Academic Journal
Navigation-Assisted One-Staged Posterior Spinal Fusion Using Pedicle Screw Instrumentation in Adolescent Idiopathic Scoliosis—A Case Series
| العنوان: | Navigation-Assisted One-Staged Posterior Spinal Fusion Using Pedicle Screw Instrumentation in Adolescent Idiopathic Scoliosis—A Case Series |
|---|---|
| المؤلفون: | Pao-Lung Chang, Michael Jian-Wen Chen, Pang-Hsuan Hsiao, Chia-Yu Lin, Yuan-Shun Lo, Chun Tseng, Ling-Yi Li, Chien-Ying Lai, Hsien-Te Chen |
| المصدر: | Medicina, Vol 60, Iss 2, p 300 (2024) |
| بيانات النشر: | MDPI AG |
| سنة النشر: | 2024 |
| المجموعة: | Directory of Open Access Journals: DOAJ Articles |
| مصطلحات موضوعية: | adolescent idiopathic scoliosis, navigation, posterior fusion, scoliosis surgery, surgical complications, Medicine (General), R5-920 |
| الوصف: | Background and Objectives : Adolescent idiopathic scoliosis (AIS) is a prevalent three-dimensional spinal disorder, with a multifactorial pathogenesis, including genetics and environmental aspects. Treatment options include non-surgical and surgical treatment. Surgical interventions demonstrate positive outcomes in terms of deformity correction, pain relief, and improvements of the cardiac and pulmonary function. Surgical complications, including excessive blood loss and neurologic deficits, are reported in 2.27–12% of cases. Navigation-assisted techniques, such as the O-arm system, have been a recent focus with enhanced precision. This study aims to evaluate the results and complications of one-stage posterior instrumentation fusion in AIS patients assisted by O-arm navigation. Materials and Methods : This retrospective study assesses 55 patients with AIS (12–28 years) who underwent one-stage posterior instrumentation correction supported by O-arm navigation from June 2016 to August 2023. We examined radiological surgical outcomes (initial correction rate, loss of correction rate, last follow-up correction rate) and complications as major outcomes. The characteristics of the patients, intraoperative blood loss, operation time, number of fusion levels, and screw density were documented. Results : Of 73 patients, 55 met the inclusion criteria. The average age was 16.67 years, with a predominance of females (78.2%). The surgical outcomes demonstrated substantial initial correction (58.88%) and sustained positive radiological impact at the last follow-up (56.56%). Perioperative complications, including major and minor, occurred in 18.18% of the cases. Two patients experienced a major complication. Blood loss (509.46 mL) and operation time (402.13 min) were comparable to the literature ranges. Trend analysis indicated improvements in operation time and blood loss over the study period. Conclusions : O-arm navigation-assisted one-stage posterior instrumentation proves reliable for AIS corrective surgery, achieving ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| تدمد: | 1648-9144 1010-660X |
| Relation: | https://www.mdpi.com/1648-9144/60/2/300; https://doaj.org/toc/1010-660X; https://doaj.org/toc/1648-9144; https://doaj.org/article/a36f3f67ba174cf48c4aa5e9f2b7d254 |
| DOI: | 10.3390/medicina60020300 |
| الاتاحة: | https://doi.org/10.3390/medicina60020300 https://doaj.org/article/a36f3f67ba174cf48c4aa5e9f2b7d254 |
| رقم الانضمام: | edsbas.24909A1 |
| قاعدة البيانات: | BASE |
Full Text Finder | تدمد: | 16489144 1010660X |
|---|---|
| DOI: | 10.3390/medicina60020300 |