Pub Date : 2023-04-17DOI: 10.1590/s1808-185120222201260636
Renato Márcio Souza Bonafim, Álynson Larocca Kulcheski, André Luís Sebben, Pedro Grein del Santoro, M. L. Benato, X. S. Graells
ABSTRACT Objective: Evaluate the clinical outcome of patients with lumbar disc herniation (HDL) operated by endoscopic interlaminar microdiscectomy. We evaluated epidemiology, time to return to work, and technique-related complications as secondary outcomes. Method: Prospective longitudinal study, where patients with HDL with surgical indications were evaluated. They underwent endoscopic discectomy exclusively using the interlaminar technique. Clinical results were evaluated using the Oswestry 2.0 questionnaire (ODI) and the visual analog scale (VAS). In this study, we inserted the Macnab postoperative satisfaction index. In parallel with these indices, we analyzed the results regarding epidemiology variables, time to return to work, and complications. Such questionnaires were applied preoperatively, postoperatively the day after surgery, and one year after. Results: In 132 patients selected for the study, we obtained significant clinical improvement in the ODI and VAS questionnaires, and 81.3% of the patients had excellent and good Macnab index. The hospital stay was 22.7 hours, and the return to work was 30 days. The rate of complications with the method was 12.8%, with recurrence of disc herniation being the most common complication with 9.8% of cases. Conclusion: The endoscopic technique proved effective in treating lumbar spinal disc herniation with significant clinical improvement in the analyzed period, low incidence of complications, early postoperative rehabilitation, and results close to or superior to the gold standard technique. Level of Evidence III; Prospective cohort study
{"title":"INTERLAMINAR ENDOSCOPIC LUMBAR DISCECTOMY - CLINICAL OUTCOME","authors":"Renato Márcio Souza Bonafim, Álynson Larocca Kulcheski, André Luís Sebben, Pedro Grein del Santoro, M. L. Benato, X. S. Graells","doi":"10.1590/s1808-185120222201260636","DOIUrl":"https://doi.org/10.1590/s1808-185120222201260636","url":null,"abstract":"ABSTRACT Objective: Evaluate the clinical outcome of patients with lumbar disc herniation (HDL) operated by endoscopic interlaminar microdiscectomy. We evaluated epidemiology, time to return to work, and technique-related complications as secondary outcomes. Method: Prospective longitudinal study, where patients with HDL with surgical indications were evaluated. They underwent endoscopic discectomy exclusively using the interlaminar technique. Clinical results were evaluated using the Oswestry 2.0 questionnaire (ODI) and the visual analog scale (VAS). In this study, we inserted the Macnab postoperative satisfaction index. In parallel with these indices, we analyzed the results regarding epidemiology variables, time to return to work, and complications. Such questionnaires were applied preoperatively, postoperatively the day after surgery, and one year after. Results: In 132 patients selected for the study, we obtained significant clinical improvement in the ODI and VAS questionnaires, and 81.3% of the patients had excellent and good Macnab index. The hospital stay was 22.7 hours, and the return to work was 30 days. The rate of complications with the method was 12.8%, with recurrence of disc herniation being the most common complication with 9.8% of cases. Conclusion: The endoscopic technique proved effective in treating lumbar spinal disc herniation with significant clinical improvement in the analyzed period, low incidence of complications, early postoperative rehabilitation, and results close to or superior to the gold standard technique. Level of Evidence III; Prospective cohort study","PeriodicalId":40025,"journal":{"name":"Coluna/ Columna","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67480291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-17DOI: 10.1590/s1808-185120222201262526
Artur Henrique Soares da Silva Filho, Breno Teixeira Moreno, Guilherme Zanini Rocha, Pedro Augusto Rocha Torres, Rodrigo Silva Loque, Marcos Vinícios Roldão Porto
ABSTRACT Objective: Evaluate the neurological recovery with a follow-up of 06 (six) months in victims of thoracic and lumbar fractures who underwent spinal decompression in less than 24 hours, between 24 and 48 hours, and more than 48 hours after the trauma. Methods: Data were collected on patients seen at a large public hospital in Belo Horizonte, between 2014 and 2018, who were victims of SCI who presented with neurological deficits at initial care, and the neurological recovery presented. Results: 41 SCI patients were evaluated, whose mean age was 34 years. There was a predominance of thoracic spine fractures (65.9% of the cases) and classified as AO Spine type C (75%). Regarding the time variable, about 68% of the patients were submitted to surgical treatment more than 48 hours after the trauma. It was observed that both the patients submitted to surgical decompression within less than 24 hours, and those operated on more than 48 hours after the trauma showed a slight neurological improvement at the 6-month follow-up. However, no statistical significance was found. It is worth noting that even when analyzing the 41 patients of the study, regardless of the surgical interval, it was impossible to observe a statistically significant neurological improvement at the 6-month follow-up. Conclusion: Our study could not demonstrate significant differences between those patients who operated early in less than 24 hours and those who operated after more than 48 hours. Level of Evidence III; Comparative retrospective study.
