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The comparison of the results after spinal fusion with or without iliac screw insertion in the treatment of neuromuscular scoliosis
INTRODUCTION: Neuromuscular scoliosis leads to a wide range of spinal disorders which disturb the musculoskeletal system. The aim of this study is to compare the clinical and radiological results of posterior spinal fusion with and without extending the instrumentation to iliac bones in treatment of...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Turkish Association of Orthopaedics and Traumatology
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6318476/ https://www.ncbi.nlm.nih.gov/pubmed/30266422 http://dx.doi.org/10.1016/j.aott.2017.12.005 |
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author | Akesen, Burak Atici, Teoman Eken, Gökay Ulusaloglu, Armagan Can |
author_facet | Akesen, Burak Atici, Teoman Eken, Gökay Ulusaloglu, Armagan Can |
author_sort | Akesen, Burak |
collection | PubMed |
description | INTRODUCTION: Neuromuscular scoliosis leads to a wide range of spinal disorders which disturb the musculoskeletal system. The aim of this study is to compare the clinical and radiological results of posterior spinal fusion with and without extending the instrumentation to iliac bones in treatment of neuromuscular scoliosis. METHODS: Medical records and radiographies of 36 patients with neuromuscular scoliosis who underwent posterior instrumentation between 2011 and 2015 were reviewed. Age and body mass index at time of surgery, underlying diagnosis, gender, postoperative infection rates, perioperative and postoperative blood transfusion, duration of surgery, complication rates were identified for each patient retrospectively. SF-36 physical questionnaire was applied to all patients. Surgery was performed in each patient and included posterior spinal fusion with pedicle screws from the proximal thoracic spine (T2 or T3) to S1 (Group A) or extension of distal instrumentation to pelvis by bilateral iliac screws (Group B). RESULTS: A total of 23 patients in group A were compared with 13 patients in group B. Median age was 14 (9–38) years for group A and 16 (12–25) years for group B. Median follow-up period was 20 (12–66) months. Preoperative median Cobb angles were 66(°) and 60(°) and postoperative Cobb values were 33(°) and 31(°) in group A and B respectively. Median Cobb angle reduction was 40(°) and 34(°) for group A and B. We are able to see in this study that the usage of illiac screws do not increase implant failure and help achieve better functional results. CONCLUSION: This study shows that the extention of instrumentation to the pelvis with illiac screws can be beneficial in terms of functional and complicational incidences. Level of evidence: Level III, therapeutic study. |
format | Online Article Text |
id | pubmed-6318476 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Turkish Association of Orthopaedics and Traumatology |
record_format | MEDLINE/PubMed |
spelling | pubmed-63184762019-01-09 The comparison of the results after spinal fusion with or without iliac screw insertion in the treatment of neuromuscular scoliosis Akesen, Burak Atici, Teoman Eken, Gökay Ulusaloglu, Armagan Can Acta Orthop Traumatol Turc Research Paper INTRODUCTION: Neuromuscular scoliosis leads to a wide range of spinal disorders which disturb the musculoskeletal system. The aim of this study is to compare the clinical and radiological results of posterior spinal fusion with and without extending the instrumentation to iliac bones in treatment of neuromuscular scoliosis. METHODS: Medical records and radiographies of 36 patients with neuromuscular scoliosis who underwent posterior instrumentation between 2011 and 2015 were reviewed. Age and body mass index at time of surgery, underlying diagnosis, gender, postoperative infection rates, perioperative and postoperative blood transfusion, duration of surgery, complication rates were identified for each patient retrospectively. SF-36 physical questionnaire was applied to all patients. Surgery was performed in each patient and included posterior spinal fusion with pedicle screws from the proximal thoracic spine (T2 or T3) to S1 (Group A) or extension of distal instrumentation to pelvis by bilateral iliac screws (Group B). RESULTS: A total of 23 patients in group A were compared with 13 patients in group B. Median age was 14 (9–38) years for group A and 16 (12–25) years for group B. Median follow-up period was 20 (12–66) months. Preoperative median Cobb angles were 66(°) and 60(°) and postoperative Cobb values were 33(°) and 31(°) in group A and B respectively. Median Cobb angle reduction was 40(°) and 34(°) for group A and B. We are able to see in this study that the usage of illiac screws do not increase implant failure and help achieve better functional results. CONCLUSION: This study shows that the extention of instrumentation to the pelvis with illiac screws can be beneficial in terms of functional and complicational incidences. Level of evidence: Level III, therapeutic study. Turkish Association of Orthopaedics and Traumatology 2018-11 2018-09-25 /pmc/articles/PMC6318476/ /pubmed/30266422 http://dx.doi.org/10.1016/j.aott.2017.12.005 Text en © 2017 Turkish Association of Orthopaedics and Traumatology. Publishing services by Elsevier B.V. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Research Paper Akesen, Burak Atici, Teoman Eken, Gökay Ulusaloglu, Armagan Can The comparison of the results after spinal fusion with or without iliac screw insertion in the treatment of neuromuscular scoliosis |
title | The comparison of the results after spinal fusion with or without iliac screw insertion in the treatment of neuromuscular scoliosis |
title_full | The comparison of the results after spinal fusion with or without iliac screw insertion in the treatment of neuromuscular scoliosis |
title_fullStr | The comparison of the results after spinal fusion with or without iliac screw insertion in the treatment of neuromuscular scoliosis |
title_full_unstemmed | The comparison of the results after spinal fusion with or without iliac screw insertion in the treatment of neuromuscular scoliosis |
title_short | The comparison of the results after spinal fusion with or without iliac screw insertion in the treatment of neuromuscular scoliosis |
title_sort | comparison of the results after spinal fusion with or without iliac screw insertion in the treatment of neuromuscular scoliosis |
topic | Research Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6318476/ https://www.ncbi.nlm.nih.gov/pubmed/30266422 http://dx.doi.org/10.1016/j.aott.2017.12.005 |
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