Does the addition of convex uniplanar screws in hybrid constructs improve 3D surgical correction in thoracic adolescent idiopathic scoliosis posterior fusion?
Purpose: Hybrid techniques using thoracic sublaminar bands have proved their efficacy in adolescent idiopathic scoliosis posterior fusion, but clinical axial correction sometimes remained disappointing. One solution found was “the frame technique” and the second alternative was the replacement of th...
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| Veröffentlicht in: | Journal of children's orthopaedics 2024-04, Vol.18 (2), p.124-133 |
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| container_title | Journal of children's orthopaedics |
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| creator | Simon, Laurie Finoco, Mikael Julien-Marsollier, Florence Happiette, Adèle Simon, Anne-Laure Ilharreborde, Brice |
| description | Purpose:
Hybrid techniques using thoracic sublaminar bands have proved their efficacy in adolescent idiopathic scoliosis posterior fusion, but clinical axial correction sometimes remained disappointing. One solution found was “the frame technique” and the second alternative was the replacement of the convex sublaminar bands by periapical uniplanar screws. The goal of this study was to compare clinical and radiological outcomes of both techniques in a consecutive cohort of adolescent idiopathic scoliosis patients.
Methods:
All patients undergoing primary posterior fusion for thoracic adolescent idiopathic scoliosis between January 2017 and March 2020 were included. Two groups were compared: Group 1 with thoracic sublaminar bands only and Group 2 with periapical uniplanar screws. All patients underwent standing stereoradiographs. The main frontal, sagittal, and axial (apical vertebra rotation) radiological parameters of interest were analyzed. Functional outcomes were assessed using the Scoliosis Research Society 30 score.
Results:
A total of 147 adolescents were included (Group 1, n = 73 and Group 2, n = 74 patients). In the frontal plane, a greater reduction index was observed in Group 2 (68% versus 62%, p |
| doi_str_mv | 10.1177/18632521231220388 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10984149</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_18632521231220388</sage_id><sourcerecordid>3057079161</sourcerecordid><originalsourceid>FETCH-LOGICAL-c419t-414275eef2573c9f491535c1fe00c7bad46beecb3014dc43d4a362a59a8182743</originalsourceid><addsrcrecordid>eNp1kU1v1DAQhiNERUvhB3BBlrhw2eLxR-KcKtTyUalSL3COHGeycZWNg8dZ6J_ht-Jly1JAnGyNn_edGb9F8QL4GUBVvQFTSqEFCAlCcGnMo-JkV1sJrczjw13AcfGU6Jbzkte1eVIcS6PLiitzUny_DEgsDchs1_nkw8RCz1yYtviNLZOfRzvZyMhF_ErMT2y4a6PvdgSluLiUi5s5hi0yecloiWvv7JifY0T30y5r0hCidd7lHmFEcjgl5jsfZpuGXCUXRh_IE5sDJYw-RNYvlMXnz4qj3o6Ez-_P0-Lz-3efLj6urm8-XF28vV45BXVaKVCi0oi90JV0da9q0FI76JFzV7W2U2WL6FrJQXVOyU5ZWQqra2vAiErJ0-J87zsv7Qa73YTRjs0c_cbGuyZY3_z5MvmhWYdtA7w2uXudHV7fO8TwZUFKzcbnTcf8fxgWaiSXUJY5gjKjr_5Cb8MSp7xfpnTFqxpKyBTsKRcDUcT-MA3wZhd_80_8WfPy4RoHxa-8M3C2B8iu8Xfb_zv-AKdVu-s</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3057079161</pqid></control><display><type>article</type><title>Does the addition of convex uniplanar screws in hybrid constructs improve 3D surgical correction in thoracic adolescent idiopathic scoliosis posterior fusion?</title><source>DOAJ Directory of Open Access Journals</source><source>Sage Journals GOLD Open Access 2024</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><creator>Simon, Laurie ; Finoco, Mikael ; Julien-Marsollier, Florence ; Happiette, Adèle ; Simon, Anne-Laure ; Ilharreborde, Brice</creator><creatorcontrib>Simon, Laurie ; Finoco, Mikael ; Julien-Marsollier, Florence ; Happiette, Adèle ; Simon, Anne-Laure ; Ilharreborde, Brice</creatorcontrib><description>Purpose:
Hybrid techniques using thoracic sublaminar bands have proved their efficacy in adolescent idiopathic scoliosis posterior fusion, but clinical axial correction sometimes remained disappointing. One solution found was “the frame technique” and the second alternative was the replacement of the convex sublaminar bands by periapical uniplanar screws. The goal of this study was to compare clinical and radiological outcomes of both techniques in a consecutive cohort of adolescent idiopathic scoliosis patients.
Methods:
All patients undergoing primary posterior fusion for thoracic adolescent idiopathic scoliosis between January 2017 and March 2020 were included. Two groups were compared: Group 1 with thoracic sublaminar bands only and Group 2 with periapical uniplanar screws. All patients underwent standing stereoradiographs. The main frontal, sagittal, and axial (apical vertebra rotation) radiological parameters of interest were analyzed. Functional outcomes were assessed using the Scoliosis Research Society 30 score.
