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흉강경을 이용한 척추측만증 수술에서의 굵은 강봉-다중축 나사못과 가는 강봉-단중축 나사못 비교

Other Titles
 Polyaxial Screws with Thick Rod versus Monoaxial Screws with Thin Rod in Video-Assisted Thoracoscopic Scoliosis Surgery (VATS) 
Authors
 김학선  ;  김주영  ;  박진오  ;  문성환  ;  이환모  ;  하중원  ;  위호환  ;  김호중  ;  이수건  ;  문은수 
Citation
 Journal of Korean Society of Spine Surgery (대한척추외과학회지), Vol.15(1) : 9-17, 2008 
Journal Title
 Journal of Korean Society of Spine Surgery (대한척추외과학회지) 
ISSN
 1229-5701 
Issue Date
2008
Keywords
Scoliosis ; VATS ; Pedicle screw ; Rod
Abstract
Study Design: Prospective controlled cohort study Objective: To analyze the clinical outcome of video-assisted thoracoscopic surgery (VATS) between two different types of implants. Summary of Literature Review: The problem of correction loss has been reported with VATS, and different screws and rods have been developed to overcome this problem. Different implants will have varying effects in correctional outcome after VATS. Materials and Methods: A total of 39 cases of idiopathic adolescent scoliosis treated with VATS between June 2001 and January 2005 were included in the study (mono-axial screws and a 4.5 mm rod: thin rod group=19 cases; poly-axial reduction screws and a 5.5 mm diameter rod: thick rod group=20 cases). All patients were followed for over 2 years postoperatively. For the comparison of surgical outcomes between the two groups, radiographic measurements were performed in the coronal and sagittal planes. Results: Preoperative scoliosis angle (thin rod group 49.8˚, thick rod group 47.1˚), age, BMI, Risser stage, union time, operative time, and blood loss showed no statistical difference between the two groups. Postoperative average correction rate of scoliosis angle was 69% (15.8˚) in the thin rod group and 70% (14.1˚) in the thick rod group. However, correction rate after 2 years was 51% (24.5˚) in the thin rod group and 60% (18.7˚) in the thick rod group, showing statistically significant difference. There was a tendency toward correction loss in the thin rod group (8.7˚vs. 4.6˚p=0.0057). Conclusion: Postoperative correction rate was satisfactory in both groups. However, the thin rod group showed substantial correction loss. Therefore, poly-axial screws and thick rods are more suitable in VATS correction of scoliosis
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Ju Young(김주영)
Kim, Hak Sun(김학선) ORCID logo https://orcid.org/0000-0002-8330-4688
Kim, Ho Joong(김호중)
Moon, Seong Hwan(문성환)
Moon, Eun Su(문은수)
Park, Jin Oh(박진오)
Lee, Hwan Mo(이환모) ORCID logo https://orcid.org/0000-0002-5405-3832
Ha, Joong Won(하중원)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/106248
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