Abstract:
:A single-center retrospective analysis of 46 patients with Lenke 5 adolescent idiopathic scoliosis (AIS).To compare Cobb angle distribution in different segments of the main thoracolumbar/lumbar curve in patients with Lenke 5 AIS, and differences in the lateral-bending flexibility, the correction rate, and correction index among these segments.No studies have been reported the ratio of the different segments to the main thoracolumbar/lumbar curve in terms of curve angle distribution, lateral-bending flexibility differences between these segments, and the correction rate when surgical instrumentations are used to correct scoliosis.Included in this study were 46 consecutive patients with Lenke 5 AIS. All of them received one-stage posterior correction and fusion with pedicle screw in the same center between January 2009 and January 2012. General data and radiological films before surgery, and at final follow-up were collected for further analysis. The wedging angles in the different discs were measured within main thoracolumbar/lumbar curve before and after surgery. This angle was also measured in the bending film. The preoperative flexibility, the correction rate, and the correction index of different disc segments were calculated.There were 44 (95.65%) female and 2 (4.35%) male included in this study, with the average age of 15.26 ± 2.19 years at the time of surgery. The mean Cobb angle was 45.09 ± 9.40°. The average disc wedge angles in AV - 2 (apex vetebrea-2), AV - 1, AV + 1, and AV + 2 segments were 5.59 ± 2.28°, 10.46 ± 3.41°, 9.85 ± 2.43°, 5.68 ± 2.80°, accounting for about 17.76%, 33.16%, 31.64%, and 17.44% of the Cobb angle in the main thoracolumbar/lumbar curve, respectively (P < .001). Flexibility of the supine lateral bending was 75.84%, 64.36%, 72.16% and 135.09% (P < .001), while the correction rates were 76.00%, 83.10%, 92.10%, and 109.65% (P < .001). The correction indexes were 1.16, 1.77, 2.02, and 1.11 for the disc of AV - 2, AV - 1, AV + 1, and AV + 2, respectively (P < .001).The disc angles are symmetric distribution in the main thoracolumbar/lumbar curve, and the distal segment is more flexible than the proximal/apical segments. Furthermore, the correction index is the highest in the apical vertebral segment.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Zhao J,Fan J,Shen H,Yang C,Chen Y,Li Mdoi
10.1097/MD.0000000000011216subject
Has Abstractpub_date
2018-06-01 00:00:00pages
e11216issue
25eissn
0025-7974issn
1536-5964pii
00005792-201806220-00082journal_volume
97pub_type
杂志文章相关文献
MEDICINE文献大全abstract:BACKGROUND:A thoracoscopic approach for repair of esophageal atresia (EA) with tracheoesophageal fistula (TEF) has become a standard procedure in many pediatric surgical centers. However, whether thoracotomy or thoracoscopy offer advantages in terms of surgical outcomes is not known. METHODS:To evaluate the efficacy a...
journal_title:Medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1097/MD.0000000000004428
更新日期:2016-07-01 00:00:00
abstract::Stroke is one of the most common causes of physical disability, and early, intensive, and repetitive rehabilitation exercises are crucial to the recovery of stroke survivors. Unfortunately, research shows that only one third of stroke patients actually perform recommended exercises at home, because of the repetitive a...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000003032
更新日期:2016-03-01 00:00:00
abstract::Bacteremic nocardiosis is reported rarely. We discuss 4 recent cases seen at our institution and 32 other cases described in the English literature. We found that patients with bacteremic nocardiosis were similar in presentation, risk factors, course, and therapeutic outcome to nonbacteremic patients with nocardiosis....