{"title":"NEUROLOGICAL RECOVERY AFTER SURGICAL TREATMENT IN PATIENTS WITH THORACOLUMBAR TRM","authors":"Artur Henrique Soares da Silva Filho, Breno Teixeira Moreno, Guilherme Zanini Rocha, Pedro Augusto Rocha Torres, Rodrigo Silva Loque, Marcos Vinícios Roldão Porto","doi":"10.1590/s1808-185120222201262526","DOIUrl":"https://doi.org/10.1590/s1808-185120222201262526","url":null,"abstract":"ABSTRACT Objective: Evaluate the neurological recovery with a follow-up of 06 (six) months in victims of thoracic and lumbar fractures who underwent spinal decompression in less than 24 hours, between 24 and 48 hours, and more than 48 hours after the trauma. Methods: Data were collected on patients seen at a large public hospital in Belo Horizonte, between 2014 and 2018, who were victims of SCI who presented with neurological deficits at initial care, and the neurological recovery presented. Results: 41 SCI patients were evaluated, whose mean age was 34 years. There was a predominance of thoracic spine fractures (65.9% of the cases) and classified as AO Spine type C (75%). Regarding the time variable, about 68% of the patients were submitted to surgical treatment more than 48 hours after the trauma. It was observed that both the patients submitted to surgical decompression within less than 24 hours, and those operated on more than 48 hours after the trauma showed a slight neurological improvement at the 6-month follow-up. However, no statistical significance was found. It is worth noting that even when analyzing the 41 patients of the study, regardless of the surgical interval, it was impossible to observe a statistically significant neurological improvement at the 6-month follow-up. Conclusion: Our study could not demonstrate significant differences between those patients who operated early in less than 24 hours and those who operated after more than 48 hours. Level of Evidence III; Comparative retrospective study.","PeriodicalId":40025,"journal":{"name":"Coluna/ Columna","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67480589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-13DOI: 10.1590/s1808-185120222201235863
M. Daher, Ricardo Vieira Teles Filho, Wender Gonçalves Moura, Paulo Henrique, Lucas Lodomiro, Pedro Felisbino Jr, Juliane leite Orcino, Sérgio Daher
ABSTRACT Objective: Evaluate the radiographic results of patients with cerebral palsy and Lonstein and Akbarnia type II scoliosis who underwent intraoperative halofemoral traction (IFAT) and correction with a 3rd provisional nail. Methods: Retrospective case series study. Were evaluated preoperative (PRE), traction (TR), immediate (POI), and late (POT) total spine radiographs. Were verified the angular value of the main curve (COBB), pelvic obliquity (OP), trunk balance in the coronal plane (CSVA), vertical sagittal alignment (SVA), curve flexibility, and percentage of correction in the final PO. Friedam and Wilcoxon tests were performed (p<0.05). Results: Twenty-one patients were included in the study, with a mean age of 16 (±4.13). There was a statistical difference when comparing COBB PRE with TRACTION to POI and POT (p=0.0001), OP in PRE with TRACTION, and between PRE and POT (p=0.0001). There was a statistical difference in coronal (CSVA) and sagittal (SVA) balance concerning PRE and POT. The percentage of correction for the main curve was 55.75% (± 11.11), and for the O P, 64.86% (± 18.04). Conclusion: The correction technique using the 3rd provisional nail technique and intraoperative traction presents a correction power of 55.75% of the proximal curve and 64% of the pelvic obliquity. In addition, it is easy to assemble, has a short surgical time, and causes little loss of correction during follow-up. Level of Evidence III B; I study a series of retrospective cases.
