No added value of 2-year radiographic follow-up of fusion surgery for adolescent idiopathic scoliosis
| Autor: | Maarten Spruit, Luuk W L de Klerk, Raf H Mens, Miranda L. van Hooff, Ruth E Geuze, Marinus de Kleuver, Philip P. Horsting |
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| Rok vydání: | 2021 |
| Předmět: |
030222 orthopedics
medicine.medical_specialty Cobb angle business.industry Radiography Kyphosis Repeated measures design Idiopathic scoliosis medicine.disease Sagittal plane Surgery Reconstructive and regenerative medicine Radboud Institute for Health Sciences [Radboudumc 10] 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Coronal plane Medicine Orthopedics and Sports Medicine Neurosurgery business 030217 neurology & neurosurgery |
| Zdroj: | European Spine Journal, 30, 759-767 European Spine Journal, 30, 3, pp. 759-767 |
| ISSN: | 0940-6719 |
| Popis: | Item does not contain fulltext PURPOSE: For fusion surgery in adolescent idiopathic scoliosis (AIS) consensus exists that a 2-year radiographic follow-up assessment is needed. This standard lacks empirical evidence. The purpose of this study was to investigate the radiographic follow-up after corrective surgery in AIS, from pre-until 2 years postoperative. METHODS: In this historical cohort study, 63 patients surgically treated for AIS, age ≤ 25 years, with 2-year radiographic follow-up, were enrolled. The primary outcome measure was the major Cobb angle. Secondary outcomes were coronal and sagittal spino-pelvic parameters, including proximal junction kyphosis (PJK) and distal adding-on. Change over time was analyzed using a repeated measures ANOVA. RESULTS: The major curve Cobb angle showed a statistically significant change for pre- to 1 year postoperative, but not for 1- to 2-year follow-up. Seven out of 63 patients did show a change exceeding the error of measurement (5°) from 1- to 2-year follow-up (range -8° to +7°), of whom 2 patients showed curve progression and 5 showed improvement. PJK or distal adding-on was not observed. CONCLUSIONS: No statistically significant changes in major curve Cobb angle were found during postsurgical follow-up, or in adjacent non-fused segments. The findings of this study are not supportive for routine radiographs 2 years after fusion surgery in AIS patients. |
| Databáze: | OpenAIRE |
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