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/00005792-199807000-00004
更新日期:1998-07-01 00:00:00
abstract::The occurrence of anastomotic leakage (AL) remains a major concern in the early postoperative stage. Because of the relatively high morbidity and mortality of AL in patients with laparoscopic low rectal cancer who receive an anterior resection, a fecal diverting method is usually introduced. The Valtrac™-secured intra...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000000224
更新日期:2014-12-01 00:00:00
abstract:BACKGROUND:The digestive tract malignancies are a series of malignant tumor with high morbidity and mortality. Traditional Chinese medicine (TCM) combined with chemotherapy drugs interventions have been applied for the treatment of malignant tumors in Asian countries for dacades. This study aimed to assess the effectiv...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000019480
更新日期:2020-04-01 00:00:00
abstract:RATIONALE:Acute pancreatitis (AP) is one of the most common diseases of gastroenterological emergency with a highly variable clinical course and the incidence being on the rise in recent years. Posttraumatic diaphragmatic hernia is an uncommon disease and may manifest immediately or several years after the incident. De...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000022482
更新日期:2020-10-09 00:00:00
abstract::The benefits of an anesthesia pre-operative evaluation clinic (APEC) based on outpatients are well described in previous literatures. In the majority of hospitals in South Korea, preoperative anesthetic evaluation for surgical patients is limited to hospitalized patients on the day before surgery. Thus, we would like ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000017634
更新日期:2019-10-01 00:00:00
abstract:INTRODUCTION:Cardiac myxomas are the most frequent primary cardiac tumor in adults. The incidence in pediatric patients is extremely low. Heavy calcification of an atrial myxoma is uncommon in children. CASE PRESENTATION:An 18-month-old boy was admitted for a significant precordial systolic murmur. Transthoracic echoc...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000011073
更新日期:2018-06-01 00:00:00
abstract:RATIONALE:We report a case of paraproteinemic keratopathy associated with monoclonal gammopathy of undetermined significance, treated with keratoprosthesis as a primary penetrating procedure. Histopathological findings and a world literature review are presented. PATIENT CONCERNS:A 74 year old female recently diagnose...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0000000000008649
更新日期:2017-12-01 00:00:00
abstract::The main objective of the study was to evaluate the efficacy and safety of dabrafenib alone or combined with trametinib for compassionate use in patients with metastatic melanoma.This retrospective, observational study involved 135 patients with unresectable stage IIIC or stage IV melanoma from an expanded-access prog...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000009523
更新日期:2017-12-01 00:00:00
abstract::Osteoporosis is a severe chronic skeletal disorder that increases the risks of disability and mortality; however, the mechanism of this disease and the protein markers for prognosis of osteoporosis have not been well characterized. This study aims to characterize the imbalanced serum proteostasis, the disturbed pathwa...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000022172
更新日期:2020-09-25 00:00:00
abstract::[This corrects the article DOI: 10.1097/MD.0000000000006423.]. ...
journal_title:Medicine
pub_type: 已发布勘误
doi:10.1097/MD.0000000000006811
更新日期:2017-04-28 00:00:00
abstract:INTRODUCTION:Lymphoma is the third most common cancer among children in the United States and Europe. Hemophilia is a congenital bleeding disorder characterized by deficiency of coagulation factor VIII or IX. Hemophilia B is a consequence of factor IX deficiency and has an incidence of 1 in 20,000 male births. A concur...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000015474
更新日期:2019-05-01 00:00:00
abstract:BACKGROUND:Glypican-3 (GPC3) has been widely recognized in the progression of liver tumors for several years. The relationship between overexpression of GPC3 and the poorer prognosis of patients with hepatocellular carcinoma (HCC) was performed by 2 meta-analyses. However, there were also some latest literatures that i...
journal_title:Medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1097/MD.0000000000011130
更新日期:2018-06-01 00:00:00
abstract:BACKGROUND:Tuberculosis (TB) is the leading cause of health complications and death among human with immunodeficiency virus (HIV) infection. When TB develops during pregnancy or the early postpartum period, it is associated with negative maternal, pregnancy, and fetus and infant outcome, including premature birth, low ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000023089
更新日期:2020-11-20 00:00:00
abstract:RATIONALE:Sirenomelia is a rare congenital malformation that threatens fetal survivals. The cases in which twin with sirenomelia and chromosomal abnormality have been seldomly reported. We reported a dichorionic twin case in which one twin had sirenomelia, the other twin had a normal phenotype, and they had different c...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000024229
更新日期:2021-01-08 00:00:00
abstract:BACKGROUND:Intraoperative blood salvage (IBS) recovers most lost blood, and is widely used in the clinic. It is unclear why IBS does not reduce long-term postoperative requirements for red blood cells (RBCs), and 1 possibility is that IBS affects RBC lifespan. METHODS:Prospectively enrolled patients who underwent spin...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000008143
更新日期:2017-09-01 00:00:00
abstract:RATIONALE:It is challenging to visualize and reduce a posterolateral tibial plateau fracture through an anterolateral approach as the tibial plateau fragments are often covered by the fibular head and ligamentous structures. PATIENT CONCERNS:In this case report, we describe a patient with a depression fracture of the ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000009669
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Unstable angina (UA) is a clinically common coronary heart disease. Zhishi xiebai guizhi decoction (ZXGD) has been widely used in the management of UA, although its effective evidence is not clear and there is no systematic review regarding its efficacy and safety. Therefore, we conduct this systematic revie...
