The effect of direct vertebral rotation on the spine parameters (coronal and sagittal) in adolescent idiopathic 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.authorBARSOTTI, Carlos Eduardo Goncales
dc.contributor.authorJUNIOR, Carlos Augusto Belchior B.
dc.contributor.authorANDRADE, Rodrigo Mantelatto
dc.contributor.authorTORINI, Alexandre Penna
dc.contributor.authorRIBEIRO, Ana Paula
dc.date.accessioned2022-08-12T17:16:35Z
dc.date.available2022-08-12T17:16:35Z
dc.date.issued2021
dc.description.abstractBACKGROUND: Idiopathic scoliosis is accompanied by postural alterations, instability of gait, and functional disabilities. The objective was to verify radiographic parameters (coronal and sagittal) of adolescents with idiopathic scoliosis (AIS) pre- and post-surgery with direct vertebral rotation (DVR), associated with type 1 osteotomies in all segments (except the most proximal) and type 2 in the periapical vertebrae of the curves. METHODS: A prospective study design was employed in which 41 AIS were evaluated and compared pre- and post-surgery. Scoliosis was confirmed by a spine X-ray exam (Cobb angle). Eight radiographic parameters were measured: Cobb angles (thoracic proximal and distal), segmental kyphosis, total kyphosis, lumbar lordosis, pelvic incidence, sacral slope, and pelvic tilt. RESULTS: The Cobb angle averaged 51.3 degrees +/- 14.9 degrees. Post-surgery, there were significant reductions for the following spine measurement parameters: Cobb angle thoracic proximal (p = 0.003); Cobb angle thoracic distal (p = 0.001); Cobb angle lumbar (p = 0.001); kyphosis (T5-T12, p = 0.012); and kyphosis (T1-T12, p = 0.002). These reductions showed the effectiveness of surgical correction to reduce Cobb angles and improve thoracic kyphosis. The values obtained for lumbar lordosis, pelvic incidence, sacral slope, and pelvic tilt were not significantly different pre- and post-surgery. CONCLUSION: The surgical technique of DVR in AIS proved to be effective in the coronal and sagittal parameters directed at Cobb angles and thoracic kyphosis in order to favor the rehabilitation process.eng
dc.description.indexMEDLINEeng
dc.description.sponsorshipSpine Group of the Institute of Medical Assistance to the State Public Hospital Servant, in the state of Sao Paulo/SP, Brazil
dc.identifier.citationJOURNAL OF BACK AND MUSCULOSKELETAL REHABILITATION, v.34, n.5, p.821-828, 2021
dc.identifier.doi10.3233/BMR-200320
dc.identifier.eissn1878-6324
dc.identifier.issn1053-8127
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/48665
dc.language.isoeng
dc.publisherIOS PRESSeng
dc.relation.ispartofJournal of Back and Musculoskeletal Rehabilitation
dc.rightsrestrictedAccesseng
dc.rights.holderCopyright IOS PRESSeng
dc.subjectIdiopathic scoliosiseng
dc.subjectadolescentseng
dc.subjectsurgeryeng
dc.subjectspineeng
dc.subject.otherpedicle screw fixationeng
dc.subject.otherthoracic fusioneng
dc.subject.otherderotationeng
dc.subject.othersurgeryeng
dc.subject.otherthoracolumbareng
dc.subject.otheralignmenteng
dc.subject.otheraccuracyeng
dc.subject.otherimproveeng
dc.subject.othercurveeng
dc.subject.otherplaneeng
dc.subject.wosOrthopedicseng
dc.subject.wosRehabilitationeng
dc.titleThe effect of direct vertebral rotation on the spine parameters (coronal and sagittal) in adolescent idiopathic scoliosiseng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.author.externalBARSOTTI, Carlos Eduardo Goncales:Hosp Servidor Publ Estadual HSPE, Spine Grp, Sao Paulo, Brazil
hcfmusp.author.externalJUNIOR, Carlos Augusto Belchior B.:Hosp Servidor Publ Estadual HSPE, Spine Grp, Sao Paulo, Brazil
hcfmusp.author.externalANDRADE, Rodrigo Mantelatto:Clin Rehabil Ctr Scoliosis, Campinas, SP, Brazil
hcfmusp.author.externalTORINI, Alexandre Penna:Hosp Servidor Publ Estadual HSPE, Spine Grp, Sao Paulo, Brazil; Univ Santo Amaro, Med Sch, Hlth Sci Postgrad Dept, Sao Paulo, Brazil
hcfmusp.citation.scopus4
hcfmusp.contributor.author-fmusphcANA PAULA RIBEIRO
hcfmusp.description.beginpage821
hcfmusp.description.endpage828
hcfmusp.description.issue5
hcfmusp.description.volume34
hcfmusp.origemWOS
hcfmusp.origem.pubmed33935065
hcfmusp.origem.scopus2-s2.0-85114984259
hcfmusp.origem.wosWOS:000696177500012
hcfmusp.publisher.cityAMSTERDAMeng
hcfmusp.publisher.countryNETHERLANDSeng
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