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Changes in trunk appearance following surgical correction of adolescent idiopathic scoliosis – Lumbar Fusion

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The article discusses a study that assessed the postoperative appearance of the trunk in Adolescent Idiopathic Scoliosis patients after a 2-year follow-up. The study included 46 patients who underwent spinal fusion surgery and measured various spinal and trunk deformities using reliable indices. Results showed good spinal correction with Cobb angles decreasing in the whole cohort. Trunk deformities, specifically Back Surface Rotation and Trunk Lateral Shift, showed positive correction rates for a majority of patients after 2 years. However, the rib hump on the back surface remained stable over time. The study found no significant associations between truncal index correction rates and clinical variables or surgical technique. The suggests that while there was correction in Trunk Lateral Shift, the rib hump persisted over time

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Published article

: Although more than 55% of the TLS was corrected after 2 years of follow-up, the BSR remained stable over time and the persistence of rib hump on the back surface could be observed.

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Spine Deform. 2024 Mar 23. doi: 10.1007/s43390-024-00843-w. Online ahead of print.ABSTRACTPURPOSE: To assess the postoperative appearance of the trunk in surgically treated scoliosis patients after a 2 year follow-up using reliable indices and compare the results with 6-month follow-up.METHODS: Forty-six Adolescent Idiopathic Scoliosis (AIS) patients (female; preop mean age 14.4 ± 2.4 years) who underwent,

Spine Deform. 2024 Mar 23. doi: 10.1007/s43390-024-00843-w. Online ahead of print.

ABSTRACT

PURPOSE: To assess the postoperative appearance of the trunk in surgically treated scoliosis patients after a 2 year follow-up using reliable indices and compare the results with 6-month follow-up.

METHODS: Forty-six Adolescent Idiopathic Scoliosis (AIS) patients (female; preop mean age 14.4 ± 2.4 years) who underwent a posterior spinal fusion from 2009 to 2018 were included in this study. All had Lenke 1A thoracic curves, with surface topography taken preoperatively, 6 months and 2 years postoperatively. To assess spinal deformity, we measured the proximal thoracic, main thoracic and thoracolumbar/lumbar Cobb angles in the frontal plane from spinal X-rays and inclinometer angles in the thoracic and lumbar regions. To assess trunk deformity, Back Surface Rotation (BSR) and Trunk Lateral Shift (TLS) were computed along the trunk. We analysed the effect of age, height, weight, Cobb angle, length of follow-up, and surgical technique. We also compared correction rates (CRs) of the spinal and trunk measurements after 6 months and 2 years.

RESULTS: Good spinal correction was achieved, with Cobb angles decreasing in the whole cohort. CRs for TLS and BSR were positive (denoting improvement) for 76% and 48% of patients, respectively, after 2 years. Compared with 6 months, the mean TLS CR increased while there was no improvement for BSR on average. We found no significant association after 2 years between truncal index CRs and clinical variables (age, height, weight, preoperative Cobb angles) or surgical technique. However, there were significant correlations between the CRs of TLS and the main thoracic Cobb angle (r = 0.35), and between the CRs of BSR and thoracic inclinometer angle.

: Although more than 55% of the TLS was corrected after 2 years of follow-up, the BSR remained stable over time and the persistence of rib hump on the back surface could be observed.

LEVEL OF EVIDENCE: III.

PMID:38520644 | DOI:10.1007/s43390-024-00843-w

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Changes in trunk appearance following surgical correction of adolescent idiopathic scoliosis

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Spine Deform. 2024 Mar 23. doi: 10.1007/s43390-024-00843-w. Online ahead of print.ABSTRACTPURPOSE: To assess the postoperative appearance of the trunk in surgically treated scoliosis patients after a 2 year follow-up using reliable indices and compare the results with 6-month follow-up.METHODS: Forty-six Adolescent Idiopathic Scoliosis (AIS) patients (female; preop mean age 14.4 ± 2.4 years) who underwent

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