Aim of the Study: The aim of this work is to radiologically evaluate the postoperative outcomes of spinal instrumentation performed as a treatment for Adolescent Idiopathic Scoliosis (AIS) on 5-year follow up basis, a...Aim of the Study: The aim of this work is to radiologically evaluate the postoperative outcomes of spinal instrumentation performed as a treatment for Adolescent Idiopathic Scoliosis (AIS) on 5-year follow up basis, and to correlate with different clinical scenarios. Materials and Methods: One hundred (100) AIS consecutive patients treated with spinal instrumentation were included in this study. The study period was from 2012 to 2017. All patients had radiological evaluations including total spine x-rays, low dose CT scan using Orthopedic Metal Artifact Reduction (OMAR) software and MRI, after obtaining the informed consents and approval of the institution ethical board. Radiological evaluation included Cobb angle measurement assessed pre, postoperatively and at regular intervals within the 5-year period. Results: Of the 100 patients included, 24 were females and 76 were males. The average age at operation was 16.5 years. Sixty seven (67%) patients showed good correction and maintenance of the spinal curves where the mean Cobb angle was 68°?preoperatively and 21°postoperatively, representing a correction rate of 74%. Thirty three (33%) patients showed complications including postoperative infection (13), surgical revision (4), pseudarthrosis (3), neurological deficits (5), screw loosening (7) and complete hardware failure (1);in whom the preoperative mean Cobb angle was 56°compared to the patients with no complications (p = 0.288). In males, there were postoperative complications in 27 out of 76 and in females 5 out of 24, (p = 0.027). The average duration of follow-up was 3.7 years for all cases. Conclusion: Five-year follow up of patients with AIS treated with spinal instrumentation demonstrates good improvement and maintenance of the corrected spinal curves in two thirds of patients, one third showed variable minor and major complications. Low dose CT scan with OMAR provided an effective modality for evaluation.展开更多
东海深井地球物理长期观测是我国开展深井地震学观测研究的第一步，其目的是为了排除地面干扰，取得高信噪比、高分辨率和高精度的地球物理观测资料．美国圣安德列斯断层项目组开展的深井综合地球物理观测研究项目在4000m深井的不同深...东海深井地球物理长期观测是我国开展深井地震学观测研究的第一步，其目的是为了排除地面干扰，取得高信噪比、高分辨率和高精度的地球物理观测资料．美国圣安德列斯断层项目组开展的深井综合地球物理观测研究项目在4000m深井的不同深度处设置了多种观测仪器（Chavarria et al，2003），展开更多
文摘Aim of the Study: The aim of this work is to radiologically evaluate the postoperative outcomes of spinal instrumentation performed as a treatment for Adolescent Idiopathic Scoliosis (AIS) on 5-year follow up basis, and to correlate with different clinical scenarios. Materials and Methods: One hundred (100) AIS consecutive patients treated with spinal instrumentation were included in this study. The study period was from 2012 to 2017. All patients had radiological evaluations including total spine x-rays, low dose CT scan using Orthopedic Metal Artifact Reduction (OMAR) software and MRI, after obtaining the informed consents and approval of the institution ethical board. Radiological evaluation included Cobb angle measurement assessed pre, postoperatively and at regular intervals within the 5-year period. Results: Of the 100 patients included, 24 were females and 76 were males. The average age at operation was 16.5 years. Sixty seven (67%) patients showed good correction and maintenance of the spinal curves where the mean Cobb angle was 68°?preoperatively and 21°postoperatively, representing a correction rate of 74%. Thirty three (33%) patients showed complications including postoperative infection (13), surgical revision (4), pseudarthrosis (3), neurological deficits (5), screw loosening (7) and complete hardware failure (1);in whom the preoperative mean Cobb angle was 56°compared to the patients with no complications (p = 0.288). In males, there were postoperative complications in 27 out of 76 and in females 5 out of 24, (p = 0.027). The average duration of follow-up was 3.7 years for all cases. Conclusion: Five-year follow up of patients with AIS treated with spinal instrumentation demonstrates good improvement and maintenance of the corrected spinal curves in two thirds of patients, one third showed variable minor and major complications. Low dose CT scan with OMAR provided an effective modality for evaluation.
