Sinister! The high pre-op left shoulder is less likely to be radiographically balanced at 2 years post-op
| Autor: | Joshua M. Pahys, Patrick J. Cahill, Burt Yaszay, Keith D. Baldwin, Jason B Anari, Nishank Mehta, John M. Flynn, Joshua T. Bram |
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| Rok vydání: | 2020 |
| Předmět: |
musculoskeletal diseases
030222 orthopedics medicine.medical_specialty Left shoulder business.industry Shoulders Retrospective cohort study Vertebra Surgery 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Orthopedic surgery Cohort medicine Orthopedics and Sports Medicine In patient business human activities 030217 neurology & neurosurgery Balance (ability) |
| Zdroj: | Spine Deformity. 9:451-460 |
| ISSN: | 2212-1358 2212-134X |
| Popis: | AIS patients consider shoulder balance an important cosmetic outcome after surgery. We examined the impact of preoperative left shoulder elevation (LSE) and choice of upper instrumented vertebra (UIV) on postoperative shoulder imbalance (PostSI). This was a retrospective cohort study utilizing a prospective AIS database. Patients had Lenke type 1–4 curves and preoperative shoulder height ≥ 1.0 cm. Patients with preoperative LSE and right shoulder elevation (RSE) were compared. Shoulder height difference 34.5° was predictive of PostSI ≥ 2.0 cm for patients with preoperative LSE. AIS patients with preoperative LSE are less likely to achieve level shoulders postoperatively. Choice of higher UIV did not affect postoperative shoulder imbalance in this cohort. A PTC > 34.5° was predictive of severe PostSI in patients with preoperative LSE. II. |
| Databáze: | OpenAIRE |
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