The use of three-column osteotomy in the treatment of rigid deformities of the adult spine
ABSTRACT Objective: To analyze and characterize data about clinical outcome and complication rates in three-column osteotomies (3 CO) for treatment of rigid adult spine deformity (ASD). Methods: Baseline and postoperative clinical outcomes, considering the Oswestry Disability Index (ODI) and Scoli...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Ortopedia e Traumatologia
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| Series: | Revista Brasileira de Ortopedia |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162018000200213&lng=en&tlng=en |
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| author | Raphael de Rezende Pratali Samuel Machado Martins Francisco Prado Eugenio dos Santos Carlos Eduardo Gonçales Barsotti Carlos Eduardo Algaves Soares de Oliveira |
| author_facet | Raphael de Rezende Pratali Samuel Machado Martins Francisco Prado Eugenio dos Santos Carlos Eduardo Gonçales Barsotti Carlos Eduardo Algaves Soares de Oliveira |
| author_sort | Raphael de Rezende Pratali |
| collection | DOAJ |
| description | ABSTRACT Objective: To analyze and characterize data about clinical outcome and complication rates in three-column osteotomies (3 CO) for treatment of rigid adult spine deformity (ASD). Methods: Baseline and postoperative clinical outcomes, considering the Oswestry Disability Index (ODI) and Scoliosis Research Society-22 (SRS-22) questionnaires, radiographic parameters, and demographic data of patients who underwent 3 CO procedure for fixed ASD treatment were collected. Surgical characteristics and reports of perioperative complications were recorded, as well as those that occurred at a minimum follow-up of 12 months. Results: Ten patients underwent 3 CO and had a minimum follow-up of 12 months (mean 24 months). The patients showed significantly improved health-related quality of life scores (ODI, SRS-22 total, function/activity, pain, and appearance). They also presented a significant improvement in all radiographic parameters considered in the study. Taking into account the surgical procedure, the operative time was significantly higher in patients with staged procedure than in patients with single-stage surgery (p = 0.003), with similar estimated blood loss and complication incidence. There were ten complications in six patients (60%), with a mean of 1.0 complication per patient. Conclusions: Despite of the high complication rates, 3 CO was an effective technique, considering clinical and radiographic outcomes, to treat complex cases of rigid ASD in a sample of patients operated in a Brazilian spine center, with a minimum follow-up of 12 months. |
| first_indexed | 2024-03-08T07:59:47Z |
| format | Article |
| id | doaj.art-874f103f727d4fb7915635941fe81c6c |
| institution | Directory Open Access Journal |
| issn | 1982-4378 |
| language | English |
| last_indexed | 2024-03-08T07:59:47Z |
| publisher | Sociedade Brasileira de Ortopedia e Traumatologia |
| record_format | Article |
| series | Revista Brasileira de Ortopedia |
| spelling | doaj.art-874f103f727d4fb7915635941fe81c6c2024-02-02T12:43:50ZengSociedade Brasileira de Ortopedia e TraumatologiaRevista Brasileira de Ortopedia1982-437853221322010.1016/j.rboe.2017.03.016S0102-36162018000200213The use of three-column osteotomy in the treatment of rigid deformities of the adult spineRaphael de Rezende PrataliSamuel Machado MartinsFrancisco Prado Eugenio dos SantosCarlos Eduardo Gonçales BarsottiCarlos Eduardo Algaves Soares de OliveiraABSTRACT Objective: To analyze and characterize data about clinical outcome and complication rates in three-column osteotomies (3 CO) for treatment of rigid adult spine deformity (ASD). Methods: Baseline and postoperative clinical outcomes, considering the Oswestry Disability Index (ODI) and Scoliosis Research Society-22 (SRS-22) questionnaires, radiographic parameters, and demographic data of patients who underwent 3 CO procedure for fixed ASD treatment were collected. Surgical characteristics and reports of perioperative complications were recorded, as well as those that occurred at a minimum follow-up of 12 months. Results: Ten patients underwent 3 CO and had a minimum follow-up of 12 months (mean 24 months). The patients showed significantly improved health-related quality of life scores (ODI, SRS-22 total, function/activity, pain, and appearance). They also presented a significant improvement in all radiographic parameters considered in the study. Taking into account the surgical procedure, the operative time was significantly higher in patients with staged procedure than in patients with single-stage surgery (p = 0.003), with similar estimated blood loss and complication incidence. There were ten complications in six patients (60%), with a mean of 1.0 complication per patient. Conclusions: Despite of the high complication rates, 3 CO was an effective technique, considering clinical and radiographic outcomes, to treat complex cases of rigid ASD in a sample of patients operated in a Brazilian spine center, with a minimum follow-up of 12 months.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162018000200213&lng=en&tlng=enMau alinhamento ósseoEscolioseOsteotomiaResultado do tratamentoComplicações pós-operatórias |
| spellingShingle | Raphael de Rezende Pratali Samuel Machado Martins Francisco Prado Eugenio dos Santos Carlos Eduardo Gonçales Barsotti Carlos Eduardo Algaves Soares de Oliveira The use of three-column osteotomy in the treatment of rigid deformities of the adult spine Revista Brasileira de Ortopedia Mau alinhamento ósseo Escoliose Osteotomia Resultado do tratamento Complicações pós-operatórias |
| title | The use of three-column osteotomy in the treatment of rigid deformities of the adult spine |
| title_full | The use of three-column osteotomy in the treatment of rigid deformities of the adult spine |
| title_fullStr | The use of three-column osteotomy in the treatment of rigid deformities of the adult spine |
| title_full_unstemmed | The use of three-column osteotomy in the treatment of rigid deformities of the adult spine |
| title_short | The use of three-column osteotomy in the treatment of rigid deformities of the adult spine |
| title_sort | use of three column osteotomy in the treatment of rigid deformities of the adult spine |
| topic | Mau alinhamento ósseo Escoliose Osteotomia Resultado do tratamento Complicações pós-operatórias |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162018000200213&lng=en&tlng=en |
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