Posterior-only versus combined anterior/posterior fusion in Scheuermann disease: a large retrospective study

European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
Guillaume RiouallonFrench Scoliosis Study Group

Abstract

The literature shows controversies concerning surgical treatment of Scheuermann's kyphosis between posterior-only fixation and combined anterior/posterior fusion. The aim of this study is to compare the clinical and radiological results and the rate of complications between these two techniques. We performed a multicentric retrospective review of 131 patients who underwent primary fusion for Scheuermann's kyphosis divided into two groups: 67 patients operated via posterior approach only and 64 operated via combined anterior/posterior approach. Classical clinical, surgical and radiological data were collected. A descriptive and statistical analysis was performed between the two groups to evaluate the influence of the surgical procedure on the rate of complications, the functional results and radiological correction. The average age was 23 and the average kyphosis was 77 degrees. The mean follow-up was 4.2 years (range 0.1-27.3). There was no difference regarding demographic data, preoperative radiographic data and length of fusion between the two groups. Functional results were good in 81% of cases. Kyphosis correction was on average 15° and the correction of the compensatory lumbar lordosis was 20°. The correction was stable at...Continue Reading

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Citations

Apr 29, 2020·Journal of Pediatric Orthopedics·Connor GreenKarl E Rathjen
Jan 1, 2021·The Bone & Joint Journal·Athanasios I Tsirikos, Thomas Henry Carter
Aug 18, 2020·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Ryo SugawaraMorio Matsumoto

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