDY DESIGN:Anterior single or dual-rod instrumentation may be performed for the treatment of main thoracic, thoracolumbar, or lumbar adolescent idiopathic scoliosis (AIS) curves. OBJECTIVE:To compare the results of anterior dual-rod instrumentation in single-major AIS curves with our previous experience using single...
journal_title:Spine
pub_type: 临床试验,杂志文章
doi:10.1097/01.brs.0000238966.75175.2b
更新日期:2006-09-15 00:00:00