지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 902 - 909 (8page)
이용수
초록· 키워드
오류제보하기
Objective: To examine existing literature and pool the data to determine the relative odds ratio of “adding-on” (AO) based on various reported criteria for lower instrumented vertebra (LIV) selection in Lenke type 1A and 2A curves. Methods: Using electronic databases, studies reporting on AO and LIV selection in Lenke type 1A and 2A curves were identified. Studies were excluded if they failed to meet the following criteria: ≥30 patients, Lenke type 1A or 2A curves, thoracic-only fusions, and inclusion of outcome differences in AO and non-AO groups. Review articles, letters, and case reports were excluded. Results: Six studies were identified reporting on 732 patients with either Lenke type 1A or 2A curves treated with thoracic-only fusions. Five different landmarks were used for LIV selection in these studies including the stable vertebra (SV) -1, end vertebra (EV) +1, neutral vertebra (NV), touched vertebra (TV), and substantially touched vertebra (STV) versus nonsubstantially touched vertebra (nSTV) +1. The pooled odds ratios of AO for choosing LIV at levels above the afore landmarks (i.e., ending the construct “short”) versus at the landmarks were 2.59 (SV-1), 2.43 (EV+1), 3.05 (NV), 3.40 (TV), and 4.52 (STV/nSTV+1), all at 95% confidence interval. Conclusion: Five landmarks shared a similar characteristic in that the incidence of AO was significantly higher if the LIV was proximal to the chosen landmark. In addition, choosing STV/(nSTV+1) as the LIV have the lowest absolute risk of AO and the greatest risk reduction. If additional levels were fused (i.e., LIV distal to the landmark), there was no statistically significant benefit in further reducing the risk of AO. Selection of the optimal LIV is a complex issue and spine surgeons must balance the risk of AO with the need for motion preservation in young patients.
목차
등록된 정보가 없습니다.
참고문헌 (18)
참고문헌 신청
Lenke LG / 2002 / Curve prevalence of a new classification of operative adolescent idiopathic scoliosis:does classification correlate with treatment? / Spine 27:604~611
Lehman RA Jr / 2008 / Operative treatment of adolescent idiopathic scoliosis with posterior pedicle screw-only constructs : minimum three-year follow-up of one hundred fourteen cases / Spine 33:1598~1604
Lenke LG / 2001 / Adolescent idiopathic scoliosis : a new classification to determine extent of spinal arthrodesis / J Bone Joint Surg Am 83:1169~1181
Dobbs MB / 2006 / Selective posterior thoracic fusions for adolescent idiopathic scoliosis : comparison of hooks versus pedicle screws / Spine 31:2400~2404
Cho RH / 2012 / Which Lenke 1A curves are at the greatest risk for adding-on... and why? / Spine 37:1384~1390
Lehman RA Jr / 2008 / Operative treatment of adolescent idiopathic scoliosis with posterior pedicle screw-only constructs : minimum three-year follow-up of one hundred fourteen cases / Spine 33:1598~1604
Lenke LG / 2001 / Adolescent idiopathic scoliosis : a new classification to determine extent of spinal arthrodesis / J Bone Joint Surg Am 83:1169~1181
Dobbs MB / 2006 / Selective posterior thoracic fusions for adolescent idiopathic scoliosis : comparison of hooks versus pedicle screws / Spine 31:2400~2404
Cho RH / 2012 / Which Lenke 1A curves are at the greatest risk for adding-on... and why? / Spine 37:1384~1390
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