Three-column osteotomy versus Halo-gravity traction combined with posterior column osteotomy in the treatment of dystrophic neurofibromatosis type 1 kyphoscoliosis: a retrospective comparative cohort study.
Background: Dystrophic neurofibromatosis type I (NF1) kyphoscoliosis presents unique challenges for corrective spinal surgery due to anatomical abnormalities. To compare the radiographic and clinical outcomes of dystrophic neurofibromatosis type 1 (NF1) kyphoscoliosis patients undergoing three-colum...
| Publicado en: | Journal of Orthopaedic Surgery & Research Vol. 20; no. 1; pp. 1 - 12 |
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| Autores principales: | , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
BioMed Central
5/16/2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=185240344&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 185240344 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1749799X 38N9 jtl: Journal of Orthopaedic Surgery & Research issn: 1749799X maglogo: N pubinfo: dt: 5/16/2025 vid: 20 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 185240344 185240344 185240344 10.1186/s13018-025-05842-9 185240344 ppf: 1 ppct: 11 formats: tig: atl: Three-column osteotomy versus Halo-gravity traction combined with posterior column osteotomy in the treatment of dystrophic neurofibromatosis type 1 kyphoscoliosis: a retrospective comparative cohort study. aug: au: Lo, Yuan-Shun Dai, Yu-Tong Qiu, Yong Lin, Erh-Ti Ernest Hsieh, Hung-Lun Wei, Xue-Peng Tsai, Chun-Hao Fong, Yi-Chin Chen, Hsien-Te Tzeng, Shiau-Tzu Shi, Ben-Long affil: https://ror.org/00v408z34 Division of Spine Surgery, Department of Orthopedic Surgery, China Medical University Beigang Hospital, China Medical University, Yunlin, Taiwan sug: subj: Spinal Fusion Methods Neurofibromatosis 1 Surgery Scoliosis Surgery Kyphosis Surgery Traction Methods Gravitation Therapeutic Use Osteotomy Methods Treatment Outcomes Evaluation Human Retrospective Design Comparative Studies Prospective Studies Patient Safety Neurofibromatosis 1 Radiography Scoliosis Radiography Kyphosis Radiography Blood Loss Estimation Descriptive Statistics Questionnaires ab: Background: Dystrophic neurofibromatosis type I (NF1) kyphoscoliosis presents unique challenges for corrective spinal surgery due to anatomical abnormalities. To compare the radiographic and clinical outcomes of dystrophic neurofibromatosis type 1 (NF1) kyphoscoliosis patients undergoing three-column osteotomy (3CO), halo-gravity traction (HGT), or posterior column osteotomy (PCO) and to evaluate their efficacy and safety in this cohort, different treatment strategies and their associated complication rates warrant further comprehensive investigation. Methods: Dystrophic NF1 kyphoscoliosis were divided into 3CO, HGT, and PCO groups based on the surgical strategy. Radiographic parameters were measured preoperatively, postoperatively, and at each follow-up. Intraoperative and postoperative complications were recorded for each patient, and patient-reported outcomes were assessed using the Scoliosis Research Society-22 (SRS-22) questionnaire. Differences among the three groups were analyzed. Results: A total of 9 patients were included in the 3CO, 22 in HGT group, 95 in PCO groups, respectively. Significant differences among the three groups were found in terms of operation time (p = 0.011), estimated blood loss (p = 0.003), and number of satellite rod techniques (p = 0.013). At pre-operation, the Cobb angles of main curves were 84.3 ± 24.6° in 3CO group, 99.1 ± 24.3° in HGT group, 60.0 ± 16.8° in PCO group. At post-operation, significant post-operative improvements were found in the Cobb angles of the main curves, apical vertebral translation (AVT), segmental kyphosis (SK), and deformity angular ratio (DAR) in all three groups (p < 0.001). No significant correction loss was observed during the follow-up. Six complications were found in the 3CO group, 13 in the HGT group, and 40 in the PCO group. Conclusions: PCO, 3CO, and HGT could be applied to dystrophic NF1 patients. The 3CO is also associated with increased perioperative complications. Level of evidence: IV. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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