Video-Assisted Thoracoscopic Surgery Plus Lumbar Mini-Open Surgery for Adolescent Idiopathic Scoliosis
| Autor: | Hyon Su Chong, Seong Hwan Moon, Jin Oh Park, Eun Su Moon, Nanda Ankur, Hak Sun Kim, Hwan Mo Lee, Do-Yeon Kim, Phillip Anthony B Kho, Sungjun Kim |
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| Rok vydání: | 2011 |
| Předmět: |
Male
musculoskeletal diseases mini-open retroperitoneal approach medicine.medical_specialty Adolescent medicine.medical_treatment VATS Idiopathic scoliosis Scoliosis Lumbar Humans Medicine Retroperitoneal space Child Cobb angle Thoracic Surgery Video-Assisted business.industry General Medicine medicine.disease Sagittal plane Surgery Treatment Outcome Orthopedics medicine.anatomical_structure Cardiothoracic surgery Video-assisted thoracoscopic surgery Female Original Article business |
| Zdroj: | Yonsei Medical Journal |
| ISSN: | 0513-5796 |
| DOI: | 10.3349/ymj.2011.52.1.130 |
| Popis: | Purpose The objectives of this study are to describe the outcome of adolescent idiopathic scoliosis (AIS) patients treated with Video Assisted Thoracoscopic Surgery (VATS) plus supplementary minimal incision in the lumbar region for thoracic and lumbar deformity correction and fusion. Materials and Methods This is a case series of 13 patients treated with VATS plus lumbar mini-open surgery for AIS. A total of 13 patients requiring fusions of both the thoracic and lumbar regions were included in this study: 5 of these patients were classified as Lenke type 1A and 8 as Lenke type 5C. Fusion was performed using VATS up to T12 or L1 vertebral level. Lower levels were accessed via a small mini-incision in the lumbar area to gain access to the lumbar spine via the retroperitoneal space. All patients had a minimum follow-up of 1 year. Results The average number of fused vertebrae was 7.1 levels. A significant correction in the Cobb angle was obtained at the final follow-up (p = 0.001). The instrumented segmental angle in the sagittal plane was relatively well-maintained following surgery, albeit with a slight increase. Scoliosis Research Society-22 (SRS-22) scores were noted have significantly improved at the final follow-up (p < 0.05). Conclusion Indications for the use of VATS may be extended from patients with localized thoracic scoliosis to those with thoracolumbar scoliosis. By utilizing a supplementary minimal incision in the lumbar region, a satisfactory deformity correction may be accomplished with minimal post-operative scarring. |
| Databáze: | OpenAIRE |
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