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This study was conducted to find the functional and radiographic outcomes in adolescents treated for thoracic idiopathic scoliosis using pedicular screws, with the follow-up of an average 20 years.
In a recent study, it was
illustrated that there is an improvement of thoracic adolescent idiopathic
scoliosis with surgery using pedicle screw. The surgery offers excellent
clinical and radiological results in the very long term.
This study was conducted
to find the functional and radiographic outcomes in adolescents treated for
thoracic idiopathic scoliosis using pedicular screws, with the follow-up of an
average 20 years.
In this study, 109
patients were inspected. The radiographic data were assessed on fullspine
radiographs (thoracic kyphosis, Cobb angle, pelvic tilt, lumbar lordosis,
pelvic incidence). The Clinical data were assessed with Analog Pain Scale ODI,
SRS-30 and SF-12. Listhesis below the arthrodesis and disc height were
calculated.
Radiographic data were evaluated for 46 patients after 17.4 years. Mean Cobb angle was 58° before the surgery, and there was a mean correction of 40.1% with a loss of 5.3° at the final follow-up. Thoracic kyphosis and lumbar lordosis rose considerably at end follow-up.
It was concluded that
there is an improvement in very long-term clinical and radiographic results
after posterior spinal fusion using pedicular screws for the treatment of
thoracic adolescent idiopathic scoliosis.
Spine Deformity
Very long-term clinical and radiographic outcomes after posterior spinal fusion with pedicular screws for thoracic adolescent idiopathic scoliosis
Alice Darnis et al.
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