Characteristics analysis of segmental and regional lumbar spontaneous compensation post thoracic fusion in Lenke 1 and 2 adolescent idiopathic scoliosis.

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  • Additional Information
    • Source:
      Publisher: BioMed Central Country of Publication: England NLM ID: 100968565 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2474 (Electronic) Linking ISSN: 14712474 NLM ISO Abbreviation: BMC Musculoskelet Disord Subsets: MEDLINE
    • Publication Information:
      Original Publication: London : BioMed Central, [2000-
    • Subject Terms:
      Scoliosis*/diagnostic imaging ; Scoliosis*/surgery ; Spinal Fusion*/adverse effects; Adolescent ; Female ; Humans ; Lumbar Vertebrae/diagnostic imaging ; Lumbar Vertebrae/surgery ; Lumbosacral Region ; Male ; Radiography ; Retrospective Studies ; Thoracic Vertebrae/diagnostic imaging ; Thoracic Vertebrae/surgery ; Treatment Outcome
    • Abstract:
      Objective: To explore the characteristics of compensation of unfused lumbar region post thoracic fusion in Lenke 1 and 2 adolescent idiopathic scoliosis.
      Background: Preserving lumbar mobility in the compensation is significant in controlling pain and maintaining its functions. The spontaneous correction of the distal unfused lumbar curve after STF has been widely reported, but previous study has not concentrated on the characteristics of compensation of unfused lumbar region post thoracic fusion.
      Method: A total of 51 Lenke 1 and2 AIS patients were included, whose lowest instrumented vertebrae was L1 from January 2013 to December 2019. For further analysis, demographic data and coronal radiographic films were collected before surgery, at immediate erect postoperatively and final follow-up. The wedge angles of each unfused distal lumbar segments were measured, and the variations in each disc segment were calculated at the immediate postoperative review and final follow-up. Meanwhile, the unfused lumbar curve was divided into upper and lower parts, and we calculated their curve angles and compensations.
      Results: The current study enrolled 41 females (80.4%) and 10 males (19.6%). Thirty-six patients were Lenke type 1, while 15 patients were Lenke type 2. The average main thoracic Cobb angle and thoracolumbar/lumbar Cobb angle were 44.1 ± 7.7°and 24.1 ± 9.3°, preoperatively. At the final follow-up, the disc wedge angle variation of L1/2, L2/3, L3/4, L4/5 and L5/S1 was 3.84 ± 5.96°, 3.09 ± 4.54°, 2.30 ± 4.53°, - 0.12 ± 3.89° and - 1.36 ± 2.80°, respectively. The compensation of upper and lower coronal lumbar curves at final follow-up were 9.22 ± 10.39° and - 1.49 ± 5.14°, respectively.
      Conclusion: When choosing L1 as the lowest instrumented vertebrae, the distal unfused lumbar segments' compensation showed a decreasing trend from the proximal end to the distal end. The adjacent L1/2 and L2/3 discs significantly contributed to this compensation.
      (© 2021. The Author(s).)
    • References:
      Spine Deform. 2018 Mar - Apr;6(2):164-169. (PMID: 29413739)
      Bone Joint J. 2016 Jul;98-B(7):997-1002. (PMID: 27365480)
      Asian Spine J. 2007 Dec;1(2):80-7. (PMID: 20411129)
      Spine (Phila Pa 1976). 2004 Feb 1;29(3):277-85. (PMID: 14752350)
      Rev Bras Ortop. 2016 Jan 13;51(1):83-9. (PMID: 26962505)
      Clin Spine Surg. 2019 Mar;32(2):E112-E116. (PMID: 30379656)
      World Neurosurg. 2020 Apr;136:e171-e180. (PMID: 31884123)
      Spine (Phila Pa 1976). 1991 Aug;16(8 Suppl):S394-403. (PMID: 1785094)
      Spine (Phila Pa 1976). 2016 Apr;41 Suppl 7:S16-7. (PMID: 27015061)
      Spine Deform. 2019 Sep;7(5):759-770. (PMID: 31495477)
      Eur Spine J. 2014 Jun;23(6):1263-81. (PMID: 24682377)
      Eur Spine J. 2013 Mar;22 Suppl 2:S138-48. (PMID: 22531898)
      Medicine (Baltimore). 2018 Jun;97(25):e11216. (PMID: 29924050)
      Spine (Phila Pa 1976). 2014 Nov 1;39(23):E1368-73. (PMID: 25188601)
      Eur Spine J. 2019 Sep;28(9):1987-1997. (PMID: 31236658)
      Spine Surg Relat Res. 2018 Oct 10;3(2):113-125. (PMID: 31435563)
      Spine (Phila Pa 1976). 2015 Nov;40(21):1681-9. (PMID: 26267826)
      J Pediatr Orthop. 2011 Jan-Feb;31(1 Suppl):S69-76. (PMID: 21173622)
      Spine (Phila Pa 1976). 2007 Dec 15;32(26):3020-9. (PMID: 18091496)
      Spine J. 2018 Dec;18(12):2239-2246. (PMID: 29733900)
      Biomed Res Int. 2018 Dec 9;2018:3476425. (PMID: 30627550)
      Asian Spine J. 2010 Jun;4(1):32-8. (PMID: 20622952)
      Spine (Phila Pa 1976). 2016 Jun;41(12):E742-E750. (PMID: 26656044)
      Eur Spine J. 2007 Sep;16(9):1335-42. (PMID: 17294054)
      Spine (Phila Pa 1976). 2001 Sep 15;26(18):1966-75. (PMID: 11547194)
      Spine Deform. 2015 Sep;3(5):469-475. (PMID: 27927533)
      Eur Spine J. 2020 Feb;29(Suppl 1):86-102. (PMID: 31993790)
      J Bone Joint Surg Am. 2020 Jan 15;102(2):143-150. (PMID: 31644521)
      Spine (Phila Pa 1976). 2020 Jan 1;45(1):E18-E24. (PMID: 31415460)
      Spine Deform. 2016 Mar;4(2):125-130. (PMID: 27927544)
      Neurosurg Clin N Am. 2007 Apr;18(2):199-206. (PMID: 17556119)
      Spine (Phila Pa 1976). 1999 Aug 15;24(16):1663-71; discussion 1672. (PMID: 10472100)
      Eur J Orthop Surg Traumatol. 2020 Apr;30(3):513-522. (PMID: 31760495)
    • Contributed Indexing:
      Keywords: AIS; Characteristics; Spontaneous compensation; Thoracic fusion; Unfused lumbar segments
    • Publication Date:
      Date Created: 20211111 Date Completed: 20211112 Latest Revision: 20211117
    • Publication Date:
      20240105
    • Accession Number:
      PMC8582136
    • Accession Number:
      10.1186/s12891-021-04821-5
    • Accession Number:
      34758789