A Comparative Study of Sagittal Balance in Patients with Neuromuscular Scoliosis

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorBORGES, Paulo Alvim
dc.contributor.authorZELADA, Flavio Gerardo Benites
dc.contributor.authorBARROS, Thiago Felipe dos Santos
dc.contributor.authorLETAIF, Olavo Biraghi
dc.contributor.authorROCHA, Ivan Dias da
dc.contributor.authorMARCON, Raphael Martus
dc.contributor.authorCRISTANTE, Alexandre Fogaca
dc.contributor.authorBARROS-FILHO, Tarciso Eloy Pessoa
dc.date.accessioned2017-12-12T13:18:49Z
dc.date.available2017-12-12T13:18:49Z
dc.date.issued2017
dc.description.abstractOBJECTIVES: Spinopelvic alignment has been associated with improved quality of life in patients with vertebral deformities, and it helps to compensate for imbalances in gait. Although surgical treatment of scoliosis in patients with neuromuscular spinal deformities promotes correction of coronal scoliotic deformities, it remains poorly established whether this results in large changes in sagittal balance parameters in this specific population. The objective of this study is to compare these parameters before and after the current procedure under the hypothesis is that there is no significant modification. METHODS: Sampling included all records of patients with neuromuscular scoliosis with adequate radiographic records treated at Institute of Orthopedics and Traumatology of Clinics Hospital of University of Sao Paulo (IOT-HCFMUSP) from January 2009 to December 2013. Parameters analyzed were incidence, sacral inclination, pelvic tilt, lumbar lordosis, thoracic kyphosis, spinosacral angle, spinal inclination and spinopelvic inclination obtained using the iSite-Philips digital display system with Surgimap and a validated method for digital measurements of scoliosis radiographs. Comparison between the pre-and post-operative conditions involved means and standard deviations and the t-test. RESULTS: Based on 101 medical records only, 16 patients met the inclusion criteria for this study, including 7 males and 9 females, with an age range of 9-20 and a mean age of 12.9 +/- 3.06; 14 were diagnosed with cerebral palsy. No significant differences were found between pre and postoperative parameters. CONCLUSIONS: Despite correction of coronal scoliotic deformity in patients with neuromuscular deformities, there were no changes in spinopelvic alignment parameters in the group studied.
dc.description.indexMEDLINE
dc.identifier.citationCLINICS, v.72, n.8, p.481-484, 2017
dc.identifier.doi10.6061/clinics/2017(08)05
dc.identifier.eissn1980-5322
dc.identifier.issn1807-5932
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/24311
dc.language.isoeng
dc.publisherHOSPITAL CLINICAS, UNIV SAO PAULO
dc.relation.ispartofClinics
dc.rightsopenAccess
dc.rights.holderCopyright HOSPITAL CLINICAS, UNIV SAO PAULO
dc.subjectNeuromuscular Diseases
dc.subjectScoliosis
dc.subjectSpine Deformity
dc.subjectSagittal Balance
dc.subjectSurgical Correction
dc.subject.otheradolescent idiopathic scoliosis
dc.subject.otheradult
dc.subject.otherspine
dc.subject.wosMedicine, General & Internal
dc.titleA Comparative Study of Sagittal Balance in Patients with Neuromuscular Scoliosis
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.author.externalZELADA, Flavio Gerardo Benites:Univ Sao Paulo, Fac Med, Hosp Clin HCFMUSP, IOT,Div Cirurgia Coluna,Lab Invest Med, Sao Paulo, SP, Brazil
hcfmusp.citation.scopus2
hcfmusp.contributor.author-fmusphcPAULO ALVIM BORGES
hcfmusp.contributor.author-fmusphcTHIAGO FELIPE DOS SANTOS BARROS
hcfmusp.contributor.author-fmusphcOLAVO BIRAGHI LETAIF
hcfmusp.contributor.author-fmusphcIVAN DIAS DA ROCHA
hcfmusp.contributor.author-fmusphcRAPHAEL MARTUS MARCON
hcfmusp.contributor.author-fmusphcALEXANDRE FOGACA CRISTANTE
hcfmusp.contributor.author-fmusphcTARCISIO ELOY PESSOA DE BARROS FILHO
hcfmusp.description.beginpage481
hcfmusp.description.endpage484
hcfmusp.description.issue8
hcfmusp.description.volume72
hcfmusp.origemWOS
hcfmusp.origem.pubmed28954007
hcfmusp.origem.scieloSCIELO:S1807-59322017000800481
hcfmusp.origem.scopus2-s2.0-85030157622
hcfmusp.origem.wosWOS:000411803900005
hcfmusp.publisher.citySAO PAULO
hcfmusp.publisher.countryBRAZIL
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hcfmusp.scopus.lastupdate2024-04-18
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