Role of the upper and lowest instrumented vertebrae in predicting the postoperative coronal balance in Lenke 5C patients after selective posterior fusion
Purpose To investigate which pre- and postoperative radiographic parameters are significantly correlated with the immediate postoperative coronal balance (CB) in Lenke 5C AIS patients, and to identify any radiographic parameter that is correlated with the ultimate CB at a minimum follow-up of 2 year...
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| Veröffentlicht in: | European spine journal 2013-11, Vol.22 (11), p.2392-2398 |
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| creator | Liu, Zhen Guo, Jing Zhu, Zezhang Qian, Bangping Sun, Xu Xu, Leilei Qiu, Yong |
| description | Purpose
To investigate which pre- and postoperative radiographic parameters are significantly correlated with the immediate postoperative coronal balance (CB) in Lenke 5C AIS patients, and to identify any radiographic parameter that is correlated with the ultimate CB at a minimum follow-up of 2 years.
Methods
Forty Lenke 5C AIS patients were recruited in the current study. Preoperative, immediate postoperative, and the latest follow-up radiographs were reviewed measuring various radiographic parameters related to UIV and LIV. The correlations between different parameters and CB were then studied.
Results
The average follow-up time was 35.2 months. Correlation analysis showed that the following radiographic parameters significantly associated with the immediate postoperative CB in Lenke 5C patients: preoperative CB (
r
= 0.66,
p
|
| doi_str_mv | 10.1007/s00586-013-2808-3 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3886519</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3132151871</sourcerecordid><originalsourceid>FETCH-LOGICAL-c536t-1dfa9c49f2ccd5d6254dd677675bdd5dd706051ce9974ba059b0d7ddf35fc5833</originalsourceid><addsrcrecordid>eNp1kc2KFDEUhYMoztj6AG4k4MZNaVKpJJWNII1_0CCIrkMqudWTsTopk1SLj-Lbmuoeh1FwFbj5zrk_B6GnlLykhMhXmRDei4ZQ1rQ96Rt2D13SjrUNUay9jy6J6kgjJFUX6FHO14RQroh4iC5aJkmvWH-Jfn2OE-A44nIFeJlnSNgEh6f4A3LBPuSSlgOEAg4fIRUYkoFaxnMC523xYX9SzjGXWMWm-CNgG1MMZsKDmUywJ34H4RtgvsVzRapfxmYstVmGCexJtFpA8jHhcck-hsfowWimDE9u3g36-u7tl-2HZvfp_cftm11jOROloW40ynZqbK113ImWd84JKYXkg6sFJ4kgnFpQSnaDIVwNxEnnRsZHy3vGNuj12XdehgM4W4dLZtJz8geTfupovP77J_grvY9HzfpecKqqwYsbgxS_L_Vs-uCzhanuDnHJmnaCso5TufZ6_g96HZdUT7VSXKmOtxXbIHqmbIo5Jxhvh6FEr8Hrc_C6Bq_X4PXq_OzuFreKP0lXoD0DuX6FPaQ7rf_r-huPX72U</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1459945217</pqid></control><display><type>article</type><title>Role of the upper and lowest instrumented vertebrae in predicting the postoperative coronal balance in Lenke 5C patients after selective posterior fusion</title><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>SpringerNature Journals</source><source>PubMed Central</source><creator>Liu, Zhen ; Guo, Jing ; Zhu, Zezhang ; Qian, Bangping ; Sun, Xu ; Xu, Leilei ; Qiu, Yong</creator><creatorcontrib>Liu, Zhen ; Guo, Jing ; Zhu, Zezhang ; Qian, Bangping ; Sun, Xu ; Xu, Leilei ; Qiu, Yong</creatorcontrib><description><![CDATA[Purpose
To investigate which pre- and postoperative radiographic parameters are significantly correlated with the immediate postoperative coronal balance (CB) in Lenke 5C AIS patients, and to identify any radiographic parameter that is correlated with the ultimate CB at a minimum follow-up of 2 years.
