Bant ile Gerdirme Yönteminde Pul Kullanmanın Erken Dönem İşlevsel ve Cerrahi Sonuçlara Etkileri

Authors : Çağlar YILGÖR

Pages : 1-10

Doi:10.30720/ered.410313

View : 41 | Download : 13

Publication Date : 2018-03-28

Article Type : Research Paper

Abstract :Purpose: Anterior vertebral body tethering (VBT) is a promising alternative to fusion surgery for adolescent idiopathic scoliosis (AIS). Initial surgical correction is tailed by additional correction attained during follow-up. This study aims to analyze the effect of using staples on early functional and surgical outcomes, and implantrelated complications of VBT surgery. Material and Methods: Twenty-seven consecutive patients with≥3-months follow-up were included. Patients were divided into two groups based on the use of staples to facilitate screw insertion. Return to daily-living activities, surgical outcomes, patient-reported outcomes and complications were recorded as outcome data. Mann-Whitney U test was used to compare the effect of using staples.Results: The mean hospitalization period and days to return to school was not different between groups. Patientreported outcomes revealed similar increase in function, pain, self-image and mental-health with high satisfaction rates in both groups. All patients reached rehabilitation goals. Patients in non-staple group experienced more implant- related complications. Conclusion: Using staples in VBT surgery may decrease implant-related complications. VBT surgery revealed good functional and surgical outcomes, and high satisfaction rate regardless of the use staples. The suggested difference in resistance to biomechanical loads in the staple and non-staple groups, might be important in planning postoperative rehabilitation.
Keywords : Adolescent idiopathic scoliosis

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