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Can multiple-level posterior release improve curve correction in adolescent idiopathic scoliosis?
¿Mejora la liberación posterior ampliada a múltiples niveles la corrección de la curva en la escoliosis idiopática del adolescente?
J. Pizones, A. Mardomingo
, E. Izquierdo, F. Sánchez-Mariscal, L. Zúñiga, P. Álvarez
Corresponding author
Vertebral Column Unit, Traumatology and Orthopaedic Surgery Service, Hospital of Getafe, Madrid, Spain
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All rights reserved" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Rev Esp Cir Ortop Traumatol. 2010;54:100-5" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 305 "formatos" => array:2 [ "HTML" => 92 "PDF" => 213 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original Article</span>" "titulo" => "Rotator cuff calcifying tendonitis: Results of arthroscopic treatment" "tienePdf" => "en" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "100" "paginaFinal" => "105" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Resultados del tratamiento artroscópico de las tendinitis calcificantes del manguito de los rotadores del hombro" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "J.L. Barrera Cadenas, A. Campa Rodríguez, V. Vallina García-Prendes" "autores" => array:3 [ 0 => array:2 [ "nombre" => "J.L." "apellidos" => "Barrera Cadenas" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Campa Rodríguez" ] 2 => array:2 [ "nombre" => "V." "apellidos" => "Vallina García-Prendes" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1988885610702170?idApp=UINPBA00004N" "url" => "/19888856/0000005400000002/v1_201305031726/S1988885610702170/v1_201305031726/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original article</span>" "titulo" => "Can multiple-level posterior release improve curve correction in adolescent idiopathic scoliosis?" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "93" "paginaFinal" => "99" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "J. Pizones, A. Mardomingo, E. Izquierdo, F. Sánchez-Mariscal, L. Zúñiga, P. Álvarez" "autores" => array:6 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Pizones" ] 1 => array:4 [ "nombre" => "A." "apellidos" => "Mardomingo" "email" => array:1 [ 0 => "alexmardo@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor1" ] ] ] 2 => array:2 [ "nombre" => "E." "apellidos" => "Izquierdo" ] 3 => array:2 [ "nombre" => "F." "apellidos" => "Sánchez-Mariscal" ] 4 => array:2 [ "nombre" => "L." "apellidos" => "Zúñiga" ] 5 => array:2 [ "nombre" => "P." "apellidos" => "Álvarez" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Vertebral Column Unit, Traumatology and Orthopaedic Surgery Service, Hospital of Getafe, Madrid, Spain" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "¿Mejora la liberación posterior ampliada a múltiples niveles la corrección de la curva en la escoliosis idiopática del adolescente?" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2009-04-01" "fechaAceptado" => "2009-11-02" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec102761" "palabras" => array:4 [ 0 => "Spine" 1 => "Adolescent idiopathic scoliosis" 2 => "Posterior release" 3 => "Hybrid instrumentation" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec102762" "palabras" => array:4 [ 0 => "Columna vertebral" 1 => "Escoliosis idiopática del adolescente" 2 => "Liberación posterior" 3 => "Instrumentación híbrida" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Purpose</span><p class="elsevierStyleSimplePara elsevierViewall">To compare the results of posterior correction using hybrid instrumentation and classical posterior release with those obtained with an extended posterior release.</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p class="elsevierStyleSimplePara elsevierViewall">We carried out a retrospective cohort study of 46 patients diagnosed with adolescent idiopathic scoliosis (AIS). A posterior correction was carried out using hybrid instrumentation. In the first group, a standard posterior release (SPR) was performed, whereas in the second an extended release (EPR) was carried out, resecting all posterior ligaments and performing an extended bilateral facetectomy. The results of the measurements were compared using pre-op, post-op and 2-year-follow-up anteroposterior and lateral teleradiographs. Clinical results were evaluated using the SRS22 questionnaire.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">There were no differences as regards gender, age, curve type, instrumented levels, OR time or pre-op Cobb's angle (SPR: 60<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>10; EPR: 59<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>8) of the principal curve. In the extended release group the correction obtained was significantly greater at postop (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.001) and at 2 years (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.05). Correction of the proximal and lumbar curve was similar in both groups, with no significant differences. Minor complications were similar in both groups, with no serious complications.</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p class="elsevierStyleSimplePara elsevierViewall">Multiple-level posterior release improves correction of the principal curve on the coronal plane in patients with AIS, without an increase in the complications rate. The procedure also extends the arthrodesed area and facilitates introduction of the wires.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Comparar los resultados de la corrección por vía posterior con una construcción híbrida mediante el empleo de una liberación posterior clásica y la liberación posterior ampliada (LPA).</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p class="elsevierStyleSimplePara elsevierViewall">Efectuamos un estudio de cohortes retrospectivo con 46 pacientes diagnosticados de escoliosis idiomática del adolescente (EIA). Se realizó una corrección por vía posterior mediante el empleo de una instrumentación híbrida. En el primer grupo se realizó una liberación posterior estándar (LPE) y en el segundo se realizó una LPA, y se resecaron todos los ligamentos posteriores y se realizó una facetectomía amplia bilateral. Se compararon los resultados de las mediciones en telerradiografías anteroposteriores y laterales preoperatorias, postoperatorias y a los 2 años. Se valoraron los resultados clínicos mediante el cuestionario SRS22.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">No hubo diferencias en cuanto al sexo, edad, tipo de curva, niveles instrumentados, tiempo quirúrgico o Cobb preoperatorio (LPE: 60<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>10; LPA: 59<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>8) de la curva principal. En el grupo de LPA la corrección obtenida fue significativamente mayor en el postoperatorio (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,001) y a los 2 años (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,05). La corrección de la curva proximal y lumbar resultó similar en ambos grupos y no se encontraron diferencias significativas. Las complicaciones menores fueron similares en ambos grupos y no existieron complicaciones graves.</p> <span class="elsevierStyleSectionTitle">Conclusión</span><p class="elsevierStyleSimplePara elsevierViewall">La LPA a múltiples niveles mejora la corrección de la curva principal en el plano coronal en los pacientes con EIA, sin aumento de la incidencia de complicaciones, además de aumentar la superficie de artrodesis y facilitar la introducción del alambrado.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:31 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 October | 2 | 12 | 14 |
| 2024 September | 7 | 18 | 25 |
| 2024 August | 10 | 11 | 21 |
| 2024 July | 7 | 8 | 15 |
| 2024 June | 6 | 5 | 11 |
| 2024 May | 7 | 5 | 12 |
| 2024 April | 7 | 3 | 10 |
| 2024 March | 11 | 12 | 23 |
| 2024 February | 8 | 4 | 12 |
| 2024 January | 8 | 6 | 14 |
| 2023 December | 8 | 9 | 17 |
| 2023 November | 6 | 10 | 16 |
| 2023 October | 21 | 12 | 33 |
| 2023 September | 13 | 7 | 20 |
| 2023 August | 4 | 4 | 8 |
| 2023 July | 5 | 7 | 12 |
| 2023 June | 2 | 7 | 9 |
| 2023 May | 6 | 3 | 9 |
| 2023 April | 3 | 4 | 7 |
| 2023 March | 2 | 6 | 8 |
| 2023 February | 2 | 4 | 6 |
| 2023 January | 7 | 8 | 15 |
| 2022 December | 6 | 7 | 13 |
| 2022 November | 9 | 20 | 29 |
| 2022 October | 11 | 12 | 23 |
| 2022 September | 8 | 9 | 17 |
| 2022 August | 10 | 12 | 22 |
| 2022 July | 7 | 8 | 15 |
| 2022 June | 5 | 15 | 20 |
| 2022 May | 5 | 15 | 20 |
| 2022 April | 13 | 7 | 20 |
| 2022 March | 9 | 13 | 22 |
| 2022 February | 4 | 8 | 12 |
| 2022 January | 7 | 12 | 19 |
| 2021 December | 5 | 17 | 22 |
| 2021 November | 3 | 10 | 13 |
| 2021 October | 4 | 26 | 30 |
| 2021 September | 12 | 20 | 32 |
| 2021 August | 4 | 6 | 10 |
| 2021 July | 6 | 12 | 18 |
| 2021 June | 7 | 13 | 20 |
| 2021 May | 5 | 21 | 26 |
| 2021 April | 13 | 35 | 48 |
| 2021 March | 7 | 10 | 17 |
| 2021 February | 6 | 8 | 14 |
| 2021 January | 8 | 18 | 26 |
| 2020 December | 1 | 7 | 8 |
| 2020 November | 0 | 10 | 10 |
| 2020 October | 0 | 4 | 4 |
| 2020 September | 0 | 6 | 6 |
| 2020 August | 0 | 5 | 5 |
| 2020 July | 0 | 7 | 7 |
| 2020 June | 0 | 5 | 5 |
| 2020 May | 0 | 8 | 8 |
| 2020 April | 0 | 10 | 10 |
| 2020 March | 0 | 10 | 10 |
| 2020 February | 0 | 12 | 12 |
| 2020 January | 0 | 18 | 18 |
| 2019 December | 0 | 11 | 11 |
| 2019 November | 0 | 6 | 6 |
| 2019 October | 0 | 5 | 5 |
| 2019 September | 0 | 4 | 4 |
| 2019 August | 0 | 12 | 12 |
| 2019 July | 0 | 15 | 15 |
| 2019 June | 0 | 10 | 10 |
| 2019 May | 0 | 23 | 23 |
| 2019 April | 0 | 23 | 23 |
| 2019 March | 0 | 4 | 4 |
| 2019 January | 0 | 2 | 2 |
| 2018 December | 0 | 5 | 5 |
| 2018 November | 0 | 2 | 2 |
| 2018 October | 0 | 8 | 8 |
| 2018 September | 0 | 3 | 3 |
| 2018 August | 0 | 4 | 4 |
| 2018 June | 0 | 1 | 1 |
| 2018 May | 0 | 1 | 1 |
| 2018 April | 0 | 3 | 3 |
| 2018 February | 1 | 4 | 5 |
| 2018 January | 0 | 3 | 3 |
| 2017 December | 4 | 0 | 4 |
| 2017 November | 1 | 2 | 3 |
| 2017 October | 4 | 3 | 7 |
| 2017 September | 3 | 3 | 6 |
| 2017 August | 5 | 5 | 10 |
| 2017 July | 4 | 1 | 5 |
| 2017 June | 7 | 0 | 7 |
| 2017 May | 6 | 1 | 7 |
| 2017 April | 5 | 1 | 6 |
| 2017 March | 9 | 1 | 10 |
| 2017 February | 9 | 0 | 9 |
| 2017 January | 11 | 0 | 11 |
| 2016 December | 3 | 0 | 3 |
| 2016 October | 1 | 0 | 1 |
| 2016 September | 3 | 0 | 3 |
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