Changes in Trunk Appearance After Scoliosis Spinal Surgery and Their Relation to Changes in Spinal Measurements

摘要: Abstract Study Design Retrospective study of surgical outcome. Objectives To evaluate quantitatively the changes in trunk surface deformities after scoliosis spinal surgery Lenke 1A adolescent idiopathic (AIS) patients and to compare it with measurements. Summary Background Data Most studies documenting outcome used either radiographs curve or questionnaires assess health-related quality life. Because improving appearance is a major reason for their parents seek treatment, this focuses on postoperative deformities. Recently, novel approach quantify reliable, automatic, noninvasive way has been proposed. Methods Forty-nine adolescents treated surgically were included. The back rotation lateral shift computed acquisitions before at least 6 months surgery. We analyzed effect age, height, weight, severity, flexibility surgery, length follow-up, technique. For 25 available three-dimensional (3D) reconstructions, we compared two-dimensional (2D) 3D Results mean correction rates are 18% 50%, respectively. Only technique had significant rate rotation. Direct vertebral derotation reduction by spine translation provide better rib hump (22% 31% respectively) than classic rod (8%). reductions lumbar Cobb angle apical vertebrae transverse explain, respectively, up 17% 16% Conclusions Current techniques perform well realigning trunk; however, deformity plane proves be more challenging. More analysis positive needed. Level evidence III.