Department of Spine Surgery, the Third People's Hospital of Chengdu, Chengdu, China.
J Orthop Surg Res. 2020 Apr 16;15(1):149. doi: 10.1186/s13018-020-01676-9.
To discuss the clinical efficacy and safety of scapuloplasty treating the shoulder imbalance in scoliosis patients.
A retrospective analysis was made on 21 patients who underwent scoliosis corrective surgery combined with scapuloplasty from September 2013 to March 2015. The average follow-up was 31.4 ± 5.3 months (24-42 months). The shoulder vertical difference (SVD), adjusted Constant-Murley score, range of shoulder motion function, Cavendish grade, and the overall satisfaction were compared among the pre-surgery, post-surgery, and the final follow-up periods.
The shoulder vertical difference (SVD) significantly decreased at the time of post-surgery and the final follow-up, comparing the score of the pre-surgery. The SVD of all patients were decreased from preoperatively 3.2 ± 1.1 cm to 0.4 ± 0.3 cm, with the Cavendish grade improved to grade 1 at the final follow-up. The adjusted Constant-Murley score and range of shoulder motion function showed no significant difference during the three time periods (p > 0.05). And no severe complications had occurred over 2 years follow-up.
The scapuloplasty surgery shows to be an effective and safety procedure to improve the shoulder imbalance, cosmetic appearance, and the overall satisfaction in scoliosis patients without impairing the shoulder function, which can be widely applied in clinic.
探讨肩胛骨成形术治疗脊柱侧凸患者肩部失衡的临床疗效和安全性。
回顾性分析 2013 年 9 月至 2015 年 3 月行脊柱侧凸矫形术联合肩胛骨成形术的 21 例患者。平均随访 31.4±5.3 个月（24-42 个月）。比较术前、术后及末次随访时的肩垂直差（SVD）、改良 Constant-Murley 评分、肩关节活动功能范围、Cavendish 分级及总体满意度。
术后及末次随访时 SVD 较术前明显降低，所有患者 SVD 由术前 3.2±1.1cm 降至 0.4±0.3cm，Cavendish 分级在末次随访时均达到 1 级。改良 Constant-Murley 评分和肩关节活动功能范围在三个时间段均无显著差异（p＞0.05）。随访 2 年以上无严重并发症发生。
肩胛骨成形术是一种有效且安全的方法，可以改善脊柱侧凸患者的肩部失衡、美容外观和整体满意度，而不影响肩部功能，在临床上可广泛应用。
