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- W2016420386 abstract "BackgroundThe feasibility of a video-assisted anterior approach to the thoracic spine has recently been reported for a variety of spine disorders. This study compares the outcomes of the video-assisted and thoracotomy approaches.MethodsA consecutive series of 42 patients underwent video-assisted thoracic surgical anterior release and were evaluated for degree of correction reported as a change in spine curvature and pulmonary functions reported as a percent of predicted values. They were followed up for a minimum of 1 year and compared with historic controls.ResultsThere was no significant difference in the percentage of correction between the video-assisted and thoracotomy groups, and the angle of correction was stable over the period of follow-up. No statistically significant difference was noted for any lung volume measure except for postoperative residual volume/total lung capacity ratio (video-assisted thoracic surgery = 135 ± 16.2; thoracotomy = 147.7 ± 17.8; p = 0.03). This marginal difference becomes more significant when severely affected patients are analyzed separately (p < 0.01).ConclusionsThe video-assisted anterior spine release achieves equivalent results in idiopathic scoliosis compared with an open approach. The preservation of chest wall musculature in severely affected patients appears to play a role in limiting the deterioration in postoperative pulmonary function. The feasibility of a video-assisted anterior approach to the thoracic spine has recently been reported for a variety of spine disorders. This study compares the outcomes of the video-assisted and thoracotomy approaches. A consecutive series of 42 patients underwent video-assisted thoracic surgical anterior release and were evaluated for degree of correction reported as a change in spine curvature and pulmonary functions reported as a percent of predicted values. They were followed up for a minimum of 1 year and compared with historic controls. There was no significant difference in the percentage of correction between the video-assisted and thoracotomy groups, and the angle of correction was stable over the period of follow-up. No statistically significant difference was noted for any lung volume measure except for postoperative residual volume/total lung capacity ratio (video-assisted thoracic surgery = 135 ± 16.2; thoracotomy = 147.7 ± 17.8; p = 0.03). This marginal difference becomes more significant when severely affected patients are analyzed separately (p < 0.01). The video-assisted anterior spine release achieves equivalent results in idiopathic scoliosis compared with an open approach. The preservation of chest wall musculature in severely affected patients appears to play a role in limiting the deterioration in postoperative pulmonary function." @default.
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- W2016420386 date "1996-08-01" @default.
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- W2016420386 title "Results of Video-Assisted Exposure of the Anterior Thoracic Spine in Idiopathic Scoliosis" @default.
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- W2016420386 doi "https://doi.org/10.1016/s0003-4975(96)00505-x" @default.
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