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Vertebral Body Stapling versus Bracing for Patients with High-Risk Moderate Idiopathic Scoliosis.
- Cuddihy, Laury (author)
-
- Danielsson, Aina, 1953 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics
- Cahill, Patrick J (author)
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- Samdani, Amer F (author)
- Grewal, Harsh (author)
- Richmond, John M (author)
- Mulcahey, M J (author)
- Gaughan, John P (author)
- Antonacci, M Darryl (author)
- Betz, Randal R (author)
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- (creator_code:org_t)
- Hindawi Limited, 2015
- 2015
- English.
- In: BioMed research international. - : Hindawi Limited. - 2314-6141 .- 2314-6133. ; 2015
- Journal article (peer-reviewed)
Abstract
Subject headings
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- We report a comparison study of vertebral body stapling (VBS) versus a matched bracing cohort for immature patients with moderate (25 to 44°) idiopathic scoliosis (IS).42 of 49 consecutive patients (86%) with IS were treated with VBS and followed for a minimum of 2 years. They were compared to 121 braced patients meeting identical inclusion criteria. 52 patients (66 curves) were matched according to age at start of treatment (10.6 years versus 11.1 years, resp. [P = 0.07]) and gender.For thoracic curves 25-34°, VBS had a success rate (defined as curve progression <10°) of 81% versus 61% for bracing (P = 0.16). In thoracic curves 35-44°, VBS and bracing both had a poor success rate. For lumbar curves, success rates were similar in both groups for curves measuring 25-34°.In this comparison of two cohorts of patients with high-risk (Risser 0-1) moderate IS (25-44°), in smaller thoracic curves (25-34°) VBS provided better results as a clinical trend as compared to bracing. VBS was found not to be effective for thoracic curves ≥35°. For lumbar curves measuring 25-34°, results appear to be similar for both VBS and bracing, at 80% success.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Ortopedi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Orthopaedics (hsv//eng)
Keyword
- Adolescent
- Braces
- Child
- Disease Progression
- Female
- Humans
- Lumbar Vertebrae
- surgery
- Male
- Risk
- Scoliosis
- surgery
- Thoracic Vertebrae
- surgery
- Treatment Outcome
Publication and Content Type
- ref (subject category)
- art (subject category)
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- Mulcahey, M J
- Gaughan, John P
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- Betz, Randal R
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