Results of thoracoscopic instrumented fusion versus conventional posterior instrumented fusion in adolescent idiopathic scoliosis undergoing selective thoracic fusion

Spine
Hee-Kit WongDavid Wong

Abstract

Retrospective review of 31 consecutive female patients with adolescent idiopathic scoliosis undergoing selective thoracic fusion. To compare safety and efficacy of two techniques in treating adolescent idiopathic scoliosis undergoing selective thoracic fusion. There is paucity in the literature comparing posterior versus thoracoscopic instrumented fusion in scoliosis. Nineteen patients (group 1) underwent posterior instrumented fusion. Twelve patients (group 2) had thoracoscopic anterior instrumented fusion. All patients had a minimum of 25 months of follow-up observation. Both groups were similar in terms of age at menarche and surgery. Preoperative Cobb angles in the coronal (erect and bending) and sagittal planes did not differ between the two groups. Group 1 patients had higher estimated blood loss (P = 0.006). Operative time (P < 0.001) and intensive care unit stay (P = 0.01) were longer in group 2 patients. There was no difference in parenteral analgesia requirement. There were no complications in group 1. Complications in group 2 included lobar collapse (1) and scapula winging (1). Improvement in scoliosis among group 1 patients averaged 77 (1 week), 72 (6 months), and 67% (most recent follow-up review). In group 2 patie...Continue Reading

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Citations

Apr 13, 2006·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·Ulf R LiljenqvistHenry F Halm
Mar 16, 2007·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·Mohsen KaramiKeyvan Mazda
Jan 26, 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·Kan MinFrederik Hahn
Oct 2, 2008·Neurosurgery·Mohammed F Shamji, Robert E Isaacs
Aug 5, 2008·Neurosurgical Focus·Justin S SmithRichard G Fessler
Oct 20, 2007·The Orthopedic Clinics of North America·B Stephens Richards
Jul 17, 2007·The Orthopedic Clinics of North America·Baron S Lonner
Jul 17, 2007·The Spine Journal : Official Journal of the North American Spine Society·David A BombackOheneba Boachie-Adjei
May 8, 2014·Minimally Invasive Surgery·Roop SinghKiranpreet Kaur
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May 2, 2007·Clinical Orthopaedics and Related Research·Arvind JayaswalArvind Kumar
Jul 29, 2020·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·Gao SiMiao Yu
Nov 16, 2018·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·N PlataniotisS Pneumaticos
Jan 9, 2021·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·Chirag A BerryAlvin H Crawford
Jun 20, 2020·Journal of Pediatric Orthopedics. Part B·Nyaluma N WagalaRichard M Schwend

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