Use of Sublaminar Bands for Adolescent Idiopathic Scoliosis - A Systematic Review

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.

Alterações posturais: a caracterização de discentes de Fisioterapia em uma instituição do ensino superior em Fortaleza/CE

“…Portanto, reforçar-se a necessidade de ampliar esta pesquisa em uma amostra maior. Ademais, enfatiza-se que deve ser futuramente analisado em outros estudos: estratégias de prevenção e recuperação da saúde postural entre estudantes do ensino superior, formas de tratamento, desenvolvimento de dispositivos de prevenção e avaliação postural e investigar a relação entre variáveis como tempo de estudo, área profissional de atuação e alterações posturais escolióticas [21][22][23].…”