EVALUATION OF CERVICAL ALIGNMENT AND ITS RELATIONSHIP WITH THORACIC KYPHOSIS AND SPINOPELVIC PARAMETERS AFTER SCOLIOSIS CORRECTION SURGERY
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Coluna/Columna |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512017000400265 |
Resumo: | ABSTRACT Objectives: To evaluate the cervical alignment after the correction of idiopathic scoliosis using high screw density and direct vertebral derotation (DVD) and to correlate it with thoracic kyphosis, spinopelvic parameters, and quality of life. Methods: Retrospective cohort study. We assessed the medical records and radiographs of patients submitted to idiopathic scoliosis surgery using high density of pedicular screws (80%) and DVD with at least 6 months of follow-up. All the radiographic parameters were evaluated in the preoperative period and in the last postoperative visit. Results: A total of 43 patients were evaluated, of which 35 (81%) were female. The mean age was 15 years (11 to 30 years) with a mean follow-up of one year and four months. Regarding Lenke’s classification, 14 were of group 1, five of group 2, 10 of group 3, eight of group 4, four of group 5 and two of group 6. Only four patients had sagittal modifier (+) and two sagittal modifier (-).There was no significant difference between pre and postoperative thoracic kyphosis. When we evaluated the groups with +, N and - thoracic modifiers, we observed hypokyphotic and normokyphotic patients (- and N) had an increase in kyphosis, whereas hyperkyphotic patients (+)had a decrease. There was no statistical difference in relation to the radiographic parameters of the cervical spine in the pre and postoperative periods. There was a significant improvement in most of the parameters of the quality of life questionnaires, but no correlation with the cervical radiographic parameters. Conclusion: Correction of idiopathic scoliosis using a high density of pedicular screws and a direct vertebral derotation technique failed to improve thoracic kyphosis or change the cervical sagittal alignment, despite promoting a significant improvement in the parameters of quality of life questionnaires. |
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EVALUATION OF CERVICAL ALIGNMENT AND ITS RELATIONSHIP WITH THORACIC KYPHOSIS AND SPINOPELVIC PARAMETERS AFTER SCOLIOSIS CORRECTION SURGERYScoliosisTreatment outcomeQuality of lifeOrthopedic fixation devicesABSTRACT Objectives: To evaluate the cervical alignment after the correction of idiopathic scoliosis using high screw density and direct vertebral derotation (DVD) and to correlate it with thoracic kyphosis, spinopelvic parameters, and quality of life. Methods: Retrospective cohort study. We assessed the medical records and radiographs of patients submitted to idiopathic scoliosis surgery using high density of pedicular screws (80%) and DVD with at least 6 months of follow-up. All the radiographic parameters were evaluated in the preoperative period and in the last postoperative visit. Results: A total of 43 patients were evaluated, of which 35 (81%) were female. The mean age was 15 years (11 to 30 years) with a mean follow-up of one year and four months. Regarding Lenke’s classification, 14 were of group 1, five of group 2, 10 of group 3, eight of group 4, four of group 5 and two of group 6. Only four patients had sagittal modifier (+) and two sagittal modifier (-).There was no significant difference between pre and postoperative thoracic kyphosis. When we evaluated the groups with +, N and - thoracic modifiers, we observed hypokyphotic and normokyphotic patients (- and N) had an increase in kyphosis, whereas hyperkyphotic patients (+)had a decrease. There was no statistical difference in relation to the radiographic parameters of the cervical spine in the pre and postoperative periods. There was a significant improvement in most of the parameters of the quality of life questionnaires, but no correlation with the cervical radiographic parameters. Conclusion: Correction of idiopathic scoliosis using a high density of pedicular screws and a direct vertebral derotation technique failed to improve thoracic kyphosis or change the cervical sagittal alignment, despite promoting a significant improvement in the parameters of quality of life questionnaires.Sociedade Brasileira de Coluna2017-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512017000400265Coluna/Columna v.16 n.4 2017reponame:Coluna/Columnainstname:Sociedade Brasileira de Coluna (SBCO)instacron:SBCO10.1590/s1808-185120171604179252info:eu-repo/semantics/openAccessDaher,Murilo TavaresPereira Jr,José HumbertoNascimento,Vinício NunesMelo,Nilo CarrijoMilazzo Netto,Luiz CarlosEsperidião,Adriano PasságliaFelisbino Jr,PedroCardoso,André Luiz PassosAraújo,Brenda Cristina RibeiroDaher,Sérgioeng2018-06-28T00:00:00Zoai:scielo:S1808-18512017000400265Revistahttps://www.revistacoluna.org/ONGhttps://old.scielo.br/oai/scielo-oai.phpcoluna.columna@uol.com.br||revistacoluna@uol.com.br2177-014X1808-1851opendoar:2018-06-28T00:00Coluna/Columna - Sociedade Brasileira de Coluna (SBCO)false |
dc.title.none.fl_str_mv |