Methods
Forty Lenke 5C AIS patients were recruited in the current study. Preoperative, immediate postoperative, and the latest follow-up radiographs were reviewed measuring various radiographic parameters related to UIV and LIV. The correlations between different parameters and CB were then studied.
Results
The average follow-up time was 35.2 months. Correlation analysis showed that the following radiographic parameters significantly associated with the immediate postoperative CB in Lenke 5C patients: preoperative CB (
r
= 0.66,
p
< 0.01), preoperative UIV translation (
r
= 0.61,
p
< 0.01), preoperative LIV tilt (
r
= 0.61,
p
< 0.01), postoperative UIV translation (
r
= 0.51,
p
< 0.05), and postoperative LIV tilt (
r
= 0.50,
p
< 0.05). At the last follow-up, only the final UIV tilt was inversely correlated with the ultimate CB (
r
= −0.58,
p
< 0.05). Seven patients presented with coronal imbalance immediately after surgery. However, only one of the seven patients presented with coronal imbalance at the last follow-up, and the other six achieved C7PL–CSVL distance within 10 mm.
Conclusions
In Lenke 5C patients, preoperative UIV translation and LIV tilt are two important parameters that can predict the immediate postoperative CB. During the postoperative follow-up, UIV tilt may play a very important role in compensating for postoperative coronal imbalance.]]></description><identifier>ISSN: 0940-6719</identifier><identifier>EISSN: 1432-0932</identifier><identifier>DOI: 10.1007/s00586-013-2808-3</identifier><identifier>PMID: 23708938</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Child ; Female ; Follow-Up Studies ; Humans ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Neurosurgery ; Original ; Original Article ; Postoperative Period ; Postural Balance ; Radiography ; Retrospective Studies ; Scoliosis - diagnostic imaging ; Scoliosis - physiopathology ; Scoliosis - surgery ; Spinal Fusion ; Spine - diagnostic imaging ; Spine - physiopathology ; Spine - surgery ; Surgical Orthopedics ; Treatment Outcome</subject><ispartof>European spine journal, 2013-11, Vol.22 (11), p.2392-2398</ispartof><rights>Springer-Verlag Berlin Heidelberg 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c536t-1dfa9c49f2ccd5d6254dd677675bdd5dd706051ce9974ba059b0d7ddf35fc5833</citedby><cites>FETCH-LOGICAL-c536t-1dfa9c49f2ccd5d6254dd677675bdd5dd706051ce9974ba059b0d7ddf35fc5833</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/PMC3886519/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3886519/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,315,728,781,785,886,27929,27930,41493,42562,51324,53796,53798</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23708938$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Liu, Zhen</creatorcontrib><creatorcontrib>Guo, Jing</creatorcontrib><creatorcontrib>Zhu, Zezhang</creatorcontrib><creatorcontrib>Qian, Bangping</creatorcontrib><creatorcontrib>Sun, Xu</creatorcontrib><creatorcontrib>Xu, Leilei</creatorcontrib><creatorcontrib>Qiu, Yong</creatorcontrib><title>Role of the upper and lowest instrumented vertebrae in predicting the postoperative coronal balance in Lenke 5C patients after selective posterior fusion</title><title>European spine journal</title><addtitle>Eur Spine J</addtitle><addtitle>Eur Spine J</addtitle><description><![CDATA[Purpose
To investigate which pre- and postoperative radiographic parameters are significantly correlated with the immediate postoperative coronal balance (CB) in Lenke 5C AIS patients, and to identify any radiographic parameter that is correlated with the ultimate CB at a minimum follow-up of 2 years.
Methods
Forty Lenke 5C AIS patients were recruited in the current study. Preoperative, immediate postoperative, and the latest follow-up radiographs were reviewed measuring various radiographic parameters related to UIV and LIV. The correlations between different parameters and CB were then studied.
Results
The average follow-up time was 35.2 months. Correlation analysis showed that the following radiographic parameters significantly associated with the immediate postoperative CB in Lenke 5C patients: preoperative CB (
r
= 0.66,
p
< 0.01), preoperative UIV translation (
r
= 0.61,
p
< 0.01), preoperative LIV tilt (
r
= 0.61,
p
< 0.01), postoperative UIV translation (
r
= 0.51,
p
< 0.05), and postoperative LIV tilt (
r
= 0.50,
p
< 0.05). At the last follow-up, only the final UIV tilt was inversely correlated with the ultimate CB (
r
= −0.58,
p
< 0.05). Seven patients presented with coronal imbalance immediately after surgery. However, only one of the seven patients presented with coronal imbalance at the last follow-up, and the other six achieved C7PL–CSVL distance within 10 mm.
Conclusions
In Lenke 5C patients, preoperative UIV translation and LIV tilt are two important parameters that can predict the immediate postoperative CB. During the postoperative follow-up, UIV tilt may play a very important role in compensating for postoperative coronal imbalance.]]></description><subject>Adolescent</subject><subject>Child</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Neurosurgery</subject><subject>Original</subject><subject>Original Article</subject><subject>Postoperative Period</subject><subject>Postural Balance</subject><subject>Radiography</subject><subject>Retrospective Studies</subject><subject>Scoliosis - diagnostic imaging</subject><subject>Scoliosis - physiopathology</subject><subject>Scoliosis - surgery</subject><subject>Spinal Fusion</subject><subject>Spine - diagnostic imaging</subject><subject>Spine - physiopathology</subject><subject>Spine - surgery</subject><subject>Surgical Orthopedics</subject><subject>Treatment Outcome</subject><issn>0940-6719</issn><issn>1432-0932</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kc2KFDEUhYMoztj6AG4k4MZNaVKpJJWNII1_0CCIrkMqudWTsTopk1SLj-Lbmuoeh1FwFbj5zrk_B6GnlLykhMhXmRDei4ZQ1rQ96Rt2D13SjrUNUay9jy6J6kgjJFUX6FHO14RQroh4iC5aJkmvWH-Jfn2OE-A44nIFeJlnSNgEh6f4A3LBPuSSlgOEAg4fIRUYkoFaxnMC523xYX9SzjGXWMWm-CNgG1MMZsKDmUywJ34H4RtgvsVzRapfxmYstVmGCexJtFpA8jHhcck-hsfowWimDE9u3g36-u7tl-2HZvfp_cftm11jOROloW40ynZqbK113ImWd84JKYXkg6sFJ4kgnFpQSnaDIVwNxEnnRsZHy3vGNuj12XdehgM4W4dLZtJz8geTfupovP77J_grvY9HzfpecKqqwYsbgxS_L_Vs-uCzhanuDnHJmnaCso5TufZ6_g96HZdUT7VSXKmOtxXbIHqmbIo5Jxhvh6FEr8Hrc_C6Bq_X4PXq_OzuFreKP0lXoD0DuX6FPaQ7rf_r-huPX72U</recordid><startdate>20131101</startdate><enddate>20131101</enddate><creator>Liu, Zhen</creator><creator>Guo, Jing</creator><creator>Zhu, Zezhang</creator><creator>Qian, Bangping</creator><creator>Sun, Xu</creator><creator>Xu, Leilei</creator><creator>Qiu, Yong</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20131101</creationdate><title>Role of the upper and lowest instrumented vertebrae in predicting the postoperative coronal balance in Lenke 5C patients after selective posterior fusion</title><author>Liu, Zhen ; Guo, Jing ; Zhu, Zezhang ; Qian, Bangping ; Sun, Xu ; Xu, Leilei ; Qiu, Yong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c536t-1dfa9c49f2ccd5d6254dd677675bdd5dd706051ce9974ba059b0d7ddf35fc5833</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adolescent</topic><topic>Child</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Neurosurgery</topic><topic>Original</topic><topic>Original Article</topic><topic>Postoperative Period</topic><topic>Postural Balance</topic><topic>Radiography</topic><topic>Retrospective Studies</topic><topic>Scoliosis - diagnostic imaging</topic><topic>Scoliosis - physiopathology</topic><topic>Scoliosis - surgery</topic><topic>Spinal Fusion</topic><topic>Spine - diagnostic imaging</topic><topic>Spine - physiopathology</topic><topic>Spine - surgery</topic><topic>Surgical