Adolescent Idiopathic Scoliosis Treatment by a Korean Neurosurgeon : The Changing Role for Neurosurgeons

Hyun, Seung-Jae; Kim, Woong-Beom; Park, Young-Seop; Kim, Ki-Jeong; Jahng, Tae-Ahn; Kim, Yongjung J.

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자료유형: 학술저널

저자정보: Hyun, Seung-Jae (Department of Neurosurgery, Spine Center, Seoul National University Bundang Hospital, Seoul National University College of Medicine) Kim, Woong-Beom (Department of Neurosurgery, Spine Center, Seoul National University Bundang Hospital, Seoul National University College of Medicine) Park, Young-Seop (Department of Neurosurgery, Spine Center, Seoul National University Bundang Hospital, Seoul National University College of Medicine) Kim, Ki-Jeong (Department of Neurosurgery, Spine Center, Seoul National University Bundang Hospital, Seoul National University College of Medicine) Jahng, Tae-Ahn (Department of Neurosurgery, Spine Center, Seoul National University Bundang Hospital, Seoul National University College of Medicine) Kim, Yongjung J. (Department of Orthopaedic Surgery, Spine Service, Columbia University College of Physicians and Surgeons)

저널정보: 대한신경외과학회 대한신경외과학회지 대한신경외과학회지 제58권 제1호

발행연도: 2015.1

수록면: 50 - 53 (4page)

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Objective : The purpose of this study was to evaluate radiographic/clinical outcomes of adolescent idiopathic scoliosis (AIS) patients treated by a Korean neurosurgeon. Methods : Ten AIS patients were treated by a single neurosurgeon between January 2011 and September 2013 utilizing segmental instrumentation with pedicle screws. Basic demographic information, curve pattern by Lenke classification, number of levels treated, amount of correction achieved, radiographic/clinical outcomes [by Scolisis Resarch Society (SRS-22r) questionnaire] and complications were evaluated to determine the surgical results. Pulmonary function test was utilized to assess forced vital capacity (FVC) and forced expiratory volume in one second (FEV1) before and after surgery. Results : The average percentage of correction of the major structural curve was 73.6% (ranged from 64% to 81.5%). Preoperative and final postoperative absolute FVC averaged 3.03 L and 3.76 L (0.73 L increase, p=0.046), and absolute FEV1 averaged 2.63 L and 3.49 L (0.86 L increase, p=0.021). Preoperative and final postoperative average self-image and function scores of SRS-22r were, $2.6{\pm}0.5$, $3.3{\pm}0.1$, $4.0{\pm}0.5$, and $4.6{\pm}0.0$, respectively. There was a significant improvement of the self-image and function scores of SRS-22r questionnaires before and after surgery (p<0.05). There was no case of neurological deficit, infection and revision for screw malposition. One patient underwent a fusion extension surgery for shoulder asymmetry. Conclusion : Radiographic/clinical outcomes of AIS patients treated by a Korean neurosurgeon were acceptable. Fundamental understanding of pediatric spinal deformity is essential for the practice of AIS surgery.

#Instrumentation #Treatment outcomes #Pulmonary function tests #Scoliosis

참고문헌 (18)

참고문헌 신청

Ascani E. / 1986 / Natural history of untreated idiopathic scoliosis after skeletal maturity / Spine(Phila Pa 1976) 11:784~789

Asher MA. / 2000 / Further development and validation of the Scoliosis Research Society(SRS)outcomes instrument / Spine(Phila Pa 1976) 25:2381~2386

Faro FD. / 2004 / Evaluation of a functional position for lateral radiograph acquisition in adolescent idiopathic scoliosis / Spine(Phila Pa 1976) 29:2284~2289

Keun Su Kim / 2008 / Short Segment Anterior Correction of Adolescent Idiopathic Scoliosis / 대한신경외과학회지 44(1):52~56

현승재 / 2012 / Free Hand Pedicle Screw Placement in the Thoracic Spine without Any Radiographic Guidance : Technical Note, a Cadaveric Study / 대한신경외과학회지 51(1):66~70

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