Spinal sagittal alignment and postoperative adding-on in patients with adolescent idiopathic scoliosis after surgery
Introduction: Surgery for patients with adolescent idiopathic scoliosis (AIS) may change spinal sagittal alignment, and postoperative adding-on may affect spinal sagittal balance after reconstruction. This study was to investigate the effect of surgery on spinal sagittal alignment and the relationsh...
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| creator | Han, Shu-Man Wen, Jin-Xu Cao, Lei Hui-Zhao, Wu Liu, Chang Yang, Chen Yang, Hui-Hui Wen-Juan, Wu Gao, Bu-Lang |
| description | Introduction: Surgery for patients with adolescent idiopathic scoliosis (AIS) may change spinal sagittal alignment, and postoperative adding-on may affect spinal sagittal balance after reconstruction. This study was to investigate the effect of surgery on spinal sagittal alignment and the relationship between postoperative adding-on and spinal sagittal balance in patients with AIS.
Hypothesis: The hypothesis of this study was that the effect of surgery on AIS was associated with recovery of the spinal sagittal plane and that presence of postoperative adding-on might affect the spinal sagittal balance.
Materials and methods: This retrospective study enrolled 22 patients who received surgical treatment. Clinical, imaging and follow-up data were analyzed.
Results: After surgery, T1 slope (T1S) and thoracic kyphosis (TK) were significantly (P |
| doi_str_mv | 10.1016/j.otsr.2022.103352 |
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| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2678430547</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S1877056822001797</els_id><sourcerecordid>2678430547</sourcerecordid><originalsourceid>FETCH-LOGICAL-c377t-19a2d86ebd687ac463694ec4ab5cb938d1aedfba346c3393f56f9b6c54d8d5573</originalsourceid><addsrcrecordid>eNp9kE9PwzAMxSsEEmPwBTjlyKWjbdq0lbigiX_SJA7AOUoTt_PUNSXOhvj2pCoHTpz8ZL9n2b8ouk6TVZqk4na3sp7cKkuyLDQ4L7KTaJFWZRknhahO_-jz6IJolyRCpDxbRP5txEH1jFSH3geheuyGPQyeqcGw0ZK3Izjl8QhMGYNDF9uB4cDG0As2Yl_ot2FkeyA95dCgDcMtakba9mgJianWg2N0cB2478vorFU9wdVvXUYfjw_v6-d48_r0sr7fxJqXpY_TWmWmEtAYUZVK54KLOgedq6bQTc0rkyowbaN4LjTnNW8L0daN0EVuKlMUJV9GN_Pe0dnPA5CXeww39r0awB5IZqKscp4U-WTNZqt2lshBK0eHe-W-ZZrICbHcyQmxnBDLGXEI3c0hCE8cEZwkHZhoMOhAe2ks_hf_AadbiKc</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2678430547</pqid></control><display><type>article</type><title>Spinal sagittal alignment and postoperative adding-on in patients with adolescent idiopathic scoliosis after surgery</title><source>Access via ScienceDirect (Elsevier)</source><source>EZB-FREE-00999 freely available EZB journals</source><creator>Han, Shu-Man ; Wen, Jin-Xu ; Cao, Lei ; Hui-Zhao, Wu ; Liu, Chang ; Yang, Chen ; Yang, Hui-Hui ; Wen-Juan, Wu ; Gao, Bu-Lang</creator><creatorcontrib>Han, Shu-Man ; Wen, Jin-Xu ; Cao, Lei ; Hui-Zhao, Wu ; Liu, Chang ; Yang, Chen ; Yang, Hui-Hui ; Wen-Juan, Wu ; Gao, Bu-Lang</creatorcontrib><description><![CDATA[Introduction: Surgery for patients with adolescent idiopathic scoliosis (AIS) may change spinal sagittal alignment, and postoperative adding-on may affect spinal sagittal balance after reconstruction. This study was to investigate the effect of surgery on spinal sagittal alignment and the relationship between postoperative adding-on and spinal sagittal balance in patients with AIS.
Hypothesis: The hypothesis of this study was that the effect of surgery on AIS was associated with recovery of the spinal sagittal plane and that presence of postoperative adding-on might affect the spinal sagittal balance.
