지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.9
- 수록면
- 457 - 463 (7page)
- DOI
- 10.14245/ns.2142182.091
이용수
초록· 키워드
오류제보하기
Objective: To compare and identify risk factors for distal adding-on (AO) or distal junctional kyphosis (DJK) in adolescent idiopathic scoliosis (AIS) treated by anterior- (ASF) and posterior spinal fusion (PSF) to L3.
Methods: AIS patients undergoing ASF versus PSF to L3 from 2000?2010 were analyzed. Distal AO and DJK were deemed poor radiographic results. New stable (SV) and neutral vertebra (NV) scores were defined for this study. The total stability (TS) score was the sum of the SV and NV scores.
Results: Twenty of 42 (ASF group: 47.6%) and 8 of 72 patients (PSF group: 11.1%) showed poor radiographic outcome. Fused vertebrae, correction rate of main curve, coronal reduction rate of L3 were significantly higher in PSF group. Multiple logistic regression results indicated that preoperative SV-3 at L3 in standing and side benders (odds ratio [OR], 2.7 and 3.7, respectively), TS score -5, -6 at L3 (OR, 4.9), rigid disc at L3?4 (OR, 3.7), lowest instrumented vertebra (LIV) rotation >15° (OR, 3.3), LIV deviation >2 cm from center sacral vertical line (OR, 3.1) and ASF (OR, 13.4; p<0.001) were independent predictive factors. There was significant improvement of the Scoliosis Research Society (SRS)-22 average scores only in PSF group. Furthermore, the ultimate scores of PSF group were significantly superior to ASF group.
Conclusion: The prevalence of AO or DJK at ultimate follow-up for AIS with LIV at L3 was significantly higher in ASF group. Ultimate SRS-22 scores were significantly better in PSF group.
목차
등록된 정보가 없습니다.
참고문헌 (17)
참고문헌 신청
King HA / 1983 / The selection of fusion levels in thoracic idiopathic scoliosis / J Bone Joint Surg Am 65:1302~1313
Lenke LG / 1993 / Ability of CotrelDubousset Instrumentation to preserve distal lumbar motion segments in adolescent idiopathic scoliosis / J Spinal Disord 6:339~350
Qin XD / 2016 / Selecting the last “substantially” touching vertebra as lowest instrumented vertebra in Lenke type 1A curve: radiographic outcomes with a minimum of 2-year follow-up / Spine 41:E742~E750
Wang Y / 2011 / Distal adding-on phenomenon in Lenke 1A scoliosis risk factor identification and treatment strategy comparison / Spine 36:1113~1122
Lenke LG / 2001 / Adolescent idiopathic scoliosis: a new classification to determine extent of spinal arthrodesis / J Bone Joint Surg Am 83:1169~1181
Lenke LG / 1993 / Ability of CotrelDubousset Instrumentation to preserve distal lumbar motion segments in adolescent idiopathic scoliosis / J Spinal Disord 6:339~350
Qin XD / 2016 / Selecting the last “substantially” touching vertebra as lowest instrumented vertebra in Lenke type 1A curve: radiographic outcomes with a minimum of 2-year follow-up / Spine 41:E742~E750
Wang Y / 2011 / Distal adding-on phenomenon in Lenke 1A scoliosis risk factor identification and treatment strategy comparison / Spine 36:1113~1122
Lenke LG / 2001 / Adolescent idiopathic scoliosis: a new classification to determine extent of spinal arthrodesis / J Bone Joint Surg Am 83:1169~1181
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