ADOLESCENT IDIOPATHIC SCOLIOSIS: PROGRESSION OF UNTREATED CASES

Q4 Medicine Coluna/ Columna Pub Date : 2023-07-21 DOI:10.1590/s1808-185120232202262590
J. S. E. L. Schleder, João Lucas dos Santos, M. Lima, Sylvio Mistro Neto, André Frazão Rosa, Wagner Pasqualini, M. Tebet, P. Cavali, Marcelo ítalo Risso Neto
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Abstract

ABSTRACT Objective: This study aims to evaluate angular progression of patients with a diagnosis of Adolescent Idiopathic Scoliosis (AIS), that await surgical treatment. Methods: This is an observational and descriptive study. Data were collected for age at initial surgical indication, initial date and Cobb angle, date and Cobb angle of the follow-up visit, time elapsed between the initial and follow-up visit, and type of curve. All recorded Cobb angles were reviewed by the authors. Results: 86.1% of the individuals were women, the mean age of indication for surgical treatment was 13.34 years. The most common type of curve was Lenke 3 and the one that progressed the most was Lenke 4. The general average of annual progression was 9.89 degrees for the primary curves and 12.32 for the secondary curves, and the follow-up was, on average, 35.77 months. Conclusion: The progression of the magnitude of the curve increases during the wait for the definitive treatment of AIS, no matter which group of the Lenke classification the curve belongs to. The secondary curves present a progression rate of 12.32º/year, higher than the main curve, which presents a rate of 9.89º/year. The waiting time has been increasing over the years, which is evident compared to older publications. Level of Evidence IV; Type of Study: Prognostic Study.
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青少年特发性脊柱侧凸:未经治疗病例的进展
摘要目的:本研究旨在评估诊断为青少年特发性脊柱侧凸(AIS)并等待手术治疗的患者的角度进展。方法:这是一项观察性描述性研究。收集患者初始手术指征时的年龄、初始日期和Cobb角、随访日期和Cobb角、初始和随访时间、曲线类型等数据。所有记录的Cobb角均由作者审阅。结果:86.1%的患者为女性,平均适应手术年龄为13.34岁。最常见的曲线类型是Lenke 3型,最常见的曲线类型是Lenke 4型。主要弯曲的年平均进展为9.89度,次要弯曲的年平均进展为12.32度,随访时间平均为35.77个月。结论:无论该曲线属于Lenke分类的哪一组,在等待AIS明确治疗期间,该曲线的幅度均呈递增趋势。次级曲线的递进率为12.32º/年,高于主曲线的递进率9.89º/年。多年来,等待时间一直在增加,这与旧出版物相比是显而易见的。证据水平IV;研究类型:预后研究。
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来源期刊
Coluna/ Columna
Coluna/ Columna Medicine-Surgery
CiteScore
0.40
自引率
0.00%
发文量
32
审稿时长
10 weeks
期刊最新文献
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