지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2011.1
- 수록면
- 130 - 136 (7page)
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초록· 키워드
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Purpose: The objectives of this study are to describe the outcome of adolescent idiopathic scoliosis (AIS) patients treated with Video Assisted Thoracoscopic Surgery (VATS) plus supplementary minimal incision in the lumbar region for thoracic and lumbar deformity correction and fusion. Materials and Methods: This is a case series of 13 patients treated with VATS plus lumbar mini-open surgery for AIS. A total of 13 patients requiring fusions of both the thoracic and lumbar regions were included in this study: 5 of these patients were classified as Lenke type 1A and 8 as Lenke type 5C. Fusion was performed using VATS up to T12 or L1 vertebral level. Lower levels were accessed via a small mini-incision in the lumbar area to gain access to the lumbar spine via the retroperitoneal space. All patients had a minimum follow-up of 1 year. Results: The average number of fused vertebrae was 7.1 levels. A significant correction in the Cobb angle was obtained at the final follow-up (p = 0.001). The instrumented segmental angle in the sagittal plane was relatively well-maintained following surgery, albeit with a slight increase. Scoliosis Research Society-22 (SRS-22) scores were noted have significantly improved at the final follow-up (p < 0.05). Conclusion: Indications for the use of VATS may be extended from patients with localized thoracic scoliosis to those with thoracolumbar scoliosis. By utilizing a supplementary minimal incision in the lumbar region, a satisfactory deformity correction may be accomplished with minimal post-operative scarring.
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참고문헌 (21)
참고문헌 신청
Bernstein RM / 1998 / Solid rod short segment anterior fusion in thoracolumbar scoliosis / J Pediatr Orthop B 7 : 124 ~ 131
Betz RR / 2001 / Anterior versus posterior instrumentation for the correction of thoracic idiopathic scoliosis / Spine (Phila Pa 1976) 26 : 1095 ~ 1100
Brodner W / 2003 / Short segment bone-on-bone instrumentation for single curve idiopathic scoliosis / Spine (Phila Pa 1976) 28 : S224 ~ S233
Burton DC / 2002 / Patient-based outcomes analysis of patients with single torsion thoracolumbar-lumbar scoliosis treated with anterior or posterior instrumentation: an aver
Cochran T / 1983 / Long-term anatomic and func-tional changes in patients with adolescent idiopathic scoliosis treated by Harrington rod fusion / Spine (Phila Pa 1976) 8 : 5
Betz RR / 2001 / Anterior versus posterior instrumentation for the correction of thoracic idiopathic scoliosis / Spine (Phila Pa 1976) 26 : 1095 ~ 1100
Brodner W / 2003 / Short segment bone-on-bone instrumentation for single curve idiopathic scoliosis / Spine (Phila Pa 1976) 28 : S224 ~ S233
Burton DC / 2002 / Patient-based outcomes analysis of patients with single torsion thoracolumbar-lumbar scoliosis treated with anterior or posterior instrumentation: an aver
Cochran T / 1983 / Long-term anatomic and func-tional changes in patients with adolescent idiopathic scoliosis treated by Harrington rod fusion / Spine (Phila Pa 1976) 8 : 5
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