Zacharia Balaji, Subramaniyam Dhiyaneswaran, Padinharepeediyekkal Sadiqueali
Department of Orthopedics, Government Medical College, Kozhikode, Kerala 673008 India.
Scoliosis Spinal Disord. 2018 Aug 30;13:15. doi: 10.1186/s13013-018-0162-2. eCollection 2018.
Idiopathic scoliosis is the most common type of spinal deformity. Scoliosis is defined as a lateral curvature of the spine greater than 10° accompanied by rotation of the vertebrae. The treatment available for adolescent idiopathic scoliosis is observation, orthosis, and surgery. The surgical options include open anterior release and instrumentation, posterior instrumentation, and thoracoscopic approaches. The Scoliosis Research Society Questionnaire (SRS-30) is a specific instrument to measure health-related quality of life in patients with scoliosis, who had or had not undergone surgery. The purpose was to assess the post-operative functional outcome using SRS-30 in children who underwent anterior release, instrumentation, and fusion using autogenous rib graft for adolescent idiopathic scoliosis (AIS).
In a retrospective cohort study, 25 patients between the ages of 11 and 17 years, who underwent anterior release, instrumentation, and fusion using autogenous rib graft for adolescent idiopathic scoliosis (AIS) between 2008 and 2014, were included in the study.
The total average score was 4.26 with a SD of 0.014 and had maximum average score 4.5 (for pain) and minimum average score 3.8 (for self-image).
Anterior release, instrumentation, and fusion using autogenous rib graft is having good functional outcome in all domains.
特发性脊柱侧凸是最常见的脊柱畸形类型。脊柱侧凸被定义为脊柱侧弯大于10°并伴有椎体旋转。青少年特发性脊柱侧凸的治疗方法包括观察、支具治疗和手术。手术选择包括前路松解内固定、后路内固定和胸腔镜手术。脊柱侧凸研究学会问卷（SRS - 30）是一种用于测量脊柱侧凸患者（无论是否接受过手术）与健康相关生活质量的特定工具。目的是使用SRS - 30评估接受前路松解、内固定并使用自体肋骨移植融合术治疗青少年特发性脊柱侧凸（AIS）的儿童的术后功能结果。
在一项回顾性队列研究中，纳入了2008年至2014年间接受前路松解、内固定并使用自体肋骨移植融合术治疗青少年特发性脊柱侧凸（AIS）的25例11至17岁患者。
总平均分是4.26，标准差为0.014，最高平均分是4.5（疼痛方面），最低平均分是3.8（自我形象方面）。
前路松解、内固定并使用自体肋骨移植融合术在各个领域都有良好的功能结果。