Results:
A total of 147 adolescents were included (Group 1, n = 73 and Group 2, n = 74 patients). In the frontal plane, a greater reduction index was observed in Group 2 (68% versus 62%, p < 0.001) as well as a better apical axial correction (67.8% versus 46.6%, p = 0.03). The number of thoracoplasty performed was reduced (6.7% versus 20.5%, p = 0.02) in Group 2, with a significant decrease in the rate of mechanical complication. No significant loss of correction was observed during follow-up in any of the group.
Conclusion:
The adjunction of convex uniplanar screws at the periapical levels improved the three-dimensional surgical correction of thoracic adolescent idiopathic scoliosis treated with hybrid constructs.
Level of evidence:
level III, retrospective comparative study</description><identifier>ISSN: 1863-2521</identifier><identifier>EISSN: 1863-2548</identifier><identifier>DOI: 10.1177/18632521231220388</identifier><identifier>PMID: 38567048</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Orthopedics ; Pediatrics ; Scoliosis ; Spine disorders ; Teenagers</subject><ispartof>Journal of children's orthopaedics, 2024-04, Vol.18 (2), p.124-133</ispartof><rights>The Author(s) 2024</rights><rights>The Author(s) 2024.</rights><rights>The Author(s) 2024 2024 European Pediatric Orthopaedic Society (EPOS), unless otherwise noted. Manuscript content on this site is licensed under Creative Commons Licenses.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c419t-414275eef2573c9f491535c1fe00c7bad46beecb3014dc43d4a362a59a8182743</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10984149/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10984149/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,21946,27832,27903,27904,44924,45312,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38567048$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Simon, Laurie</creatorcontrib><creatorcontrib>Finoco, Mikael</creatorcontrib><creatorcontrib>Julien-Marsollier, Florence</creatorcontrib><creatorcontrib>Happiette, Adèle</creatorcontrib><creatorcontrib>Simon, Anne-Laure</creatorcontrib><creatorcontrib>Ilharreborde, Brice</creatorcontrib><title>Does the addition of convex uniplanar screws in hybrid constructs improve 3D surgical correction in thoracic adolescent idiopathic scoliosis posterior fusion?</title><title>Journal of children's orthopaedics</title><addtitle>J Child Orthop</addtitle><description>Purpose:
Hybrid techniques using thoracic sublaminar bands have proved their efficacy in adolescent idiopathic scoliosis posterior fusion, but clinical axial correction sometimes remained disappointing. One solution found was “the frame technique” and the second alternative was the replacement of the convex sublaminar bands by periapical uniplanar screws. The goal of this study was to compare clinical and radiological outcomes of both techniques in a consecutive cohort of adolescent idiopathic scoliosis patients.
Methods:
All patients undergoing primary posterior fusion for thoracic adolescent idiopathic scoliosis between January 2017 and March 2020 were included. Two groups were compared: Group 1 with thoracic sublaminar bands only and Group 2 with periapical uniplanar screws. All patients underwent standing stereoradiographs. The main frontal, sagittal, and axial (apical vertebra rotation) radiological parameters of interest were analyzed. Functional outcomes were assessed using the Scoliosis Research Society 30 score.
Results:
A total of 147 adolescents were included (Group 1, n = 73 and Group 2, n = 74 patients). In the frontal plane, a greater reduction index was observed in Group 2 (68% versus 62%, p < 0.001) as well as a better apical axial correction (67.8% versus 46.6%, p = 0.03). The number of thoracoplasty performed was reduced (6.7% versus 20.5%, p = 0.02) in Group 2, with a significant decrease in the rate of mechanical complication. No significant loss of correction was observed during follow-up in any of the group.
Conclusion:
The adjunction of convex uniplanar screws at the periapical levels improved the three-dimensional surgical correction of thoracic adolescent idiopathic scoliosis treated with hybrid constructs.
