Selective versus hyperselective posterior fusions in Lenke 5 adolescent idiopathic scoliosis: comparison of radiological and clinical outcomes

Ilharreborde, Brice; Ferrero, Emmanuelle; Angelliaume, Audrey; Lefèvre, Yan; Accadbled, Franck; Simon, Anne-Laure; Gauzy, Jérôme Sales de; Mazda, Keyvan

doi:10.1007/s00586-017-5070-2

Cited by 28 publications

(20 citation statements)

References 38 publications

(28 reference statements)

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“…A European group reported the radiological and clinical outcomes of 78 AIS Lenke 5 patients who underwent either selective (35) or hyperselective (43) posterior fusions with a minimum of 2 years postoperative follow-up. 40 SRS-22 function domain score was significantly better after short-segment fusions (p = 0.03) and SRS-22 pain scores were above 4 in both groups. 40 A Colorado-based AIS study on Lenke 5 curve types treated with either anterior (N = 98) or posterior spinal fusion (N = 51) measuring their SRS-22 outcomes found no statistically significant difference between the ASF and PSF groups both preoperatively and at 2 years (p > 0.05).…”

Section: Discussionmentioning

confidence: 89%

“…40 SRS-22 function domain score was significantly better after short-segment fusions (p = 0.03) and SRS-22 pain scores were above 4 in both groups. 40 A Colorado-based AIS study on Lenke 5 curve types treated with either anterior (N = 98) or posterior spinal fusion (N = 51) measuring their SRS-22 outcomes found no statistically significant difference between the ASF and PSF groups both preoperatively and at 2 years (p > 0.05). 3 This study summarized and compared the HRQOL of Lenke 1 + 2 as well as Lenke ) fully completed SRS-22 at their 2 years or more after surgery, and results showed no difference in functional SRS-22 health status in patients according to Lenke classification.…”

Section: Discussionmentioning

confidence: 89%

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Comparing Health-related Quality of Life of Lenke 1–2, and Lenke 5–6 Severe AIS Adolescent Idiopathic Scoliosis Patients 2 Years after Surgery Using SRS-22 Questionnaire

Chau¹,

Illescas²,

Ng³

2021

Journal of Orthopedics and Joint Surgery

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Introduction: Lenke classification organizes curve patterns into six major "curve types". Health-related quality of life (HRQOL) in AIS patients is gaining attention particularly on whose undergone surgery and findings are sometimes not expected. Comparisons of HRQOL in severe patients between Lenke 1 (main thoracic) and Lenke 2 (double thoracic) and patients with Lenke 5 (thoracolumbar/lumbar) and Lenke 6 (thoracolumbar/ lumbar-main thoracic) curve types have yet to be carried out. Materials and methods: Forty-six severe AIS patients classified Lenke type 1, 2, 4, and 5 undergone surgery from 2016 to 2019 were recruited. Demographic variables and surgical details were collected. Patients filled out the SRS-22 questionnaire at (1) Before surgery (preoperative), (2) Before hospital discharge (post-op1), (3) 1 year postoperative (post-op2), and (4) 2 years post-op (post-op3). Statistical comparisons of HRQOL domain scores were carried out between Lenke 1 + 2 group and Lenke 5 + 6 group longitudinally and between groups. Results:The mean age at surgery is 18.14 years. Longitudinal comparisons showed "Function" and "Pain" scores dropped before hospital discharge and recovered at post-op follow-ups. "Function" and "Pain" in Lenke 1 + 2 group at between-group comparisons were significantly higher than Lenke 5 + 6. Self-image, satisfaction, and mean scores were also higher in Lenke 1 + 2 without statistical significance. Conclusion: All domains showed improvements 2 years after surgery in both Lenke type groups, of which significant improvements were statistically found in "Function", "Pain", and "Mental health" in Lenke 1 + 2 patients. Key messages:• All HRQOL domains in both Lenke 1 + 2 (main thoracic + double thoracic) group and Lenke 5 + 6 (thoracolumbar/lumbar + thoracolumbar/ lumbar-main thoracic) group improved after spinal surgery. • "Function", "Pain", and "Mental health" in patients of Lenke 1 + 2 group significantly were improved statistically than patients in Lenke 5 + 6 group. • "Self-image" and "Satisfaction" were also improved without statistical significance.

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Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 89%

Comparing Health-related Quality of Life of Lenke 1–2, and Lenke 5–6 Severe AIS Adolescent Idiopathic Scoliosis Patients 2 Years after Surgery Using SRS-22 Questionnaire

Chau¹,

Illescas²,

Ng³

2021

Journal of Orthopedics and Joint Surgery

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“…In preoperative, sidebending radiographic images are commonly used to classify the curves according to their topology and flexibility, and to help choosing the vertebral level for instrumentation [36]. In a structural lumbar curve, the choice of the lower level remains debated and not consensual despite various factors like last touch vertebrae or neutral vertebrae [37] or the first mobile IVD on side bending images [36]. SWS measurement could be one more factor for distinguishing the first healthy lumbar IVD and the pathological lumbar IVD.…”

Section: Discussionmentioning

confidence: 99%

Shear-wave elastography can evaluate annulus fibrosus alteration in adolescent scoliosis

et al. 2018

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“…However, if LEV ≤ L4 and LTV = L5, caution is required in selecting the distal fusion level. Recent studies of TL/L AIS also documented that stopping fusion at L3 or preserving 1 or 2 mobile segments showed similar clinical and radiological outcomes to those obtained with longer fusions [ 7 , 20 ]. The results of studies on LIV selection in AIS with TL/L curves are summarized in Table 6 .…”

Section: History and Criteria For Selective Fusionmentioning

confidence: 92%

Selection of Fusion Level for Adolescent Idiopathic Scoliosis Surgery : Selective Fusion versus Postoperative Decompensation

Kim

Hyun

Kim

2021

J Korean Neurosurg Soc

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Adolescent idiopathic scoliosis (AIS), which is associated with an extensive range of clinical and radiological presentations, is the one of the most challenging spinal disorders. The goals of surgery are to correct the deformity in 3 dimensions and to preserve motion segments while avoiding complications. Despite the ongoing evolution of classification systems and algorithms for the surgical treatment of AIS, there has been considerable debate regarding the selection of an appropriate fusion level in AIS. In addition, there is no consensus regarding the exact description, relationship, and risk factors of coronal decompensation following selective fusion. In this review, we summarize the current concepts of selection of the fusion level for AIS and review the available information about postoperative coronal decompensation.

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Selective versus hyperselective posterior fusions in Lenke 5 adolescent idiopathic scoliosis: comparison of radiological and clinical outcomes

Cited by 28 publications

References 38 publications

Comparing Health-related Quality of Life of Lenke 1–2, and Lenke 5–6 Severe AIS Adolescent Idiopathic Scoliosis Patients 2 Years after Surgery Using SRS-22 Questionnaire

Comparing Health-related Quality of Life of Lenke 1–2, and Lenke 5–6 Severe AIS Adolescent Idiopathic Scoliosis Patients 2 Years after Surgery Using SRS-22 Questionnaire

Shear-wave elastography can evaluate annulus fibrosus alteration in adolescent scoliosis

Selection of Fusion Level for Adolescent Idiopathic Scoliosis Surgery : Selective Fusion versus Postoperative Decompensation

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