IR@PKUHSC  > 北京大学基础医学院
学科主题临床医学
Selection of proximal fusion level for degenerative scoliosis and the entailing proximal-related late complications
Zhu, Yi; Wang, Kaifeng; Wang, Bo; Wang, Huimin; Jin, Zhaohui; Zhu, Zhenqi; Liu, Haiying
关键词Degenerative Scoliosis Proximal Fusion Level Proximal-reLated Late Complications Junctional Scoliosis Junctional Kyphosis
刊名INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE
2015
8期:4页:5731-5738
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Medicine, Research & Experimental
研究领域[WOS]Research & Experimental Medicine
关键词[WOS]LUMBAR SCOLIOSIS ; SPINAL STENOSIS ; RISK-FACTORS ; INSTRUMENTATION ; L5 ; DECOMPENSATION ; DEFORMITY ; S1
英文摘要

Objective: To determine the optimal selection of proximal fusion level for degenerative scoliosis (DS) and investigate the long-term proximal-related complications. Methods: Profiles of 95 consecutive patients with DS who underwent posterior long instrumented fusion were analyzed retrospectively. Perioperative parameters were reviewed stratified into 3 groups according to the relationship between the upper instrumented vertebrae (UIV), horizontal vertebrae (HV) and upper end vertebrae (UEV), namely HV Group (UIV = HV or above), HV-UEV Group (UIV = between HV and UEV) and UEV Group (UIV = UEV or below) in coronal plane and 3 groups in sagittal plane according to segment levels. Clinical and radiographic parameters were studied statistically. Results: Average follow-up was 7.8 years (range, 5-13 years). HV Group showed a significant increase in operative time, intraoperative blood loss, postoperative in-bed time, and hospital stays. UEV Group showed greater average Cobb angle, AVT and DW. UEV Group showed significant increase in operative time, blood loss, postoperative in-bed time, and inpatient stay. All three groups showed significant improvement in ODI compared to baseline, while there was no significant difference in LL between three groups. Proximal-related late complications included recurrent junctional scoliosis in 4 cases and junctional kyphosis in 4 cases. Conclusions: Recurrent junctional scoliosis developed more commonly when the fusion was at or below the UEV, and fusion at L1 or L2 showed the highest incidence of junctional kyphosis. Long instrumented fusion to T11 or T12 appeared to be a reasonable alternative when the UIV was above UEV in DS.

语种英语
WOS记录号WOS:000358377700110
引用统计
被引频次:5[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/52746
专题北京大学基础医学院
北京大学第二临床医学院_脊柱外科
作者单位Peking Univ, Peoples Hosp, Dept Spinal Surg, Beijing 100044, Peoples R China
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GB/T 7714
Zhu, Yi,Wang, Kaifeng,Wang, Bo,et al. Selection of proximal fusion level for degenerative scoliosis and the entailing proximal-related late complications[J]. INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE,2015,8(4):5731-5738.
APA Zhu, Yi.,Wang, Kaifeng.,Wang, Bo.,Wang, Huimin.,Jin, Zhaohui.,...&Liu, Haiying.(2015).Selection of proximal fusion level for degenerative scoliosis and the entailing proximal-related late complications.INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE,8(4),5731-5738.
MLA Zhu, Yi,et al."Selection of proximal fusion level for degenerative scoliosis and the entailing proximal-related late complications".INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE 8.4(2015):5731-5738.
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