Department of Orthopaedics, Azienda Ospedaliera Universitaria "Luigi Vanvitelli", Università degli Studi della Campania "Luigi Vanvitelli" School of Medicine, Piazza Luigi Miraglia 2, Padiglione 3 Est, 1° Piano, 80138, Naples, Italy.
Eur Spine J. 2024 Jul;33(7):2787-2793. doi: 10.1007/s00586-024-08334-2. Epub 2024 May 31.
To compare surgical outcomes of Ponte's osteotomies for treatment of adolescent idiopathic scoliosis (AIS), Scheuermann's kyphosis (SK), and adult scoliosis (AdS).
We conducted a retrospective review of patients with AIS, SK, and AdIS who underwent posterior spinal instrumented fusion (PSIF) at our Institution from January 2019 to December 2022. Demographics, imaging, and intraoperative data (including number of osteotomies performed, blood losses, surgical timing, and complications) were extracted from patient charts.
A total of 80 patients (62 AIS, 7 SK, and 11 AdS) were enrolled in the study. All patients were treated with a PSIF and a total of 506 Ponte osteotomies were performed (5.8 ± 4.1, 9.3 ± 2.4, and 7.5 ± 2.5 average osteotomies per patient in the AIS, SK, and AdS group, respectively; p = 0.045). Average time per osteotomy was 6.3 ± 1.5 min in the AIS group, and 5.8 ± 2.1 and 8.7 ± 4.0 in the SK and AdS group, respectively (p = 0.002). Blood loss was significantly smaller in the SK group (8.6 ± 9.6 ml per osteotomy) compared to AIS group (34.9 ± 23.7 ml) and AdS group (34.9 ± 32.7 ml) (p = 0.001). A total of 4 complications were observed in the AIS group (1.1%) and 2 complications in the AdS group (2.4%), but this was not statistically significant.
Our study shows that Ponte's osteotomies are safe and effective in surgical treatment of AIS, SK, and AdS. Blood loss and execution time per osteotomy are significantly smaller in the SK group compared to AIS and AdS. No significant differences were noted in terms of complications between the three groups.
比较 Ponte 截骨术治疗青少年特发性脊柱侧凸（AIS）、Scheuermann 后凸（SK）和成人脊柱侧凸（AdS）的手术结果。
我们对 2019 年 1 月至 2022 年 12 月在我院接受后路脊柱器械融合（PSIF）治疗的 AIS、SK 和 AdS 患者进行了回顾性研究。从患者病历中提取人口统计学、影像学和术中数据（包括截骨术数量、失血量、手术时间和并发症）。
共纳入 80 例患者（62 例 AIS、7 例 SK 和 11 例 AdS）。所有患者均接受 PSIF 治疗，共行 Ponte 截骨术 506 例（AIS、SK 和 AdS 组患者平均截骨术数分别为 5.8±4.1、9.3±2.4 和 7.5±2.5 例；p=0.045）。AIS 组平均每截骨术时间为 6.3±1.5 分钟，SK 组和 AdS 组分别为 5.8±2.1 分钟和 8.7±4.0 分钟（p=0.002）。与 AIS 组（34.9±23.7ml）和 AdS 组（34.9±32.7ml）相比，SK 组的失血量明显较少（每截骨术 8.6±9.6ml）（p=0.001）。AIS 组共观察到 4 例并发症（1.1%），AdS 组 2 例并发症（2.4%），但无统计学意义。
我们的研究表明，Ponte 截骨术治疗 AIS、SK 和 AdS 是安全有效的。与 AIS 和 AdS 相比，SK 组截骨术的失血量和每截骨术的执行时间明显较少。三组间并发症无显著差异。
