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Posterior only instrumented fusion provides incomplete curve control for early-onset scoliosis in type 1 neurofibromatosis

BACKGROUND: The mid-long term outcomes of posterior spinal fusion in pediatric neurofibromatosis type 1 (NF-1) patients are rarely reported, so does the effectiveness of itsorthopeidc maintenance function. This study aims to evaluate the mid-long term surgical outcomes of posterior only instrumented...

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Autores principales: Cai, Siyi, Li, Zhengyao, Qiu, Guixing, Shen, Jianxiong, Zhao, Hong, Zhao, Yu, Wang, Yipeng, Zhang, Jianguo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7011607/
https://www.ncbi.nlm.nih.gov/pubmed/32041574
http://dx.doi.org/10.1186/s12887-020-1956-y
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author Cai, Siyi
Li, Zhengyao
Qiu, Guixing
Shen, Jianxiong
Zhao, Hong
Zhao, Yu
Wang, Yipeng
Zhang, Jianguo
author_facet Cai, Siyi
Li, Zhengyao
Qiu, Guixing
Shen, Jianxiong
Zhao, Hong
Zhao, Yu
Wang, Yipeng
Zhang, Jianguo
author_sort Cai, Siyi
collection PubMed
description BACKGROUND: The mid-long term outcomes of posterior spinal fusion in pediatric neurofibromatosis type 1 (NF-1) patients are rarely reported, so does the effectiveness of itsorthopeidc maintenance function. This study aims to evaluate the mid-long term surgical outcomes of posterior only instrumented spinal fusion for early-onset scoliosis (EOS) in NF-1 patients. METHODS: A retrospective review was performed on a cohort of 10 NF-1 patients having EOS from 2008 to 2014 in our hospital, the age averaged at 7.8 years old when they underwent posterior only instrumented spinal fusion for their EOS. Both general clinical data and surgical specific data of the patients were collected and reviewed, and the dystrophic progression of EOS was evaluated during the follow-up. RESULTS: The average duration of follow-up was 54 months (24 to 88 months). All patients underwent posterior only instrumented spinal fusion at 1 stage. The primary curves of EOS were thoracic in 9 cases and 1 patient had lumbar scoliosis. Preoperative major curve was significantly corrected (from 66.1 to 31.1 degrees). However, the major curve deteriorated significantly to 40.1 degrees on average at the end of the follow-up. The T1-S1 distance increased 2.8 cm on average and kept increasing at a rate of 0.6 cm/year during the follow-up. CONCLUSIONS: Posterior only fusion surgery was not a good option to treat the EOS in NF-1 patients despite the relatively short segments involvement in the disease. The maintenance of orthopedic effect after treatment was not satisfactory.
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spelling pubmed-70116072020-02-18 Posterior only instrumented fusion provides incomplete curve control for early-onset scoliosis in type 1 neurofibromatosis Cai, Siyi Li, Zhengyao Qiu, Guixing Shen, Jianxiong Zhao, Hong Zhao, Yu Wang, Yipeng Zhang, Jianguo BMC Pediatr Research Article BACKGROUND: The mid-long term outcomes of posterior spinal fusion in pediatric neurofibromatosis type 1 (NF-1) patients are rarely reported, so does the effectiveness of itsorthopeidc maintenance function. This study aims to evaluate the mid-long term surgical outcomes of posterior only instrumented spinal fusion for early-onset scoliosis (EOS) in NF-1 patients. METHODS: A retrospective review was performed on a cohort of 10 NF-1 patients having EOS from 2008 to 2014 in our hospital, the age averaged at 7.8 years old when they underwent posterior only instrumented spinal fusion for their EOS. Both general clinical data and surgical specific data of the patients were collected and reviewed, and the dystrophic progression of EOS was evaluated during the follow-up. RESULTS: The average duration of follow-up was 54 months (24 to 88 months). All patients underwent posterior only instrumented spinal fusion at 1 stage. The primary curves of EOS were thoracic in 9 cases and 1 patient had lumbar scoliosis. Preoperative major curve was significantly corrected (from 66.1 to 31.1 degrees). However, the major curve deteriorated significantly to 40.1 degrees on average at the end of the follow-up. The T1-S1 distance increased 2.8 cm on average and kept increasing at a rate of 0.6 cm/year during the follow-up. CONCLUSIONS: Posterior only fusion surgery was not a good option to treat the EOS in NF-1 patients despite the relatively short segments involvement in the disease. The maintenance of orthopedic effect after treatment was not satisfactory. BioMed Central 2020-02-10 /pmc/articles/PMC7011607/ /pubmed/32041574 http://dx.doi.org/10.1186/s12887-020-1956-y Text en © The Author(s). 2020 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Cai, Siyi
Li, Zhengyao
Qiu, Guixing
Shen, Jianxiong
Zhao, Hong
Zhao, Yu
Wang, Yipeng
Zhang, Jianguo
Posterior only instrumented fusion provides incomplete curve control for early-onset scoliosis in type 1 neurofibromatosis
title Posterior only instrumented fusion provides incomplete curve control for early-onset scoliosis in type 1 neurofibromatosis
title_full Posterior only instrumented fusion provides incomplete curve control for early-onset scoliosis in type 1 neurofibromatosis
title_fullStr Posterior only instrumented fusion provides incomplete curve control for early-onset scoliosis in type 1 neurofibromatosis
title_full_unstemmed Posterior only instrumented fusion provides incomplete curve control for early-onset scoliosis in type 1 neurofibromatosis
title_short Posterior only instrumented fusion provides incomplete curve control for early-onset scoliosis in type 1 neurofibromatosis
title_sort posterior only instrumented fusion provides incomplete curve control for early-onset scoliosis in type 1 neurofibromatosis
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7011607/
https://www.ncbi.nlm.nih.gov/pubmed/32041574
http://dx.doi.org/10.1186/s12887-020-1956-y
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