Level of evidence:
level III, retrospective comparative study</description><subject>Orthopedics</subject><subject>Pediatrics</subject><subject>Scoliosis</subject><subject>Spine disorders</subject><subject>Teenagers</subject><issn>1863-2521</issn><issn>1863-2548</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>AFRWT</sourceid><recordid>eNp1kU1v1DAQhiNERUvhB3BBlrhw2eLxR-KcKtTyUalSL3COHGeycZWNg8dZ6J_ht-Jly1JAnGyNn_edGb9F8QL4GUBVvQFTSqEFCAlCcGnMo-JkV1sJrczjw13AcfGU6Jbzkte1eVIcS6PLiitzUny_DEgsDchs1_nkw8RCz1yYtviNLZOfRzvZyMhF_ErMT2y4a6PvdgSluLiUi5s5hi0yecloiWvv7JifY0T30y5r0hCidd7lHmFEcjgl5jsfZpuGXCUXRh_IE5sDJYw-RNYvlMXnz4qj3o6Ez-_P0-Lz-3efLj6urm8-XF28vV45BXVaKVCi0oi90JV0da9q0FI76JFzV7W2U2WL6FrJQXVOyU5ZWQqra2vAiErJ0-J87zsv7Qa73YTRjs0c_cbGuyZY3_z5MvmhWYdtA7w2uXudHV7fO8TwZUFKzcbnTcf8fxgWaiSXUJY5gjKjr_5Cb8MSp7xfpnTFqxpKyBTsKRcDUcT-MA3wZhd_80_8WfPy4RoHxa-8M3C2B8iu8Xfb_zv-AKdVu-s</recordid><startdate>20240401</startdate><enddate>20240401</enddate><creator>Simon, Laurie</creator><creator>Finoco, Mikael</creator><creator>Julien-Marsollier, Florence</creator><creator>Happiette, Adèle</creator><creator>Simon, Anne-Laure</creator><creator>Ilharreborde, Brice</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>AFRWT</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20240401</creationdate><title>Does the addition of convex uniplanar screws in hybrid constructs improve 3D surgical correction in thoracic adolescent idiopathic scoliosis posterior fusion?</title><author>Simon, Laurie ; Finoco, Mikael ; Julien-Marsollier, Florence ; Happiette, Adèle ; Simon, Anne-Laure ; Ilharreborde, Brice</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c419t-414275eef2573c9f491535c1fe00c7bad46beecb3014dc43d4a362a59a8182743</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Orthopedics</topic><topic>Pediatrics</topic><topic>Scoliosis</topic><topic>Spine disorders</topic><topic>Teenagers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Simon, Laurie</creatorcontrib><creatorcontrib>Finoco, Mikael</creatorcontrib><creatorcontrib>Julien-Marsollier, Florence</creatorcontrib><creatorcontrib>Happiette, Adèle</creatorcontrib><creatorcontrib>Simon, Anne-Laure</creatorcontrib><creatorcontrib>Ilharreborde, Brice</creatorcontrib><collection>Sage Journals GOLD Open Access 2024</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of children's orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Simon, Laurie</au><au>Finoco, Mikael</au><au>Julien-Marsollier, Florence</au><au>Happiette, Adèle</au><au>Simon, Anne-Laure</au><au>Ilharreborde, Brice</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Does the addition of convex uniplanar screws in hybrid constructs improve 3D surgical correction in thoracic adolescent idiopathic scoliosis posterior fusion?</atitle><jtitle>Journal of children's orthopaedics</jtitle><addtitle>J Child Orthop</addtitle><date>2024-04-01</date><risdate>2024</risdate><volume>18</volume><issue>2</issue><spage>124</spage><epage>133</epage><pages>124-133</pages><issn>1863-2521</issn><eissn>1863-2548</eissn><abstract>Purpose:
Hybrid techniques using thoracic sublaminar bands have proved their efficacy in adolescent idiopathic scoliosis posterior fusion, but clinical axial correction sometimes remained disappointing. One solution found was “the frame technique” and the second alternative was the replacement of the convex sublaminar bands by periapical uniplanar screws. The goal of this study was to compare clinical and radiological outcomes of both techniques in a consecutive cohort of adolescent idiopathic scoliosis patients.
Methods:
All patients undergoing primary posterior fusion for thoracic adolescent idiopathic scoliosis between January 2017 and March 2020 were included. Two groups were compared: Group 1 with thoracic sublaminar bands only and Group 2 with periapical uniplanar screws. All patients underwent standing stereoradiographs. The main frontal, sagittal, and axial (apical vertebra rotation) radiological parameters of interest were analyzed. Functional outcomes were assessed using the Scoliosis Research Society 30 score.
Results:
A total of 147 adolescents were included (Group 1, n = 73 and Group 2, n = 74 patients). In the frontal plane, a greater reduction index was observed in Group 2 (68% versus 62%, p < 0.001) as well as a better apical axial correction (67.8% versus 46.6%, p = 0.03). The number of thoracoplasty performed was reduced (6.7% versus 20.5%, p = 0.02) in Group 2, with a significant decrease in the rate of mechanical complication. No significant loss of correction was observed during follow-up in any of the group.
Conclusion:
The adjunction of convex uniplanar screws at the periapical levels improved the three-dimensional surgical correction of thoracic adolescent idiopathic scoliosis treated with hybrid constructs.
Level of evidence:
level III, retrospective comparative study</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>38567048</pmid><doi>10.1177/18632521231220388</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1863-2521 |
| ispartof | Journal of children's orthopaedics, 2024-04, Vol.18 (2), p.124-133 |
| issn | 1863-2521 1863-2548 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10984149 |
| source | DOAJ Directory of Open Access Journals; Sage Journals GOLD Open Access 2024; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central |
| subjects | Orthopedics Pediatrics Scoliosis Spine disorders Teenagers |
| title | Does the addition of convex uniplanar screws in hybrid constructs improve 3D surgical correction in thoracic adolescent idiopathic scoliosis posterior fusion? |
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