Intraoperative traction in surgery for adolescent idio- pathic scoliosis
Objective. To analyze the effectiveness of intraoperative traction in the treatment of adolescent idiopathic scoliosis, including in relation to the initial magnitude of scoliotic curve. Material and Methods. Data on patients meeting the following criteria were selected from the electronic databa...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Ministry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan"
2017-06-01
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| Series: | Хирургия позвоночника |
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| Online Access: | https://www.spinesurgery.ru/jour/article/view/112/423 |
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| author | Mikhail V. Mikhaylovskiy Vyacheslav V. Novikov Mikhail A. Sadovoy Aleksandr S. Vasyura Vasily A. Suzdalov |
| author_facet | Mikhail V. Mikhaylovskiy Vyacheslav V. Novikov Mikhail A. Sadovoy Aleksandr S. Vasyura Vasily A. Suzdalov |
| author_sort | Mikhail V. Mikhaylovskiy |
| collection | DOAJ |
| description | Objective. To analyze the effectiveness of intraoperative traction in the treatment of adolescent idiopathic scoliosis, including in relation
to the initial magnitude of scoliotic curve.
Material and Methods. Data on patients meeting the following criteria were selected from the electronic database and analyzed: idiopathic
scoliosis (Lenke types I, III, V); age 10 to 20 years; surgery performed through posterior approach; hook or hybrid (using of pedicle screws
only in the lumbar spine, at 2–4 levels) fixation; no previous history of spine surgery; and follow-up period at least two years.
Results. Flattening of thoracic kyphosis and alignment of lumbar lordosis during surgical correction were significantly more pronounced in
the traction group. Postoperative changes in the sagittal contour of the thoracic and lumbar spine did not differ significantly between the trac-
tion and no-traction groups. Intraoperative traction was associated with significantly reduced blood loss, though operation time decreased
statistically insignificantly. Normalization of the frontal imbalance in the immediate and long-term postoperative periods was different in
the two groups, but these differences were insignificant. Intraoperative traction was most effective in the group with deformities of 50° to 75°,
although it also increased the achieved correction in patients with scoliosis of a smaller and greater magnitude.
Conclusion. The operation performed with intraoperative traction allows achieving greater correction during an intervention and smaller
loss of correction during a long follow-up period than that without a distraction influence. This applies equally to both primary and sec-
ondary curvatures. |
| first_indexed | 2024-03-12T20:25:13Z |
| format | Article |
| id | doaj.art-3cbe9636945544019f21fd43ddedc0b7 |
| institution | Directory Open Access Journal |
| issn | 1810-8997 2313-1497 |
| language | English |
| last_indexed | 2024-03-12T20:25:13Z |
| publishDate | 2017-06-01 |
| publisher | Ministry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan" |
| record_format | Article |
| series | Хирургия позвоночника |
| spelling | doaj.art-3cbe9636945544019f21fd43ddedc0b72023-08-02T00:33:41ZengMinistry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan"Хирургия позвоночника1810-89972313-14972017-06-0114281310.14531/ss2017.2.8-13Intraoperative traction in surgery for adolescent idio- pathic scoliosisMikhail V. Mikhaylovskiy0Vyacheslav V. Novikov1Mikhail A. Sadovoy2Aleksandr S. Vasyura3Vasily A. Suzdalov4Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L.Tsivyan, Novosibirsk, RussiaNovosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L.Tsivyan, Novosibirsk, RussiaNovosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan, Novosibirsk State Medical University, Novosibirsk, RussiaNovosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L.Tsivyan, Novosibirsk, RussiaNovosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L.Tsivyan, Novosibirsk, RussiaObjective. To analyze the effectiveness of intraoperative traction in the treatment of adolescent idiopathic scoliosis, including in relation to the initial magnitude of scoliotic curve. Material and Methods. Data on patients meeting the following criteria were selected from the electronic database and analyzed: idiopathic scoliosis (Lenke types I, III, V); age 10 to 20 years; surgery performed through posterior approach; hook or hybrid (using of pedicle screws only in the lumbar spine, at 2–4 levels) fixation; no previous history of spine surgery; and follow-up period at least two years. Results. Flattening of thoracic kyphosis and alignment of lumbar lordosis during surgical correction were significantly more pronounced in the traction group. Postoperative changes in the sagittal contour of the thoracic and lumbar spine did not differ significantly between the trac- tion and no-traction groups. Intraoperative traction was associated with significantly reduced blood loss, though operation time decreased statistically insignificantly. Normalization of the frontal imbalance in the immediate and long-term postoperative periods was different in the two groups, but these differences were insignificant. Intraoperative traction was most effective in the group with deformities of 50° to 75°, although it also increased the achieved correction in patients with scoliosis of a smaller and greater magnitude. Conclusion. The operation performed with intraoperative traction allows achieving greater correction during an intervention and smaller loss of correction during a long follow-up period than that without a distraction influence. This applies equally to both primary and sec- ondary curvatures.https://www.spinesurgery.ru/jour/article/view/112/423intraoperative tractionidiopathic scoliosisadolescent scoliosis |
| spellingShingle | Mikhail V. Mikhaylovskiy Vyacheslav V. Novikov Mikhail A. Sadovoy Aleksandr S. Vasyura Vasily A. Suzdalov Intraoperative traction in surgery for adolescent idio- pathic scoliosis Хирургия позвоночника intraoperative traction idiopathic scoliosis adolescent scoliosis |
| title | Intraoperative traction in surgery for adolescent idio- pathic scoliosis |
| title_full | Intraoperative traction in surgery for adolescent idio- pathic scoliosis |
| title_fullStr | Intraoperative traction in surgery for adolescent idio- pathic scoliosis |
| title_full_unstemmed | Intraoperative traction in surgery for adolescent idio- pathic scoliosis |
| title_short | Intraoperative traction in surgery for adolescent idio- pathic scoliosis |
| title_sort | intraoperative traction in surgery for adolescent idio pathic scoliosis |
| topic | intraoperative traction idiopathic scoliosis adolescent scoliosis |
| url | https://www.spinesurgery.ru/jour/article/view/112/423 |
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