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Article: The value of radiographs obtained during forced traction under general anaesthesia in predicting flexibility in idiopathic scoliosis with Cobb angles exceeding 60 degree

TitleThe value of radiographs obtained during forced traction under general anaesthesia in predicting flexibility in idiopathic scoliosis with Cobb angles exceeding 60 degree
Authors
Issue Date2008
PublisherJournal of Bone and Joint Surgery.
Citation
Journal of Bone and Joint Surgery: American and British Volumes on CD-ROM, 2008, v. 90B n. 11, p. 1473-1476 How to Cite?
AbstractOur aim in this prospective radiological study was to determine whether the flexibility rate calculated from radiographs obtained during forced traction under general anaesthesia, was better than that of fulcrum-bending radiographs before corrective surgery in predicting the extent of the available correction in patients with idiopathic scoliosis. We evaluated 33 patients with a Cobb angle > 60 degrees on a standing posteroanterior radiograph, who had been treated by posterior correction. Pre-operative standing fulcrum-bending radiographs and those with forced-traction under general anaesthesia were obtained. Post-operative standing radiographs were taken after surgical correction. The mean forced-traction flexibility rate was 55% (SD 11.3) which was significantly higher than the mean fulcrum-bending flexibility rate of 32% (SD 16.1) (p < 0.001). We found no correlation between either the forced-traction or fulcrum-bending flexibility rates and the correction rate post-operatively (p = 0.24 and p = 0.44, respectively). Radiographs obtained during forced traction under general anaesthesia were better at predicting the flexibility of the curve than fulcrum-bending radiographs in curves with a Cobb angle > 60 degrees in the standing position and may identify those patients for whom supplementary anterior surgery can be avoided.
Persistent Identifierhttp://hdl.handle.net/10722/59470
ISSN
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorCheung, WYen_HK
dc.contributor.authorCheung, KMCen_HK
dc.contributor.authorWong, YWen_HK
dc.contributor.authorLuk, KDKen_HK
dc.date.accessioned2010-05-31T03:50:52Z-
dc.date.available2010-05-31T03:50:52Z-
dc.date.issued2008en_HK
dc.identifier.citationJournal of Bone and Joint Surgery: American and British Volumes on CD-ROM, 2008, v. 90B n. 11, p. 1473-1476en_HK
dc.identifier.issn1094-5903-
dc.identifier.urihttp://hdl.handle.net/10722/59470-
dc.description.abstractOur aim in this prospective radiological study was to determine whether the flexibility rate calculated from radiographs obtained during forced traction under general anaesthesia, was better than that of fulcrum-bending radiographs before corrective surgery in predicting the extent of the available correction in patients with idiopathic scoliosis. We evaluated 33 patients with a Cobb angle > 60 degrees on a standing posteroanterior radiograph, who had been treated by posterior correction. Pre-operative standing fulcrum-bending radiographs and those with forced-traction under general anaesthesia were obtained. Post-operative standing radiographs were taken after surgical correction. The mean forced-traction flexibility rate was 55% (SD 11.3) which was significantly higher than the mean fulcrum-bending flexibility rate of 32% (SD 16.1) (p < 0.001). We found no correlation between either the forced-traction or fulcrum-bending flexibility rates and the correction rate post-operatively (p = 0.24 and p = 0.44, respectively). Radiographs obtained during forced traction under general anaesthesia were better at predicting the flexibility of the curve than fulcrum-bending radiographs in curves with a Cobb angle > 60 degrees in the standing position and may identify those patients for whom supplementary anterior surgery can be avoided.-
dc.languageengen_HK
dc.publisherJournal of Bone and Joint Surgery.-
dc.relation.ispartofJournal of Bone and Joint Surgery: American and British Volumes on CD-ROMen_HK
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.subject.meshArthrography - methods-
dc.subject.meshArthrometry, Articular-
dc.subject.meshLumbar Vertebrae - physiology - radiography - surgery-
dc.subject.meshScoliosis - physiopathology - radiography - surgery-
dc.subject.meshSeverity of Illness Index-
dc.titleThe value of radiographs obtained during forced traction under general anaesthesia in predicting flexibility in idiopathic scoliosis with Cobb angles exceeding 60 degreeen_HK
dc.typeArticleen_HK
dc.identifier.emailCheung, WY: lcheung@hkucc.hku.hken_HK
dc.identifier.emailCheung, KMC: cheungmc@hku.hken_HK
dc.identifier.emailWong, YW: yatwa@HKUCC.hku.hken_HK
dc.identifier.emailLuk, KDK: hrmoldk@hkucc.hku.hken_HK
dc.identifier.authorityCheung, KMC=rp00387en_HK
dc.identifier.authorityCheung, KMC=rp00387en_HK
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.1302/0301-620X.90B11.20690-
dc.identifier.pmid18978268-
dc.identifier.hkuros166725en_HK
dc.identifier.volume90B-
dc.identifier.issue11-
dc.identifier.spage1473-
dc.identifier.epage1476-
dc.identifier.isiWOS:000260537500014-
dc.publisher.placeUnited States-

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