Comparação da densidade do implante no tratamento da escoliose idiopática do adolescente lenke 1B E 1C

Translated title of the contribution: Comparison of implant density in the management of Lenke 1B and 1C adolescent idiopathic scoliosis

Bekir Eray Kilinc, Dong Phuong Tran, Charles E Johnston

Research output: Contribution to journalArticle

Abstract

Objective: To compare radiographic and surgical outcomes of Lenke 1B and 1C patterns. Methods: One hundred twenty patients with Lenke 1B and 1C scoliosis were grouped according to implant density as follows: low density (LD) of ≤ 1.4 and high density (HD) of > 1.4. Matched subgroups (30 patients each) based on age, curve magnitude, and body mass index (BMI) were analyzed. Radiographic parameters were evaluated before operation, immediately after operation (ipo), and at 2 years' follow-up. SRS-30 was administered before operation and at 2 years' follow-up. Results: The major curves of the LD (n = 82) and HD groups (n=38) were respectively 59.1° and 65.6° before operation (p < .001), 26.3° and 22.9° ipo (p = .05), and 29.9° and 19.8° at 2 years' follow-up (p < .001). No significant differences in postoperative trunk shift and coronal balance were found (p = .69 and p = .74, respectively). The HD group had higher blood loss (p = .02), number of implants (p < .001), levels fused (p = .002), and surgical time (p < .001). The HD group had a higher prevalence of hypokyphosis from before operation to follow-up (p < .001). No significant differences were observed in the SRS-30 scores before operation and at 2 years' follow-up. The matched groups had similar preoperative major curves (p = .56), ages (p = .75), and BMIs (p = .61). Significantly longer surgical time (p = .009), higher density (p < .001), and better correction (p = .0001) were found in the HD group at 2 years' follow-up. No significant differences were found in the SRS-30 scores before operation and at 2 years' follow-up. Conclusion: LD constructs included fewer segments fused, lower intraoperative estimated surgical blood loss, and shorter operation time, and potentially decreasing complication risks due to fewer implants. Level of evidence III, Retrospective Cohort Study.

Original languagePortuguese
Pages (from-to)33-37
Number of pages5
JournalActa Ortopedica Brasileira
Volume27
Issue number1
DOIs
StatePublished - Jan 1 2019
Externally publishedYes

Fingerprint

Scoliosis
Operative Time
Surgical Blood Loss
Body Mass Index
Cohort Studies
Research Design
Retrospective Studies

Keywords

  • Adolescent idiopathic scoliosis
  • Escoliose
  • Lenke 1B
  • Lenke 1C
  • Parafusos ósseos
  • Scoliosis
  • Screw instrumentation

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

Cite this

Comparação da densidade do implante no tratamento da escoliose idiopática do adolescente lenke 1B E 1C. / Kilinc, Bekir Eray; Tran, Dong Phuong; Johnston, Charles E.

In: Acta Ortopedica Brasileira, Vol. 27, No. 1, 01.01.2019, p. 33-37.

Research output: Contribution to journalArticle

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abstract = "Objective: To compare radiographic and surgical outcomes of Lenke 1B and 1C patterns. Methods: One hundred twenty patients with Lenke 1B and 1C scoliosis were grouped according to implant density as follows: low density (LD) of ≤ 1.4 and high density (HD) of > 1.4. Matched subgroups (30 patients each) based on age, curve magnitude, and body mass index (BMI) were analyzed. Radiographic parameters were evaluated before operation, immediately after operation (ipo), and at 2 years' follow-up. SRS-30 was administered before operation and at 2 years' follow-up. Results: The major curves of the LD (n = 82) and HD groups (n=38) were respectively 59.1° and 65.6° before operation (p < .001), 26.3° and 22.9° ipo (p = .05), and 29.9° and 19.8° at 2 years' follow-up (p < .001). No significant differences in postoperative trunk shift and coronal balance were found (p = .69 and p = .74, respectively). The HD group had higher blood loss (p = .02), number of implants (p < .001), levels fused (p = .002), and surgical time (p < .001). The HD group had a higher prevalence of hypokyphosis from before operation to follow-up (p < .001). No significant differences were observed in the SRS-30 scores before operation and at 2 years' follow-up. The matched groups had similar preoperative major curves (p = .56), ages (p = .75), and BMIs (p = .61). Significantly longer surgical time (p = .009), higher density (p < .001), and better correction (p = .0001) were found in the HD group at 2 years' follow-up. No significant differences were found in the SRS-30 scores before operation and at 2 years' follow-up. Conclusion: LD constructs included fewer segments fused, lower intraoperative estimated surgical blood loss, and shorter operation time, and potentially decreasing complication risks due to fewer implants. Level of evidence III, Retrospective Cohort Study.",
keywords = "Adolescent idiopathic scoliosis, Escoliose, Lenke 1B, Lenke 1C, Parafusos {\'o}sseos, Scoliosis, Screw instrumentation",
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T1 - Comparação da densidade do implante no tratamento da escoliose idiopática do adolescente lenke 1B E 1C