journal_title:Medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1097/MD.0000000000013965
更新日期:2018-12-01 00:00:00
abstract::The present study examined whether early patent ductus arteriosus (PDA) surgical ligation at ≤2 weeks of life was associated with increased morbidities and mortality in very low birth weight infants (VLBWIs) who were diagnosed with hemodynamically significant (hs) PDA. Between December 2013 and December 2015, a total ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000006557
更新日期:2017-04-01 00:00:00
abstract:BACKGROUND:Chronic pelvic inflammatory disease (CPID) is a difficult-to-treat gynaecological disorder, which has complex etiologies, among married women. In recent years, moxibustion has gradually shown its clinical advantages and been more and more widely used In China. The protocol is try to synthesize and assess the...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000021925
更新日期:2020-08-28 00:00:00
abstract:OBJECTIVE:This study was performed to explore the effects of probucol on contrast-induced acute kidney injury (CIAKI) in patients with coronary heart disease undergoing percutaneous coronary intervention (PCI). METHODS:In total, 220 patients undergoing PCI were randomly assigned to either the control group (hydration ...
journal_title:Medicine
pub_type: 杂志文章,随机对照试验
doi:10.1097/MD.0000000000016049
更新日期:2019-06-01 00:00:00
abstract:BACKGROUND:As the general population continues to age, there is an increase need for surgical management of elderly patients. Compared to open hepatectomy (OH), laparoscopic hepatectomy (LH) offers earlier mobilization, less blood loss, and shorter postoperative hospital stay. However, whether these advantages of LH ov...
journal_title:Medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1097/MD.0000000000011703
更新日期:2018-07-01 00:00:00
abstract::[This corrects the article DOI: 10.1097/MD.0000000000001654.]. ...
journal_title:Medicine
pub_type: 已发布勘误
doi:10.1097/01.md.0000479947.63919.bc
更新日期:2016-01-22 00:00:00
abstract:RATIONALE:X-linked dominant hypophosphatemia rickets (XLH, OMIM 307800) is the most common hereditary hypophosphatemic rickets and characterized by growth retardation, skeletal malformations, dental dysplasia, spontaneous fractures and osteomalacia. PHEX gene was identified for XLH and novel mutations were consistent w...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000011453
更新日期:2018-08-01 00:00:00
abstract::Multiple myeloma (MM) is a plasma cell neoplasm with skeletal destruction which could also spread to extramedullary regions. Common diagnostic imaging modalities include skeletal radiography, computed tomography (CT), magnetic resonance imaging (MRI). Recently, PET/CT is proposed as an ideal tomographic tool for diagn...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000000995
更新日期:2015-06-01 00:00:00
abstract::Previous studies have reported that uterine leiomyoma (UL) may share pathogenic features with obesity and hypertension, which are components of metabolic syndrome (MetS). We examined the association between UL and MetS in premenopausal parous women.This 1:1 case-control study was conducted on 615 asymptomatic women wi...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000005325
更新日期:2016-11-01 00:00:00
abstract::Papillary renal cell carcinoma (pRCC) is the second most prevalent subtype of kidney cancers. In the current study, we analyzed the global microRNA (miRNA) expression profiles in pRCC, with the aim to evaluate the relationship of miRNA expression with the progression and prognosis of pRCC.A total of 163 treatment-naïv...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000000767
更新日期:2015-04-01 00:00:00
abstract::Work-related musculoskeletal pain and stress are both highly prevalent in the working environment and relate well to the biopsychosocial model. While the onset of musculoskeletal pain is often dependent on the biological element of the biopsychosocial model, chronic pain is often influenced by psychological and social...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000010124
更新日期:2018-03-01 00:00:00
abstract:INTRODUCTION:Anorectal malignant melanoma (AMM) is a rare and aggressive malignance with poor prognosis, yet no consensus of treatment exists to date. Abdominoperineal resection surgery (APR) is the standard treatment of anorectal malignant melanoma, capable of controlling lymphatic spread and obtaining a large negativ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000019028
更新日期:2020-01-01 00:00:00