European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
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The aim of this study is to evaluate the role of the non-fusion instrumented procedure with compression adjunct to lengthening by distraction in facilitating spinal modulation of the wedged peak vertebra, in patients with congenital thoracolumbar kyphosis/kyphoscoliosis according to the Hueter-Volkmann law. The authors seek to address the progressive modulation of the most wedged vertebra by analyzing the subjects' pre-operative and latest follow-up sagittal radiograph. ⋯ Through the compression model adjunct to lengthening through distraction implemented in the surgical management of early-onset scoliosis, wedging improves through vertebral modulation (WICL) in comparison with the (OICL). This calls for further studies on the impact of surgical correction of EOS on modulation of the vertebrae.
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To test for possible thermal injury and tissue damage caused by magnetic-controlled growing rods (MCGRs) during MRI scans. ⋯ N/A.
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To explore the compensation mechanisms of immediate postoperative coronal imbalance (CIB) and identify the correlation between preoperative lumbosacral obliquity and postoperative CIB in patients with Lenke 5/6 adolescent idiopathic scoliosis (AIS) during a 2-year follow-up period. ⋯ Preoperative L5 tilt on bending radiographs was an important risk factor of postoperative CIB in Lenke 5/6 AIS, which might be compensated by the way similar to that seen in the Lenke 1 distal adding-on phenomenon. Appropriate shortening of the fusion segments may help reduce the occurrence of postoperative CIB in patients with a relatively large L5 tilt on the postoperative bending radiograph.
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Review Multicenter Study
Magnetically controlled growing rod in early onset scoliosis: a 30-case multicenter study.
Preliminary results of magnetically controlled growing rods (MCGR) are encouraging. However, only short case series of MCGR for the treatment of early onset scoliosis (EOS) have been reported. Our aim was to evaluate its effectiveness and complications. ⋯ MCGR provides satisfactory deformity correction and avoids repeated surgical procedures for lengthening. However, it has substantial complication rate. Although less frequent than in GR, the law of diminishing returns also applies to MCGR.
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Isolated thoracoplasty (iTP) on the convex side is performed long time after scoliosis surgery has been performed. ITP is thought to cause a further decline in pulmonary function (PF); however, the amount of decline is ill defined. The objectives of this study were to examine the influence of iTP on the postoperative evolution of PF and rib hump reduction in patients that previously undergone scoliosis surgery. ⋯ Isolated TP was shown an effective technique for rib hump resection. Six years after iTP, the FVC% declined by an average of 9%. Several patients had long-lasting effects in terms of %FVC decline. iTP should be reserved for patients with significant rib hump deformity.