Tsung-Hsi Huang1, Hsiao-Li Ma2, Shih-Tien Wang3, Po-Hsin Chou2, Szu-Han Ying2, Chien-Lin Liu2, Wing-Kwong Yu2, Ming-Chau Chang2. 1. Department of Orthopedic Surgery, School of Medicine, National Yang Ming University, No.155, Sec.2, Linong Street, Taipei, 112 Taiwan, R.O.C.; Department of Orthopedic Surgery, Tao-Yuan General Hospital, Taoyuan, 1492, Chung-Shan Road, Taoyuan City, Taoyuan County, Taiwan, R.O.C. 2. Department of Orthopedics and Traumatology, Taipei Veterans General Hospital, No.201, Sec. 2, Shipai Rd., Beitou District, Taipei City, 11217 Taiwan, R.O.C. 3. Department of Orthopedic Surgery, Tao-Yuan General Hospital, Taoyuan, 1492, Chung-Shan Road, Taoyuan City, Taoyuan County, Taiwan, R.O.C.; Department of Orthopedics and Traumatology, Taipei Veterans General Hospital, No.201, Sec. 2, Shipai Rd., Beitou District, Taipei City, 11217 Taiwan, R.O.C.. Electronic address: stwang@vghtpe.gov.tw.
Abstract
BACKGROUND CONTEXT: Favorable clinical outcomes of surgical treatment with Cotrel-Dubousset instrumentation (CDI) or instrumentations that follow the principles of CDI, for adolescent idiopathic scoliosis (AIS) have been reported. However, there are few studies concerning the results with rods of different sizes. PURPOSE: To find out whether the rod size affects the surgical results for AIS. STUDY DESIGN: A retrospective cohort study based on the same spinal system with different sizes of rod. PATIENT SAMPLE: A consecutive series of 93 patients, who underwent posterior correction with posterior instrumentation and fusion for AIS, were included and retrospectively analyzed. OUTCOME MEASURES: Postoperative radiologic outcomes were evaluated using coronal curves, percentage of curve correction, and coronal global balance. METHODS: Ninety-three patients treated during the period January 2000 to December 2008 were included in this study; 48 patients were treated with the Cotrel-Dubousset Horizon (CDH) M10 system with a 6.35-mm rod from January 2000 through December 2004, and a CDH M8 was used with a 5.5-mm rod in another 45 patients from January 2005 through December 2008. The Cobb angle, Risser grade, coronal curves, flexibility of curve, percentage of curve correction, coronal global balance, operative time, and estimated blood loss were measured and analyzed. The same parameters were used when the patient was followed at the OPD. All of the patients underwent regular follow-up for at least 2 years. RESULTS: No statistical significance was observed in the demographic data, including age, sex, BMI, and Risser grade, between these 2 groups. The overall average percentage of correction was 60.0%±12.7%: 60.7%±12.5% for the CDH M10 group, and 59%±13.1% for the CDH M8 group. At the final follow-up, the overall average loss of correction was 4.8±3.9° for the CDH M10 group, and 4.3±4.0° for the CDH M8 group. The average percentage of correction at the final follow-up was 50.9%±15.1% for the CDH M10 group, and 51.1%±16.1% for the M8 group. No statistical significance could be observed in the radiologic parameters between these 2 groups. CONCLUSION: The radiologic results for the 5.5-mm rod and the 6.35-mm rod were comparable in terms of correction, loss of correction, and coronal global balance.
BACKGROUND CONTEXT: Favorable clinical outcomes of surgical treatment with Cotrel-Dubousset instrumentation (CDI) or instrumentations that follow the principles of CDI, for adolescent idiopathic scoliosis (AIS) have been reported. However, there are few studies concerning the results with rods of different sizes. PURPOSE: To find out whether the rod size affects the surgical results for AIS. STUDY DESIGN: A retrospective cohort study based on the same spinal system with different sizes of rod. PATIENT SAMPLE: A consecutive series of 93 patients, who underwent posterior correction with posterior instrumentation and fusion for AIS, were included and retrospectively analyzed. OUTCOME MEASURES: Postoperative radiologic outcomes were evaluated using coronal curves, percentage of curve correction, and coronal global balance. METHODS: Ninety-three patients treated during the period January 2000 to December 2008 were included in this study; 48 patients were treated with the Cotrel-Dubousset Horizon (CDH) M10 system with a 6.35-mm rod from January 2000 through December 2004, and a CDH M8 was used with a 5.5-mm rod in another 45 patients from January 2005 through December 2008. The Cobb angle, Risser grade, coronal curves, flexibility of curve, percentage of curve correction, coronal global balance, operative time, and estimated blood loss were measured and analyzed. The same parameters were used when the patient was followed at the OPD. All of the patients underwent regular follow-up for at least 2 years. RESULTS: No statistical significance was observed in the demographic data, including age, sex, BMI, and Risser grade, between these 2 groups. The overall average percentage of correction was 60.0%±12.7%: 60.7%±12.5% for the CDH M10 group, and 59%±13.1% for the CDH M8 group. At the final follow-up, the overall average loss of correction was 4.8±3.9° for the CDH M10 group, and 4.3±4.0° for the CDH M8 group. The average percentage of correction at the final follow-up was 50.9%±15.1% for the CDH M10 group, and 51.1%±16.1% for the M8 group. No statistical significance could be observed in the radiologic parameters between these 2 groups. CONCLUSION: The radiologic results for the 5.5-mm rod and the 6.35-mm rod were comparable in terms of correction, loss of correction, and coronal global balance.
Authors: Marinus de Kleuver; Stephen J Lewis; Niccole M Germscheid; Steven J Kamper; Ahmet Alanay; Sigurd H Berven; Kenneth M Cheung; Manabu Ito; Lawrence G Lenke; David W Polly; Yong Qiu; Maurits van Tulder; Christopher Shaffrey Journal: Eur Spine J Date: 2014-06-24 Impact factor: 3.134