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学科主题: 临床医学
题名:
Selection of proximal fusion level for degenerative scoliosis and the entailing proximal-related late complications
作者: 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
发表日期: 2015
卷: 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
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/52746
Appears in Collections:北京大学第二临床医学院_脊柱外科_期刊论文

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作者单位: Peking Univ, Peoples Hosp, Dept Spinal Surg, Beijing 100044, Peoples R China

Recommended Citation:
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.
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