【摘要】目的:评价脑瘫合并Lonstein和Akbarnia型脊柱侧凸患者行术中halemoral牵引(IFAT)和第三临时钉矫正的影像学结果。方法:回顾性病例系列研究。评估术前(PRE)、牵引(TR)、即刻(POI)和晚期(POT)全脊柱x线片。验证主曲线的角度值(COBB)、骨盆倾角(OP)、躯干在冠状面平衡(CSVA)、垂直矢状面对齐(SVA)、曲线灵活性和最终PO的矫正百分比。进行Friedam和Wilcoxon检验(p<0.05)。结果:21例患者纳入研究，平均年龄16岁(±4.13岁)。COBB PRE + TRACTION与POI + POT比较有统计学差异(p=0.0001)， PRE + TRACTION的OP与PRE + POT比较有统计学差异(p=0.0001)。PRE和POT在冠状面(CSVA)和矢状面(SVA)平衡上有统计学差异。主曲线校正率为55.75%(±11.11)，O P校正率为64.86%(±18.04)。结论:采用第3临时钉技术配合术中牵引的矫正技术，近端侧弯矫正率为55.75%，骨盆斜度矫正率为64%。此外，它易于组装，手术时间短，并且在随访时造成的矫正损失很小。证据等级III B;我研究了一系列回顾性案例。
{"title":"RADIOGRAPHIC EVALUATION OF SURGICAL CORRECTION OF SCOLIOSIS DUE TO CEREBRAL PALSY USING INTRA-OPERATIVE TRACTION AND NEW CORRECTION TECHNIQUE WITH 3RD PROVISIONAL ROD","authors":"M. Daher, Ricardo Vieira Teles Filho, Wender Gonçalves Moura, Paulo Henrique, Lucas Lodomiro, Pedro Felisbino Jr, Juliane leite Orcino, Sérgio Daher","doi":"10.1590/s1808-185120222201235863","DOIUrl":"https://doi.org/10.1590/s1808-185120222201235863","url":null,"abstract":"ABSTRACT Objective: Evaluate the radiographic results of patients with cerebral palsy and Lonstein and Akbarnia type II scoliosis who underwent intraoperative halofemoral traction (IFAT) and correction with a 3rd provisional nail. Methods: Retrospective case series study. Were evaluated preoperative (PRE), traction (TR), immediate (POI), and late (POT) total spine radiographs. Were verified the angular value of the main curve (COBB), pelvic obliquity (OP), trunk balance in the coronal plane (CSVA), vertical sagittal alignment (SVA), curve flexibility, and percentage of correction in the final PO. Friedam and Wilcoxon tests were performed (p<0.05). Results: Twenty-one patients were included in the study, with a mean age of 16 (±4.13). There was a statistical difference when comparing COBB PRE with TRACTION to POI and POT (p=0.0001), OP in PRE with TRACTION, and between PRE and POT (p=0.0001). There was a statistical difference in coronal (CSVA) and sagittal (SVA) balance concerning PRE and POT. The percentage of correction for the main curve was 55.75% (± 11.11), and for the O P, 64.86% (± 18.04). Conclusion: The correction technique using the 3rd provisional nail technique and intraoperative traction presents a correction power of 55.75% of the proximal curve and 64% of the pelvic obliquity. In addition, it is easy to assemble, has a short surgical time, and causes little loss of correction during follow-up. Level of Evidence III B; I study a series of retrospective cases.","PeriodicalId":40025,"journal":{"name":"Coluna/ Columna","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67480279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-13DOI: 10.1590/s1808-185120222201262409
Vitor Regatieri Casagrande, Leonardo Ribeiro Nascimento, V. Toledo, Pedro Fellipe Deborto Rudine Remolli Evangelista, Robson Cruz de Oliveira, H. R. D. Costa, H. Defino
ABSTRACT Objectives: Evaluate the reliability and reproducibility of the kyphosis measurement in thoracolumbar spine traumatic fractures by different assessment methods in different types of fractures. Methods: Fifteen fractures of the thoracolumbar spine, previously classified into types A, B, and C according to Magerl’s classification, were evaluated. The value of kyphosis was measured using five different methods: (1) Cobb angle; (2) Gardner’s method; (3) back wall method; (4) angle of adjacent endplates; and (5) wedge angle. The measurements were performed by five independent observers and repeated five times with a minimum interval of two weeks between each evaluation. Results: Intraobserver reliability was excellent among the five observers, evidencing good reproducibility of the methods. The five methods used also showed great intraobserver reliability in the global analysis, with methods one and four being more consistent. Conclusion: Although there is no universal agreement on measuring kyphosis in thoracolumbar fractures, our study concluded that method 1 (Cobb angle) and method 4 (adjacent endplate angle) presented the best interobserver reliabilities. Furthermore, the use of digitized radiographs and a simple computer program allowed the performance of highly reliable and reproducible measurements by all methods, given the high intraobserver reliability. Level of Evidence II; Comparative study.
