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Five-year clinical and radiographic outcomes using pedicle screw only constructs in the treatment of adolescent idiopathic scoliosis.
- Source :
-
European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society [Eur Spine J] 2013 Jun; Vol. 22 (6), pp. 1292-9. Date of Electronic Publication: 2012 Dec 20. - Publication Year :
- 2013
-
Abstract
- Purpose: To determine the mid-term clinical and radiographic impact of pedicle screw fixation in patients with adolescent idiopathic scoliosis (AIS).<br />Methods: A multicenter AIS database was retrospectively queried to identify 99 consecutive patients who underwent posterior spinal fusion using an all pedicle screw construct with a minimum of 5-year follow-up. Radiographic and clinical parameters were reviewed at regular intervals up to 5 years.<br />Results: The mean age was 14.4 ± 2.0 years with 79 % being female. The mean preoperative major curve was 51.7 ± 14.2° with a mean correction of 66 and 64 % at 2 and 5 years (p = 0.16). Pre-op thoracic kyphosis averaged 22.3 ± 12.9° and was 18.4 ± 10.6° at 5 years with no significant change from 2 years (p = 0.33). SRS total and domain scores demonstrated significant improvements at 2 years, which were slightly decreased at 5 years (p = 0.06). SRS scores of self-image (p = 0.99) and satisfaction (p = 0.18) were significantly improved after surgery with minimal change by 5 years. The change in SRS total scores from 2 to 5 years was attributed to differences in SRS scores of pain and mental health (p < 0.05).<br />Conclusions: Intermediate follow-up of patients with AIS treated with an all pedicle screw construct demonstrates maintenance of their coronal, and sagittal plane correction between 2- and 5-year follow-up. At 5 years, improvements in SRS scores were consistent with 2-year values, except for a decline in pain and mental health scores.
- Subjects :
- Adolescent
Bone Screws
Female
Follow-Up Studies
Humans
Male
Postoperative Complications epidemiology
Postoperative Complications etiology
Radiography
Retrospective Studies
Scoliosis diagnostic imaging
Spinal Fusion adverse effects
Spinal Fusion methods
Scoliosis surgery
Spinal Fusion instrumentation
Treatment Outcome
Subjects
Details
- Language :
- English
- ISSN :
- 1432-0932
- Volume :
- 22
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
- Publication Type :
- Academic Journal
- Accession number :
- 23254863
- Full Text :
- https://doi.org/10.1007/s00586-012-2625-0