Journal article
Vertebral Body Stapling versus Bracing for Patients with High-Risk Moderate Idiopathic Scoliosis
BioMed research international, v 2015(2015)
01 Jan 2015
PMID: 26618169
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Abstract
We report a comparison study of vertebral body stapling (VBS) versus a matched bracing cohort for immature patients with moderate (25 to 44°) idiopathic scoliosis (IS).
42 of 49 consecutive patients (86%) with IS were treated with VBS and followed for a minimum of 2 years. They were compared to 121 braced patients meeting identical inclusion criteria. 52 patients (66 curves) were matched according to age at start of treatment (10.6 years versus 11.1 years, resp. [P = 0.07]) and gender.
For thoracic curves 25-34°, VBS had a success rate (defined as curve progression <10°) of 81% versus 61% for bracing (P = 0.16). In thoracic curves 35-44°, VBS and bracing both had a poor success rate. For lumbar curves, success rates were similar in both groups for curves measuring 25-34°.
In this comparison of two cohorts of patients with high-risk (Risser 0-1) moderate IS (25-44°), in smaller thoracic curves (25-34°) VBS provided better results as a clinical trend as compared to bracing. VBS was found not to be effective for thoracic curves ≥35°. For lumbar curves measuring 25-34°, results appear to be similar for both VBS and bracing, at 80% success.
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Details
- Title
- Vertebral Body Stapling versus Bracing for Patients with High-Risk Moderate Idiopathic Scoliosis
- Creators
- Laury Cuddihy - Princeton UniversityAina J Danielsson - University of GothenburgPatrick J Cahill - Children's Hospital of PhiladelphiaAmer F Samdani - Shriners Hospitals for Children - ErieHarsh Grewal - Rowan UniversityJohn M Richmond - Tri Rivers Surgical Associates, 9104 Babcock Boulevard, Suite 2120, Pittsburgh, PA 15237, USAM J Mulcahey - Thomas Jefferson UniversityJohn P Gaughan - Temple UniversityM Darryl Antonacci - Princeton UniversityRandal R Betz - Princeton University
- Publication Details
- BioMed research international, v 2015(2015)
- Publisher
- Wiley
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics; Surgery
- Web of Science ID
- WOS:000364865000001
- Scopus ID
- 2-s2.0-84947251104
- Other Identifier
- 991021930838604721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Biotechnology & Applied Microbiology
- Medicine, Research & Experimental