{"title":"EVALUATION OF KYPHOSIS MEASUREMENT IN THORACOLUMBAR SPINE FRACTURES","authors":"Vitor Regatieri Casagrande, Leonardo Ribeiro Nascimento, V. Toledo, Pedro Fellipe Deborto Rudine Remolli Evangelista, Robson Cruz de Oliveira, H. R. D. Costa, H. Defino","doi":"10.1590/s1808-185120222201262409","DOIUrl":"https://doi.org/10.1590/s1808-185120222201262409","url":null,"abstract":"ABSTRACT Objectives: Evaluate the reliability and reproducibility of the kyphosis measurement in thoracolumbar spine traumatic fractures by different assessment methods in different types of fractures. Methods: Fifteen fractures of the thoracolumbar spine, previously classified into types A, B, and C according to Magerl’s classification, were evaluated. The value of kyphosis was measured using five different methods: (1) Cobb angle; (2) Gardner’s method; (3) back wall method; (4) angle of adjacent endplates; and (5) wedge angle. The measurements were performed by five independent observers and repeated five times with a minimum interval of two weeks between each evaluation. Results: Intraobserver reliability was excellent among the five observers, evidencing good reproducibility of the methods. The five methods used also showed great intraobserver reliability in the global analysis, with methods one and four being more consistent. Conclusion: Although there is no universal agreement on measuring kyphosis in thoracolumbar fractures, our study concluded that method 1 (Cobb angle) and method 4 (adjacent endplate angle) presented the best interobserver reliabilities. Furthermore, the use of digitized radiographs and a simple computer program allowed the performance of highly reliable and reproducible measurements by all methods, given the high intraobserver reliability. Level of Evidence II; Comparative study.","PeriodicalId":40025,"journal":{"name":"Coluna/ Columna","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67480332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-13DOI: 10.1590/s1808-185120222201262504
H. Defino, H. R. D. Costa, Leonardo Ribeiro Nascimento, Izabella Meirelles Guarato
ABSTRACT Objectives: Evaluate the treatment outcome and the performance of the uCentum spinal fixation system in treating traumatic, degenerative, and tumoral diseases of the spine. Methods: This is a therapeutic study to investigate treatment outcomes and level of evidence III, including twenty-three adult patients of both sexes undergoing surgical treatment of degenerative (13 patients), traumatic (04 patients), or tumor diseases (06 patients). Patients were prospectively evaluated using clinical parameters: pain (visual analog scale), clinical and functional assessment questionnaires (SF-36, Oswestry and Roland-Morris), and radiological criteria (arthrodesis consolidation, loosening, breakage or deformation of the implants). Results: Twenty patients were followed for a period of 01 month to 12 month (mean 6,5±7,77). Three patients died due to complications unrelated to the primary disease (traumatic brain injury, septicemia, and lung tumor). Improvements were observed in clinical parameters and scores of the evaluation questionnaires used. No implant-related complications (breakage, loosening, deformation) were observed. Conclusion: the uCentum fixation system showed great versatility for performing the surgical treatment, allowing the performance of open, percutaneous procedures, the introduction of acrylic cement inside the implants, and conversion of polyaxial screws into monoaxial screws intraoperatively. Level of Evidence III; Therapeutic Studies - Investigating the Results of Treatment.
{"title":"USE OF THE uCentrum SYSTEM IN THE SURGICAL TREATMENT OF DISEASES OF THE VERTEBRAL SPINE","authors":"H. Defino, H. R. D. Costa, Leonardo Ribeiro Nascimento, Izabella Meirelles Guarato","doi":"10.1590/s1808-185120222201262504","DOIUrl":"https://doi.org/10.1590/s1808-185120222201262504","url":null,"abstract":"ABSTRACT Objectives: Evaluate the treatment outcome and the performance of the uCentum spinal fixation system in treating traumatic, degenerative, and tumoral diseases of the spine. Methods: This is a therapeutic study to investigate treatment outcomes and level of evidence III, including twenty-three adult patients of both sexes undergoing surgical treatment of degenerative (13 patients), traumatic (04 patients), or tumor diseases (06 patients). Patients were prospectively evaluated using clinical parameters: pain (visual analog scale), clinical and functional assessment questionnaires (SF-36, Oswestry and Roland-Morris), and radiological criteria (arthrodesis consolidation, loosening, breakage or deformation of the implants). Results: Twenty patients were followed for a period of 01 month to 12 month (mean 6,5±7,77). Three patients died due to complications unrelated to the primary disease (traumatic brain injury, septicemia, and lung tumor). Improvements were observed in clinical parameters and scores of the evaluation questionnaires used. No implant-related complications (breakage, loosening, deformation) were observed. Conclusion: the uCentum fixation system showed great versatility for performing the surgical treatment, allowing the performance of open, percutaneous procedures, the introduction of acrylic cement inside the implants, and conversion of polyaxial screws into monoaxial screws intraoperatively. Level of Evidence III; Therapeutic Studies - Investigating the Results of Treatment.","PeriodicalId":40025,"journal":{"name":"Coluna/ Columna","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67480524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.1590/s1808-185120222203272928