Orthopedics</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Liu, Zhen</creatorcontrib><creatorcontrib>Guo, Jing</creatorcontrib><creatorcontrib>Zhu, Zezhang</creatorcontrib><creatorcontrib>Qian, Bangping</creatorcontrib><creatorcontrib>Sun, Xu</creatorcontrib><creatorcontrib>Xu, Leilei</creatorcontrib><creatorcontrib>Qiu, Yong</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>European spine journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Liu, Zhen</au><au>Guo, Jing</au><au>Zhu, Zezhang</au><au>Qian, Bangping</au><au>Sun, Xu</au><au>Xu, Leilei</au><au>Qiu, Yong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Role of the upper and lowest instrumented vertebrae in predicting the postoperative coronal balance in Lenke 5C patients after selective posterior fusion</atitle><jtitle>European spine journal</jtitle><stitle>Eur Spine J</stitle><addtitle>Eur Spine J</addtitle><date>2013-11-01</date><risdate>2013</risdate><volume>22</volume><issue>11</issue><spage>2392</spage><epage>2398</epage><pages>2392-2398</pages><issn>0940-6719</issn><eissn>1432-0932</eissn><abstract><![CDATA[Purpose
To investigate which pre- and postoperative radiographic parameters are significantly correlated with the immediate postoperative coronal balance (CB) in Lenke 5C AIS patients, and to identify any radiographic parameter that is correlated with the ultimate CB at a minimum follow-up of 2 years.
Methods
Forty Lenke 5C AIS patients were recruited in the current study. Preoperative, immediate postoperative, and the latest follow-up radiographs were reviewed measuring various radiographic parameters related to UIV and LIV. The correlations between different parameters and CB were then studied.
Results
The average follow-up time was 35.2 months. Correlation analysis showed that the following radiographic parameters significantly associated with the immediate postoperative CB in Lenke 5C patients: preoperative CB (
r
= 0.66,
p
< 0.01), preoperative UIV translation (
r
= 0.61,
p
< 0.01), preoperative LIV tilt (
r
= 0.61,
p
< 0.01), postoperative UIV translation (
r
= 0.51,
p
< 0.05), and postoperative LIV tilt (
r
= 0.50,
p
< 0.05). At the last follow-up, only the final UIV tilt was inversely correlated with the ultimate CB (
r
= −0.58,
p
< 0.05). Seven patients presented with coronal imbalance immediately after surgery. However, only one of the seven patients presented with coronal imbalance at the last follow-up, and the other six achieved C7PL–CSVL distance within 10 mm.
Conclusions
In Lenke 5C patients, preoperative UIV translation and LIV tilt are two important parameters that can predict the immediate postoperative CB. During the postoperative follow-up, UIV tilt may play a very important role in compensating for postoperative coronal imbalance.]]></abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>23708938</pmid><doi>10.1007/s00586-013-2808-3</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0940-6719 |
| ispartof | European spine journal, 2013-11, Vol.22 (11), p.2392-2398 |
| issn | 0940-6719 1432-0932 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3886519 |
| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; SpringerNature Journals; PubMed Central |
| subjects | Adolescent Child Female Follow-Up Studies Humans Male Medicine Medicine & Public Health Middle Aged Neurosurgery Original Original Article Postoperative Period Postural Balance Radiography Retrospective Studies Scoliosis - diagnostic imaging Scoliosis - physiopathology Scoliosis - surgery Spinal Fusion Spine - diagnostic imaging Spine - physiopathology Spine - surgery Surgical Orthopedics Treatment Outcome |
| title | Role of the upper and lowest instrumented vertebrae in predicting the postoperative coronal balance in Lenke 5C patients after selective posterior fusion |
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