Materials and methods: This retrospective study enrolled 22 patients who received surgical treatment. Clinical, imaging and follow-up data were analyzed.
Results: After surgery, T1 slope (T1S) and thoracic kyphosis (TK) were significantly (P<0.05) lower in patients with postoperative adding-on (16.73±6.12 for T1S and 28.95±11.3 for TK) than those without adding-on (24.82±8.59 for T1S and 40.29±12.08 for TK). At the last follow-up, cervical lordosis (CL), T1S, and TK were significantly (P<0.05) lower in patients with adding-on (3.05±11.41 for CL, 22.12±3.68 for T1S, and 37.89±8.97 for TK) than those without adding-on (15.94±13.60 for CL, 28.86±4.26 for T1S, and 47.64±7.10 for TK). The Cobb angle was significantly (19.65±8.69 vs. 50.66±11.46; P<0.001) decreased after compared with that before surgery. At the final follow-up, the Cobb angle (26.48±9.61 vs. 19.65±8.69, P<0.001), T1S (24.87±5.11 vs. 20.04±8.13), and TK (41.88±9.45 vs 33.53±12.71) all significantly (P<0.01) increased compared with those immediately after surgery. The Cobb angle significantly (26.48º±9.61º vs. 50.66º±11.46º, P<0.001) decreased while CL, T1S, and TK all significantly (8.32±13.67 vs 2.47±14.42 for CL, T1S 24.87±5.11 vs. 21.28±5.88 for T1S, and 41.88±9.45 vs. 33.13±10.97 for TK, P<0.05) increased at the final follow-up compared with those before surgery.
Discussion: Surgery affects spinal sagittal alignment, and postoperative adding-on may affect spinal sagittal balance after reconstruction. Surgery as the ultimate approach for AIS has good effects but may result in some side effects.
Level of proof: III, retrospective cohort study.]]></description><identifier>ISSN: 1877-0568</identifier><identifier>EISSN: 1877-0568</identifier><identifier>DOI: 10.1016/j.otsr.2022.103352</identifier><language>eng</language><publisher>Elsevier Masson SAS</publisher><subject>Adolescent idiopathic scoliosis ; Cervical sagittal alignment ; Cobb angle ; Surgery</subject><ispartof>Orthopaedics & traumatology, surgery & research, 2022-10, Vol.108 (6), p.103352-103352, Article 103352</ispartof><rights>2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c377t-19a2d86ebd687ac463694ec4ab5cb938d1aedfba346c3393f56f9b6c54d8d5573</citedby><cites>FETCH-LOGICAL-c377t-19a2d86ebd687ac463694ec4ab5cb938d1aedfba346c3393f56f9b6c54d8d5573</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids></links><search><creatorcontrib>Han, Shu-Man</creatorcontrib><creatorcontrib>Wen, Jin-Xu</creatorcontrib><creatorcontrib>Cao, Lei</creatorcontrib><creatorcontrib>Hui-Zhao, Wu</creatorcontrib><creatorcontrib>Liu, Chang</creatorcontrib><creatorcontrib>Yang, Chen</creatorcontrib><creatorcontrib>Yang, Hui-Hui</creatorcontrib><creatorcontrib>Wen-Juan, Wu</creatorcontrib><creatorcontrib>Gao, Bu-Lang</creatorcontrib><title>Spinal sagittal alignment and postoperative adding-on in patients with adolescent idiopathic scoliosis after surgery</title><title>Orthopaedics & traumatology, surgery & research</title><description><![CDATA[Introduction: Surgery for patients with adolescent idiopathic scoliosis (AIS) may change spinal sagittal alignment, and postoperative adding-on may affect spinal sagittal balance after reconstruction. This study was to investigate the effect of surgery on spinal sagittal alignment and the relationship between postoperative adding-on and spinal sagittal balance in patients with AIS.
Hypothesis: The hypothesis of this study was that the effect of surgery on AIS was associated with recovery of the spinal sagittal plane and that presence of postoperative adding-on might affect the spinal sagittal balance.
