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Traditional growing rod for early-onset scoliosis in high-altitude regions: a retrospective study

BACKGROUND: Children with early-onset scoliosis living in high-altitude areas have severe deformities and poor nutritional status. However, no reports on early-onset scoliosis treatment using traditional growing rods in such children exist. Thus, we analyzed the outcomes of traditional growing rods...

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Autores principales: Jiang, Haijun, Hai, Junrui Jonathan, Yin, Peng, Su, Qingjun, Zhu, Shiqi, Pan, Aixing, Wang, Yunsheng, Hai, Yong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8353770/
https://www.ncbi.nlm.nih.gov/pubmed/34376244
http://dx.doi.org/10.1186/s13018-021-02639-4
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author Jiang, Haijun
Hai, Junrui Jonathan
Yin, Peng
Su, Qingjun
Zhu, Shiqi
Pan, Aixing
Wang, Yunsheng
Hai, Yong
author_facet Jiang, Haijun
Hai, Junrui Jonathan
Yin, Peng
Su, Qingjun
Zhu, Shiqi
Pan, Aixing
Wang, Yunsheng
Hai, Yong
author_sort Jiang, Haijun
collection PubMed
description BACKGROUND: Children with early-onset scoliosis living in high-altitude areas have severe deformities and poor nutritional status. However, no reports on early-onset scoliosis treatment using traditional growing rods in such children exist. Thus, we analyzed the outcomes of traditional growing rods treatment in such patients and the effect of altitude on therapy. METHODS: Between September 2007 and December 2017, 59 consecutive patients with EOS underwent systematic surgical correction using traditional growing rods. They were divided into the high-altitude and low-altitude groups, and differences in surgical efficacy and complications between the groups were analyzed pre- and postoperatively. Radiographic measurements, including the Cobb angle, thoracic kyphosis, lumbar lordosis, T1–S1 and T1–T12 heights, sagittal and coronal balance, distance between C7PL and sagittal vertical axis, pelvic incidence, sacral slope, and pelvic tilt were assessed preoperatively, postoperatively, and at the last follow-up. Continuous data were analyzed using paired or independent Student’s t tests, and they were compared preoperatively, postoperatively, and at the last follow-up using a repeated measures analysis of variance. Enumerated data were analyzed using the χ(2) test. RESULTS: The mean patient age at the initial surgery and mean follow-up duration were 8.9 ± 2.4(5–14) years and 51.91 ± 25.23 months, respectively. Altogether, 234 operations were conducted for all patients with an average interval between operations of 11.4 ± 3.0 months. The average Cobb angle was similar in both groups preoperatively and at the last follow-up, it was significantly different postoperatively. TK was significantly different in all three periods. T1–S1 and T1–T12 heights were significantly different only during the preoperative period. The overall rates of complications and implant-related complications did not differ significantly between the groups. CONCLUSIONS: Deformity in patients with EOS in high-altitude areas was more severe, and treatment using TGRs yielded a satisfactory therapeutic effect.
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spelling pubmed-83537702021-08-10 Traditional growing rod for early-onset scoliosis in high-altitude regions: a retrospective study Jiang, Haijun Hai, Junrui Jonathan Yin, Peng Su, Qingjun Zhu, Shiqi Pan, Aixing Wang, Yunsheng Hai, Yong J Orthop Surg Res Research Article BACKGROUND: Children with early-onset scoliosis living in high-altitude areas have severe deformities and poor nutritional status. However, no reports on early-onset scoliosis treatment using traditional growing rods in such children exist. Thus, we analyzed the outcomes of traditional growing rods treatment in such patients and the effect of altitude on therapy. METHODS: Between September 2007 and December 2017, 59 consecutive patients with EOS underwent systematic surgical correction using traditional growing rods. They were divided into the high-altitude and low-altitude groups, and differences in surgical efficacy and complications between the groups were analyzed pre- and postoperatively. Radiographic measurements, including the Cobb angle, thoracic kyphosis, lumbar lordosis, T1–S1 and T1–T12 heights, sagittal and coronal balance, distance between C7PL and sagittal vertical axis, pelvic incidence, sacral slope, and pelvic tilt were assessed preoperatively, postoperatively, and at the last follow-up. Continuous data were analyzed using paired or independent Student’s t tests, and they were compared preoperatively, postoperatively, and at the last follow-up using a repeated measures analysis of variance. Enumerated data were analyzed using the χ(2) test. RESULTS: The mean patient age at the initial surgery and mean follow-up duration were 8.9 ± 2.4(5–14) years and 51.91 ± 25.23 months, respectively. Altogether, 234 operations were conducted for all patients with an average interval between operations of 11.4 ± 3.0 months. The average Cobb angle was similar in both groups preoperatively and at the last follow-up, it was significantly different postoperatively. TK was significantly different in all three periods. T1–S1 and T1–T12 heights were significantly different only during the preoperative period. The overall rates of complications and implant-related complications did not differ significantly between the groups. CONCLUSIONS: Deformity in patients with EOS in high-altitude areas was more severe, and treatment using TGRs yielded a satisfactory therapeutic effect. BioMed Central 2021-08-10 /pmc/articles/PMC8353770/ /pubmed/34376244 http://dx.doi.org/10.1186/s13018-021-02639-4 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Jiang, Haijun
Hai, Junrui Jonathan
Yin, Peng
Su, Qingjun
Zhu, Shiqi
Pan, Aixing
Wang, Yunsheng
Hai, Yong
Traditional growing rod for early-onset scoliosis in high-altitude regions: a retrospective study
title Traditional growing rod for early-onset scoliosis in high-altitude regions: a retrospective study
title_full Traditional growing rod for early-onset scoliosis in high-altitude regions: a retrospective study
title_fullStr Traditional growing rod for early-onset scoliosis in high-altitude regions: a retrospective study
title_full_unstemmed Traditional growing rod for early-onset scoliosis in high-altitude regions: a retrospective study
title_short Traditional growing rod for early-onset scoliosis in high-altitude regions: a retrospective study
title_sort traditional growing rod for early-onset scoliosis in high-altitude regions: a retrospective study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8353770/
https://www.ncbi.nlm.nih.gov/pubmed/34376244
http://dx.doi.org/10.1186/s13018-021-02639-4
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