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

Authors
 Hyon Su Chong  ;  Hak Sun Kim  ;  Nanda Ankur  ;  Phillip Anthony Kho  ;  Sung Jun Kim  ;  Do Yeon Kim  ;  Jin Oh Park  ;  Seong Hwan Moon  ;  Hwan Mo Lee  ;  Eun Su Moon 
Citation
 YONSEI MEDICAL JOURNAL, Vol.52(1) : 130-136, 2011 
Journal Title
YONSEI MEDICAL JOURNAL
ISSN
 0513-5796 
Issue Date
2011
MeSH
Adolescent ; Child ; Female ; Humans ; Male ; Scoliosis/surgery* ; Thoracic Surgery, Video-Assisted/methods* ; Treatment Outcome
Keywords
Scoliosis ; VATS ; mini-open retroperitoneal approach
Abstract
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.
Files in This Item:
T201101220.pdf Download
DOI
10.3349/ymj.2011.52.1.130
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Do Yeon(김도연)
Kim, Hak Sun(김학선) ORCID logo https://orcid.org/0000-0002-8330-4688
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
Chong, Hyon Su(정현수)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/93144
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