Postoperative changes in sacropelvic junction in short-segment angular kyphosis versus Scheuermann kyphosis

Güler, Olcay; Akgül, Turgut; Korkmaz, Murat; Günerbüyük, Caner; Sariyilmaz, Kerim; Dikici, Fatih; Talu, Ufuk

doi:10.1007/s00586-016-4756-1

Cited by 5 publications

(5 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…19 The postoperative SB is an important predictor of functional results when depicting the muscular forces acting on the spine and the associated energy spent. 20 In the present study, the mean values of the SB remained within the normal range before and after surgery, which was also described by Guler et al 21 after surgical correction of SK. In the postoperative period, the mean values of the pelvic parameters were of 50°for PI, 16°for PT, and 35°for SS.…”

Section: Discussionsupporting

confidence: 90%

See 1 more Smart Citation

Alinhamento do plano sagital e resultados funcionais após cirurgia para a cifose de Scheuermann

Vital

Nunes

Santos

et al. 2021

Rev Bras Ortop (Sao Paulo)

View full text Add to dashboard Cite

Resumo Objetivo Avaliar e correlacionar os parâmetros pélvicos, o equilíbrio sagital (SB), e o resultado funcional dos pacientes submetidos ao tratamento cirúrgico da hipercifose de Scheuermann (SK). Métodos Foram incluídos pacientes submetidos à cirurgia entre janeiro de 2005 e dezembro de 2016. Foram obtidas as seguintes medidas radiográficas: cifose torácica (TK); lordose lombar (LL); SB; incidência pélvica (PI); inclinação pélvica (PT); e inclinação sacral (SS). Complicações foram registradas durante o período de seguimento. Resultados Foram incluídos 19 pacientes (16 homens): a cifose pré-operatória média foi de 83°, e, após a cirurgia, de 57°. A LL média pré-operatória foi de 66°, com uma correção espontânea pós-operatória de 47°. Quanto aos parâmetros pélvicos pré-operatórios, as médias de PI, PT e SS foram de 48°, 10° e 39°, respectivamente. No pós-operatório, esses valores foram de 50°, 16° e 35°, respectivamente. O SB pré-operatório foi neutro e mantido após correção cirúrgica. Quanto às complicações durante o período de seguimento, foram observadas três cifoses juncionais – duas necessitando de cirurgia de revisão, uma má consolidação, e uma deiscência de sutura. Em relação aos resultados funcionais, a pontuação média no questionário de 22 itens da Scoliosis Research Society (SRS-22) foi de 4,04, e verificou-se que o SB no pós-operatório não teve influência no desfecho funcional (p = 0,125), nem na LL pós-operatória (p = 0,851). Conclusão Verificamos uma melhora espontânea da hiperlordose lombar em níveis não incluídos na fusão após a correção da TK. Embora os resultados funcionais pós-operatórios tenham sido globalmente elevados, não encontramos nenhuma relação estatisticamente significativa com a TK nem com a LL. A PI elevada está associada a maior complicação da cifose juncional proximal (PJK), e esses parâmetros pélvicos devem ser considerados no momento do tratamento cirúrgico da cifose de Scheuermann.

show abstract

Section: Discussionsupporting

confidence: 90%

“…19 O SB pós-operatório é um importante preditor de resultados funcionais ao retratar as forças musculares que agem na coluna vertebral e a energia associada gasta. 20 Neste estudo, os valores médios do SB permaneceram dentro da faixa normal antes e depois da cirurgia, que também foi descrita por Guler et al 21 após a correção cirúrgica da SK.…”

Section: Discussionunclassified

Alinhamento do plano sagital e resultados funcionais após cirurgia para a cifose de Scheuermann

Vital

Nunes

Santos

et al. 2021

Rev Bras Ortop (Sao Paulo)

View full text Add to dashboard Cite

show abstract

“…However, we did not evaluate the correlation between SSPs within themselves. On the other hand, in the study of Guler et al (9) they evaluated the angular and SK patients in terms of SPPs changes after surgical treatment. Although there were no significant differences between preoperative and postoperative values in angular kyphosis group, different from the above-mentioned studies there were statistically significant differences in terms of SS and PT but not in PI.…”

Section: Discussionmentioning

confidence: 99%

How Spinopelvic Parameters Are Affected After Surgical Treatment for Scheuermann’s Kyphosis

