Satisfactory immediate spontaneous correction may not mean satisfactory final results for moderate TL/L curves after selective thoracic fusion in AIS patients
Abstract Background Few studies have focused on the chronic spontaneous behavior of the unfused TL/L curve during follow-up. The purpose of the present study was to explore the behavior of the unfused TL/L curve during a long-term follow-up to identify the risk factors for correction loss. Methods S...
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| Format: | Article |
| Language: | English |
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BMC
2023-07-01
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| Series: | BMC Musculoskeletal Disorders |
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| Online Access: | https://doi.org/10.1186/s12891-023-06591-8 |
| _version_ | 1827635816034205696 |
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| author | Yanbin Zhang Jing Bai Bin Xiao Jianguo Zhang Da He Yonggang Xing Bo Liu |
| author_facet | Yanbin Zhang Jing Bai Bin Xiao Jianguo Zhang Da He Yonggang Xing Bo Liu |
| author_sort | Yanbin Zhang |
| collection | DOAJ |
| description | Abstract Background Few studies have focused on the chronic spontaneous behavior of the unfused TL/L curve during follow-up. The purpose of the present study was to explore the behavior of the unfused TL/L curve during a long-term follow-up to identify the risk factors for correction loss. Methods Sixty-four age-matched female AIS patients undergoing selective thoracic fusion were enrolled. Patients were divided into 2 groups according to whether there was correction loss. Risk factors for correction loss of the unfused TL/L curves were analyzed. The relationship and difference between the immediate postoperative thoracic and TL/L Cobb angles were explored. Results The TL/L Cobb angle was 28.17° before surgery, 8.60° after surgery, and 10.74° at the final follow-up, with a correction loss of 2.14°. Each subgroup contained 32 cases. A smaller postoperative TL/L Cobb angle was the only risk factor that was independently associated with TL/L correction loss. In the LOSS group, there was a significant difference and no correlation between the immediate postoperative TL/L and the thoracic Cobb angle. In the NO-LOSS group, there was a moderate correlation and no difference between them. Conclusion A smaller immediate postoperative TL/L Cobb angle may have been associated with TL/L correction loss during the long-term follow-up. Thus, good immediate postoperative spontaneous correction may not mean a satisfactory outcome at the final follow-up after STF. Mismatch between thoracic and TL/L Cobb angles immediately after surgery may also be related to correction loss of the unfused TL/L curves. Close attention should be paid in case of deterioration. |
| first_indexed | 2024-03-09T15:32:45Z |
| format | Article |
| id | doaj.art-03247b3356124852ba1e3a4708804564 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-03-09T15:32:45Z |
| publishDate | 2023-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-03247b3356124852ba1e3a47088045642023-11-26T12:08:01ZengBMCBMC Musculoskeletal Disorders1471-24742023-07-012411810.1186/s12891-023-06591-8Satisfactory immediate spontaneous correction may not mean satisfactory final results for moderate TL/L curves after selective thoracic fusion in AIS patientsYanbin Zhang0Jing Bai1Bin Xiao2Jianguo Zhang3Da He4Yonggang Xing5Bo Liu6Department of Spine Surgery, Beijing Jishuitan HospitalDepartment of Trauma and Joint, The Third Affiliated Hospital of Beijing University of Traditional Chinese MedicineDepartment of Spine Surgery, Beijing Jishuitan HospitalDepartment of Orthopedics of Peking Union Medical College HospitalDepartment of Spine Surgery, Beijing Jishuitan HospitalDepartment of Spine Surgery, Beijing Jishuitan HospitalDepartment of Spine Surgery, Beijing Jishuitan HospitalAbstract Background Few studies have focused on the chronic spontaneous behavior of the unfused TL/L curve during follow-up. The purpose of the present study was to explore the behavior of the unfused TL/L curve during a long-term follow-up to identify the risk factors for correction loss. Methods Sixty-four age-matched female AIS patients undergoing selective thoracic fusion were enrolled. Patients were divided into 2 groups according to whether there was correction loss. Risk factors for correction loss of the unfused TL/L curves were analyzed. The relationship and difference between the immediate postoperative thoracic and TL/L Cobb angles were explored. Results The TL/L Cobb angle was 28.17° before surgery, 8.60° after surgery, and 10.74° at the final follow-up, with a correction loss of 2.14°. Each subgroup contained 32 cases. A smaller postoperative TL/L Cobb angle was the only risk factor that was independently associated with TL/L correction loss. In the LOSS group, there was a significant difference and no correlation between the immediate postoperative TL/L and the thoracic Cobb angle. In the NO-LOSS group, there was a moderate correlation and no difference between them. Conclusion A smaller immediate postoperative TL/L Cobb angle may have been associated with TL/L correction loss during the long-term follow-up. Thus, good immediate postoperative spontaneous correction may not mean a satisfactory outcome at the final follow-up after STF. Mismatch between thoracic and TL/L Cobb angles immediately after surgery may also be related to correction loss of the unfused TL/L curves. Close attention should be paid in case of deterioration.https://doi.org/10.1186/s12891-023-06591-8Adolescent idiopathic scoliosisSelective thoracic fusionRisk factorCorrection lossMismatch |
| spellingShingle | Yanbin Zhang Jing Bai Bin Xiao Jianguo Zhang Da He Yonggang Xing Bo Liu Satisfactory immediate spontaneous correction may not mean satisfactory final results for moderate TL/L curves after selective thoracic fusion in AIS patients BMC Musculoskeletal Disorders Adolescent idiopathic scoliosis Selective thoracic fusion Risk factor Correction loss Mismatch |
| title | Satisfactory immediate spontaneous correction may not mean satisfactory final results for moderate TL/L curves after selective thoracic fusion in AIS patients |
| title_full | Satisfactory immediate spontaneous correction may not mean satisfactory final results for moderate TL/L curves after selective thoracic fusion in AIS patients |
| title_fullStr | Satisfactory immediate spontaneous correction may not mean satisfactory final results for moderate TL/L curves after selective thoracic fusion in AIS patients |
| title_full_unstemmed | Satisfactory immediate spontaneous correction may not mean satisfactory final results for moderate TL/L curves after selective thoracic fusion in AIS patients |
| title_short | Satisfactory immediate spontaneous correction may not mean satisfactory final results for moderate TL/L curves after selective thoracic fusion in AIS patients |
| title_sort | satisfactory immediate spontaneous correction may not mean satisfactory final results for moderate tl l curves after selective thoracic fusion in ais patients |
| topic | Adolescent idiopathic scoliosis Selective thoracic fusion Risk factor Correction loss Mismatch |
| url | https://doi.org/10.1186/s12891-023-06591-8 |
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