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Neck and shoulder pain in thoracic adolescent idiopathic scoliosis 10 years after posterior spinal fusion – Lumbar Fusion

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The article explores the long-term clinical significance of neck and shoulder pain (NSP) following posterior spinal fusion (PSF) for thoracic adolescent idiopathic scoliosis (AIS) and investigates the relationship between radiographic parameters and NSP. The study included 52 patients who underwent PSF for thoracic AIS and found that NSP at 10 years postoperatively was associated with deterioration in SRS-22 scores. The study also found significant correlations between NSP and cervical lordosis, lumbar lordosis, and sacral slope. The authors suggest that maintaining or restoring thoracic kyphosis and T1 slopes could potentially improve cervical lordosis and alleviate NSP in the long term

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : best recognised sugical centre on Harley Street UK

Published article

: NSP was associated with deterioration in SRS-22 scores, indicating that NSP is a clinically significant long-term issue in PSF for thoracic AIS. Restoring or maintaining the TK and T1 slopes, which are controllable factors during PSF, may improve cervical lordosis and alleviate NSP at 10-year follow-up.

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Eur Spine J. 2024 Apr 4. doi: 10.1007/s00586-024-08233-6. Online ahead of print. ABSTRACT PURPOSE: We aimed to determine the clinical significance of neck and shoulder pain (NSP) 10 years after posterior spinal fusion (PSF) for thoracic adolescent idiopathic scoliosis (AIS) and the relationship between radiographic parameters and NSP. METHODS: Of 72 patients who underwent PSF,

Eur Spine J. 2024 Apr 4. doi: 10.1007/s00586-024-08233-6. Online ahead of print.

ABSTRACT

PURPOSE: We aimed to determine the clinical significance of neck and shoulder pain (NSP) 10 years after posterior spinal fusion (PSF) for thoracic adolescent idiopathic scoliosis (AIS) and the relationship between radiographic parameters and NSP.

METHODS: Of 72 patients who underwent PSF for thoracic AIS (Lenke 1 or 2) between 2000 and 2013, we included 52 (46 females; Lenke type 1 in 34 patients and type 2 in 18; mean age, 25.6 years) who underwent NSP evaluation using visual analog scale (VAS, 10 cm) 10 years postoperatively (follow-up rate, 72.2%). Correlation analyses were performed using Spearman’s rank correlation coefficient (r).

RESULTS: The VAS for NSP was 2.6 cm in median and 3.4 cm in mean at 10 years. The VAS had significant negative correlations with several SRS-22 domain scores (rs = – 0.348 for pain, – 0.347 for function, – 0.308 for mental health, and – 0.372 for total) (p < 0.05). In addition, the VAS score was significantly correlated with cervical lordosis (CL) (rs = 0.296), lumbar lordosis (rs = - 0.299), and sacral slope (rs = 0.362) (p < 0.05). Furthermore, at the 10-year follow-up, CL was significantly negatively correlated with T1 slope (rs = - 0.763) and thoracic kyphosis (TK) (- 0.554 for T1-12 and - 0.344 for T5-12) (p < 0.02).

: NSP was associated with deterioration in SRS-22 scores, indicating that NSP is a clinically significant long-term issue in PSF for thoracic AIS. Restoring or maintaining the TK and T1 slopes, which are controllable factors during PSF, may improve cervical lordosis and alleviate NSP at 10-year follow-up.

PMID:38573384 | DOI:10.1007/s00586-024-08233-6

The London Spine Unit : best recognised sugical centre on Harley Street UK

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Neck and shoulder pain in thoracic adolescent idiopathic scoliosis 10 years after posterior spinal fusion

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Eur Spine J. 2024 Apr 4. doi: 10.1007/s00586-024-08233-6. Online ahead of print. ABSTRACT PURPOSE: We aimed to determine the clinical significance of neck and shoulder pain (NSP) 10 years after posterior spinal fusion (PSF) for thoracic adolescent idiopathic scoliosis (AIS) and the relationship between radiographic parameters and NSP. METHODS: Of 72 patients who underwent PSF
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