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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2023; 58(06): e833-e838
DOI: 10.1055/s-0043-1776885
Revisão Sistemática e Metanálise
Ortopedia Pediátrica

Thoracoscopic Surgery in the Management of Idiopathic Scoliosis: Systematic Literature Review according to the Prisma Protocol

Artikel in mehreren Sprachen: português | English
Rodrigo Ibrahim Aziz 
1   Médico residente do Hospital Nossa Senhora das Graças, Canoas, Rio Grande do Sul, Brasil
,
Juliano Boemo Blattes 
1   Médico residente do Hospital Nossa Senhora das Graças, Canoas, Rio Grande do Sul, Brasil
› Institutsangaben Financial Support This study received no specific financial support from public, commercial, or non-profit sources.
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Abstract

Idiopathic scoliosis is characterized by a three-dimensional deformity of the spine with axial rotation and lateral inclination with an angle greater than 10° according to the Cobb method. Its approach can be conservative or surgical, depending on the degree of angulation, musculoskeletal development and age of the affected child or adolescent, or even depending on the functional impairment resulting from the condition. The aim of this study was to analyze the impact of videoassisted thoracoscopic surgery in the management of idiopathic scoliosis. This is a systematic literature review, built according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol and registered with PROSPERO under number CRD42022351466. The search for studies was performed between August 2022 and September of the same year, in bibliographic databases including MEDLINE, The Cochrane Library and Web of Science. The technique is a minimally invasive alternative to thoracotomy that has shown great evolution in recent years. The main advantages include less blood loss during the procedure, shorter hospital stay and improved post-surgical esthetics. One of the disadvantages mentioned by the authors is the greater complexity and technological requirement, longer surgical time and the need for careful selection of patients, according to degrees of vertebral deviation. The use of analgesics and anti-inflammatory drugs had no significant difference between traditional procedures (thoracotomy) or thoracoscopic surgery.

Keywords

scoliosis - thoracoscopic - minimally invasive surgery

Note

The paper “Thoracoscopic Surgery in the Management of Idiopathic Scoliosis: Systematic Literature Review according to the Prisma Protocol” is a systematic review using the PRISMA protocol, so it did not require a submission to the research ethics committee.


Study developed at the Nossa Senhora das Graças Hospital, Canoas, RS, Brazil.




Publikationsverlauf

Eingereicht: 06. September 2022

Angenommen: 23. November 2022

Artikel online veröffentlicht:
08. Dezember 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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