Spine
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Comparative Study
A comparison between the prone and lateral position for performing a thoracoscopic anterior release and fusion for pediatric spinal deformity.
Retrospective review of all patients who had a single stage thoracoscopic anterior release and spine fusion followed by a posterior spinal fusion with posterior instrumentation. ⋯ A thoracoscopic anterior spinal release and fusion in the prone position appears to achieve the same results as when performed in the lateral position for pediatric spinal deformity. The prone position saves time in the operating room due to decreasing the time needed by the anesthesiologists and the transition time between the anterior and posterior procedures. Potentially serious complications related to single-lung ventilation are avoided with bilateral-lung ventilation in the prone position.
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Comparative Study
Anterior-posterior surgery versus posterior closing wedge osteotomy in posttraumatic kyphosis with neurologic compromised osteoporotic fracture.
Retrospective study. ⋯ Although technically demanding, the posterior closing wedge osteotomy procedure demonstrated a better surgical result with significant less mean operative time and mean blood loss (P < 0.05). It may be a better alternative than a combined anterior-posterior procedure in patients with posttraumatic kyphosis and neurologic compromise secondary to osteoporotic fracture.
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Radiographic analysis, outcomes analysis (pain scale, Oswestry, SRS-24), and accumulation of complications. Outcomes and complications collected prospectively. Radiographic analysis performed retrospectively. ⋯ The clinical result with pedicle subtraction osteotomy is reduced with pseudarthrosis in the thoracic or lumbar spine and subsequent breakdown adjacent to the fusion. For patients with a degenerative sagittal imbalance etiology the results were worse and the complications were higher. Central canal enlargement is critical.
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Comparative Study
Treatment recommendations for idiopathic scoliosis: an assessment of the Lenke classification.
To determine the usefulness of the treatment recommendation criteria based on the Lenke classification for treatment of idiopathic scoliosis. DESIGN A retrospective radiographic review of 183 patients who underwent anterior and/or posterior fusion for the treatment of idiopathic scoliosis. ⋯ Better radiologic results were achieved through the use of the Lenke classification system for the selection of fusion levels by avoiding unnecessary fusion of the nonstructural lumbar or thoracic spine as well as avoiding undercorrection of the structural secondary curves.
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A cross-sectional study of anthropometric parameters in adolescent idiopathic scoliosis (AIS). ⋯ Various body segmental lengths were initially significantly shorter in AIS before puberty. However, after the onset of puberty, significantly longer corrected height, arm span, and various body segments were found. And there were significant correlations between anthropometric parameters and the scoliotic curve severity. Results of this large-scale study revealed the presence of abnormal growth in AIS patients during peripubertal development.