19 Harley St, London, W1G 9QJ, UK

Prediction of Postoperative Curve Correction based on the Supine Radiographs for Adult Idiopathic Scoliosis (AdIS) patients – Lumbar Fusion

Day Case Lumbar Fusion Surgery

A recent study published in Spine Journal aimed to investigate the use of supine and side bending radiographs in predicting postoperative curve correction in Adult Idiopathic Scoliosis (AdIS) patients who underwent Posterior Spinal Fusion (PSF). The retrospective study included 93 AdIS patients and found that both supine and side bending radiographs had strong predictability of the postoperative Cobb angle for various spinal curves. In 71.0% of patients, the actual postoperative Cobb angle was within 5 degrees of the predicted postoperative Cobb angle using the derived predictive formulae. This suggests that supine radiographs may be a reliable tool in predicting postoperative curve correction outcomes in AdIS patients undergoing PSF

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most specialised spinal clinic on Harley Street UK

Published article

: Both supine radiographs and side bending radiographs had strong predictability of the postoperative Cobb angle for PT, MT and TL/L curves. In 71.0% of patients, the actual postoperative Cobb angle was within 5 degrees of the predicted postoperative Cobb angle using the predictive formulae.

Lumbar Fusion Surgery Expert. Best Spinal Surgeon UK
Spine J. 2024 Mar 16:S1529-9430(24)00111-6. doi: 10.1016/j.spinee.2024.03.012. Online ahead of print.ABSTRACTBACKGROUND CONTEXT: Preoperative supine radiographs are mandatory in the new AdIS classification. Supine radiographs are easily reproducible and highly predictive of side bending radiographs. However, few studies evaluated the use of supine radiographs in predicting postoperative curve correction after PSF in AdIS.PURPOSE: To investigate the,

Spine J. 2024 Mar 16:S1529-9430(24)00111-6. doi: 10.1016/j.spinee.2024.03.012. Online ahead of print.

ABSTRACT

BACKGROUND CONTEXT: Preoperative supine radiographs are mandatory in the new AdIS classification. Supine radiographs are easily reproducible and highly predictive of side bending radiographs. However, few studies evaluated the use of supine radiographs in predicting postoperative curve correction after PSF in AdIS.

PURPOSE: To investigate the use of supine and side bending (SB) radiographs in predicting postoperative curve correction in Adult Idiopathic Scoliosis (AdIS) patients who underwent Posterior Spinal Fusion (PSF).

STUDY DESIGN: Retrospective study PATIENT SAMPLE: 93 AdIS patients who underwent PSF between 2022 and 2023 were included.

OUTCOME MEASURES: Demographic data were age, gender, height, weight, BMI, Risser grade, Lenke curve types and Cobb angles. Main outcome measures are pre-operative and immediate post-operative Cobb angle (proximal thoracic (PT), main thoracic (MT) and thoracolumbar/lumbar (TL/L) curves), Supine Cobb angle and Flexibility rate (PT, MT and TL/L), and Correction Rate (PT, MT and TL/L) METHODS: Correlation study was performed between supine Cobb angle vs. post-operative Cobb angle for PT, MT and TL/L curves. A predictive formula was derived from the correlation plots.

RESULTS: A total of 93 subjects were included in our study with a median age of 24.7 years and comprised of 80 females (86.0%). Preoperative Supine Cobb angle (r=0.835, r=0.881, r=0.767, p<0.001) and preoperative SB Cobb angle (r=0.815, r=0.872, r=0.801, p<0.001) showed similar strong positive correlation with postoperative PT, MT and TL/L Cobb angle, but preoperative Supine Cobb angle had slightly stronger correlation in PT and MT, whereas preoperative SB Cobb angle had stronger correlation in TL/L curve. Using the derived predictive formulae, there was a significant, strong, positive correlation between the predicted value and actual value of postoperative standing Cobb angle, (r=0.852, P<0.001), with 71.0% of the patients had predicted postoperative Cobb angle from the supine radiographs within 5 degrees of the actual value.

: Both supine radiographs and side bending radiographs had strong predictability of the postoperative Cobb angle for PT, MT and TL/L curves. In 71.0% of patients, the actual postoperative Cobb angle was within 5 degrees of the predicted postoperative Cobb angle using the predictive formulae.

PMID:38499066 | DOI:10.1016/j.spinee.2024.03.012

The London Spine Unit : most specialised spinal clinic on Harley Street UK

Read the original publication:

Prediction of Postoperative Curve Correction based on the Supine Radiographs for Adult Idiopathic Scoliosis (AdIS) patients

Related Posts

0/5 (0 Reviews)

Trusindex Reviews

London Spine Unit Harley Street Hospital

A Focus on High Quality Specialised Care

We are a specialist Private Hospital based on Harley Street, London UK The Harley Street Hospital, Day Surgery Hospital

We provide exclusive health services for individuals seeking Advanced medical, non-surgical or minimally invasive treatments. We are covered by All Insurance Companies apart from AXA PPP

Our Medical Director and Lead Spinal Surgeon Mr Mo Akmal MD is a world renowned Spine Specialist Consultant with over 20 years of experience. He and his team have developed revolutionary techniques to perform all types of Spinal Surgery as a Day Case procedure without traditional General Anaesthetic.

We are constantly improving our techniques for treatment and improving facilities for our patients.

Book your Appointment Now 
Check out our Reviews 
Check out our Patient Videos 
Check our Mr Akmal’s Profile

 

What our patients say ...

Spine J. 2024 Mar 16:S1529-9430(24)00111-6. doi: 10.1016/j.spinee.2024.03.012. Online ahead of print.ABSTRACTBACKGROUND CONTEXT: Preoperative supine radiographs are mandatory in the new AdIS classification. Supine radiographs are easily reproducible and highly predictive of side bending radiographs. However, few studies evaluated the use of supine radiographs in predicting postoperative curve correction after PSF in AdIS.PURPOSE: To investigate the

Revolutionary Keyhole surgical technique to vaporise bulging discs

Dr Mo Akmal Medical Director
Dr Mo Akmal MD - Lead Spinal Surgeon

Laser Disc Surgery can be performed under local anaesthetic at The Harley Street Hospital.

Initial Consultation

with Consultant Spine Surgeon
£ 250
  • No Waiting Times
  • Top NHS affiliated Consultant
  • Includes Clinical Review and Report
  • Multidisciplinary discussion
  • Review of Previous Scans and Reports

Follow up Consultation

any appointment after initial consultation
£ 180
  • Top NHS affiliated Consultant
  • Includes Clinical Review and Report
  • Multidisciplinary discussion

High Resolution MRI Scan

any Single Region (3.0 Tesla)
£ 600
  • No waiting times
  • Includes Full Radiologist Report
  • Open or Closed MRI scan types
  • Copy of Scan on CD

Website Offer

Pre-Booked Online
£1130
£ 800
  • Initial Consultation
  • MRI Scan (Single Region)
  • Follow Up consultation
  • Same Day One Stop Visit
  • Full Medical and MRI scan Report
  • Copy of scan on CD
Popular

If you have any emergency Doctor’s need, simply call our 24 hour emergency

Your personal case manager will ensure that you receive the best possible care.

Call Now 

+44 844 589 2020
+44 203 973 8810