Ayrat R Syundyukov, Nikolai S Nikolaev, Sergei V Vissarionov, Pavel N Kornyаkov, Kalind S Bhandarkar, Vladimir U Emelianov
{"title":"与开放式手术矫正相比，微创手术矫正青少年特发性脊柱侧凸的次数较少。","authors":"Ayrat R Syundyukov, Nikolai S Nikolaev, Sergei V Vissarionov, Pavel N Kornyаkov, Kalind S Bhandarkar, Vladimir U Emelianov","doi":"10.1177/18632521221146642","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>In this study, we investigated the relationship between the results of thoracic curve correction using minimally invasive surgeries in 35 patients and open surgical correction in 47 patients with adolescent idiopathic scoliosis.</p><p><strong>Methods: </strong>The correlations between the Cobb's angle of the primary and postoperative curves, angle of thoracic kyphosis and lumbar lordosis, correction percentage, derotation values, estimated blood loss, duration of surgery, and period of hospitalization after surgery were assessed by calculating the mean and standard deviation. Calculation and comparison were performed using Pearson correlation.</p><p><strong>Results: </strong>The Cobb's angle correction ranged from 53.4° ± 11.8° to 6.7° ± 5.2° (<i>p</i> < 0.001) in the open surgical correction group and from 51.2° ± 11.4° to 11.7° ± 5.8° (<i>p</i> < 0.001) in the minimally invasive surgery group before and after surgery, respectively. The percentage of curvature correction was 88.2% ± 8.0% and 77.7% ± 10.7% (<i>p</i> < 0.001) in the open surgical correction and minimally invasive surgery groups, respectively. The estimated blood loss was higher in the open surgical correction group than in the minimally invasive surgery group (208.7 ± 113.4 vs 564.3 ± 242.7 mL). Axial rotation was changed from 29.1°± 7.5 to 17.1°± 6.8 (<i>p</i> < 0.001) in the open surgical correction group and from 28.9°± 7.8 to 19.4°± 6.4 (<i>p</i> < 0.001) in the minimally invasive surgery group. The duration of surgery was shorter in the open surgical correction group than in the minimally invasive surgery group (266.6 ± 64.3 vs 346.2 ± 70.5 min). A positive correlation between time of operation and Cobb's angle correction (in °) in open surgical correction (<i>r</i> = 0.37) and minimally invasive surgery (<i>r</i> = 0.43) was found.</p><p><strong>Conclusion: </strong>The open surgical correction procedures were more effective than minimally invasive surgery in correcting the spinal curve. The increase in the duration of open surgical correction increases the estimated blood loss, but it also more significantly improves the correction of Cobb's angle.</p><p><strong>Level of evidence: </strong>III.</p>","PeriodicalId":56060,"journal":{"name":"Journal of Childrens Orthopaedics","volume":"17 2","pages":"141-147"},"PeriodicalIF":1.3000,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/40/b0/10.1177_18632521221146642.PMC10080243.pdf","citationCount":"1","resultStr":"{\"title\":\"Less correction with minimally invasive surgery for adolescent idiopathic scoliosis compared to open surgical correction.\",\"authors\":\"Ayrat R Syundyukov, Nikolai S Nikolaev, Sergei V Vissarionov, Pavel N Kornyаkov, Kalind S Bhandarkar, Vladimir U Emelianov\",\"doi\":\"10.1177/18632521221146642\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>In this study, we investigated the relationship between the results of thoracic curve correction using minimally invasive surgeries in 35 patients and open surgical correction in 47 patients with adolescent idiopathic scoliosis.</p><p><strong>Methods: </strong>The correlations between the Cobb's angle of the primary and postoperative curves, angle of thoracic kyphosis and lumbar lordosis, correction percentage, derotation values, estimated blood loss, duration of surgery, and period of hospitalization after surgery were assessed by calculating the mean and standard deviation. Calculation and comparison were performed using Pearson correlation.