Adolescent Idiopathic Scoliosis Treatment by a Korean Neurosurgeon: The Changing Role for Neurosurgeons.
10.3340/jkns.2015.58.1.50
- Author:
Seung Jae HYUN
1
;
Woong Beom KIM
;
Young Seop PARK
;
Ki Jeong KIM
;
Tae Ahn JAHNG
;
Yongjung J KIM
Author Information
1. Department of Neurosurgery, Spine Center, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea. hyunsj@snu.ac.kr
- Publication Type:Original Article
- Keywords:
Instrumentation;
Treatment outcomes;
Pulmonary function tests;
Scoliosis
- MeSH:
Adolescent*;
Classification;
Congenital Abnormalities;
Forced Expiratory Volume;
Humans;
Respiratory Function Tests;
Scoliosis*;
Shoulder;
Vital Capacity
- From:Journal of Korean Neurosurgical Society
2015;58(1):50-53
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: The purpose of this study was to evaluate radiographic/clinical outcomes of adolescent idiopathic scoliosis (AIS) patients treated by a Korean neurosurgeon. METHODS: Ten AIS patients were treated by a single neurosurgeon between January 2011 and September 2013 utilizing segmental instrumentation with pedicle screws. Basic demographic information, curve pattern by Lenke classification, number of levels treated, amount of correction achieved, radiographic/clinical outcomes [by Scolisis Resarch Society (SRS-22r) questionnaire] and complications were evaluated to determine the surgical results. Pulmonary function test was utilized to assess forced vital capacity (FVC) and forced expiratory volume in one second (FEV1) before and after surgery. RESULTS: The average percentage of correction of the major structural curve was 73.6% (ranged from 64% to 81.5%). Preoperative and final postoperative absolute FVC averaged 3.03 L and 3.76 L (0.73 L increase, p=0.046), and absolute FEV1 averaged 2.63 L and 3.49 L (0.86 L increase, p=0.021). Preoperative and final postoperative average self-image and function scores of SRS-22r were, 2.6+/-0.5, 3.3+/-0.1, 4.0+/-0.5, and 4.6+/-0.0, respectively. There was a significant improvement of the self-image and function scores of SRS-22r questionnaires before and after surgery (p<0.05). There was no case of neurological deficit, infection and revision for screw malposition. One patient underwent a fusion extension surgery for shoulder asymmetry. CONCLUSION: Radiographic/clinical outcomes of AIS patients treated by a Korean neurosurgeon were acceptable. Fundamental understanding of pediatric spinal deformity is essential for the practice of AIS surgery.
