دورية أكاديمية
Does Sacral Slanting Affect Postoperative Shoulder Balance in Patients With Lenke Type 2A Adolescent Idiopathic Scoliosis?
العنوان: | Does Sacral Slanting Affect Postoperative Shoulder Balance in Patients With Lenke Type 2A Adolescent Idiopathic Scoliosis? |
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المؤلفون: | Chang Ju Hwang, Hyung Rae Lee, Suk Kyu Lee, Sang Yun Seok, Jae Hwan Cho, Dong-Ho Lee, Choon Sung Lee |
المصدر: | Neurospine, Vol 21, Iss 1, Pp 286-292 (2024) |
بيانات النشر: | Korean Spinal Neurosurgery Society, 2024. |
سنة النشر: | 2024 |
المجموعة: | LCC:Neurology. Diseases of the nervous system |
مصطلحات موضوعية: | sacral slanting, postoperative shoulder imbalance, distal wedge angle, lenke 2a adolescent idiopathic scoliosis, Neurology. Diseases of the nervous system, RC346-429 |
الوصف: | Objective Even minor sacral slanting can influence T1 tilt and shoulder balance. Yet, the relationship between sacral slanting and postoperative shoulder imbalance (PSI) has not been previously explored. To determine risk factors for PSI in Lenke 2A adolescent idiopathic scoliosis (AIS) patients, with an emphasis on sacral slanting. Methods The study encompassed 96 consecutive patients who had undergone posterior correction and fusion surgery for Lenke type 2A AIS. Patients were grouped into PSI(+) and PSI(-) based on postoperative outcomes. Additionally, they were classified into left-sided slanting, no slanting, and right-sided slanting groups according to the degree of sacral slanting. Various radiological measures were compared. Results Patients in the PSI(+) group exhibited a smaller preoperative proximal thoracic curve and a higher main thoracic curve correction rate than those in the PSI(-) group. The presence or absence of sacral slanting did not exhibit a significant variation in PSI occurrence. However, the right-sided sacral slanting group showed a larger delta radiologic shoulder height compared to the other 2 groups (7.1 mm vs. 1.5 & 3.3 mm). Conclusion Sacral slanting was not directly linked to the development of PSI. Despite the common postoperative elevation of the left shoulder, the shoulder height differences decreased over the follow-up period. Especially in cases with a right-sided tilted sacrum, the PSI demonstrated progressive improvement, with an associated increase in the rightward distal wedging angle, leading to distal adding-on. |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English |
تدمد: | 2586-6583 2586-6591 |
Relation: | http://www.e-neurospine.org/upload/pdf/ns-2347072-536.pdf; https://doaj.org/toc/2586-6583; https://doaj.org/toc/2586-6591 |
DOI: | 10.14245/ns.2347072.536 |
URL الوصول: | https://doaj.org/article/5adba4d72ac44d638b7f8a5bf25dbf0c |
رقم الأكسشن: | edsdoj.5adba4d72ac44d638b7f8a5bf25dbf0c |
قاعدة البيانات: | Directory of Open Access Journals |
تدمد: | 25866583 25866591 |
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DOI: | 10.14245/ns.2347072.536 |