TY - JOUR
T1 - Does surgery for Scheuermann kyphosis influence sagittal spinopelvic parameters?
AU - Faldini, Cesare
AU - Traina, Francesco
AU - Perna, Fabrizio
AU - Borghi, Raffaele
AU - Martikos, Konstantinos
AU - Greggi, Tiziana
PY - 2015/11/1
Y1 - 2015/11/1
N2 - Purpose: To analyze changes in sagittal spinopelvic parameters (SSPs) after surgical treatment of Scheuermann’s Kyphosis (SK). Methods: We analyzed 20 patients affected by SK and subjected to posterior correction of the kyphosis by facetectomy, Ponte osteotomy, fusion and multilevel instrumentation with pedicle screw system. Four spinal and three pelvic parameters were measured: sagittal vertical axis (SVA), thoracic kyphosis (TK), thoracolumbar kyphosis, lumbar lordosis (LL), pelvic incidence (PI), sacral slope (SS) and pelvic tilt (PT). Analysis of changes in postprocedural SSPs compared to preoperative values was performed. Results: TK passed from 78.6° preoperatively to 45.8° (p = 0.003). LL passed from 74.5° preoperatively to 53.5° (p = 0.01). No significant changes occurred in SVA, SS, PT and PI compared to preoperative values. Conclusion: We confirm the positive effect of surgery by Ponte osteotomy and posterior spinal fusion on TK and LL in patients with SK. In our experience, pelvic parameters did not change after surgery.
AB - Purpose: To analyze changes in sagittal spinopelvic parameters (SSPs) after surgical treatment of Scheuermann’s Kyphosis (SK). Methods: We analyzed 20 patients affected by SK and subjected to posterior correction of the kyphosis by facetectomy, Ponte osteotomy, fusion and multilevel instrumentation with pedicle screw system. Four spinal and three pelvic parameters were measured: sagittal vertical axis (SVA), thoracic kyphosis (TK), thoracolumbar kyphosis, lumbar lordosis (LL), pelvic incidence (PI), sacral slope (SS) and pelvic tilt (PT). Analysis of changes in postprocedural SSPs compared to preoperative values was performed. Results: TK passed from 78.6° preoperatively to 45.8° (p = 0.003). LL passed from 74.5° preoperatively to 53.5° (p = 0.01). No significant changes occurred in SVA, SS, PT and PI compared to preoperative values. Conclusion: We confirm the positive effect of surgery by Ponte osteotomy and posterior spinal fusion on TK and LL in patients with SK. In our experience, pelvic parameters did not change after surgery.
KW - Kyphosis
KW - Posterior fusion
KW - Sagittal balance
KW - Scheuermann
KW - Spinopelvic parameters
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U2 - 10.1007/s00586-015-4253-y
DO - 10.1007/s00586-015-4253-y
M3 - Article
C2 - 26441254
AN - SCOPUS:84947611924
VL - 24
SP - 893
EP - 897
JO - European Spine Journal
JF - European Spine Journal
SN - 0940-6719
ER -