Outcomes and Complications in Management of Congenital Myopathy Early-Onset Scoliosis
| Autor: | Brian D. Snyder, David P. Roye, Ying Li, John T. Smith, Matthew E. Oetgen, Lacey C Magee, Lindsay M. Andras, Hiroko Matsumoto, Jaysson T. Brooks, John M. Flynn, Robert K. Lark, Lawrence I. Karlin, Joshua T. Bram, Pssg, Brandon A. Ramo, Jason B Anari, Ryan H Fitzgerald, Richard M. Schwend, Stuart L. Weinstein, Walter H. Truong, Oscar H. Mayer, Patrick J. Cahill |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
education.field_of_study business.industry Population Kyphosis Retrospective cohort study General Medicine Scoliosis medicine.disease Congenital myopathy Surgery Cerebral palsy Pediatrics Perinatology and Child Health Cohort medicine Orthopedics and Sports Medicine business education Complication |
| Zdroj: | Journal of Pediatric Orthopaedics. |
| ISSN: | 0271-6798 |
| Popis: | BACKGROUND Congenital myopathies (CMs) are complex conditions often associated with early-onset scoliosis (EOS). The purpose of this study was to investigate radiographic outcomes in CM patients undergoing EOS instrumentation as well as complications. Secondarily, we sought to compare these patients to a population with higher prevalence, cerebral palsy (CP) EOS patients. METHODS This is a retrospective study of a prospectively collected multicenter registry. The registry was queried for EOS patients with growth-sparing instrumentation (vertical expandable prosthetic titanium ribs, magnetically controlled growing rods, traditional growing rod, or Shilla) and a CM or CP diagnosis with minimum 2 years follow-up. Outcomes included major curve magnitude, T1-S1 height, kyphosis, and complications. RESULTS Sixteen patients with CM were included. Six (37.5%) children with CM experienced 11 complications by 2 years. Mean major curve magnitude for CM patients was improved postoperatively and maintained at 2 years (P 0.05). Ninety-seven patients with CP EOS were included as a comparative cohort. Fewer CP patients required baseline respiratory support compared with CM patients (20.0% vs. 92.9%, P |
| Databáze: | OpenAIRE |
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