Natural History of Postoperative Adding-On in Adolescent Idiopathic Scoliosis: What Are the Risk Factors for Progressive Adding-On?

المؤلفون المشاركون

Qin, Xiaodong
Qiu, Yong
Xu, Leilei
Yan, Huang
Zhu, Zezhang
Xia, Chao
Sheng, Fei

المصدر

BioMed Research International

العدد

المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-8، 8ص.

الناشر

Hindawi Publishing Corporation

تاريخ النشر

2018-03-29

دولة النشر

مصر

عدد الصفحات

8

التخصصات الرئيسية

الطب البشري

الملخص EN

Purpose.

To investigate the natural history of distal adding-on in adolescent idiopathic scoliosis (AIS) and to identify risk factors for its progression.

Methods.

Sixty-one AIS patients with distal adding-on occurrence were included.

We further classify distal adding-on into progressive and nonprogressive group according to its natural evolution.

The first radiograph indicating initiation of adding-on (primary adding-on) and the last follow-up radiograph were compared in terms of the deviation of the first vertebra below instrumentation from the CSVL and the angulation of the first disc below instrumentation.

Compared to primary adding-on, progressive adding-on was defined as a further increase of deviation > 5 mm or a further increase of angulation > 5°.

Risk factors associated with the progression of adding-on were analyzed.

Results.

Among 61 patients diagnosed with distal adding-on, 24 (39.3%) were progressive and 37 (60.7%) were nonprogressive.

Lower Risser grade, open triradiate cartilage, and lowest instrumented vertebra (LIV) proximal to Substantially Stable Vertebra (SSV) were found to be significantly associated with the progressive adding-on.

Besides, the distal adding-on was more likely to progress for patients with higher left shoulders than right ones after surgery.

Conclusions.

The risk factors for the progression of adding-on included skeletal immaturity, LIV proximal to SSV, and higher left shoulders after surgery.

نمط استشهاد جمعية علماء النفس الأمريكية (APA)

Qin, Xiaodong& Xia, Chao& Xu, Leilei& Sheng, Fei& Yan, Huang& Qiu, Yong…[et al.]. 2018. Natural History of Postoperative Adding-On in Adolescent Idiopathic Scoliosis: What Are the Risk Factors for Progressive Adding-On?. BioMed Research International،Vol. 2018, no. 2018, pp.1-8.
https://search.emarefa.net/detail/BIM-1125733

نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)

Qin, Xiaodong…[et al.]. Natural History of Postoperative Adding-On in Adolescent Idiopathic Scoliosis: What Are the Risk Factors for Progressive Adding-On?. BioMed Research International No. 2018 (2018), pp.1-8.
https://search.emarefa.net/detail/BIM-1125733

نمط استشهاد الجمعية الطبية الأمريكية (AMA)

Qin, Xiaodong& Xia, Chao& Xu, Leilei& Sheng, Fei& Yan, Huang& Qiu, Yong…[et al.]. Natural History of Postoperative Adding-On in Adolescent Idiopathic Scoliosis: What Are the Risk Factors for Progressive Adding-On?. BioMed Research International. 2018. Vol. 2018, no. 2018, pp.1-8.
https://search.emarefa.net/detail/BIM-1125733

نوع البيانات

مقالات

لغة النص

الإنجليزية

الملاحظات

Includes bibliographical references

رقم السجل

BIM-1125733