Effect of Direct Vertebral Rotation in Single Thoracic Adolescent Idiopathic Scoliosis: Better 3-Dimensional Deformity Correction
DC Field | Value | Language |
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dc.contributor.author | Kim, Gang-Un | - |
dc.contributor.author | Yang, Jae Hyuk | - |
dc.contributor.author | Chang, Dong-Gune | - |
dc.contributor.author | Suk, Se-Il | - |
dc.contributor.author | Suh, Seung-Woo | - |
dc.contributor.author | Song, Kwang-Sup | - |
dc.contributor.author | Nam, Ki-You | - |
dc.contributor.author | Oh, In-Soo | - |
dc.contributor.author | Park, Hyung-You | - |
dc.contributor.author | Kim, Sang-Il | - |
dc.contributor.author | Kim, Young-Hoon | - |
dc.contributor.author | Ha, Kee-Yong | - |
dc.date.accessioned | 2021-09-01T07:18:55Z | - |
dc.date.available | 2021-09-01T07:18:55Z | - |
dc.date.created | 2021-06-19 | - |
dc.date.issued | 2019-09 | - |
dc.identifier.issn | 1878-8750 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/62967 | - |
dc.description.abstract | OBJECTIVE: To analyze the effects of direct vertebral rotation (DVR) on radiologic outcomes in the treatment of thoracic adolescent idiopathic scoliosis after selective thoracic fusion with pedicle screw instrumentation. METHODS: Adolescent idiopathic scoliosis patients with single thoracic curves (n = 110) treated by selective thoracic fusion with a minimum of 2 years of follow-up were retrospectively analyzed. The patients were separated into 2 groups: non-DVR (n = 63) and DVR (n = 47). RESULTS: There was a significant difference in fused segments between the non-DVR and DVR groups (P < 0.001). There was also a significant difference in main thoracic curve postoperatively (P = 0.001) and at the last follow-up (P = 0.006) between the non-DVR and DVR groups. However, there was no significant difference in proximal thoracic and lumbar curves postoperatively (proximal thoracic curve: P = 0.186; lumbar curve: P = 0.155) and at the last follow-up (proximal thoracic curve: P = 0.250; lumbar curve: P = 0.060) between the 2 groups. Significant improvements in the lowest instrumented vertebra tilt and disc angle were noted but then slight deteriorations in such were observed during the follow-up period in the non-DVR group. The prevalence of unsatisfactory results was 20.6% (13 of 63) in the non-DVR group and 19.1% (9 of 47) in the DVR group, with no significant difference (P = 0.522). CONCLUSIONS: For correcting single thoracic adolescent idiopathic scoliosis by selective thoracic fusion with pedicle screw instrumentation, the addition of DVR to the surgical procedure showed comparable radiologic outcomes compared with non-DVR procedures. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | ELSEVIER SCIENCE INC | - |
dc.subject | PEDICLE SCREW FIXATION | - |
dc.subject | DISTAL FUSION LEVEL | - |
dc.subject | LENKE 1A CURVES | - |
dc.subject | ADDING-ON PHENOMENON | - |
dc.subject | LUMBAR CURVE | - |
dc.subject | SURGICAL-CORRECTION | - |
dc.subject | SELECTION | - |
dc.subject | INSTRUMENTATION | - |
dc.subject | DEROTATION | - |
dc.subject | DECOMPENSATION | - |
dc.title | Effect of Direct Vertebral Rotation in Single Thoracic Adolescent Idiopathic Scoliosis: Better 3-Dimensional Deformity Correction | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Yang, Jae Hyuk | - |
dc.contributor.affiliatedAuthor | Suh, Seung-Woo | - |
dc.identifier.doi | 10.1016/j.wneu.2019.05.164 | - |
dc.identifier.scopusid | 2-s2.0-85067839826 | - |
dc.identifier.wosid | 000481607900051 | - |
dc.identifier.bibliographicCitation | WORLD NEUROSURGERY, v.129, pp.E401 - E408 | - |
dc.relation.isPartOf | WORLD NEUROSURGERY | - |
dc.citation.title | WORLD NEUROSURGERY | - |
dc.citation.volume | 129 | - |
dc.citation.startPage | E401 | - |
dc.citation.endPage | E408 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Neurosciences & Neurology | - |
dc.relation.journalResearchArea | Surgery | - |
dc.relation.journalWebOfScienceCategory | Clinical Neurology | - |
dc.relation.journalWebOfScienceCategory | Surgery | - |
dc.subject.keywordPlus | PEDICLE SCREW FIXATION | - |
dc.subject.keywordPlus | DISTAL FUSION LEVEL | - |
dc.subject.keywordPlus | LENKE 1A CURVES | - |
dc.subject.keywordPlus | ADDING-ON PHENOMENON | - |
dc.subject.keywordPlus | LUMBAR CURVE | - |
dc.subject.keywordPlus | SURGICAL-CORRECTION | - |
dc.subject.keywordPlus | SELECTION | - |
dc.subject.keywordPlus | INSTRUMENTATION | - |
dc.subject.keywordPlus | DEROTATION | - |
dc.subject.keywordPlus | DECOMPENSATION | - |
dc.subject.keywordAuthor | Adding-on | - |
dc.subject.keywordAuthor | Adolescent idiopathic scoliosis | - |
dc.subject.keywordAuthor | Fusion level | - |
dc.subject.keywordAuthor | Pedicle screw instrumentation | - |
dc.subject.keywordAuthor | Selective thoracic fusion | - |
dc.subject.keywordAuthor | Thoracic scoliosis | - |
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