Abstract
Study design: Retrospective case series review. Objective: To compare two similar groups of adolescents surgically treated for their spinal deformity either by posterior segmental fusion alone (PSF) or by posterior spinal fusion and thoracoplasty (PSF+T); attention was focused on the long-term effects of thoracoplasty on pulmonary function in the surgical treatment of adolescent idiopathic scoliosis. Summary of Background data: Posterior spinal arthrodesis with thoracoplasty and an open anterior approach, with respect to a posterior only fusion have been found to have a deleterious effect on pulmonary function for as long as five years postoperatively after surgical treatment of adolescent idiopathic scoliosis. Methods: A group of 40 consecutive adolescent patients, surgically treated between 1998 and 2001 by posterior spinal fusion and thoracoplasty, was compared with a similar cohort of 40 adolescents treated in the same period by posterior segmental fusion alone. Pedicle screw instrumentation alone and a minimum five-year follow-up were requested as inclusion criteria. Both a radiographic analysis and a chart review was performed, evaluating the pulmonary function tests (PFTs), the SRS-30 score questionnaire and the Lenke classification system. A radiographic Rib Hump (RH) assessment was also performed. Results: The entire series was reviewed at an average clinical follow-up of 8.3 years. There were no statistically significant differences between the two groups in terms of gender, age (PSF+T: 16.3 y vs. PSF: 15.2 y), Lenke curve type classification and preoperative Cobb's main thoracic (MT) curve magnitude (PSF+T: 66° vs. PSF: 63°), whereas both final MT percent correction (PSF+T: 53.03% vs. PSF: 51.35%; P
| Original language | English |
|---|---|
| Journal | Journal of Spinal Disorders and Techniques |
| Volume | 23 |
| Issue number | 8 |
| DOIs | |
| Publication status | Published - Dec 2010 |
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Keywords
- adolescent idiopathic scoliosis
- pedicle screw instrumentation
- posterior instrumented fusion
- pulmonary function
- thoracoplasty
ASJC Scopus subject areas
- Clinical Neurology
- Surgery
- Orthopedics and Sports Medicine
Cite this
Pulmonary function after thoracoplasty in the surgical treatment of adolescent idiopathic scoliosis. / Greggi, Tiziana; Bakaloudis, Georgios; Fusaro, Isabella; Di Silvestre, Mario; Lolli, Francesco; Martikos, Konstantinos; Vommaro, Francesco; Barbanti-Brodano, Giovanni; Cioni, Alfredo; Giacomini, Stefano.
In: Journal of Spinal Disorders and Techniques, Vol. 23, No. 8, 12.2010.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Pulmonary function after thoracoplasty in the surgical treatment of adolescent idiopathic scoliosis
AU - Greggi, Tiziana
AU - Bakaloudis, Georgios
AU - Fusaro, Isabella
AU - Di Silvestre, Mario
AU - Lolli, Francesco
AU - Martikos, Konstantinos
AU - Vommaro, Francesco
AU - Barbanti-Brodano, Giovanni
AU - Cioni, Alfredo
AU - Giacomini, Stefano
PY - 2010/12
Y1 - 2010/12
N2 - Study design: Retrospective case series review. Objective: To compare two similar groups of adolescents surgically treated for their spinal deformity either by posterior segmental fusion alone (PSF) or by posterior spinal fusion and thoracoplasty (PSF+T); attention was focused on the long-term effects of thoracoplasty on pulmonary function in the surgical treatment of adolescent idiopathic scoliosis. Summary of Background data: Posterior spinal arthrodesis with thoracoplasty and an open anterior approach, with respect to a posterior only fusion have been found to have a deleterious effect on pulmonary function for as long as five years postoperatively after surgical treatment of adolescent idiopathic scoliosis. Methods: A group of 40 consecutive adolescent patients, surgically treated between 1998 and 2001 by posterior spinal fusion and thoracoplasty, was compared with a similar cohort of 40 adolescents treated in the same period by posterior segmental fusion alone. Pedicle screw instrumentation alone and a minimum five-year follow-up were requested as inclusion criteria. Both a radiographic analysis and a chart review was performed, evaluating the pulmonary function tests (PFTs), the SRS-30 score questionnaire and the Lenke classification system. A radiographic Rib Hump (RH) assessment was also performed. Results: The entire series was reviewed at an average clinical follow-up of 8.3 years. There were no statistically significant differences between the two groups in terms of gender, age (PSF+T: 16.3 y vs. PSF: 15.2 y), Lenke curve type classification and preoperative Cobb's main thoracic (MT) curve magnitude (PSF+T: 66° vs. PSF: 63°), whereas both final MT percent correction (PSF+T: 53.03% vs. PSF: 51.35%; P
AB - Study design: Retrospective case series review. Objective: To compare two similar groups of adolescents surgically treated for their spinal deformity either by posterior segmental fusion alone (PSF) or by posterior spinal fusion and thoracoplasty (PSF+T); attention was focused on the long-term effects of thoracoplasty on pulmonary function in the surgical treatment of adolescent idiopathic scoliosis. Summary of Background data: Posterior spinal arthrodesis with thoracoplasty and an open anterior approach, with respect to a posterior only fusion have been found to have a deleterious effect on pulmonary function for as long as five years postoperatively after surgical treatment of adolescent idiopathic scoliosis. Methods: A group of 40 consecutive adolescent patients, surgically treated between 1998 and 2001 by posterior spinal fusion and thoracoplasty, was compared with a similar cohort of 40 adolescents treated in the same period by posterior segmental fusion alone. Pedicle screw instrumentation alone and a minimum five-year follow-up were requested as inclusion criteria. Both a radiographic analysis and a chart review was performed, evaluating the pulmonary function tests (PFTs), the SRS-30 score questionnaire and the Lenke classification system. A radiographic Rib Hump (RH) assessment was also performed. Results: The entire series was reviewed at an average clinical follow-up of 8.3 years. There were no statistically significant differences between the two groups in terms of gender, age (PSF+T: 16.3 y vs. PSF: 15.2 y), Lenke curve type classification and preoperative Cobb's main thoracic (MT) curve magnitude (PSF+T: 66° vs. PSF: 63°), whereas both final MT percent correction (PSF+T: 53.03% vs. PSF: 51.35%; P
KW - adolescent idiopathic scoliosis
KW - pedicle screw instrumentation
KW - posterior instrumented fusion
KW - pulmonary function
KW - thoracoplasty
UR - http://www.scopus.com/inward/record.url?scp=78650310573&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=78650310573&partnerID=8YFLogxK
U2 - 10.1097/BSD.0b013e3181d268b9
DO - 10.1097/BSD.0b013e3181d268b9
M3 - Article
C2 - 20625329
AN - SCOPUS:78650310573
VL - 23
JO - Journal of Spinal Disorders
JF - Journal of Spinal Disorders
SN - 1536-0652
IS - 8
ER -