PURPOSE: This study aimed to determine whether Ponte osteotomy combined with skip pedicle screw fixation (SPSF) can improve the correction rate and restore thoracic kyphosis for patients with adolescent idiopathic scoliosis. METHODS: Surgical time, blood loss, preoperative Cobb angle of the main thoracic curve, flexibility, Cobb angle at 1 year after surgery, thoracic curve correction rate, and Cincinnati correction index (CCI) were determined for both the Ponte (n = 17) and non-Ponte (control; n = 21) groups. Furthermore, kyphotic angles at T5-T12 before and 1 year after the surgery were measured. RESULTS: The following measurements were obtained for the Ponte and control groups, respectively: surgical time, 236 ± 13 and 187 ± 9 min; blood loss, 1,141 ± 150 and 745 ± 120 g; preoperative Cobb angle of the main thoracic curve, 52.5° ± 10.4° and 51.5° ± 9.2°; flexibility, 31.7 ± 13.2 and 45.1 ± 12.3% (p = 0.003); thoracic curve correction rate, 62.0 ± 2.5 and 63.6 ± 2.5%; CCI, 2.2 ± 0.2 and 1.5 ± 0.1 (p = 0.003); preoperative kyphotic angle at T5-T12, 11.3° ± 11.2° and 13.0° ± 9.0°; and kyphotic angle at T5-T12 at 1 year after the surgery, 21.8° ± 1.7° and 24.2° ± 1.9°. CONCLUSION: Ponte osteotomy was combined with SPSF in case of rigid curve. CCI was significantly greater in the Ponte group. Postoperative thoracic kyphotic angles were identical in both groups.
PURPOSE: This study aimed to determine whether Ponte osteotomy combined with skip pedicle screw fixation (SPSF) can improve the correction rate and restore thoracic kyphosis for patients with adolescent idiopathic scoliosis. METHODS: Surgical time, blood loss, preoperative Cobb angle of the main thoracic curve, flexibility, Cobb angle at 1 year after surgery, thoracic curve correction rate, and Cincinnati correction index (CCI) were determined for both the Ponte (n = 17) and non-Ponte (control; n = 21) groups. Furthermore, kyphotic angles at T5-T12 before and 1 year after the surgery were measured. RESULTS: The following measurements were obtained for the Ponte and control groups, respectively: surgical time, 236 ± 13 and 187 ± 9 min; blood loss, 1,141 ± 150 and 745 ± 120 g; preoperative Cobb angle of the main thoracic curve, 52.5° ± 10.4° and 51.5° ± 9.2°; flexibility, 31.7 ± 13.2 and 45.1 ± 12.3% (p = 0.003); thoracic curve correction rate, 62.0 ± 2.5 and 63.6 ± 2.5%; CCI, 2.2 ± 0.2 and 1.5 ± 0.1 (p = 0.003); preoperative kyphotic angle at T5-T12, 11.3° ± 11.2° and 13.0° ± 9.0°; and kyphotic angle at T5-T12 at 1 year after the surgery, 21.8° ± 1.7° and 24.2° ± 1.9°. CONCLUSION: Ponte osteotomy was combined with SPSF in case of rigid curve. CCI was significantly greater in the Ponte group. Postoperative thoracic kyphotic angles were identical in both groups.
Authors: Peter O Newton; Burt Yaszay; Vidyadhar V Upasani; Jeff B Pawelek; Tracey P Bastrom; Lawrence G Lenke; Thomas Lowe; Alvin Crawford; Randal Betz; Baron Lonner Journal: Spine (Phila Pa 1976) Date: 2010-06-15 Impact factor: 3.468
Authors: Mohamed A El Masry; Ablaa M Saleh; Anthony B McWilliams; E Tsiridis; Hossam Salah; Youssry K El Hawary Journal: Eur Spine J Date: 2007-06-15 Impact factor: 3.134
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Authors: Baron S Lonner; Peter Newton; Randy Betz; Carrie Scharf; Michael O'Brien; Paul Sponseller; Lawrence Lenke; Alvin Crawford; Tom Lowe; Lynn Letko; Jurgen Harms; Harry Shufflebarger Journal: Spine (Phila Pa 1976) Date: 2007-11-15 Impact factor: 3.468