FELIPE SILVA KLINGELFUS, ANDRé LUIS SEBBEN, ÁLYNSON LAROCCA KULCHESKI, CRISTIANO SILVA PINTO, PEDRO GREIN DEL SANTORO, XAVIER SOLER GRAELLS
ABSTRACT Objective: Evaluate the epidemiological and radiographic data of patients submitted to the Anterior Lumbar Interbody Fusion (ALIF) technique and the possible complications related to this procedure. Methods: A longitudinal and retrospective study was carried out to analyze electronic medical records and image files of patients who underwent spinal surgery using the ALIF technique between February 2019 and January 2021. Epidemiological data such as age, gender, and level of surgery were analyzed. Radiographic evaluations of lumbar lordosis from L1 to S1 were performed using the COBB technique and the anterior and posterior height of the disc space. The presence of intraoperative and postoperative complications in the patients was analyzed. Results: Initially, 70 patients were analyzed. The most prevalent operated level was L5-S1. The length of stay of the patients varied between 36 and 72 hours. Intraoperative bleeding ranged from 20mL to 400mL. Three patients had significant venous lesions. Differences between anterior and posterior lordosis and height measurements were significant (p < 0.001). Lordosis had a mean increase of 10.3°, anterior height had a mean increase of 7.9mm, and posterior height of 4.0mm. Six cases of intra and postoperative complications were observed. Conclusion: The patients showed improvement in the radiological parameters of the anterior and posterior height of the vertebral discs, with a significant increase in lumbar lordosis. Complication rates were 9.8%, and we had a short hospital stay. Level of Evidence II; Retrospective Longitudinal Study.
{"title":"ANTERIOR LUMBAR INTERBODY FUSION (ALIF): EPIDEMIOLOGICAL AND RADIOLOGICAL PROFILE","authors":"FELIPE SILVA KLINGELFUS, ANDRé LUIS SEBBEN, ÁLYNSON LAROCCA KULCHESKI, CRISTIANO SILVA PINTO, PEDRO GREIN DEL SANTORO, XAVIER SOLER GRAELLS","doi":"10.1590/s1808-185120222203272928","DOIUrl":"https://doi.org/10.1590/s1808-185120222203272928","url":null,"abstract":"ABSTRACT Objective: Evaluate the epidemiological and radiographic data of patients submitted to the Anterior Lumbar Interbody Fusion (ALIF) technique and the possible complications related to this procedure. Methods: A longitudinal and retrospective study was carried out to analyze electronic medical records and image files of patients who underwent spinal surgery using the ALIF technique between February 2019 and January 2021. Epidemiological data such as age, gender, and level of surgery were analyzed. Radiographic evaluations of lumbar lordosis from L1 to S1 were performed using the COBB technique and the anterior and posterior height of the disc space. The presence of intraoperative and postoperative complications in the patients was analyzed. Results: Initially, 70 patients were analyzed. The most prevalent operated level was L5-S1. The length of stay of the patients varied between 36 and 72 hours. Intraoperative bleeding ranged from 20mL to 400mL. Three patients had significant venous lesions. Differences between anterior and posterior lordosis and height measurements were significant (p < 0.001). Lordosis had a mean increase of 10.3°, anterior height had a mean increase of 7.9mm, and posterior height of 4.0mm. Six cases of intra and postoperative complications were observed. Conclusion: The patients showed improvement in the radiological parameters of the anterior and posterior height of the vertebral discs, with a significant increase in lumbar lordosis. Complication rates were 9.8%, and we had a short hospital stay. Level of Evidence II; Retrospective Longitudinal Study.","PeriodicalId":40025,"journal":{"name":"Coluna/ Columna","volume":"94 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136201942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.1590/s1808-185120222203273483
TIAGO COSTA FALCI, HAROLDO OLIVEIRA DE FREITAS JúNIOR, JEFFERSON SOARES LEAL, ISABELA JULIANA MARTINS, MARIANA MAIA LEMOS BARRETO, LUIZ CLAUDIO DE MOURA FRANÇA
ABSTRACT Objective: To evaluate the axial correction capacity of the 3D brace in treating Adolescent Idiopathic Scoliosis (AIS). Methods: A retrospective study was carried out with 61 patients with AIS who obtained the 3D brace, between 2019 and 2022, in a laboratory that manufactures orthotics and orthopedic prostheses. These individuals underwent independent analysis of radiographic parameters by evaluating vertebral rotation using the Nash and Moe classification. The analyzed radiographs were taken in orthostasis before and after treatment with the 3D vest. Patients were divided into groups I and II-IV according to the Nash and Moe radiographic classification. Corrective capacity was estimated by assessing the degree of vertebral rotation before and after treatment. Results: Of the 61 patients evaluated, 36 (59%) had Nash and Moe grade I, and 25 patients grade II-IV before treatment. After treatment, 13 (21%) had grade II-IV, and 48 had grade I. Of the patients categorized as II-IV, 64% had improvement in the rotational profile. None clinical studies or radiographic parameter was associated with a change in rotational profile other than brace use (p=0.012). Conclusion: In the studied sample, treatment with the 3D vest promoted a change in vertebral rotation according to the Nash and Moe classification. The majority showed improvement in this parameter of evaluation of treatment of AIS. Level of Evidence III; Retrospective Study.
