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Comparative analysis of pedicle screw versus hybrid instrumentation in adolescent idiopathic scoliosis surgery

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العنوان: Comparative analysis of pedicle screw versus hybrid instrumentation in adolescent idiopathic scoliosis surgery
المؤلفون: Sohail Rafi, Naseem Munshi, Asad Abbas, Rabia Hassan Shaikh, Imtiaz Hashmi
المصدر: Journal of Neurosciences in Rural Practice, Vol 7, Iss 04, Pp 550-553 (2016)
بيانات النشر: Thieme Medical and Scientific Publishers Pvt. Ltd.
سنة النشر: 2016
المجموعة: Directory of Open Access Journals: DOAJ Articles
مصطلحات موضوعية: adolescent idiopathic scoliosis, hybrid instrumentation system, pedicle screws, Neurosciences. Biological psychiatry. Neuropsychiatry, RC321-571
الوصف: Introduction: Adolescent idiopathic scoliosis is the most common type of scoliosis. A Cobb angle of 50° will progress beyond the age of spinal maturity. Surgery over bracing is advised at a Cobb angle above or equal to 50°. The aim of surgery is to bring the Cobb angle down below 50° to prevent reprogression as well as improve the quality of life. The objective of the study is to analyze the efficacy and significance in lifestyle improvement of pedicle screw-only fixation system versus the more common hybrid instrumentation system used for the surgical treatment of adolescent idiopathic scoliosis. Materials and Methods: A prospective cohort study was conducted involving two groups of patients were included in the study. One group was operated with pedicle screw-only method while the other with hybrid instrumentation system. The pre- and post-operative Cobb’s angles were taken across a follow-up of 4 years. An SRS-30 questionnaire was given in a yearly follow-up to assess the lifestyle improvement of the patient. Results: Pedicle screw-only method was significantly more effective in reducing Cobb’s angle (P = 0.0487). It was showed less loss of correction (P = 0.009) pedicle screw-only surgery was also better at reducing thoracic curves (P = 0.001). There seemed a better recovery time with pedicle screw surgery (P = 0.003). Conclusion: Pedicle screws are more effective and durable than hybrid systems at when treating adolescent idiopathic scoliosis.
نوع الوثيقة: article in journal/newspaper
اللغة: English
تدمد: 0976-3147
0976-3155
Relation: https://doaj.org/toc/0976-3147; https://doaj.org/toc/0976-3155; https://doaj.org/article/e5d02218990842cba4ed88a7148aeb77
DOI: 10.4103/0976-3147.185510
الاتاحة: https://doi.org/10.4103/0976-3147.185510
https://doaj.org/article/e5d02218990842cba4ed88a7148aeb77
رقم الانضمام: edsbas.DB819000
قاعدة البيانات: BASE
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