Effect of Using Staples on Early Functional and Surgical Outcomes in Anterior Vertebral Body Tethering

Özet

Purpose: Anterior vertebral body tethering (VBT) is a promising alternative to fusion surgery for adolescentidiopathic scoliosis (AIS). Initial surgical correction is tailed by additional correction attained during follow-up.This study aims to analyze the effect of using staples on early functional and surgical outcomes, and implantrelatedcomplications of VBT surgery.Material and Methods: Twenty-seven consecutive patients with≥3-months follow-up were included. Patientswere divided into two groups based on the use of staples to facilitate screw insertion. Return to daily-livingactivities, surgical outcomes, patient-reported outcomes and complications were recorded as outcome data.Mann-Whitney U test was used to compare the effect of using staples.Results: The mean hospitalization period and days to return to school was not different between groups. Patientreportedoutcomes revealed similar increase in function, pain, self-image and mental-health with high satisfactionrates in both groups. All patients reached rehabilitation goals. Patients in non-staple group experienced more implant-related complications.Conclusion: Using staples in VBT surgery may decrease implant-related complications. VBT surgery revealed goodfunctional and surgical outcomes, and high satisfaction rate regardless of the use staples. The suggested difference inresistance to biomechanical loads in the staple and non-staple groups, might be important in planning postoperativerehabilitation.

Anahtar sözcükler

• Health Care Administration

Dosyalar

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Kaynakça

1. Akbarnia BA. (2007). Management themes in early onset scoliosis. J Bone Joint Surg Am; 89(suppl 1):42–54. Asher MA, Burton DC. (2006). Adolescent idiopathic scoliosis: natural history and long term treatment effects. Scoliosis; 31;1(1):2. Braun, J. T., Akyuz, E., Ogilvie, J. W., & Bachus, K. N. (2005). The efficacy and integrity of shape memory alloy staples and bone anchors with ligament tethers in the fusionless treatment of experimental scoliosis. J Bone Joint Surg Am, 87(9), 2038-2051. Cebeci, B. O., Ergene, G., Sogunmez, N., Ay, B., Yilgor, C., & Alanay, A. (2017). Non-Fusion Growth Modulation with Anterior Vertebral Body Tethering via Thoracoscopic Approach for Adolescent Idiopathic Scoliosis. Spine J, 17(10), s106. Charles, Y. P., Daures, J. P., de Rosa, V., & Dimeglio, A. (2006). Progression risk of idiopathic juvenile scoliosis during pubertal growth. Spine (Phila Pa 1976), 31(17), 1933-1942. Danielsson, A. J., Romberg, K., & Nachemson, A. L. (2006). Spinal range of motion, muscle endurance, and back pain and function at least 20 years after fusion or brace treatment for adolescent idiopathic scoliosis: a case-control study. Spine (Phila Pa 1976), 31(3), 275-283. Gomez, J. A., Hresko, M. T., & Glotzbecker, M. P. (2016). Nonsurgical Management of Adolescent Idiopathic Scoliosis. J Am Acad Orthop Surg, 24(8), 555-564. Green, D. W., Lawhorne, T. W., 3rd, Widmann, R. F., Kepler, C. K., Ahern, C., Mintz, D. N., et al. (2011). Long-term magnetic resonance imaging follow-up demonstrates minimal transitional level lumbar disc degeneration after posterior spine fusion for adolescent idiopathic scoliosis. Spine (Phila Pa 1976), 36(23), 1948-1954. Guille, J. T., D’Andrea, L. P., & Betz, R. R. (2007). Fusionless treatment of scoliosis. Orthop Clin North Am, 38(4), 541-545, vii. Kepler, C. K., Meredith, D. S., Green, D. W., & Widmann, R. F. (2012). Long-term outcomes after posterior spine fusion for adolescent idiopathic scoliosis. Curr Opin Pediatr, 24(1), 68-75. Mehlman, C. T., Araghi, A., & Roy, D. R. (1997). Hyphenated history: the Hueter-Volkmann law. Am J Orthop (Belle Mead NJ), 26(11), 798-800. Newton, P. O., Upasani, V. V., Farnsworth, C. L., Oka, R., Chambers, R. C., Dwek, J., et al. (2008). Spinal growth modulation with use of a tether in an immature porcine model. J Bone Joint Surg Am, 90(12), 2695- 2706. Samdani, A. F., Ames, R. J., Kimball, J. S., Pahys, J. M., Grewal, H., Pelletier, G. J., et al. (2014). Anterior vertebral body tethering for idiopathic scoliosis: twoyear results. Spine (Phila Pa 1976), 39(20), 1688- 1693. Samdani, A. F., Ames, R. J., Kimball, J. S., Pahys, J. M., Grewal, H., Pelletier, G. J., et al. (2015). Anterior vertebral body tethering for immature adolescent idiopathic scoliosis: one-year results on the first 32 patients. Eur Spine J, 24(7), 1533-1539. Weinstein, S. L., Dolan, L. A., Wright, J. G., & Dobbs, M. B. (2013). Effects of bracing in adolescents with idiopathic scoliosis. N Engl J Med, 369(16), 1512- 1521