{"title":"ROTATIONAL EFFECT OF THE 3D BRACE IN THE TREATMENT OF ADOLESCENT IDIOPATHIC SCOLIOSIS","authors":"TIAGO COSTA FALCI, HAROLDO OLIVEIRA DE FREITAS JúNIOR, JEFFERSON SOARES LEAL, ISABELA JULIANA MARTINS, MARIANA MAIA LEMOS BARRETO, LUIZ CLAUDIO DE MOURA FRANÇA","doi":"10.1590/s1808-185120222203273483","DOIUrl":"https://doi.org/10.1590/s1808-185120222203273483","url":null,"abstract":"ABSTRACT Objective: To evaluate the axial correction capacity of the 3D brace in treating Adolescent Idiopathic Scoliosis (AIS). Methods: A retrospective study was carried out with 61 patients with AIS who obtained the 3D brace, between 2019 and 2022, in a laboratory that manufactures orthotics and orthopedic prostheses. These individuals underwent independent analysis of radiographic parameters by evaluating vertebral rotation using the Nash and Moe classification. The analyzed radiographs were taken in orthostasis before and after treatment with the 3D vest. Patients were divided into groups I and II-IV according to the Nash and Moe radiographic classification. Corrective capacity was estimated by assessing the degree of vertebral rotation before and after treatment. Results: Of the 61 patients evaluated, 36 (59%) had Nash and Moe grade I, and 25 patients grade II-IV before treatment. After treatment, 13 (21%) had grade II-IV, and 48 had grade I. Of the patients categorized as II-IV, 64% had improvement in the rotational profile. None clinical studies or radiographic parameter was associated with a change in rotational profile other than brace use (p=0.012). Conclusion: In the studied sample, treatment with the 3D vest promoted a change in vertebral rotation according to the Nash and Moe classification. The majority showed improvement in this parameter of evaluation of treatment of AIS. Level of Evidence III; Retrospective Study.","PeriodicalId":40025,"journal":{"name":"Coluna/ Columna","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135213920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.1590/s1808-185120222203273450
SINVAL DORNELES FILHO, MURILO TAVARES DAHER, MATEUS BERGAMO LOMAZ, LUCAS LODOMIRO MELO, JULIANE LEITE ORCINO, NATHALIA AIDAR BITTAR, GABRIEL JOãO FRANCISCO DE SOUZA, THIAGO VINíCIUS DE ASSIS MORAES, PEDRO FELISBINO JúNIOR, PAULO HENRIQUE MARTINS SILVA
ABSTRACT Objective: To describe the epidemiological profile of the list of patients with pediatric scoliosis (0 to 18 years old) treated at a tertiary public hospital in the Midwest Region. Methods: A cross-sectional analytical study of patients with scoliosis from the orthopedic service of a reference center was carried out, and data collected on age, sex, date of menarche, weight, height, etiology, curve classification, form of referral, treatment performed before and after care and waiting time for surgery after indication. The sample consisted of 60 patients randomly selected among those treated. Results: 60 patients were evaluated, 44 (73.3%) were female, and 16 (26.7%) were male, with a mean age of 13.4 years. Until the moment of the study, six patients underwent surgery after being treated at the reference center. Idiopathic scoliosis was the most frequent in 38 (63%) patients. No conduct had been performed in 47 (78.3%) patients before referral to the reference center. Aftercare at the reference center, surgical treatment was indicated in 44 (73.3%) patients. The mean waiting time for surgery after the indication was 22 months, ranging from 6 to 40 months. Conclusions: The list of patients with pediatric scoliosis treated at the reference center in the Midwest region is composed of young girls with idiopathic scoliosis who, for the most part, did not have the indication of using a brace before being referred to the reference center, and most of them had an indication for surgery for adequate treatment. Level of Evidence IV; Descriptive Study.
