Prospective pulmonary function comparison of open versus endoscopic anterior fusion combined with posterior fusion in adolescent idiopathic scoliosis

Spine
Lawrence G LenkeKeith Bridwell

Abstract

Prospective clinical study. To evaluate pulmonary function tests at a minimum 2-year follow-up in patients with adolescent idiopathic scoliosis (AIS) undergoing either an endoscopic versus open anterior fusion along with posterior segmental fixation and fusion. A total of 21 patients with AIS underwent a video-assisted thoracoscopic (VAT group) release/fusion followed by a posterior spinal fusion (PSF) and segmental spinal fixation were compared to 16 patients who underwent an open thoracotomy (Open group) followed by a PSF. The mean preoperative thoracic Cobb was 70 degrees in the VAT group versus 75 degrees in the Open group. All patients had preoperative and a minimum 2-year postoperative pulmonary function tests consisting of forced vital capacity (FVC) forced expiratory volume in one second (FEV-1). The average thoracic Cobb correction was to 27 degrees (61%) in the VAT group versus 36 degrees (52%) in the Open group. Preoperative and 2-year postoperative FVC in the VAT group averaged 2.48 L and 2.85 L, respectively (P = 0.006). The Open group corresponding results were 1.97 L and 2.43 L, respectively (P = 0.001). Preoperative and minimum 2-year postoperative FEV-1 in the VAT group averaged 2.06 L and 2.37 L, respectively ...Continue Reading

References

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Citations

Apr 7, 2011·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·Georgios BakaloudisStefano Giacomini
Apr 7, 2011·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·Carolin SchmidtViola Bullmann
Apr 27, 2012·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·Viola BullmannUlf R Liljenqvist
Dec 1, 2010·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Kei WatanabeLinda Koester
Jun 6, 2009·Journal of Spinal Disorders & Techniques·Burt YaszayBaron Lonner
Dec 4, 2009·Journal of Spinal Disorders & Techniques·Baron S LonnerPeter O Newton
Jan 10, 2006·Neurosurgical Focus·Eli M BaronDevanand A Dominique
Jan 22, 2014·Revista española de cirugía ortopédica y traumatología·J M Sánchez-MárquezJ Quintáns-Rodríguez
Sep 11, 2014·Journal of Pediatric Orthopedics·Stephen J LewisChristina L Goldstein
Sep 27, 2005·Expert Review of Cardiovascular Therapy·Harald KaemmererJohn Hess
Apr 9, 2013·Neurosurgery Clinics of North America·Jane S HoashiAmer F Samdani
Feb 19, 2013·The Spine Journal : Official Journal of the North American Spine Society·Heiko KollerMichael Mayer
Jan 9, 2013·The Spine Journal : Official Journal of the North American Spine Society·Geoffrey E StokerG Alexander Patterson
May 6, 2008·Lancet·Stuart L WeinsteinJose A Morcuende
Jun 3, 2015·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Luis Eduardo Carelli Teixeira da SilvaGustavo Borges Laurindo de Azevedo
Aug 16, 2016·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·Burt YaszayPeter O Newton
Jan 1, 2014·Spine Deformity·Gaurav AbbiPeter O Newton
Feb 12, 2017·Archives of Orthopaedic and Trauma Surgery·Saeedreza MehrpourKeyvan Mazda
Feb 25, 2019·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·Burt YaszayPeter O Newton
Nov 3, 2020·International Journal of Surgery Case Reports·Luthfi GatamYoshi Pratama Djaja

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