A new corrective technique for adolescent idiopathic scoliosis: convex manipulation using 6.35 mm diameter pure titanium rod followed by concave fixation using 6.35 mm diameter titanium alloy

Background It has been thought that corrective posterior surgery for adolescent idiopathic scoliosis (AIS) should be started on the concave side because initial convex manipulation would increase the risk of vertebral malrotation, worsening the rib hump. With the many new materials, implants, and manipulation techniques (e.g., direct vertebral rotation) now available, we hypothesized that manipulating the convex side first is no longer taboo. Methods Our technique has two major facets. (1) Curve correction is started from the convex side with a derotation maneuver and in situ bending followed by concave rod application. (2) A 6.35 mm diameter pure titanium rod is used on the convex side and a 6.35 mm diameter titanium alloy rod on the concave side. Altogether, 52 patients were divided into two groups. Group N included 40 patients (3 male, 37 female; average age 15.9 years) of Lenke type 1 (23 patients), type 2 (2), type 3 (3), type 5 (10), type 6 (2). They were treated with a new technique using 6.35 mm diameter different-stiffness titanium rods. Group C included 12 patients (all female, average age 18.8 years) of Lenke type 1 (6 patients), type 2 (3), type 3 (1), type 5 (1), type 6 (1). They were treated with conventional methods using 5.5 mm diameter titanium alloy rods. Radiographic parameters (Cobb angle/thoracic kyphosis/correction rates) and perioperative data were retrospectively collected and analyzed. Results Preoperative main Cobb angles (groups N/C) were 56.8°/60.0°, which had improved to 15.2°/17.1° at the latest follow-up. Thoracic kyphosis increased from 16.8° to 21.3° in group N and from 16.0° to 23.4° in group C. Correction rates were 73.2% in group N and 71.7% in group C. There were no significant differences for either parameter. Mean operating time, however, was significantly shorter in group N (364 min) than in group C (456 min). Conclusion We developed a new corrective surgical technique for AIS using a 6.35 mm diameter pure titanium rod initially on the convex side. Correction rates in the coronal, sagittal, and axial planes were the same as those achieved with conventional methods, but the operation time was significantly shorter. Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Terai, Hidetomi [verfasserIn] Toyoda, Hiromitsu Suzuki, Akinobu Dozono, Sho Yasuda, Hiroyuki Tamai, Koji Nakamura, Hiroaki

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2015

Schlagwörter:	convex manipulation different stiffness adolescent idiopathic scoliosis (AIS)

Anmerkung:	© Terai et al; licensee BioMed Central Ltd. 2015

Übergeordnetes Werk:	Enthalten in: Scoliosis - London : BioMed Central, 2006, 10(2015), Suppl 2 vom: 11. Feb.
Übergeordnetes Werk:	volume:10 ; year:2015 ; number:Suppl 2 ; day:11 ; month:02

