Sequential correction of severe and rigid kyphoscoliosis: a new technical note and preliminary results

BMC Musculoskeletal Disorders

Research

Xiaobo Feng¹  Cao Yang¹  Wenbin Hua¹  Xinghuo Wu¹  Yukun Zhang¹  Huipeng Yin¹  Kun Wang¹  Yong Gao¹  Shuai Li¹  Li Ling² 

[1] Department of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 430022, Wuhan, China;Department of VIP Clinic, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 430022, Wuhan, China;

关键词: Apical vertebrae;    Scoliosis;    Kyphoscoliosis;    Sequential correction;    Spinal osteotomies;    Treatment;   

DOI  :  10.1186/s12891-023-06736-9

 received in 2023-05-14, accepted in 2023-07-19,  发布年份 2023

来源: Springer

【 摘 要 】

ObjectiveThe present study is to evaluate the clinical outcomes of the sequential correction of severe and rigid kyphoscoliosis.MethodsBetween January 2014 and December 2020, 27 adults with severe and rigid kyphoscoliosis underwent sequential correction combined with posterior grade 4 or grade 5 spinal osteotomy. Radiological parameters, including the major curve Cobb angle, kyphotic angle, coronal imbalance, and sagittal vertical axis (SVA), were compared. Patient self-reported health-related quality of life (HRQOL) scores were used to evaluate clinical outcomes.ResultsThe mean major curve Cobb angle improved from 134.30 ± 13.24° to 44.48 ± 9.34° immediately after surgery and to 46.11 ± 8.94° at the final follow-up. The mean kyphotic angle improved from 112.15 ± 20.28° to 38.63 ± 15.00° immediately after surgery and to 39.85 ± 14.92° at the final follow-up. The mean preoperative major curve Cobb angle of grade 5 spinal osteotomy group was higher than that of grade 4 spinal osteotomy group. Coronal imbalance and SVA slightly improved. The patient self-reported HRQOL scores improved postoperatively and at the final follow-up. Activity, appearance and total scores of the SRS-22 of the grade 5 spinal osteotomy group at the final follow-up were significantly better than those of the grade 4 spinal osteotomy group.ConclusionsSequential correction combined with posterior grade 4 or grade 5 spinal osteotomies is an excellent and safe treatment for severe and rigid kyphoscoliosis in adults. Sequential correction combined with posterior grade 5 spinal osteotomies can be used to correct severe and rigid kyphoscoliosis with higher major curve Cobb angle.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

【 图 表 】

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