The effect of direct vertebral rotation on the spine parameters (coronal and sagittal) in adolescent idiopathic scoliosis

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Citações na Scopus
4
Tipo de produção
article
Data de publicação
2021
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
IOS PRESS
Autores
BARSOTTI, Carlos Eduardo Goncales
JUNIOR, Carlos Augusto Belchior B.
ANDRADE, Rodrigo Mantelatto
TORINI, Alexandre Penna
Citação
JOURNAL OF BACK AND MUSCULOSKELETAL REHABILITATION, v.34, n.5, p.821-828, 2021
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
BACKGROUND: 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.
Palavras-chave
Idiopathic scoliosis, adolescents, surgery, spine
URI
https://observatorio.fm.usp.br/handle/OPI/48665
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Coleções
Artigos e Materiais de Revistas Científicas - FM/Outros