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Video-assisted thoracoscopic surgery plus lumbar mini-open surgery for adolescent idiopathic scoliosis

 Hyon Su Chong  ;  Hak Sun Kim  ;  Eun Su Moon  ;  Hwan Mo Lee  ;  Seong Hwan Moon  ;  Jin Oh Park  ;  Do Yeon Kim  ;  Sung Jun Kim  ;  Phillip Anthony Kho  ;  Nanda Ankur 
 Yonsei Medical Journal, Vol.52(1) : 130-136, 2011 
Journal Title
 Yonsei Medical Journal 
Issue Date
PURPOSE: The objectives of this study are to describe the outcome of adolescent idiopathic scoliosis (AIS) patients treated with Video Assisted Thoracoscopic Surgery (VATS) plus supplementary minimal incision in the lumbar region for thoracic and lumbar deformity correction and fusion. MATERIALS AND METHODS: This is a case series of 13 patients treated with VATS plus lumbar mini-open surgery for AIS. A total of 13 patients requiring fusions of both the thoracic and lumbar regions were included in this study: 5 of these patients were classified as Lenke type 1A and 8 as Lenke type 5C. Fusion was performed using VATS up to T12 or L1 vertebral level. Lower levels were accessed via a small mini-incision in the lumbar area to gain access to the lumbar spine via the retroperitoneal space. All patients had a minimum follow-up of 1 year. RESULTS: The average number of fused vertebrae was 7.1 levels. A significant correction in the Cobb angle was obtained at the final follow-up (p = 0.001). The instrumented segmental angle in the sagittal plane was relatively well-maintained following surgery, albeit with a slight increase. Scoliosis Research Society-22 (SRS-22) scores were noted have significantly improved at the final follow-up (p < 0.05). CONCLUSION: Indications for the use of VATS may be extended from patients with localized thoracic scoliosis to those with thoracolumbar scoliosis. By utilizing a supplementary minimal incision in the lumbar region, a satisfactory deformity correction may be accomplished with minimal post-operative scarring.
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실)
Yonsei Authors
김도연(Kim, Do Yeon) ; 김학선(Kim, Hak Sun) ; 문성환(Moon, Seong Hwan) ; 문은수(Moon, Eun Su) ; 박진오(Park, Jin Oh) ; 이환모(Lee, Hwan Mo) ; 정현수(Chong, Hyon Su)
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