EVALUATION OF CERVICAL ALIGNMENT AND ITS RELATIONSHIP WITH THORACIC KYPHOSIS AND SPINOPELVIC PARAMETERS AFTER SCOLIOSIS CORRECTION SURGERY |
title |
EVALUATION OF CERVICAL ALIGNMENT AND ITS RELATIONSHIP WITH THORACIC KYPHOSIS AND SPINOPELVIC PARAMETERS AFTER SCOLIOSIS CORRECTION SURGERY |
spellingShingle |
EVALUATION OF CERVICAL ALIGNMENT AND ITS RELATIONSHIP WITH THORACIC KYPHOSIS AND SPINOPELVIC PARAMETERS AFTER SCOLIOSIS CORRECTION SURGERY Daher,Murilo Tavares Scoliosis Treatment outcome Quality of life Orthopedic fixation devices |
title_short |
EVALUATION OF CERVICAL ALIGNMENT AND ITS RELATIONSHIP WITH THORACIC KYPHOSIS AND SPINOPELVIC PARAMETERS AFTER SCOLIOSIS CORRECTION SURGERY |
title_full |
EVALUATION OF CERVICAL ALIGNMENT AND ITS RELATIONSHIP WITH THORACIC KYPHOSIS AND SPINOPELVIC PARAMETERS AFTER SCOLIOSIS CORRECTION SURGERY |
title_fullStr |
EVALUATION OF CERVICAL ALIGNMENT AND ITS RELATIONSHIP WITH THORACIC KYPHOSIS AND SPINOPELVIC PARAMETERS AFTER SCOLIOSIS CORRECTION SURGERY |
title_full_unstemmed |
EVALUATION OF CERVICAL ALIGNMENT AND ITS RELATIONSHIP WITH THORACIC KYPHOSIS AND SPINOPELVIC PARAMETERS AFTER SCOLIOSIS CORRECTION SURGERY |
title_sort |
EVALUATION OF CERVICAL ALIGNMENT AND ITS RELATIONSHIP WITH THORACIC KYPHOSIS AND SPINOPELVIC PARAMETERS AFTER SCOLIOSIS CORRECTION SURGERY |
author |
Daher,Murilo Tavares |
author_facet |
Daher,Murilo Tavares Pereira Jr,José Humberto Nascimento,Vinício Nunes Melo,Nilo Carrijo Milazzo Netto,Luiz Carlos Esperidião,Adriano Passáglia Felisbino Jr,Pedro Cardoso,André Luiz Passos Araújo,Brenda Cristina Ribeiro Daher,Sérgio |
author_role |
author |
author2 |
Pereira Jr,José Humberto Nascimento,Vinício Nunes Melo,Nilo Carrijo Milazzo Netto,Luiz Carlos Esperidião,Adriano Passáglia Felisbino Jr,Pedro Cardoso,André Luiz Passos Araújo,Brenda Cristina Ribeiro Daher,Sérgio |
author2_role |
author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Daher,Murilo Tavares Pereira Jr,José Humberto Nascimento,Vinício Nunes Melo,Nilo Carrijo Milazzo Netto,Luiz Carlos Esperidião,Adriano Passáglia Felisbino Jr,Pedro Cardoso,André Luiz Passos Araújo,Brenda Cristina Ribeiro Daher,Sérgio |
dc.subject.por.fl_str_mv |
Scoliosis Treatment outcome Quality of life Orthopedic fixation devices |
topic |
Scoliosis Treatment outcome Quality of life Orthopedic fixation devices |
description |
ABSTRACT Objectives: To evaluate the cervical alignment after the correction of idiopathic scoliosis using high screw density and direct vertebral derotation (DVD) and to correlate it with thoracic kyphosis, spinopelvic parameters, and quality of life. Methods: Retrospective cohort study. We assessed the medical records and radiographs of patients submitted to idiopathic scoliosis surgery using high density of pedicular screws (80%) and DVD with at least 6 months of follow-up. All the radiographic parameters were evaluated in the preoperative period and in the last postoperative visit. Results: A total of 43 patients were evaluated, of which 35 (81%) were female. The mean age was 15 years (11 to 30 years) with a mean follow-up of one year and four months. Regarding Lenke’s classification, 14 were of group 1, five of group 2, 10 of group 3, eight of group 4, four of group 5 and two of group 6. Only four patients had sagittal modifier (+) and two sagittal modifier (-).There was no significant difference between pre and postoperative thoracic kyphosis. When we evaluated the groups with +, N and - thoracic modifiers, we observed hypokyphotic and normokyphotic patients (- and N) had an increase in kyphosis, whereas hyperkyphotic patients (+)had a decrease. There was no statistical difference in relation to the radiographic parameters of the cervical spine in the pre and postoperative periods. There was a significant improvement in most of the parameters of the quality of life questionnaires, but no correlation with the cervical radiographic parameters. Conclusion: Correction of idiopathic scoliosis using a high density of pedicular screws and a direct vertebral derotation technique failed to improve thoracic kyphosis or change the cervical sagittal alignment, despite promoting a significant improvement in the parameters of quality of life questionnaires. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512017000400265 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512017000400265 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/s1808-185120171604179252 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Coluna |
publisher.none.fl_str_mv |
Sociedade Brasileira de Coluna |
dc.source.none.fl_str_mv |
Coluna/Columna v.16 n.4 2017 reponame:Coluna/Columna instname:Sociedade Brasileira de Coluna (SBCO) instacron:SBCO |
instname_str |
Sociedade Brasileira de Coluna (SBCO) |
instacron_str |
SBCO |
institution |
SBCO |
reponame_str |
Coluna/Columna |
collection |
Coluna/Columna |
repository.name.fl_str_mv |
Coluna/Columna - Sociedade Brasileira de Coluna (SBCO) |
repository.mail.fl_str_mv |
coluna.columna@uol.com.br||revistacoluna@uol.com.br |
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1752126615573233664 |