File Download
  Links for fulltext
     (May Require Subscription)
Supplementary

Article: Treatment of stiff thoracic scoliosis by thoracoscopic anterior release combined with posterior instrumentation and fusion

TitleTreatment of stiff thoracic scoliosis by thoracoscopic anterior release combined with posterior instrumentation and fusion
Authors
KeywordsMedical sciences
Orthopedics and traumatology
Issue Date2007
PublisherBioMed Central Ltd. The Journal's web site is located at http://www.josr-online.com/home
Citation
Journal Of Orthopaedic Surgery And Research, 2007, v. 2 n. 1 How to Cite?
AbstractBackground. Thoracoscopic anterior release has been shown that it can effectively improve spinal flexibility in animal and human cadaveric studies, and has been advocated for use in patients with scoliosis. This prospective case series aims to investigate the improvement of the spinal flexibility and the effectiveness in deformity correction by anterior thoracoscopic release and posterior spinal fusion. Methods. Eleven patients with stiff idiopathic thoracic scoliosis underwent anterior thoracoscopic release followed by posterior instrumentation. The average number of discs excised was five. Spinal flexibility was assessed by the fulcrum bending technique. Cobb angle before and after the anterior release was compared. Results. The patients were followed for an average of 5.6 years (range 2.2 to 8.1 years). Fulcrum bending flexibility was increased from 39% before the thoracoscopic anterior spinal release to 54% after the release. The average Cobb angle before anterior release was 74° on the standing radiograph and 45° with the fulcrum-bending radiograph. This reduced to 34° on the fulcrum-bending radiograph after the release, and highly corresponded to the 31° measured at the post-operative standing radiograph. Conclusion. It was demonstrated in patients with stiff idiopathic thoracic scoliosis that thoracoscopic anterior spinal release can effectively improve the spinal flexibility and increase the correction of the spinal deformity.
Persistent Identifierhttp://hdl.handle.net/10722/57506
ISSN
2015 Impact Factor: 1.215
2015 SCImago Journal Rankings: 0.905
PubMed Central ID
References

 

DC FieldValueLanguage
dc.contributor.authorCheung, KMCen_HK
dc.contributor.authorWu, JPen_HK
dc.contributor.authorCheng, QHen_HK
dc.contributor.authorMa, BSCen_HK
dc.contributor.authorGao, JCen_HK
dc.contributor.authorLuk, KDKen_HK
dc.date.accessioned2010-04-12T01:38:31Z-
dc.date.available2010-04-12T01:38:31Z-
dc.date.issued2007en_HK
dc.identifier.citationJournal Of Orthopaedic Surgery And Research, 2007, v. 2 n. 1en_HK
dc.identifier.issn1749-799Xen_HK
dc.identifier.urihttp://hdl.handle.net/10722/57506-
dc.description.abstractBackground. Thoracoscopic anterior release has been shown that it can effectively improve spinal flexibility in animal and human cadaveric studies, and has been advocated for use in patients with scoliosis. This prospective case series aims to investigate the improvement of the spinal flexibility and the effectiveness in deformity correction by anterior thoracoscopic release and posterior spinal fusion. Methods. Eleven patients with stiff idiopathic thoracic scoliosis underwent anterior thoracoscopic release followed by posterior instrumentation. The average number of discs excised was five. Spinal flexibility was assessed by the fulcrum bending technique. Cobb angle before and after the anterior release was compared. Results. The patients were followed for an average of 5.6 years (range 2.2 to 8.1 years). Fulcrum bending flexibility was increased from 39% before the thoracoscopic anterior spinal release to 54% after the release. The average Cobb angle before anterior release was 74° on the standing radiograph and 45° with the fulcrum-bending radiograph. This reduced to 34° on the fulcrum-bending radiograph after the release, and highly corresponded to the 31° measured at the post-operative standing radiograph. Conclusion. It was demonstrated in patients with stiff idiopathic thoracic scoliosis that thoracoscopic anterior spinal release can effectively improve the spinal flexibility and increase the correction of the spinal deformity.en_HK
dc.languageengen_HK
dc.publisherBioMed Central Ltd. The Journal's web site is located at http://www.josr-online.com/homeen_HK
dc.relation.ispartofJournal of Orthopaedic Surgery and Researchen_HK
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.rightsJournal of Orthopaedic Surgery and Research. Copyright © BioMed Central Ltd.en_HK
dc.subjectMedical sciencesen_HK
dc.subjectOrthopedics and traumatologyen_HK
dc.titleTreatment of stiff thoracic scoliosis by thoracoscopic anterior release combined with posterior instrumentation and fusionen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1749-799X&volume=2 article no. 16&spage=&epage=&date=2007&atitle=Treatment+of+stiff+thoracic+scoliosis+by+thoracoscopic+anterior+release+combined+with+posterior+instrumentation+and+fusionen_HK
dc.identifier.emailCheung, KMC:cheungmc@hku.hken_HK
dc.identifier.emailLuk, KDK:hcm21000@hku.hken_HK
dc.identifier.authorityCheung, KMC=rp00387en_HK
dc.identifier.authorityLuk, KDK=rp00333en_HK
dc.description.naturepublished_or_final_versionen_HK
dc.identifier.doi10.1186/1749-799X-2-16en_HK
dc.identifier.pmid17937803en_HK
dc.identifier.pmcidPMC2173894en_HK
dc.identifier.scopuseid_2-s2.0-37849045361en_HK
dc.identifier.hkuros145962-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-37849045361&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume2en_HK
dc.identifier.issue1en_HK
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridCheung, KMC=7402406754en_HK
dc.identifier.scopusauthoridWu, JP=7409254519en_HK
dc.identifier.scopusauthoridCheng, QH=37042000900en_HK
dc.identifier.scopusauthoridMa, BSC=23135251800en_HK
dc.identifier.scopusauthoridGao, JC=15055588100en_HK
dc.identifier.scopusauthoridLuk, KDK=7201921573en_HK

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats