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- W2999166810 abstract "Background context In recent years, there has been increasing appreciation of the need to treat scoliosis as a three dimensional deformity. Purpose Assessment of surgical strategies and outcomes should consider not only the coronal plane correction, but also derotation of the transverse plane deformity which can affect trunk appearance. Study Design This study included a cohort of 29 female adolescent idiopathic scoliosis patients who received thoracoscopic single rod anterior fusion surgery (TASF). This study used pre and postoperative low dose computed tomography (CT) scans to accurately measure apical axial vertebral rotation (AVR). Methods The pre and postoperative values for clinically measured coronal Cobb correction and rib hump correction as well as AVR were compared to determine whether these values improved post-operatively. There are no conflicts of interest to report for authors of this investigation.Results: As expected, statistically significant reductions in coronal Cobb angle (mean pre-operative Cobb 51 degrees, reducing to 24 degrees at the two year follow up) and rib hump (mean pre-operative rib hump 15 degrees, reducing to 7 degrees at two year follow up) were achieved. The mean reduction in apical AVR measured using CT was only 3 degrees (mean pre-operative AVR 16 degrees, reducing to 13 degrees at two year follow up), which was statistically but not clinically significant. Significant correlations were found between Cobb angle and rib hump, between Cobb angle and AVR, and between AVR and rib hump, suggesting that patients with greater coronal Cobb correction also achieve better de-rotation with this surgical procedure. Conclusions The historical low dose CT dataset permitted detailed three-dimensional assessment of the deformity correction that is achieved using thoracoscopic anterior spinal fusion for progressive adolescent idiopathic scoliosis." @default.
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- W2999166810 date "2017-04-25" @default.
- W2999166810 modified "2023-09-23" @default.
- W2999166810 title "Evaluating the change in axial vertebral rotation following thoracoscopic anterior scoliosis surgery Uuing low-dose computed tomography" @default.
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