AU - Kilinc, Bekir Eray

AU - Tran, Dong Phuong

AU - Johnston, Charles E

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Objective: To compare radiographic and surgical outcomes of Lenke 1B and 1C patterns. Methods: One hundred twenty patients with Lenke 1B and 1C scoliosis were grouped according to implant density as follows: low density (LD) of ≤ 1.4 and high density (HD) of > 1.4. Matched subgroups (30 patients each) based on age, curve magnitude, and body mass index (BMI) were analyzed. Radiographic parameters were evaluated before operation, immediately after operation (ipo), and at 2 years' follow-up. SRS-30 was administered before operation and at 2 years' follow-up. Results: The major curves of the LD (n = 82) and HD groups (n=38) were respectively 59.1° and 65.6° before operation (p < .001), 26.3° and 22.9° ipo (p = .05), and 29.9° and 19.8° at 2 years' follow-up (p < .001). No significant differences in postoperative trunk shift and coronal balance were found (p = .69 and p = .74, respectively). The HD group had higher blood loss (p = .02), number of implants (p < .001), levels fused (p = .002), and surgical time (p < .001). The HD group had a higher prevalence of hypokyphosis from before operation to follow-up (p < .001). No significant differences were observed in the SRS-30 scores before operation and at 2 years' follow-up. The matched groups had similar preoperative major curves (p = .56), ages (p = .75), and BMIs (p = .61). Significantly longer surgical time (p = .009), higher density (p < .001), and better correction (p = .0001) were found in the HD group at 2 years' follow-up. No significant differences were found in the SRS-30 scores before operation and at 2 years' follow-up. Conclusion: LD constructs included fewer segments fused, lower intraoperative estimated surgical blood loss, and shorter operation time, and potentially decreasing complication risks due to fewer implants. Level of evidence III, Retrospective Cohort Study.

AB - Objective: To compare radiographic and surgical outcomes of Lenke 1B and 1C patterns. Methods: One hundred twenty patients with Lenke 1B and 1C scoliosis were grouped according to implant density as follows: low density (LD) of ≤ 1.4 and high density (HD) of > 1.4. Matched subgroups (30 patients each) based on age, curve magnitude, and body mass index (BMI) were analyzed. Radiographic parameters were evaluated before operation, immediately after operation (ipo), and at 2 years' follow-up. SRS-30 was administered before operation and at 2 years' follow-up. Results: The major curves of the LD (n = 82) and HD groups (n=38) were respectively 59.1° and 65.6° before operation (p < .001), 26.3° and 22.9° ipo (p = .05), and 29.9° and 19.8° at 2 years' follow-up (p < .001). No significant differences in postoperative trunk shift and coronal balance were found (p = .69 and p = .74, respectively). The HD group had higher blood loss (p = .02), number of implants (p < .001), levels fused (p = .002), and surgical time (p < .001). The HD group had a higher prevalence of hypokyphosis from before operation to follow-up (p < .001). No significant differences were observed in the SRS-30 scores before operation and at 2 years' follow-up. The matched groups had similar preoperative major curves (p = .56), ages (p = .75), and BMIs (p = .61). Significantly longer surgical time (p = .009), higher density (p < .001), and better correction (p = .0001) were found in the HD group at 2 years' follow-up. No significant differences were found in the SRS-30 scores before operation and at 2 years' follow-up. Conclusion: LD constructs included fewer segments fused, lower intraoperative estimated surgical blood loss, and shorter operation time, and potentially decreasing complication risks due to fewer implants. Level of evidence III, Retrospective Cohort Study.

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KW - Escoliose

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KW - Lenke 1C

KW - Parafusos ósseos

KW - Scoliosis

KW - Screw instrumentation

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