Links:	Volltext

DOI / URN:	10.1186/1748-7161-10-S2-S14

Katalog-ID:	SPR029538254

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520			\|a Background It has been thought that corrective posterior surgery for adolescent idiopathic scoliosis (AIS) should be started on the concave side because initial convex manipulation would increase the risk of vertebral malrotation, worsening the rib hump. With the many new materials, implants, and manipulation techniques (e.g., direct vertebral rotation) now available, we hypothesized that manipulating the convex side first is no longer taboo. Methods Our technique has two major facets. (1) Curve correction is started from the convex side with a derotation maneuver and in situ bending followed by concave rod application. (2) A 6.35 mm diameter pure titanium rod is used on the convex side and a 6.35 mm diameter titanium alloy rod on the concave side. Altogether, 52 patients were divided into two groups. Group N included 40 patients (3 male, 37 female; average age 15.9 years) of Lenke type 1 (23 patients), type 2 (2), type 3 (3), type 5 (10), type 6 (2). They were treated with a new technique using 6.35 mm diameter different-stiffness titanium rods. Group C included 12 patients (all female, average age 18.8 years) of Lenke type 1 (6 patients), type 2 (3), type 3 (1), type 5 (1), type 6 (1). They were treated with conventional methods using 5.5 mm diameter titanium alloy rods. Radiographic parameters (Cobb angle/thoracic kyphosis/correction rates) and perioperative data were retrospectively collected and analyzed. Results Preoperative main Cobb angles (groups N/C) were 56.8°/60.0°, which had improved to 15.2°/17.1° at the latest follow-up. Thoracic kyphosis increased from 16.8° to 21.3° in group N and from 16.0° to 23.4° in group C. Correction rates were 73.2% in group N and 71.7% in group C. There were no significant differences for either parameter. Mean operating time, however, was significantly shorter in group N (364 min) than in group C (456 min). Conclusion We developed a new corrective surgical technique for AIS using a 6.35 mm diameter pure titanium rod initially on the convex side. Correction rates in the coronal, sagittal, and axial planes were the same as those achieved with conventional methods, but the operation time was significantly shorter.
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allfields	10.1186/1748-7161-10-S2-S14 doi (DE-627)SPR029538254 (SPR)1748-7161-10-S2-S14-e DE-627 ger DE-627 rakwb eng Terai, Hidetomi verfasserin aut A new corrective technique for adolescent idiopathic scoliosis: convex manipulation using 6.35 mm diameter pure titanium rod followed by concave fixation using 6.35 mm diameter titanium alloy 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Terai et al; licensee BioMed Central Ltd. 2015 Background It has been thought that corrective posterior surgery for adolescent idiopathic scoliosis (AIS) should be started on the concave side because initial convex manipulation would increase the risk of vertebral malrotation, worsening the rib hump. With the many new materials, implants, and manipulation techniques (e.g., direct vertebral rotation) now available, we hypothesized that manipulating the convex side first is no longer taboo. Methods Our technique has two major facets. (1) Curve correction is started from the convex side with a derotation maneuver and in situ bending followed by concave rod application. (2) A 6.35 mm diameter pure titanium rod is used on the convex side and a 6.35 mm diameter titanium alloy rod on the concave side. Altogether, 52 patients were divided into two groups. Group N included 40 patients (3 male, 37 female; average age 15.9 years) of Lenke type 1 (23 patients), type 2 (2), type 3 (3), type 5 (10), type 6 (2). They were treated with a new technique using 6.35 mm diameter different-stiffness titanium rods. Group C included 12 patients (all female, average age 18.8 years) of Lenke type 1 (6 patients), type 2 (3), type 3 (1), type 5 (1), type 6 (1). They were treated with conventional methods using 5.5 mm diameter titanium alloy rods. Radiographic parameters (Cobb angle/thoracic kyphosis/correction rates) and perioperative data were retrospectively collected and analyzed. Results Preoperative main Cobb angles (groups N/C) were 56.8°/60.0°, which had improved to 15.2°/17.1° at the latest follow-up. Thoracic kyphosis increased from 16.8° to 21.3° in group N and from 16.0° to 23.4° in group C. Correction rates were 73.2% in group N and 71.7% in group C. There were no significant differences for either