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Improvements maintained after posterior vertebral column resection for severe spinal deformity
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Results from this recently published 5-year follow-up demonstrated maintained improvements in global radiographic alignment and patient outcome scores following posterior vertebral column resection for severe spinal deformity.
Researchers reviewed data for 54 patients who underwent posterior vertebral column resection. Of these, 31 were pediatric patients and 23 were adult patients. Investigators collected standard preoperative and perioperative data, such as the Scoliosis Research Society (SRS)-22/24 instrument. At a minimum follow-up of 5 years, they evaluated the radiographic changes and health-related quality of life measure changes.
At the 5-year follow-up, there were improvements seen for the mean main Cobb angle. Investigators found 61.6% correction in pediatric patients and 53.9% correction in adult patients. The rates of proximal junctional kyphosis of more than 10° were 16.1% and 34.8% in pediatric patients and adult patients, respectively. However, none of the patients required revision surgical procedures for symptomatic proximal junctional kyphosis.
Overall, 30 patients sustained complications. Five patients had postoperative neurological deficits and by 5 years, seven patients needed revision surgery.
According to researchers, the SRS-self image significantly improved to 0.9 in pediatric patients and by 1.3 in adult patients. The SRS-satisfaction also improved to 1.8 in pediatric patients and to 1.3 in adult patients. – by Monica Jaramillo
Disclosures : The authors report no relevant financial disclosures.
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