</p><p><strong>Results: </strong>The Cobb's angle correction ranged from 53.4° ± 11.8° to 6.7° ± 5.2° (<i>p</i> < 0.001) in the open surgical correction group and from 51.2° ± 11.4° to 11.7° ± 5.8° (<i>p</i> < 0.001) in the minimally invasive surgery group before and after surgery, respectively. The percentage of curvature correction was 88.2% ± 8.0% and 77.7% ± 10.7% (<i>p</i> < 0.001) in the open surgical correction and minimally invasive surgery groups, respectively. The estimated blood loss was higher in the open surgical correction group than in the minimally invasive surgery group (208.7 ± 113.4 vs 564.3 ± 242.7 mL). Axial rotation was changed from 29.1°± 7.5 to 17.1°± 6.8 (<i>p</i> < 0.001) in the open surgical correction group and from 28.9°± 7.8 to 19.4°± 6.4 (<i>p</i> < 0.001) in the minimally invasive surgery group. The duration of surgery was shorter in the open surgical correction group than in the minimally invasive surgery group (266.6 ± 64.3 vs 346.2 ± 70.5 min). A positive correlation between time of operation and Cobb's angle correction (in °) in open surgical correction (<i>r</i> = 0.37) and minimally invasive surgery (<i>r</i> = 0.43) was found.</p><p><strong>Conclusion: </strong>The open surgical correction procedures were more effective than minimally invasive surgery in correcting the spinal curve. 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引用次数: 1
摘要
目的:在本研究中，我们研究了35例青少年特发性脊柱侧凸的微创手术和47例开放性手术矫正的结果之间的关系。方法:通过计算平均值和标准差，评价手术前后曲线Cobb角、胸后凸角和腰椎前凸角、矫正率、旋转值、预估失血量、手术时间、术后住院时间的相关性。使用Pearson相关进行计算和比较。结果:Cobb角矫正范围为53.4°±11.8°~ 6.7°±5.2°(p p p p r = 0.37)，发现微创手术(r = 0.43)。结论:开放性手术矫正脊柱弯曲比微创手术更有效。开放手术矫正持续时间的增加增加了估计失血量，但也更显著地改善了Cobb角的矫正。证据水平:III。
Less correction with minimally invasive surgery for adolescent idiopathic scoliosis compared to open surgical correction.
Purpose: In this study, we investigated the relationship between the results of thoracic curve correction using minimally invasive surgeries in 35 patients and open surgical correction in 47 patients with adolescent idiopathic scoliosis.
Methods: The correlations between the Cobb's angle of the primary and postoperative curves, angle of thoracic kyphosis and lumbar lordosis, correction percentage, derotation values, estimated blood loss, duration of surgery, and period of hospitalization after surgery were assessed by calculating the mean and standard deviation. Calculation and comparison were performed using Pearson correlation.
Results: The Cobb's angle correction ranged from 53.4° ± 11.8° to 6.7° ± 5.2° (p < 0.001) in the open surgical correction group and from 51.2° ± 11.4° to 11.7° ± 5.8° (p < 0.001) in the minimally invasive surgery group before and after surgery, respectively. The percentage of curvature correction was 88.2% ± 8.0% and 77.7% ± 10.7% (p < 0.001) in the open surgical correction and minimally invasive surgery groups, respectively. The estimated blood loss was higher in the open surgical correction group than in the minimally invasive surgery group (208.7 ± 113.4 vs 564.3 ± 242.7 mL). Axial rotation was changed from 29.1°± 7.5 to 17.1°± 6.8 (p < 0.001) in the open surgical correction group and from 28.9°± 7.8 to 19.4°± 6.4 (p < 0.001) in the minimally invasive surgery group. The duration of surgery was shorter in the open surgical correction group than in the minimally invasive surgery group (266.6 ± 64.3 vs 346.2 ± 70.5 min). A positive correlation between time of operation and Cobb's angle correction (in °) in open surgical correction (r = 0.37) and minimally invasive surgery (r = 0.43) was found.
Conclusion: The open surgical correction procedures were more effective than minimally invasive surgery in correcting the spinal curve. The increase in the duration of open surgical correction increases the estimated blood loss, but it also more significantly improves the correction of Cobb's angle.
期刊介绍：
Aims & Scope
The Journal of Children’s Orthopaedics is the official journal of the European Paediatric Orthopaedic Society (EPOS) and is published by The British Editorial Society of Bone & Joint Surgery.
It provides a forum for the advancement of the knowledge and education in paediatric orthopaedics and traumatology across geographical borders. It advocates an increased worldwide involvement in preventing and treating musculoskeletal diseases in children and adolescents.
The journal publishes high quality, peer-reviewed articles that focus on clinical practice, diagnosis and treatment of disorders unique to paediatric orthopaedics, as well as on basic and applied research. It aims to help physicians stay abreast of the latest and ever-changing developments in the field of paediatric orthopaedics and traumatology.
The journal welcomes original contributions submitted exclusively for review to the journal. This continuously published online journal is fully open access and will publish one print issue each year to coincide with the EPOS Annual Congress, featuring the meeting’s abstracts.
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