parameter. Mean operating time, however, was significantly shorter in group N (364 min) than in group C (456 min). Conclusion We developed a new corrective surgical technique for AIS using a 6.35 mm diameter pure titanium rod initially on the convex side. Correction rates in the coronal, sagittal, and axial planes were the same as those achieved with conventional methods, but the operation time was significantly shorter. convex manipulation (dpeaa)DE-He213 different stiffness (dpeaa)DE-He213 adolescent idiopathic scoliosis (AIS) (dpeaa)DE-He213 Toyoda, Hiromitsu aut Suzuki, Akinobu aut Dozono, Sho aut Yasuda, Hiroyuki aut Tamai, Koji aut Nakamura, Hiroaki aut Enthalten in Scoliosis London : BioMed Central, 2006 10(2015), Suppl 2 vom: 11. Feb. (DE-627)51230078X (DE-600)2236126-1 1748-7161 nnns volume:10 year:2015 number:Suppl 2 day:11 month:02 https://dx.doi.org/10.1186/1748-7161-10-S2-S14 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2015 Suppl 2 11 02
spelling	10.1186/1748-7161-10-S2-S14 doi (DE-627)SPR029538254 (SPR)1748-7161-10-S2-S14-e DE-627 ger DE-627 rakwb eng Terai, Hidetomi verfasserin aut A new corrective technique for adolescent idiopathic scoliosis: convex manipulation using 6.35 mm diameter pure titanium rod followed by concave fixation using 6.35 mm diameter titanium alloy 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Terai et al; licensee BioMed Central Ltd. 2015 Background It has been thought that corrective posterior surgery for adolescent idiopathic scoliosis (AIS) should be started on the concave side because initial convex manipulation would increase the risk of vertebral malrotation, worsening the rib hump. With the many new materials, implants, and manipulation techniques (e.g., direct vertebral rotation) now available, we hypothesized that manipulating the convex side first is no longer taboo. Methods Our technique has two major facets. (1) Curve correction is started from the convex side with a derotation maneuver and in situ bending followed by concave rod application. (2) A 6.35 mm diameter pure titanium rod is used on the convex side and a 6.35 mm diameter titanium alloy rod on the concave side. Altogether, 52 patients were divided into two groups. Group N included 40 patients (3 male, 37 female; average age 15.9 years) of Lenke type 1 (23 patients), type 2 (2), type 3 (3), type 5 (10), type 6 (2). They were treated with a new technique using 6.35 mm diameter different-stiffness titanium rods. Group C included 12 patients (all female, average age 18.8 years) of Lenke type 1 (6 patients), type 2 (3), type 3 (1), type 5 (1), type 6 (1). They were treated with conventional methods using 5.5 mm diameter titanium alloy rods. Radiographic parameters (Cobb angle/thoracic kyphosis/correction rates) and perioperative data were retrospectively collected and analyzed. Results Preoperative main Cobb angles (groups N/C) were 56.8°/60.0°, which had improved to 15.2°/17.1° at the latest follow-up. Thoracic kyphosis increased from 16.8° to 21.3° in group N and from 16.0° to 23.4° in group C. Correction rates were 73.2% in group N and 71.7% in group C. There were no significant differences for either parameter. Mean operating time, however, was significantly shorter in group N (364 min) than in group C (456 min). Conclusion We developed a new corrective surgical technique for AIS using a 6.35 mm diameter pure titanium rod initially on the convex side. Correction rates in the coronal, sagittal, and axial planes were the same as those achieved with conventional methods, but the operation time was significantly shorter. convex manipulation (dpeaa)DE-He213 different stiffness (dpeaa)DE-He213 adolescent idiopathic scoliosis (AIS) (dpeaa)DE-He213 Toyoda, Hiromitsu aut Suzuki, Akinobu aut Dozono, Sho aut Yasuda, Hiroyuki aut Tamai, Koji aut Nakamura, Hiroaki aut Enthalten in Scoliosis London : BioMed Central, 2006 10(2015), Suppl 2 vom: 11. Feb. (DE-627)51230078X (DE-600)2236126-1 1748-7161 nnns volume:10 year:2015 number:Suppl 2 day:11 month:02 https://dx.doi.org/10.1186/1748-7161-10-S2-S14 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2015 Suppl 2 11 02
