A Comparative Study of Sagittal Balance in Patients with Neuromuscular Scoliosis

Detalhes bibliográficos
Autor(a) principal: Borges, Paulo Alvim
Data de Publicação: 2017
Outros Autores: Zelada, Flávio Gerardo Benites, dos Santos Barros, Thiago Felipe, Letaif, Olavo Biraghi, da Rocha, Ivan Dias, Marcon, Raphael Martus, Cristante, Alexandre Fogaça, Barros-Filho, Tarcíso Eloy Pessoa
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Clinics
Texto Completo: https://www.revistas.usp.br/clinics/article/view/138273
Resumo: OBJECTIVES: Spinopelvic alignment has been associated with improved quality of life in patients with vertebral deformities, and it helps to compensate for imbalances in gait. Although surgical treatment of scoliosis in patients with neuromuscular spinal deformities promotes correction of coronal scoliotic deformities, it remains poorly established whether this results in large changes in sagittal balance parameters in this specific population. The objective of this study is to compare these parameters before and after the current procedure under the hypothesis is that there is no significant modification. METHODS: Sampling included all records of patients with neuromuscular scoliosis with adequate radiographic records treated at Institute of Orthopedics and Traumatology of Clinics Hospital of University of São Paulo (IOT-HCFMUSP) from January 2009 to December 2013. Parameters analyzed were incidence, sacral inclination, pelvic tilt, lumbar lordosis, thoracic kyphosis, spinosacral angle, spinal inclination and spinopelvic inclination obtained using the iSite-Philips digital display system with Surgimap and a validated method for digital measurements of scoliosis radiographs. Comparison between the pre- and post-operative conditions involved means and standard deviations and the t-test. RESULTS: Based on 101 medical records only, 16 patients met the inclusion criteria for this study, including 7 males and 9 females, with an age range of 9-20 and a mean age of 12.9±3.06; 14 were diagnosed with cerebral palsy. No significant differences were found between pre and postoperative parameters. CONCLUSIONS: Despite correction of coronal scoliotic deformity in patients with neuromuscular deformities, there were no changes in spinopelvic alignment parameters in the group studied.
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spelling A Comparative Study of Sagittal Balance in Patients with Neuromuscular ScoliosisNeuromuscular DiseasesScoliosisSpine DeformitySagittal BalanceSurgical CorrectionOBJECTIVES: Spinopelvic alignment has been associated with improved quality of life in patients with vertebral deformities, and it helps to compensate for imbalances in gait. Although surgical treatment of scoliosis in patients with neuromuscular spinal deformities promotes correction of coronal scoliotic deformities, it remains poorly established whether this results in large changes in sagittal balance parameters in this specific population. The objective of this study is to compare these parameters before and after the current procedure under the hypothesis is that there is no significant modification. METHODS: Sampling included all records of patients with neuromuscular scoliosis with adequate radiographic records treated at Institute of Orthopedics and Traumatology of Clinics Hospital of University of São Paulo (IOT-HCFMUSP) from January 2009 to December 2013. Parameters analyzed were incidence, sacral inclination, pelvic tilt, lumbar lordosis, thoracic kyphosis, spinosacral angle, spinal inclination and spinopelvic inclination obtained using the iSite-Philips digital display system with Surgimap and a validated method for digital measurements of scoliosis radiographs. Comparison between the pre- and post-operative conditions involved means and standard deviations and the t-test. RESULTS: Based on 101 medical records only, 16 patients met the inclusion criteria for this study, including 7 males and 9 females, with an age range of 9-20 and a mean age of 12.9±3.06; 14 were diagnosed with cerebral palsy. No significant differences were found between pre and postoperative parameters. CONCLUSIONS: Despite correction of coronal scoliotic deformity in patients with neuromuscular deformities, there were no changes in spinopelvic alignment parameters in the group studied.Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo2017-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/clinics/article/view/13827310.6061/clinics/2017(08)05Clinics; Vol. 72 No. 8 (2017); 481-484Clinics; v. 72 n. 8 (2017); 481-484Clinics; Vol. 72 Núm. 8 (2017); 481-4841980-53221807-5932reponame:Clinicsinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/clinics/article/view/138273/133714Copyright (c) 2017 Clinicsinfo:eu-repo/semantics/openAccessBorges, Paulo AlvimZelada, Flávio Gerardo Benitesdos Santos Barros, Thiago FelipeLetaif, Olavo Biraghida Rocha, Ivan DiasMarcon, Raphael MartusCristante, Alexandre FogaçaBarros-Filho, Tarcíso Eloy Pessoa2017-09-22T16:20:24Zoai:revistas.usp.br:article/138273Revistahttps://www.revistas.usp.br/clinicsPUBhttps://www.revistas.usp.br/clinics/oai||clinics@hc.fm.usp.br1980-53221807-5932opendoar:2017-09-22T16:20:24Clinics - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv A Comparative Study of Sagittal Balance in Patients with Neuromuscular Scoliosis
title A Comparative Study of Sagittal Balance in Patients with Neuromuscular Scoliosis
spellingShingle A Comparative Study of Sagittal Balance in Patients with Neuromuscular Scoliosis
Borges, Paulo Alvim
Neuromuscular Diseases
Scoliosis
Spine Deformity
Sagittal Balance
Surgical Correction
title_short A Comparative Study of Sagittal Balance in Patients with Neuromuscular Scoliosis
title_full A Comparative Study of Sagittal Balance in Patients with Neuromuscular Scoliosis
title_fullStr A Comparative Study of Sagittal Balance in Patients with Neuromuscular Scoliosis
title_full_unstemmed A Comparative Study of Sagittal Balance in Patients with Neuromuscular Scoliosis
title_sort A Comparative Study of Sagittal Balance in Patients with Neuromuscular Scoliosis
author Borges, Paulo Alvim
author_facet Borges, Paulo Alvim
Zelada, Flávio Gerardo Benites
dos Santos Barros, Thiago Felipe
Letaif, Olavo Biraghi
da Rocha, Ivan Dias
Marcon, Raphael Martus
Cristante, Alexandre Fogaça
Barros-Filho, Tarcíso Eloy Pessoa
author_role author
author2 Zelada, Flávio Gerardo Benites
dos Santos Barros, Thiago Felipe
Letaif, Olavo Biraghi
da Rocha, Ivan Dias
Marcon, Raphael Martus
Cristante, Alexandre Fogaça
Barros-Filho, Tarcíso Eloy Pessoa
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Borges, Paulo Alvim
Zelada, Flávio Gerardo Benites
dos Santos Barros, Thiago Felipe
Letaif, Olavo Biraghi
da Rocha, Ivan Dias
Marcon, Raphael Martus
Cristante, Alexandre Fogaça
Barros-Filho, Tarcíso Eloy Pessoa
dc.subject.por.fl_str_mv Neuromuscular Diseases
Scoliosis
Spine Deformity
Sagittal Balance
Surgical Correction
topic Neuromuscular Diseases
Scoliosis
Spine Deformity
Sagittal Balance
Surgical Correction
description OBJECTIVES: Spinopelvic alignment has been associated with improved quality of life in patients with vertebral deformities, and it helps to compensate for imbalances in gait. Although surgical treatment of scoliosis in patients with neuromuscular spinal deformities promotes correction of coronal scoliotic deformities, it remains poorly established whether this results in large changes in sagittal balance parameters in this specific population. The objective of this study is to compare these parameters before and after the current procedure under the hypothesis is that there is no significant modification. METHODS: Sampling included all records of patients with neuromuscular scoliosis with adequate radiographic records treated at Institute of Orthopedics and Traumatology of Clinics Hospital of University of São Paulo (IOT-HCFMUSP) from January 2009 to December 2013. Parameters analyzed were incidence, sacral inclination, pelvic tilt, lumbar lordosis, thoracic kyphosis, spinosacral angle, spinal inclination and spinopelvic inclination obtained using the iSite-Philips digital display system with Surgimap and a validated method for digital measurements of scoliosis radiographs. Comparison between the pre- and post-operative conditions involved means and standard deviations and the t-test. RESULTS: Based on 101 medical records only, 16 patients met the inclusion criteria for this study, including 7 males and 9 females, with an age range of 9-20 and a mean age of 12.9±3.06; 14 were diagnosed with cerebral palsy. No significant differences were found between pre and postoperative parameters. CONCLUSIONS: Despite correction of coronal scoliotic deformity in patients with neuromuscular deformities, there were no changes in spinopelvic alignment parameters in the group studied.
publishDate 2017
dc.date.none.fl_str_mv 2017-08-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/clinics/article/view/138273
10.6061/clinics/2017(08)05
url https://www.revistas.usp.br/clinics/article/view/138273
identifier_str_mv 10.6061/clinics/2017(08)05
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/clinics/article/view/138273/133714
dc.rights.driver.fl_str_mv Copyright (c) 2017 Clinics
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2017 Clinics
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo
publisher.none.fl_str_mv Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo
dc.source.none.fl_str_mv Clinics; Vol. 72 No. 8 (2017); 481-484
Clinics; v. 72 n. 8 (2017); 481-484
Clinics; Vol. 72 Núm. 8 (2017); 481-484
1980-5322
1807-5932
reponame:Clinics
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Clinics
collection Clinics
repository.name.fl_str_mv Clinics - Universidade de São Paulo (USP)
repository.mail.fl_str_mv ||clinics@hc.fm.usp.br
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