A novel posterior multiple screws distraction reducer system versus anterior release, posterior internal distraction, and subsequent spinal fusion for severe scoliosis
Abstract Purpose We previously reported anterior release, posterior internal distraction, and subsequent spinal fusion (ARPIDF) for the correction of severe scoliosis with a satisfactory correction rate. However, surgical procedures were completed in 2–3 stages. Here we compare Cobb angle of ≥90° in...
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| Format: | Article |
| Language: | English |
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BMC
2021-02-01
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| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12891-021-03963-w |
| _version_ | 1819275488445595648 |
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| author | Ganjun Feng Yong Huang Leizhen Huang Yongliang Wang Juehan Wang Chunguang Zhou Lei Wang Zhongjie Zhou Xi Yang Limin Liu Yueming Song |
| author_facet | Ganjun Feng Yong Huang Leizhen Huang Yongliang Wang Juehan Wang Chunguang Zhou Lei Wang Zhongjie Zhou Xi Yang Limin Liu Yueming Song |
| author_sort | Ganjun Feng |
| collection | DOAJ |
| description | Abstract Purpose We previously reported anterior release, posterior internal distraction, and subsequent spinal fusion (ARPIDF) for the correction of severe scoliosis with a satisfactory correction rate. However, surgical procedures were completed in 2–3 stages. Here we compare Cobb angle of ≥90° in scoliosis correction between a novel posterior multiple screws distraction reducer (MSDR) system and ARPIDF. Methods Thirty-six patients with severe scoliosis treated by MSDR or ARPIDF (n = 18 in both groups). We retrospectively analyzed and compared outcome measures between the two groups over a minimum follow-up duration of 2 years. The following variables were compared between the two groups: age at surgery, sex, etiology, flexibility of the main thoracic curve, number of fused segments and screws, operation time, estimated blood loss, hospitalization time, follow-up duration, various radiological parameters, complication rate, and Scoliosis Research Society-30 score. Results There were no significant between-group differences with respect to age, sex, etiology, flexibility of the main thoracic curve, number of fused segments and screws, and follow-up duration. Further, there was no significant difference in terms of preoperative, postoperative, and final follow-up findings of the radiographic data. However, the ARPIDF group had longer operation and hospitalization times and greater blood loss. In the ARPIDF group, 4 patient developed complications (infection, intraoperative neuromonitoring changes, transient dyspnea); none of these events occurred in the MSDR group. Conclusion The use of MSDR helped achieve greater scoliosis correction with a shorter operation time, lower blood loss, and lower complication rate than the use of ARPIDF. MSDR facilitates safer and easier correction of severe scoliosis without increasing surgical risk. |
| first_indexed | 2024-12-23T23:25:07Z |
| format | Article |
| id | doaj.art-f721ad51c9164f89b0c965739c238087 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-12-23T23:25:07Z |
| publishDate | 2021-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-f721ad51c9164f89b0c965739c2380872022-12-21T17:26:14ZengBMCBMC Musculoskeletal Disorders1471-24742021-02-012211910.1186/s12891-021-03963-wA novel posterior multiple screws distraction reducer system versus anterior release, posterior internal distraction, and subsequent spinal fusion for severe scoliosisGanjun Feng0Yong Huang1Leizhen Huang2Yongliang Wang3Juehan Wang4Chunguang Zhou5Lei Wang6Zhongjie Zhou7Xi Yang8Limin Liu9Yueming Song10Department of Orthopedic Surgery and Orthopedic Research Institute, West China Hospital, Sichuan UniversityDepartment of Orthopedic Surgery and Orthopedic Research Institute, West China Hospital, Sichuan UniversityDepartment of Orthopedic Surgery and Orthopedic Research Institute, West China Hospital, Sichuan UniversityDepartment of Orthopedic Surgery and Orthopedic Research Institute, West China Hospital, Sichuan UniversityDepartment of Orthopedic Surgery and Orthopedic Research Institute, West China Hospital, Sichuan UniversityDepartment of Orthopedic Surgery and Orthopedic Research Institute, West