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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2023; 58(05): e712-e718
DOI: 10.1055/s-0043-1768622
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Comparative Analysis Between Isolated Posterior and Anteroposterior Approaches for Severe Scoliosis Treatment

Article in several languages: português | English
Saulo Rabelo Lima Verde 
1   Médico ortopedista e traumatologista do Departamento de Ortopedia do Hospital Geral de Fortaleza, Fortaleza, CE, Brasil
,
Emílio Crisóstomo Lima-Verde 
2   Cirurgião Ortopedista pela Clínica Articular, Fortaleza, CE, Brasil
,
Cláudio Paula Pessoa Dias Junior 
3   Cirurgião Ortopedista pelo Instituto Cohen, São Paulo, SP, Brasil
,
Gisele Façanha Diógenes Teixeira 
1   Médico ortopedista e traumatologista do Departamento de Ortopedia do Hospital Geral de Fortaleza, Fortaleza, CE, Brasil
,
Cláudio Sousa Prado Filho 
1   Médico ortopedista e traumatologista do Departamento de Ortopedia do Hospital Geral de Fortaleza, Fortaleza, CE, Brasil
,
Caio Lúcio Alencar De Andrade 
1   Médico ortopedista e traumatologista do Departamento de Ortopedia do Hospital Geral de Fortaleza, Fortaleza, CE, Brasil
› Author Affiliations Financial Support The present study received no financial support from either public, commercial, or not-for-profit sources.
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Abstract

Objective To comparatively analyze isolated posterior and double surgical approaches for the treatment of severe scoliosis.

Methods We retrospectively analyzed medical records of 32 patients with scoliosis angular value > 70° submitted to surgical treatment in a tertiary hospital between 2009 and 2019. These patients were divided into two groups: PV group with 17 patients submitted to arthrodesis by isolated posterior route (PV) and APV group with 15 patients approached anteriorly and posteriorly (APV). In the PV group, there were 16 female patients and 1 male, with a mean age of 16.86 years old. In the APV group, there were 10 female patients and 5 males, with a mean age of 17.71 years old. Cobb angles were measured by a single spinal surgeon manually on panoramic radiographs, orthostasis before and after surgery. Weight, pre- and postoperative height, and duration of the procedure were also evaluated.

Results In the PV group, preoperative and postoperative Cobb angles, verified in the main curve, were 96.06 ± 8.45° and 52.27 ± 15.18°, with an average correction rate of 0.54 ± 0.16, respectively. In the APV group, these values were 83.12 ± 11.60° for preoperative Cobb angle, and 48.53 ± 10.76° postoperatively, with correction rate of the main curve of 0.58 ± 0.11.

Conclusion The two forms of surgical approach for the treatment of severe scoliosis were astowed as to the rate of correction of the deformity. Therefore, isolated posterior access has an advantage over the double approach, based on shorter surgical time, shorter hospital stay, and less risk of complications

Keywords

escoliosis - thoracotomy - vertebral arthrodesis

Contributions of the Authors

Each author contributed individually and significantly to the development of this article: Verde S. R. L., Verde E. C. L., JAAO, and Dias Júnior C. P. P. elaborated the study; Dias Júnior C. P. P., GFDT, Prado Filho C. S,. and Andrade C. L. A wrote the article; Verde S. R. L. had the primary responsibility for the final content. All authors read and approved the final content of the article.


Work developed in the Department of Orthopedics of Hospital Geral de Fortaleza, Fortaleza, CE, Brazil




Publication History

Received: 21 August 2022

Accepted: 18 October 2022

Article published online:
30 October 2023

© 2023. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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