The results of using thoracoplasty in adolescent idiopathic thoracic scoliosis
DOI:
https://doi.org/10.15574/PS.2024.3(84).8085Keywords:
thoracoplasty, idiopathic scoliosis, anterior spinal mobilization, posterior corrective fusion, pulmonary functionAbstract
Due to the high efficiency of modern methods of spinal deformity correction and the likelihood of intra- and postoperative complications after thoracoplasty, the frequency of its use has decreased significantly.
Aim - to estimate the results of thoracoplasty after surgical deformity correction in adolescent idiopatic scoliosis.
Materials and methods. A retrospective analysis of the results of 560 patients whit adolescent idiopatic scoliosis, who were operated since 2010 to 2019. Mean age was 14.7 years old. Patients were divided into 5 groups: posterior correction with derotation techniques without using of thoracoplasty (group 1) - 336 patients, posterior correction with derotation techniques with using of thoracoplasty (group 2) - 126 patients, posterior correction with cantilever maneuver with using of thoracoplasty (group 3) - 42 patients, anterior spinal mobilization & posterior correction with derotation techniques with using of thoracoplasty (group 4) - 35 patients, anterior spinal mobilization & posterior correction with cantilever maneuver with using of thoracoplasty (group 5) - 21 patients.
Results. The correction of the main curve after surgical treatment was 50-75%, and the secondary curve correction was 50-80%. The rib hump height after surgical treatment decreases in all groups, especially in patients underwent anterior mobilization as a first stage. Also, apical rib hump prominence index increases in all groups of patients. The results of pulmonary function test after surgical treatment were almost the same or little bite change between 10%. The level of self-assessment by SRS-30 scale increase from 34% to 90%.
Conclusions. Using of thoracoplasty lead to improvement of cosmetic results due to restoration anatomical form of the chest and postoperative results of pulmonary function test after 1 year follow-up were the same as before operation.
The study was conducted in accordance with the principles of the Declaration of Helsinki. The study protocol was approved by the Local Ethics Committee of all the institutions mentioned in the study. Informed consent was obtained from the patients.
No conflict of interests was declared by the authors.
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