USE OF SUBLAMINAR BANDS FOR ADOLESCENT IDIOPATHIC SCOLIOSIS - A SYSTEMATIC REVIEW

• Autor(a) principal: TELES FILHO,RICARDO VIEIRA
• Data de Publicação: 2020
• Outros Autores: ABE,GUILHERME DE MATOS, SILVA,BRUNO AUGUSTO EVANGELISTA EMILIORELLI, MELO,NILO CARRIJO, NASCIMENTO,VINÍCIO NUNES, FELISBINO JR,PEDRO, RABAHI,MARCELO FOUAD, DAHER,SERGIO, DAHER,MURILO TAVARES
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Coluna/Columna
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512020000200142
• topic: Spinal Curvatures; Surgery; Prostheses and Implants; Orthopedic Fixation Devices

ABSTRACT Objective In 2003, Mazda et al. introduced a new device for surgical correction of Adolescent Idiopathic Scoliosis (AIS) called sublaminar bands (SB). The reduction principle that SBs use is posteromedial spinal translation, similar to Luque’s wiring, but using polyester bands. Methods We performed a systematic review of the literature on this subject, evaluating the technique in terms of coronal correction, sagittal correction, bleeding, mean surgical time, loss of correction, infection, pseudoarthrosis, and neurological and other complications. The total search resulted in 14 articles published over the last 10 years. We found that the use of SBs in hybrid AIS correction instrumentations provides an average correction of 69% in the frontal plane, a 5° increase in thoracic kyphosis (average increase of 55%), overall complications of 4.5%, and no neurological complications were reported in any of the studies analyzed.. The mean blood loss was 682.5 mL and the mean surgical time was 228.6 minutes. Conclusions We conclude that the literature suggests that this instrumentation is safe, allows good correction in the frontal plane and great correction in the sagittal plane. As for complications, mean surgical time, and blood loss, their averages are lower than those of other constructions used for AIS. Level of evidence IIA; Systematic review.