China Hospital, Sichuan UniversityDepartment of Orthopedic Surgery and Orthopedic Research Institute, West China Hospital, Sichuan UniversityDepartment of Orthopedic Surgery and Orthopedic Research Institute, West China Hospital, Sichuan UniversityDepartment of Orthopedic Surgery and Orthopedic Research Institute, West China Hospital, Sichuan UniversityDepartment of Orthopedic Surgery and Orthopedic Research Institute, West China Hospital, Sichuan UniversityDepartment of Orthopedic Surgery and Orthopedic Research Institute, West China Hospital, Sichuan UniversityAbstract Purpose We previously reported anterior release, posterior internal distraction, and subsequent spinal fusion (ARPIDF) for the correction of severe scoliosis with a satisfactory correction rate. However, surgical procedures were completed in 2–3 stages. Here we compare Cobb angle of ≥90° in scoliosis correction between a novel posterior multiple screws distraction reducer (MSDR) system and ARPIDF. Methods Thirty-six patients with severe scoliosis treated by MSDR or ARPIDF (n = 18 in both groups). We retrospectively analyzed and compared outcome measures between the two groups over a minimum follow-up duration of 2 years. The following variables were compared between the two groups: age at surgery, sex, etiology, flexibility of the main thoracic curve, number of fused segments and screws, operation time, estimated blood loss, hospitalization time, follow-up duration, various radiological parameters, complication rate, and Scoliosis Research Society-30 score. Results There were no significant between-group differences with respect to age, sex, etiology, flexibility of the main thoracic curve, number of fused segments and screws, and follow-up duration. Further, there was no significant difference in terms of preoperative, postoperative, and final follow-up findings of the radiographic data. However, the ARPIDF group had longer operation and hospitalization times and greater blood loss. In the ARPIDF group, 4 patient developed complications (infection, intraoperative neuromonitoring changes, transient dyspnea); none of these events occurred in the MSDR group. Conclusion The use of MSDR helped achieve greater scoliosis correction with a shorter operation time, lower blood loss, and lower complication rate than the use of ARPIDF. MSDR facilitates safer and easier correction of severe scoliosis without increasing surgical risk.https://doi.org/10.1186/s12891-021-03963-wSevere scoliosisSurgical treatmentMultiple screws distraction reducer systemInternal distractionComparison |
| spellingShingle | Ganjun Feng Yong Huang Leizhen Huang Yongliang Wang Juehan Wang Chunguang Zhou Lei Wang Zhongjie Zhou Xi Yang Limin Liu Yueming Song A novel posterior multiple screws distraction reducer system versus anterior release, posterior internal distraction, and subsequent spinal fusion for severe scoliosis BMC Musculoskeletal Disorders Severe scoliosis Surgical treatment Multiple screws distraction reducer system Internal distraction Comparison |
| title | A novel posterior multiple screws distraction reducer system versus anterior release, posterior internal distraction, and subsequent spinal fusion for severe scoliosis |
| title_full | A novel posterior multiple screws distraction reducer system versus anterior release, posterior internal distraction, and subsequent spinal fusion for severe scoliosis |
| title_fullStr | A novel posterior multiple screws distraction reducer system versus anterior release, posterior internal distraction, and subsequent spinal fusion for severe scoliosis |
| title_full_unstemmed | A novel posterior multiple screws distraction reducer system versus anterior release, posterior internal distraction, and subsequent spinal fusion for severe scoliosis |
| title_short | A novel posterior multiple screws distraction reducer system versus anterior release, posterior internal distraction, and subsequent spinal fusion for severe scoliosis |
| title_sort | novel posterior multiple screws distraction reducer system versus anterior release posterior internal distraction and subsequent spinal fusion for severe scoliosis |
| topic | Severe scoliosis Surgical treatment Multiple screws distraction reducer system Internal distraction Comparison |
| url | https://doi.org/10.1186/s12891-021-03963-w |
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