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
- 2021.9
- 수록면
- 570 - 579 (10page)
- DOI
- 10.14245/ns.2142384.192
이용수
초록· 키워드
오류제보하기
Objective: To evaluate the effect of coronal alignment on: (1) surgical invasiveness and operative complexity and (2) postoperative complications.
Methods: A retrospective, cohort study of adult spinal deformity patients was conducted. Alignment groups were: (1) neutral alignment (NA): coronal vertical axis (CVA)≤3 cm and sagittal vertical axis (SVA)≤5 cm; (2) coronal malalignment (CM) only: CVA>3 cm; (3) Sagittal malalignment (SM) only: SVA>5 cm; and (4) coronal and sagittal malalignment (CCSM): CVA>3 cm and SVA>5 cm.
Results: Of 243 patients, alignment groups were: NA 115 (47.3%), CM 48 (19.8%), SM 38 (15.6%), and CCSM 42 (17.3%). Total instrumented levels (TILs) were highest in CM (14.5±3.7) and CCSM groups (14±4.0) (p<0.001). More 3-column osteotomies (3COs) were performed in SM (21.1%) and CCSM (28.9%) groups than CM (10.4%) (p=0.003). CM patients had more levels instrumented (p=0.029), posterior column osteotomies (PCOs) (p<0.001), and TLIFs (p=0.002) than SM patients. CCSM patients had more TLIFs (p=0.012) and higher estimated blood loss (EBL) (p=0.003) than SM patients. CVA displayed a stronger relationship with TIL (p=0.002), EBL (p<0.001), and operative time (p<0.001) than SVA, which had only one significant association with EBL (p=0.010). Both SM/CCSM patients had higher readmissions (p=0.003) and reoperations (p<0.001) than CM patients.
Conclusion: Amount of preoperative CM was a better predictor of surgical invasiveness than the amount of SM, despite 3COs more commonly performed in SM patients. CM patients had more instrumented levels, PCOs, and TLIFs than SM patients.
목차
등록된 정보가 없습니다.
참고문헌 (31)
참고문헌 신청
Diebo BG / 2019 / Adult spinal deformity / Lancet 394:160~172
Safaee MM / 2020 / Epidemiology and socioeconomic trends in adult spinal deformity care / Neurosurgery 87:25~32
Daubs MD / 2013 / Does correction of preoperative coronal imbalance make a difference in outcomes of adult patients with deformity? / Spine 38:476~483
Daubs MD / 2007 / Adult spinal deformity surgery: complications and outcomes in patients over age 60 / Spine 32:2238~2244
Yoshida G / 2017 / Advantages and disadvantages of adult spinal deformity surgery and its impact on health-related quality of life / Spine 42:411~419
Safaee MM / 2020 / Epidemiology and socioeconomic trends in adult spinal deformity care / Neurosurgery 87:25~32
Daubs MD / 2013 / Does correction of preoperative coronal imbalance make a difference in outcomes of adult patients with deformity? / Spine 38:476~483
Daubs MD / 2007 / Adult spinal deformity surgery: complications and outcomes in patients over age 60 / Spine 32:2238~2244
Yoshida G / 2017 / Advantages and disadvantages of adult spinal deformity surgery and its impact on health-related quality of life / Spine 42:411~419
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