{"title":"QUEUE PROFILE FOR PEDIATRIC SCOLIOSIS SURGERY IN A REFERENCE HOSPITAL IN THE BRAZIL’S MIDWEST","authors":"SINVAL DORNELES FILHO, MURILO TAVARES DAHER, MATEUS BERGAMO LOMAZ, LUCAS LODOMIRO MELO, JULIANE LEITE ORCINO, NATHALIA AIDAR BITTAR, GABRIEL JOãO FRANCISCO DE SOUZA, THIAGO VINíCIUS DE ASSIS MORAES, PEDRO FELISBINO JúNIOR, PAULO HENRIQUE MARTINS SILVA","doi":"10.1590/s1808-185120222203273450","DOIUrl":"https://doi.org/10.1590/s1808-185120222203273450","url":null,"abstract":"ABSTRACT Objective: To describe the epidemiological profile of the list of patients with pediatric scoliosis (0 to 18 years old) treated at a tertiary public hospital in the Midwest Region. Methods: A cross-sectional analytical study of patients with scoliosis from the orthopedic service of a reference center was carried out, and data collected on age, sex, date of menarche, weight, height, etiology, curve classification, form of referral, treatment performed before and after care and waiting time for surgery after indication. The sample consisted of 60 patients randomly selected among those treated. Results: 60 patients were evaluated, 44 (73.3%) were female, and 16 (26.7%) were male, with a mean age of 13.4 years. Until the moment of the study, six patients underwent surgery after being treated at the reference center. Idiopathic scoliosis was the most frequent in 38 (63%) patients. No conduct had been performed in 47 (78.3%) patients before referral to the reference center. Aftercare at the reference center, surgical treatment was indicated in 44 (73.3%) patients. The mean waiting time for surgery after the indication was 22 months, ranging from 6 to 40 months. Conclusions: The list of patients with pediatric scoliosis treated at the reference center in the Midwest region is composed of young girls with idiopathic scoliosis who, for the most part, did not have the indication of using a brace before being referred to the reference center, and most of them had an indication for surgery for adequate treatment. Level of Evidence IV; Descriptive Study.","PeriodicalId":40025,"journal":{"name":"Coluna/ Columna","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135213913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.1590/s1808-185120222203272849
SYLVIO MISTRO NETO, EMíLIO CRISóSTOMO LIMA VERDE, ANDRE Frazão ROSA, MAURICIO COELHO LIMA, PAULO TADEU MAIA CAVALI, GUILHERME REBECHI ZUIANI, WAGNER PASQUALINI, MARCOS ANTONIO TEBET, MARCELO ÍTALO RISSO NETO
ABSTRACT Objective: To correlate the four quality of life questionnaires: Oswestry Disability Index (ODI), SF-36, Swiss Spinal Stenosis Questionnaire (SSS), and EQ-5D in patients who have not received surgical treatment of lumbar stenosis. Methods: Prospective cross-sectional study. Forty patients diagnosed with lumbar stenosis at a university hospital answered four quality-of-life questionnaires in a preoperative consultation. The scores of each questionnaire were tabulated and then compared. In statistical analysis, the Spearman correlation was performed. Results: 17 female and 23 male patients with a mean age of 56.5 years. ODI had an average dysfunction of 44.9%; the PCS score averaged 29.9, and the MCS score of 41.3. The general symptoms of SSS presented a mean of 3.2, and the EQ-5D presented an average of 0.491. The EQ-5D presented the best correlation with the other questionnaires. The score that presented a worse correlation with the other questionnaires was the neuroischemic symptomatology of SSS. Conclusion: quality-of-life questionnaires can be correlated; thus, the evaluation of preoperative patients can be simplified. Level of Evidence III; Diagnostic Studies.
