Minimally Invasive Versus Standard Surgery in Idiopathic Scoliosis Patients: A Comparative Study.
Details
Serval ID
serval:BIB_D5F3290D5E58
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Minimally Invasive Versus Standard Surgery in Idiopathic Scoliosis Patients: A Comparative Study.
Journal
Spine
ISSN
1528-1159 (Electronic)
ISSN-L
0362-2436
Publication state
Published
Issued date
01/10/2021
Peer-reviewed
Oui
Volume
46
Number
19
Pages
1326-1335
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Publication Status: ppublish
Abstract
Retrospective review of prospective case-control study.
To compare minimally invasive scoliosis surgery (MIS) and posterior spinal fusion (PSF) in a large group of patients.
MIS, has been shown to have benefits over standard PSF in adolescent idiopathic scoliosis (AIS).
Radiographic, clinical, and operative review of a multi-institutional prospective database from 2013 to 2018. MIS patients with minimum 2-year XR follow up were compared with open PSF technique patients.
Four hundred eighty five patients were included; 192 MIS and 293 PSF. Preoperative Cobb (P = 0.231) and kyphosis were similar (P = 0.501). Cobb correction was comparable (P = 0.46), however percent improvement in thoracic kyphosis was significantly higher in MIS (P < 0.001). MIS had significantly lower blood loss (P < 0.001), transfusions (P < 0.001), fixation points (P < 0.001), opioid consumption (P = 0.001), and hospital stay (P < 0.001). Operative time was shorter (P = 0.001) and 30-day complications rate was similar (P = 0.81).
This is the largest study comparing the surgical outcomes of MIS and PSF. MIS patients benefit from increased kyphosis, fewer transfusion, lower opioid consumption, and shorter hospital stay with similar Cobb correction. Increased postoperative kyphosis is likely from muscle sparing dissection in MIS.Level of Evidence: 3.
To compare minimally invasive scoliosis surgery (MIS) and posterior spinal fusion (PSF) in a large group of patients.
MIS, has been shown to have benefits over standard PSF in adolescent idiopathic scoliosis (AIS).
Radiographic, clinical, and operative review of a multi-institutional prospective database from 2013 to 2018. MIS patients with minimum 2-year XR follow up were compared with open PSF technique patients.
Four hundred eighty five patients were included; 192 MIS and 293 PSF. Preoperative Cobb (P = 0.231) and kyphosis were similar (P = 0.501). Cobb correction was comparable (P = 0.46), however percent improvement in thoracic kyphosis was significantly higher in MIS (P < 0.001). MIS had significantly lower blood loss (P < 0.001), transfusions (P < 0.001), fixation points (P < 0.001), opioid consumption (P = 0.001), and hospital stay (P < 0.001). Operative time was shorter (P = 0.001) and 30-day complications rate was similar (P = 0.81).
This is the largest study comparing the surgical outcomes of MIS and PSF. MIS patients benefit from increased kyphosis, fewer transfusion, lower opioid consumption, and shorter hospital stay with similar Cobb correction. Increased postoperative kyphosis is likely from muscle sparing dissection in MIS.Level of Evidence: 3.
Keywords
Adolescent, Case-Control Studies, Humans, Retrospective Studies, Scoliosis/diagnostic imaging, Scoliosis/surgery, Spinal Fusion/adverse effects, Thoracic Vertebrae, Treatment Outcome
Pubmed
Web of science
Create date
21/09/2021 10:39
Last modification date
03/02/2024 7:13
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