Clinical outcomes of posterior pedicle screw instrumentation without osteotomy in the management of adolescent idiopathic scoliosis

Li, Ning; Xu, Chen; Shen, Mingkui; Luo, Ming; Wang, Jie; Xia, Lei

doi:10.1097/md.0000000000012122

Cited by 4 publications

(3 citation statements)

References 15 publications

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“…The final score gives the combined outcome of all 5 subsections and a higher score represents a better outcome. Although the validity and reliability of the SRS-22 questionnaire has only been proven among adults [ 22 , 23 ], it is still widely used in studies assessing the outcome of treatments in AIS [ 24 – 26 ]. This study utilized the SRS-22 questionnaire to compare the functional, pain and general health status of AIS patients with different curvature severity, to identify any differences between the groups.…”

Section: Methodsmentioning

confidence: 99%

Accelerometer based assessment of daily physical activity and sedentary time in adolescents with idiopathic scoliosis

et al. 2020

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Background Studies have shown a positive correlation between higher physical activity (PA) and health benefits. However, device-based assessment of PA and sedentary time (ST) in people with adolescent idiopathic scoliosis (AIS) has not been deeply investigated. Objective Analysis and comparison of weekend and weekdays PA and ST using multiple accelerometers in people with AIS with different curvature severity compared to healthy controls. Methods 24 participants with AIS divided into 2 groups of 12 with Cobb angles < 40˚and > 40˚, along with 12 age and BMI matched healthy controls. Daily PA and ST during four consecutive days were measured using four tri-axial accelerometers. Clinical functional assessment was performed using the scoliosis research society (SRS-22) questionnaire. Results The combined weekend and weekdays average daily step count was found to be 22% and 29% lower in the AIS groups with Cobb angle < 40˚and > 40˚, respectively, compared to the controls. The average ST was also reported to be 5% and 7% higher in the AIS groups with Cobb angle < 40˚and > 40˚, respectively, compared to the controls. The reported differences were significant in the AIS group with higher Cobb angle (p�0.05). No significant differences in PA or ST were reported between the AIS groups based on curvature severity. Conclusions Decreased PA and increased ST observed in patients with AIS may have long term health implications and may play a role in the disease process. The device-based assessment of PA to understand potential benefits in clinical practice is recommended.

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Section: Methodsmentioning

confidence: 99%

Accelerometer based assessment of daily physical activity and sedentary time in adolescents with idiopathic scoliosis

et al. 2020

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“…At present, the major approach for AIS is the posterior screw-rod system fixation. [1,3,5,8] Screw misplacement is a primary factor that leads to disastrous neurovascular compromise. [2–4] Literature [1,17] reported that navigation system allows the surgeon to implant pedicle screw more accurately than free hand technique, whereas the pedicle violation was still observed 11.4% with navigation.…”

Section: Discussionmentioning

confidence: 99%

“…[1–4] At present, screw-rod system fixation in posterior approach has become the primary measure for AIS. [5,6] On the one hand, a satisfactory orthopedic effect should be achieved, on the other hand, complications should be avoided during operation.…”

Section: Introductionmentioning

confidence: 99%

Screw view model of navigation in posterior corrective surgery for adolescent idiopathic scoliosis

Yang²,

Zheng³

et al. 2019

Medicine

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Rationale: The purpose of this study is to introduce the application of screw view model of navigation (SVMN) for adolescent idiopathic scoliosis (AIS). It is a challenge to insert pedicle screw into the vertebral body of scoliosis, and the misplaced screw may lead to neurovascular injury. In order to minimize surgical complications, we used a novel method of SVMN technology to facilitate pedicle screw insertion. Patient concerns: Her mother brought her to our outpatient department upon noticing the girl's different heights of shoulders and unbalance of the trunk. Diagnoses: She was diagnosed with AIS and syringomyelia. Interventions: We used an SVMN technology to assist pedicle screw insertion and correction surgery in this 20-year-old patient. Outcomes: This study indicates that the SVMN could obtain a satisfactory surgical effect for AIS. The Cobb angle of segmental scoliosis (T7-L2) was 55° before surgery, and 3.5° after surgery, and the rate of correction was 93.6%. The segmental kyphosis (T7-L1) was 56.8° preoperatively and 32° postoperatively with the rate of correction of 43.6%. The distance between the center sacral vertical line (CSVL) and the C7 plumb line (CPL) was reduced from 56.2 mm to 0.2 mm, and the sagittal imbalance of 35.8 mm was improved to 3.5 mm. In addition, the misplacement of pedicle screws, the volume of blood loss, the operation time, and surgical complications were also recorded. The follow-up duration was 33 months. Lessons: The utilization of SVMN in AIS might reduce the incidence of screw misplacement and avoid neurovascular damage, as well as a satisfactory correction. The application of SVMN for AIS is an efficacious and safe method.

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Defining “successful” treatment outcomes in adolescent idiopathic scoliosis: a scoping review

Joarder

Taniguchi

Mendoza³

et al. 2023

Eur Spine J

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Adolescent idiopathic scoliosis (AIS) is the most common type of scoliosis that affects children aged 10 to 18 years old, manifesting in a three dimensional spinal deformity. This study aimed to explore outcome measures used in de ning AIS treatment success. Particularly, analyzing the extent of radiographic and quality of life domains used and whether AIS treatment approaches (surgical, bracing, physiotherapy etc.) in uences outcomes used as proxies of treatment success. MethodsEMBASE and MEDLINE databases were used to conduct a systematic scoping review with 158 papers screened for data extraction. Extractable variables included: study characteristics, study participant characteristics, type of study, type of intervention approach and outcome measures. ResultsAll 158 studies measured quantitative outcomes. 61.38% of papers used radiographic outcomes whilst 38.62% of papers used quantitative quality of life outcomes to evaluate treatment success. Irrespective of treatment intervention utilized, the type of quantitative outcome measure recorded did not differ signi cantly. Moreover, of the radiographic outcome measures, the subcategory Cobb angle was predominantly used across all intervention approaches. For quantitative quality of life measures, questionnaires investigating multiple domains such as SRS were primarily used as proxies of AIS treatment success across all intervention approaches. ConclusionThis study identi ed that no articles employed qualitative measures of describing the psychosocial implications of AIS in de ning treatment success. Although quantitative measures have merit in clinical diagnoses and management, there is increasing value in using qualitative methods such as thematic analysis in guiding clinicians to develop a biopsychosocial approach for patient care.

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Clinical outcomes of posterior pedicle screw instrumentation without osteotomy in the management of adolescent idiopathic scoliosis

Cited by 4 publications

References 15 publications

Accelerometer based assessment of daily physical activity and sedentary time in adolescents with idiopathic scoliosis

Accelerometer based assessment of daily physical activity and sedentary time in adolescents with idiopathic scoliosis

Screw view model of navigation in posterior corrective surgery for adolescent idiopathic scoliosis

Defining “successful” treatment outcomes in adolescent idiopathic scoliosis: a scoping review

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