Demiröz¹,

Polat²,

Çarkçı³

et al. 2019

jtss

View full text Add to dashboard Cite

Objective: The relationship between the pelvis and spine is critical in global spinal alignment and sagittal imbalance and its associated compensatory mechanisms have been reported to correlate with negatively influenced quality of life. There are several studies evaluating the sagittal spinopelvic parameters (SSPs) in many areas of spinal disorders but studies evaluating the SSPs in Scheuermann's kyphosis (SK) are limited. To evaluate the effect of surgical treatment on SSPs in patients affected by SK. Materials and Methods: The database of the institution was retrospectively reviewed to identify patients who underwent surgery for SK between the years of 2012 and 2015. Twenty-nine patients were included, and records of these patients were reviewed. Changes in pelvic incidence (PI), pelvic tilt (PT), sacral slope (SS), cervical lordosis (CL), thoracic kyphosis (TK), lumbar lordosis (LL), and the sagittal vertical axis (SVA) measurements were compared. Results: There were no significant changes in PI, PT, SVA, and SS compared to preoperative values. There were decreases in TK and LL measurements, which were statistically significant. Conclusion: Surgical treatment for SK seems to have little or no influence on changing SSPs.

show abstract

“…192 adolescents (87 girls and 105 boys, mean age 13.1, range [9][10][11][12][13][14] were included in the present study.…”

Section: Study Subjects and Clinical Evaluationmentioning

confidence: 99%

“…The management of SK includes both conservative treatment, most commonly with antigravity plaster casts or the Milwaukee brace (MB), and surgical options [4,6,[8][9][10][11][12][13][14][15]; the patient's age and the severity of the deformity are the main factors to be taken into account when choosing the management strategy [2,16]. Bracing is currently the mainstay of treatment for SK, particularly before skeletal maturity and for less severe curves, since it has revealed effective in slowing or halting curve progression [2,[16][17][18][19].…”

Section: Introductionmentioning

confidence: 99%

Maria Adelaide brace in the management of Scheuermann’s Kyphosis

et al. 2020

View full text Add to dashboard Cite

Purpose This prospective observational study aims to assess the MA brace effectiveness in hyperkyphosis correction, focusing also on patients’ compliance of bracing and its psychological impact. Methods Patients referring to our spine outpatient department with Scheuermann’s kyphosis (SK) from January 2011 to January 2017 were prospectively recruited. Patients were divided into two groups, according to their global thoracic kyphosis (TK): Group-A TKT0 < 60°, Group-B TKT0 ≥ 60°. The MA brace was prescribed according to SRS criteria. Full spine X-rays were analyzed at conventional times: at the beginning of treatment (T0), at 6-months follow-up (T1, in-brace X-rays), at the end of treatment (T2) and at 2-year minimum follow-up from bracing removal (T3). At T0, T2 and T3 all the patients were assessed using the Italian Version of the SRS-22 Patient Questionnaire (I-SRS22). Variability between and within-groups was assessed; a p value < 0.05 was considered significant. Results 192 adolescents (87 girls and 105 boys, mean age 13.1) were recruited. The mean global TK at recruitment was 61.9° ± 11.3°, the mean follow-up time was 57.4 months. A good patients’ reported compliance was observed: 84.9% of patients used the brace as scheduled. A mean in-brace correction (in-brace TK%) of 37.4% was observed and a mean final correction (TK%T3) of 31.6%. At final follow-up (T3), curve reduction (ΔTK ≤ − 5°) was observed in 60.4% of patients and curve stabilization (− 5° < ΔTK < 5) in 29.7% of patients. At baseline, worse SRS22-mental health (p = 0.023) and self-image mean scores (p = 0.001) were observed in Group-B, compared with Group-A. At the end of treatment (T2), an improvement of all items was observed, wit significantly better improvement of self-image domain in Group-B. Conclusion The MA brace has shown to be effective in the management of SK; good patients’ reported compliance and a positive effect on the patients’ mental status were recorded.

show abstract

Postoperative changes in sacropelvic junction in short-segment angular kyphosis versus Scheuermann kyphosis

Cited by 5 publications

References 33 publications

Alinhamento do plano sagital e resultados funcionais após cirurgia para a cifose de Scheuermann

Alinhamento do plano sagital e resultados funcionais após cirurgia para a cifose de Scheuermann

How Spinopelvic Parameters Are Affected After Surgical Treatment for Scheuermann’s Kyphosis

Maria Adelaide brace in the management of Scheuermann’s Kyphosis

Contact Info

Product

Resources

About