Bu yayına atıf

@article{aki2017effect,
  author = {Ak{\i}, Esra},
  title = {{Effect of Using Staples on Early Functional and Surgical Outcomes in Anterior Vertebral Body Tethering}},
  journal = {Ergoterapi ve Rehabilitasyon Dergisi},
  volume = {6},
  number = {1},
  pages = {1--10},
  publisher = {Hacettepe {\"U}niversitesi},
  year = {2017},
  month = {11},
  issn = {2147-8945},
  doi = {10.30720/ered.410313},
  url = {https://hacettepe.hbtech.com.tr/yayin/bant-ile-gerdirme-yonteminde-pul-kullanmanin-erken-donem-islevsel-ve-cerrahi-sonuclara-etkileri},
  language = {en},
  keywords = {Health Care Administration},
  abstract = {Purpose: Anterior vertebral body tethering (VBT) is a promising alternative to fusion surgery for adolescentidiopathic scoliosis (AIS). Initial surgical correction is tailed by additional correction attained during follow-up.This study aims to analyze the effect of using staples on early functional and surgical outcomes, and implantrelatedcomplications of VBT surgery.Material and Methods: Twenty-seven consecutive patients with≥3-months follow-up were included. Patientswere divided into two groups based on the use of staples to facilitate screw insertion. Return to daily-livingactivities, surgical outcomes, patient-reported outcomes and complications were recorded as outcome data.Mann-Whitney U test was used to compare the effect of using staples.Results: The mean hospitalization period and days to return to school was not different between groups. Patientreportedoutcomes revealed similar increase in function, pain, self-image and mental-health with high satisfactionrates in both groups. All patients reached rehabilitation goals. Patients in non-staple group experienced more implant-related complications.Conclusion: Using staples in VBT surgery may decrease implant-related complications. VBT surgery revealed goodfunctional and surgical outcomes, and high satisfaction rate regardless of the use staples. The suggested difference inresistance to biomechanical loads in the staple and non-staple groups, might be important in planning postoperativerehabilitation.}
}

TY  - JOUR
AU  - Akı, Esra
TI  - Effect of Using Staples on Early Functional and Surgical Outcomes in Anterior Vertebral Body Tethering
T2  - Ergoterapi ve Rehabilitasyon Dergisi
VL  - 6
IS  - 1
PY  - 2017
DA  - 2017/11/13/
SP  - 1
EP  - 10
PB  - Hacettepe Üniversitesi
SN  - 2147-8945
DO  - 10.30720/ered.410313
UR  - https://hacettepe.hbtech.com.tr/yayin/bant-ile-gerdirme-yonteminde-pul-kullanmanin-erken-donem-islevsel-ve-cerrahi-sonuclara-etkileri
AB  - Purpose: Anterior vertebral body tethering (VBT) is a promising alternative to fusion surgery for adolescentidiopathic scoliosis (AIS). Initial surgical correction is tailed by additional correction attained during follow-up.This study aims to analyze the effect of using staples on early functional and surgical outcomes, and implantrelatedcomplications of VBT surgery.Material and Methods: Twenty-seven consecutive patients with≥3-months follow-up were included. Patientswere divided into two groups based on the use of staples to facilitate screw insertion. Return to daily-livingactivities, surgical outcomes, patient-reported outcomes and complications were recorded as outcome data.Mann-Whitney U test was used to compare the effect of using staples.Results: The mean hospitalization period and days to return to school was not different between groups. Patientreportedoutcomes revealed similar increase in function, pain, self-image and mental-health with high satisfactionrates in both groups. All patients reached rehabilitation goals. Patients in non-staple group experienced more implant-related complications.Conclusion: Using staples in VBT surgery may decrease implant-related complications. VBT surgery revealed goodfunctional and surgical outcomes, and high satisfaction rate regardless of the use staples. The suggested difference inresistance to biomechanical loads in the staple and non-staple groups, might be important in planning postoperativerehabilitation.
KW  - Health Care Administration
LA  - en
ER  -