Posteromedial Translation for Correction of Severe Hypokyphosis in Adolescent Idiopathic Scoliosis: Outcome Analysis with 2-year Follow-ups

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MIRZASHAHI BABAK; Dehghani Firoozabadi Mohammad Javad; ROSTAMI MOHSEN; Panahi Saeed; Talebiyan Parham; Yaseen Khan Furqan Mohammed

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Journal: ARCHIVES OF NEUROSCIENCE Year:2023 | Volume:10 | Issue:3 Page(s): 0-0

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Title

Posteromedial Translation for Correction of Severe Hypokyphosis in Adolescent Idiopathic Scoliosis: Outcome Analysis with 2-year Follow-ups

Author(s)

Keywords

Spine

Adolescent

Scoliosis

Kyphosis

Outcome Assessment

Surgery

Technique

Abstract

Background: The deformity in the coronal plane is over-emphasized in the surgical management of adolescent idiopathic scoliosis (AIS), whereas the importance of the patient’, s sagittal profile is generally neglected. Gold standard treatment in AIS consists of posterior instrumentation, deformity correction-through a reduction maneuver-and arthrodesis. The main focus in most reduction techniques is placed on the correction of deformity in the coronal and/or axial plane, worsening the patient’, s sagittal profile. Objectives: This outcome analysis study aimed to investigate the surgical treatment of AIS patients with severe thoracic hypokyphosis (< 10) by adopting the posteromedial translation technique (PMT). Methods: In this retrospective study, the data and records of the patients with minimum 2-year follow-ups were analyzed. Correction of the deformity was radiologically assessed based on Cobb’, s angle, thoracic kyphosis, and apex translation. The Scoliosis Research Society 22-item questionnaire (SRS-22r) was used for clinical evaluation before and after the surgery. Results: A total of 11 AIS patients (8 females and 3 males) with hypokyphosis underwent operations by the PMT at Imam Khomeini Hospital Complex between 2000 and 2020. According to the results, 78% correction in the coronal plane and an average correction of 56°,(P < 0. 001) were obtained. As for the sagittal plane, 18. 8°,correction was recorded (75%) (P < 0. 001). Scoliosis Research Society 22-item questionnaire subscale analysis showed a significant improvement in patients’,self-image (P = 0. 035) and satisfaction (P = 0. 043). Conclusions: The management of hypokyphosis in AIS was challenging. The PMT facilitated the tri-planar deformity correction, including a restoration of the thoracic kyphosis in all patients. A significant improvement was observed in both the coronal and sagittal profiles of the patients.

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APA: Copy

MIRZASHAHI, BABAK, Dehghani Firoozabadi, Mohammad Javad, ROSTAMI, MOHSEN, Panahi, Saeed, Talebiyan, Parham, & Yaseen Khan, Furqan Mohammed. (2023). Posteromedial Translation for Correction of Severe Hypokyphosis in Adolescent Idiopathic Scoliosis: Outcome Analysis with 2-year Follow-ups. ARCHIVES OF NEUROSCIENCE, 10(3), 0-0. SID. https://sid.ir/paper/1091837/en

Vancouver: Copy

MIRZASHAHI BABAK, Dehghani Firoozabadi Mohammad Javad, ROSTAMI MOHSEN, Panahi Saeed, Talebiyan Parham, Yaseen Khan Furqan Mohammed. Posteromedial Translation for Correction of Severe Hypokyphosis in Adolescent Idiopathic Scoliosis: Outcome Analysis with 2-year Follow-ups. ARCHIVES OF NEUROSCIENCE[Internet]. 2023;10(3):0-0. Available from: https://sid.ir/paper/1091837/en

IEEE: Copy

BABAK MIRZASHAHI, Mohammad Javad Dehghani Firoozabadi, MOHSEN ROSTAMI, Saeed Panahi, Parham Talebiyan, and Furqan Mohammed Yaseen Khan, “Posteromedial Translation for Correction of Severe Hypokyphosis in Adolescent Idiopathic Scoliosis: Outcome Analysis with 2-year Follow-ups,” ARCHIVES OF NEUROSCIENCE, vol. 10, no. 3, pp. 0–0, 2023, [Online]. Available: https://sid.ir/paper/1091837/en

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