Spine · 2025
Posterior Spinal Fusion With Rib Resection Allows for Improved Deformity Correction as Well as Patient Satisfaction.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Sarwahi Vishal, Eigo Katherine, Rahman Effat, Li Brian, Koltenyuk Victor, Hasan Sayyida, Visahan Keshin, Lo Yungtai, DiMauro Jon-Paul, Amaral Terry
Аннотация
STUDY DESIGN: Retrospective cohort study.
OBJECTIVE: This study aimed to compare radiographic and clinical outcomes in adolescent idiopathic scoliosis (AIS) patients undergoing posterior spinal fusion (PSF) with and without thoracoplasty.
BACKGROUND: Scoliosis is a three-dimensional deformity. As a result, patients often have an associated rib cage deformity, with clinical and aesthetic implications. Direct vertebral rotation (DVR) allows for some reduction of the rib hump; however, the deformed ribs remain deformed. Rib resection has been utilized to further reduce the rib hump, however, there are concerns of increased pain, operative time, and blood loss.
MATERIALS AND METHODS: Retrospective review of 400 AIS patients undergoing PSF between 2018 and 2023. Patients were stratified based on those who underwent rib resectioning (RR) and those who did not [non-rib resection (N-RR)]. Radiographic, surgical, and clinical outcomes were compared. Clinical outcomes were collected utilizing SRS-22 and our institution's activity questionnaire, validated through "test-retest" method. All data are presented as medians, IQR, frequencies, and percentages. Fisher exact, χ 2 , and Wilcoxon rank-sum tests were used.
RESULTS: One hundred fifty-three patients were in the RR group, and 247 were in the N-RR group. Preoperative rib hump was not statistically significant between the two groups ( P = 0.49). Final rib hump was 16.3 mm in RR patients and 29.8 mm in N-RR ( P < 0.001). RR had 60.5% rib hump correction; N-RR had 30.4% correction ( P < 0.001). Patient-reported self-image ( P = 0.02) and mental health ( P = 0.01) scores had significantly improved in RR. No differences in 90-day complication rates ( P = 0.19) or self-reported return to activities ( P > 0.05).
CONCLUSION: Rib resectioned patients had approximately double the amount of rib hump correction at 60.5%, compared with those who did not undergo rib resectioning at 30.4%, with no increase in the rate of complications. RR patients had improved self-reported self-image and mental health scores, with no difference in timing for return to activities.
OBJECTIVE: This study aimed to compare radiographic and clinical outcomes in adolescent idiopathic scoliosis (AIS) patients undergoing posterior spinal fusion (PSF) with and without thoracoplasty.
BACKGROUND: Scoliosis is a three-dimensional deformity. As a result, patients often have an associated rib cage deformity, with clinical and aesthetic implications. Direct vertebral rotation (DVR) allows for some reduction of the rib hump; however, the deformed ribs remain deformed. Rib resection has been utilized to further reduce the rib hump, however, there are concerns of increased pain, operative time, and blood loss.
MATERIALS AND METHODS: Retrospective review of 400 AIS patients undergoing PSF between 2018 and 2023. Patients were stratified based on those who underwent rib resectioning (RR) and those who did not [non-rib resection (N-RR)]. Radiographic, surgical, and clinical outcomes were compared. Clinical outcomes were collected utilizing SRS-22 and our institution's activity questionnaire, validated through "test-retest" method. All data are presented as medians, IQR, frequencies, and percentages. Fisher exact, χ 2 , and Wilcoxon rank-sum tests were used.
RESULTS: One hundred fifty-three patients were in the RR group, and 247 were in the N-RR group. Preoperative rib hump was not statistically significant between the two groups ( P = 0.49). Final rib hump was 16.3 mm in RR patients and 29.8 mm in N-RR ( P < 0.001). RR had 60.5% rib hump correction; N-RR had 30.4% correction ( P < 0.001). Patient-reported self-image ( P = 0.02) and mental health ( P = 0.01) scores had significantly improved in RR. No differences in 90-day complication rates ( P = 0.19) or self-reported return to activities ( P > 0.05).
CONCLUSION: Rib resectioned patients had approximately double the amount of rib hump correction at 60.5%, compared with those who did not undergo rib resectioning at 30.4%, with no increase in the rate of complications. RR patients had improved self-reported self-image and mental health scores, with no difference in timing for return to activities.