Materials and methods: This retrospective study enrolled 22 patients who received surgical treatment. Clinical, imaging and follow-up data were analyzed.
Results: After surgery, T1 slope (T1S) and thoracic kyphosis (TK) were significantly (P<0.05) lower in patients with postoperative adding-on (16.73±6.12 for T1S and 28.95±11.3 for TK) than those without adding-on (24.82±8.59 for T1S and 40.29±12.08 for TK). At the last follow-up, cervical lordosis (CL), T1S, and TK were significantly (P<0.05) lower in patients with adding-on (3.05±11.41 for CL, 22.12±3.68 for T1S, and 37.89±8.97 for TK) than those without adding-on (15.94±13.60 for CL, 28.86±4.26 for T1S, and 47.64±7.10 for TK). The Cobb angle was significantly (19.65±8.69 vs. 50.66±11.46; P<0.001) decreased after compared with that before surgery. At the final follow-up, the Cobb angle (26.48±9.61 vs. 19.65±8.69, P<0.001), T1S (24.87±5.11 vs. 20.04±8.13), and TK (41.88±9.45 vs 33.53±12.71) all significantly (P<0.01) increased compared with those immediately after surgery. The Cobb angle significantly (26.48º±9.61º vs. 50.66º±11.46º, P<0.001) decreased while CL, T1S, and TK all significantly (8.32±13.67 vs 2.47±14.42 for CL, T1S 24.87±5.11 vs. 21.28±5.88 for T1S, and 41.88±9.45 vs. 33.13±10.97 for TK, P<0.05) increased at the final follow-up compared with those before surgery.
Discussion: Surgery affects spinal sagittal alignment, and postoperative adding-on may affect spinal sagittal balance after reconstruction. Surgery as the ultimate approach for AIS has good effects but may result in some side effects.
Level of proof: III, retrospective cohort study.]]></description><subject>Adolescent idiopathic scoliosis</subject><subject>Cervical sagittal alignment</subject><subject>Cobb angle</subject><subject>Surgery</subject><issn>1877-0568</issn><issn>1877-0568</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp9kE9PwzAMxSsEEmPwBTjlyKWjbdq0lbigiX_SJA7AOUoTt_PUNSXOhvj2pCoHTpz8ZL9n2b8ouk6TVZqk4na3sp7cKkuyLDQ4L7KTaJFWZRknhahO_-jz6IJolyRCpDxbRP5txEH1jFSH3geheuyGPQyeqcGw0ZK3Izjl8QhMGYNDF9uB4cDG0As2Yl_ot2FkeyA95dCgDcMtakba9mgJianWg2N0cB2478vorFU9wdVvXUYfjw_v6-d48_r0sr7fxJqXpY_TWmWmEtAYUZVK54KLOgedq6bQTc0rkyowbaN4LjTnNW8L0daN0EVuKlMUJV9GN_Pe0dnPA5CXeww39r0awB5IZqKscp4U-WTNZqt2lshBK0eHe-W-ZZrICbHcyQmxnBDLGXEI3c0hCE8cEZwkHZhoMOhAe2ks_hf_AadbiKc</recordid><startdate>202210</startdate><enddate>202210</enddate><creator>Han, Shu-Man</creator><creator>Wen, Jin-Xu</creator><creator>Cao, Lei</creator><creator>Hui-Zhao, Wu</creator><creator>Liu, Chang</creator><creator>Yang, Chen</creator><creator>Yang, Hui-Hui</creator><creator>Wen-Juan, Wu</creator><creator>Gao, Bu-Lang</creator><general>Elsevier Masson SAS</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202210</creationdate><title>Spinal sagittal alignment and postoperative adding-on in patients with adolescent idiopathic scoliosis after surgery</title><author>Han, Shu-Man ; Wen, Jin-Xu ; Cao, Lei ; Hui-Zhao, Wu ; Liu, Chang ; Yang, Chen ; Yang, Hui-Hui ; Wen-Juan, Wu ; Gao, Bu-Lang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c377t-19a2d86ebd687ac463694ec4ab5cb938d1aedfba346c3393f56f9b6c54d8d5573</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Adolescent idiopathic scoliosis</topic><topic>Cervical sagittal alignment</topic><topic>Cobb angle</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Han, Shu-Man</creatorcontrib><creatorcontrib>Wen, Jin-Xu</creatorcontrib><creatorcontrib>Cao, Lei</creatorcontrib><creatorcontrib>Hui-Zhao, Wu</creatorcontrib><creatorcontrib>Liu, Chang</creatorcontrib><creatorcontrib>Yang, Chen</creatorcontrib><creatorcontrib>Yang, Hui-Hui</creatorcontrib><creatorcontrib>Wen-Juan, Wu</creatorcontrib><creatorcontrib>Gao, Bu-Lang</creatorcontrib><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Orthopaedics & traumatology, surgery & research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Han, Shu-Man</au><au>Wen, Jin-Xu</au><au>Cao, Lei</au><au>Hui-Zhao, Wu</au><au>Liu, Chang</au><au>Yang, Chen</au><au>Yang, Hui-Hui</au><au>Wen-Juan, Wu</au><au>Gao, Bu-Lang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Spinal sagittal alignment and postoperative adding-on in patients with adolescent idiopathic scoliosis after surgery</atitle><jtitle>Orthopaedics & traumatology, surgery & research</jtitle><date>2022-10</date><risdate>2022</risdate><volume>108</volume><issue>6</issue><spage>103352</spage><epage>103352</epage><pages>103352-103352</pages><artnum>103352</artnum><issn>1877-0568</issn><eissn>1877-0568</eissn><abstract><![CDATA[Introduction: Surgery for patients with adolescent idiopathic scoliosis (AIS) may change spinal sagittal alignment, and postoperative adding-on may affect spinal sagittal balance after reconstruction. This study was to investigate the effect of surgery on spinal sagittal alignment and the relationship between postoperative adding-on and spinal sagittal balance in patients with AIS.
Hypothesis: The hypothesis of this study was that the effect of surgery on AIS was associated with recovery of the spinal sagittal plane and that presence of postoperative adding-on might affect the spinal sagittal balance.
Materials and methods: This retrospective study enrolled 22 patients who received surgical treatment. Clinical, imaging and follow-up data were analyzed.
Results: After surgery, T1 slope (T1S) and thoracic kyphosis (TK) were significantly (P<0.05) lower in patients with postoperative adding-on (16.73±6.12 for T1S and 28.95±11.3 for TK) than those without adding-on (24.82±8.59 for T1S and 40.29±12.08 for TK). At the last follow-up, cervical lordosis (CL), T1S, and TK were significantly (P<0.05) lower in patients with adding-on (3.05±11.41 for CL, 22.12±3.68 for T1S, and 37.89±8.97 for TK) than those without adding-on (15.94±13.60 for CL, 28.86±4.26 for T1S, and 47.64±7.10 for TK). The Cobb angle was significantly (19.65±8.69 vs. 50.66±11.46; P<0.001) decreased after compared with that before surgery. At the final follow-up, the Cobb angle (26.48±9.61 vs. 19.65±8.69, P<0.001), T1S (24.87±5.11 vs. 20.04±8.13), and TK (41.88±9.45 vs 33.53±12.71) all significantly (P<0.01) increased compared with those immediately after surgery. The Cobb angle significantly (26.48º±9.61º vs. 50.66º±11.46º, P<0.001) decreased while CL, T1S, and TK all significantly (8.32±13.67 vs 2.47±14.42 for CL, T1S 24.87±5.11 vs. 21.28±5.88 for T1S, and 41.88±9.45 vs. 33.13±10.97 for TK, P<0.05) increased at the final follow-up compared with those before surgery.
Discussion: Surgery affects spinal sagittal alignment, and postoperative adding-on may affect spinal sagittal balance after reconstruction. Surgery as the ultimate approach for AIS has good effects but may result in some side effects.
Level of proof: III, retrospective cohort study.]]></abstract><pub>Elsevier Masson SAS</pub><doi>10.1016/j.otsr.2022.103352</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent idiopathic scoliosis Cervical sagittal alignment Cobb angle Surgery |
| title | Spinal sagittal alignment and postoperative adding-on in patients with adolescent idiopathic scoliosis after surgery |
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