A1 Vertaisarvioitu alkuperäisartikkeli tieteellisessä lehdessä
Intraoperative 3D Imaging Reduces Pedicle Screw Related Complications and Reoperations in Adolescents Undergoing Posterior Spinal Fusion for Idiopathic Scoliosis: A Retrospective Study
Tekijät: Saarinen Antti J, Suominen Eetu N, Helenius Linda, Syvänen Johanna, Raitio Arimatias, Helenius Ilkka
Kustantaja: MDPI
Julkaisuvuosi: 2022
Journal: Children
Tietokannassa oleva lehden nimi: CHILDREN-BASEL
Lehden akronyymi: CHILDREN-BASEL
Artikkelin numero: 1129
Vuosikerta: 9
Numero: 8
Sivujen määrä: 9
DOI: https://doi.org/10.3390/children9081129
Verkko-osoite: https://doi.org/10.3390/children9081129
Rinnakkaistallenteen osoite: https://research.utu.fi/converis/portal/detail/Publication/176212409
Widely used surgical treatment for adolescent idiopathic scoliosis (AIS) is posterior spinal fusion using pedicle screw instrumentation (PSI). Two-dimensional (2D) or three-dimensional (3D) navigation is used to track the screw positioning during surgery. In this study, we evaluated the screw misplacement, complications, and need for reoperations of intraoperative 3D as compared to 2D imaging in AIS patients. There were 198 adolescents, of which 101 (51%) were evaluated with 2D imaging and 97 (49%) with 3D imaging. Outcome parameters included radiographic correction, health-related quality of life (HRQOL), complications, and reoperations. The mean age was 15.5 (SD 2.1) years at the time of the surgery. Forty-four (45%) patients in the 3D group and 13 (13%) patients in the 2D group had at least one pedicle screw repositioned in the index operation (p < 0.001). Six (6%) patients in the 2D group, and none in the 3D group had a neurological complication (p = 0.015). Five (5%) patients in the 2D group and none in the 3D group required reoperation (p = 0.009). There were no significant differences in HRQOL score at two-year follow-up between the groups. In conclusion, intraoperative 3D imaging reduced pedicle screw-related complications and reoperations in AIS patients undergoing PSI as compared with 2D imaging.
Ladattava julkaisu This is an electronic reprint of the original article. |  |