{"title":"COMPARING PREOPERATIVE QUALITY OF LIFE QUESTIONNAIRE IN LUMBAR STENOSIS","authors":"SYLVIO MISTRO NETO, EMíLIO CRISóSTOMO LIMA VERDE, ANDRE Frazão ROSA, MAURICIO COELHO LIMA, PAULO TADEU MAIA CAVALI, GUILHERME REBECHI ZUIANI, WAGNER PASQUALINI, MARCOS ANTONIO TEBET, MARCELO ÍTALO RISSO NETO","doi":"10.1590/s1808-185120222203272849","DOIUrl":"https://doi.org/10.1590/s1808-185120222203272849","url":null,"abstract":"ABSTRACT Objective: To correlate the four quality of life questionnaires: Oswestry Disability Index (ODI), SF-36, Swiss Spinal Stenosis Questionnaire (SSS), and EQ-5D in patients who have not received surgical treatment of lumbar stenosis. Methods: Prospective cross-sectional study. Forty patients diagnosed with lumbar stenosis at a university hospital answered four quality-of-life questionnaires in a preoperative consultation. The scores of each questionnaire were tabulated and then compared. In statistical analysis, the Spearman correlation was performed. Results: 17 female and 23 male patients with a mean age of 56.5 years. ODI had an average dysfunction of 44.9%; the PCS score averaged 29.9, and the MCS score of 41.3. The general symptoms of SSS presented a mean of 3.2, and the EQ-5D presented an average of 0.491. The EQ-5D presented the best correlation with the other questionnaires. The score that presented a worse correlation with the other questionnaires was the neuroischemic symptomatology of SSS. Conclusion: quality-of-life questionnaires can be correlated; thus, the evaluation of preoperative patients can be simplified. Level of Evidence III; Diagnostic Studies.","PeriodicalId":40025,"journal":{"name":"Coluna/ Columna","volume":"148 5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136203368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.1590/s1808-185120222203273380
MAX MULLER BEZERRA MOURÃO, CARLOS EDUARDO GONÇALVES BARSOTTI, GUSTAVO ALVES TOSTES, ALEXANDRE PENNA TORINI, RODRIGO MANTELATTO ANDRADE, ANA PAULA RIBEIRO
ABSTRACT Objective: To verify the correlation between the thoracic and lumbar Cobb angle and the type of foot, and the parameters of plantar support during gait in adolescents with idiopathic scoliosis. Material and Methods: Sixty adolescents with idiopathic scoliosis (AIS) were divided into three groups: normal foot (n=20), cavus foot (n=20), and flat foot (n=20). The Cobb angles of thoracic kyphosis and lumbar lordosis were evaluated by radiographic examination. The plantar arch was recorded the podoscope and calculated by the ratio between the midfoot and the total foot area. The adolescents performed the march on a 20-meter track, with their feet resting on the pressure platform, totaling an average of 12 steps of the foot (right and left). The variables evaluated were: contact area, peak pressure, and maximum force on the four regions of the feet: hindfoot (medial and lateral), midfoot, and forefoot. Results: There was a positive correlation between the Cobb angle of lumbar lordosis and the arch plantar cavus (r=0.40; p=0.048) and flat (0.25; p=0.004), with no significant correlations for the Cobb angle thoracic (p>0.005). The pressure peak strongly correlated with the cavus plantar arch (r=0.92, p=0.001) in the lateral hindfoot and forefoot region, while the flat foot with the midfoot region. Conclusion: The Cobb lumbar lordosis angle positively correlates with the plantar arch height and the plantar support pattern during gait in adolescents with idiopathic scoliosis. Level of Evidence II; Observational and Cross-Sectional Study.
{"title":"CORRELATION BETWEEN CYPHOSE AND LORDOSE WITH THE FOOT SUPPORT OF ADOLESCENTS WITH IDIOPATHIC SCOLIOSIS","authors":"MAX MULLER BEZERRA MOURÃO, CARLOS EDUARDO GONÇALVES BARSOTTI, GUSTAVO ALVES TOSTES, ALEXANDRE PENNA TORINI, RODRIGO MANTELATTO ANDRADE, ANA PAULA RIBEIRO","doi":"10.1590/s1808-185120222203273380","DOIUrl":"https://doi.org/10.1590/s1808-185120222203273380","url":null,"abstract":"ABSTRACT Objective: To verify the correlation between the thoracic and lumbar Cobb angle and the type of foot, and the parameters of plantar support during gait in adolescents with idiopathic scoliosis. Material and Methods: Sixty adolescents with idiopathic scoliosis (AIS) were divided into three groups: normal foot (n=20), cavus foot (n=20), and flat foot (n=20). The Cobb angles of thoracic kyphosis and lumbar lordosis were evaluated by radiographic examination. The plantar arch was recorded the podoscope and calculated by the ratio between the midfoot and the total foot area. The adolescents performed the march on a 20-meter track, with their feet resting on the pressure platform, totaling an average of 12 steps of the foot (right and left). The variables evaluated were: contact area, peak pressure, and maximum force on the four regions of the feet: hindfoot (medial and lateral), midfoot, and forefoot. Results: There was a positive correlation between the Cobb angle of lumbar lordosis and the arch plantar cavus (r=0.40; p=0.048) and flat (0.25; p=0.004), with no significant correlations for the Cobb angle thoracic (p>0.005). The pressure peak strongly correlated with the cavus plantar arch (r=0.92, p=0.001) in the lateral hindfoot and forefoot region, while the flat foot with the midfoot region. Conclusion: The Cobb lumbar lordosis angle positively correlates with the plantar arch height and the plantar support pattern during gait in adolescents with idiopathic scoliosis. Level of Evidence II; Observational and Cross-Sectional Study.","PeriodicalId":40025,"journal":{"name":"Coluna/ Columna","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135213664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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