allfields_unstemmed	10.1186/1748-7161-10-S2-S14 doi (DE-627)SPR029538254 (SPR)1748-7161-10-S2-S14-e DE-627 ger DE-627 rakwb eng Terai, Hidetomi verfasserin aut A new corrective technique for adolescent idiopathic scoliosis: convex manipulation using 6.35 mm diameter pure titanium rod followed by concave fixation using 6.35 mm diameter titanium alloy 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Terai et al; licensee BioMed Central Ltd. 2015 Background It has been thought that corrective posterior surgery for adolescent idiopathic scoliosis (AIS) should be started on the concave side because initial convex manipulation would increase the risk of vertebral malrotation, worsening the rib hump. With the many new materials, implants, and manipulation techniques (e.g., direct vertebral rotation) now available, we hypothesized that manipulating the convex side first is no longer taboo. Methods Our technique has two major facets. (1) Curve correction is started from the convex side with a derotation maneuver and in situ bending followed by concave rod application. (2) A 6.35 mm diameter pure titanium rod is used on the convex side and a 6.35 mm diameter titanium alloy rod on the concave side. Altogether, 52 patients were divided into two groups. Group N included 40 patients (3 male, 37 female; average age 15.9 years) of Lenke type 1 (23 patients), type 2 (2), type 3 (3), type 5 (10), type 6 (2). They were treated with a new technique using 6.35 mm diameter different-stiffness titanium rods. Group C included 12 patients (all female, average age 18.8 years) of Lenke type 1 (6 patients), type 2 (3), type 3 (1), type 5 (1), type 6 (1). They were treated with conventional methods using 5.5 mm diameter titanium alloy rods. Radiographic parameters (Cobb angle/thoracic kyphosis/correction rates) and perioperative data were retrospectively collected and analyzed. Results Preoperative main Cobb angles (groups N/C) were 56.8°/60.0°, which had improved to 15.2°/17.1° at the latest follow-up. Thoracic kyphosis increased from 16.8° to 21.3° in group N and from 16.0° to 23.4° in group C. Correction rates were 73.2% in group N and 71.7% in group C. There were no significant differences for either parameter. Mean operating time, however, was significantly shorter in group N (364 min) than in group C (456 min). Conclusion We developed a new corrective surgical technique for AIS using a 6.35 mm diameter pure titanium rod initially on the convex side. Correction rates in the coronal, sagittal, and axial planes were the same as those achieved with conventional methods, but the operation time was significantly shorter. convex manipulation (dpeaa)DE-He213 different stiffness (dpeaa)DE-He213 adolescent idiopathic scoliosis (AIS) (dpeaa)DE-He213 Toyoda, Hiromitsu aut Suzuki, Akinobu aut Dozono, Sho aut Yasuda, Hiroyuki aut Tamai, Koji aut Nakamura, Hiroaki aut Enthalten in Scoliosis London : BioMed Central, 2006 10(2015), Suppl 2 vom: 11. Feb. (DE-627)51230078X (DE-600)2236126-1 1748-7161 nnns volume:10 year:2015 number:Suppl 2 day:11 month:02 https://dx.doi.org/10.1186/1748-7161-10-S2-S14 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2015 Suppl 2 11 02
allfieldsGer	10.1186/1748-7161-10-S2-S14 doi (DE-627)SPR029538254 (SPR)1748-7161-10-S2-S14-e DE-627 ger DE-627 rakwb eng Terai, Hidetomi verfasserin aut A new corrective technique for adolescent idiopathic scoliosis: convex manipulation using 6.35 mm diameter pure titanium rod followed by concave fixation using 6.35 mm diameter titanium alloy 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Terai et al; licensee BioMed Central Ltd. 2015 Background It has been thought that corrective posterior surgery for adolescent idiopathic scoliosis (AIS) should be started on the concave side because initial convex manipulation would increase the risk of vertebral malrotation, worsening the rib hump. With the many new materials, implants, and manipulation techniques (e.g., direct vertebral rotation) now available, we hypothesized that manipulating the convex side first is no longer taboo. Methods Our technique has two major facets. (1) Curve correction is started from the convex side with a derotation maneuver and in situ bending followed by concave rod application. (2) A 6.35 mm diameter pure titanium rod is used on the convex side and a 6.35 mm diameter titanium alloy rod on the concave side. Altogether, 52 patients were divided into two groups. Group N included 40 patients (3 male, 37 female; average age 15.9 years) of Lenke type 1 (23 patients), type 2 (2), type 3 (3), type 5 (10), type 6 (2). They were treated with a new technique using 6.35 mm diameter different-stiffness titanium rods. Group C included 12 patients (all female, average age 18.8 years) of Lenke type 1 (6 patients), type 2 (3), type 3 (1), type 5 (1), type 6 (1). They were treated with conventional methods using 5.5 mm diameter titanium alloy rods. Radiographic parameters (Cobb angle/thoracic kyphosis/correction rates) and perioperative data were retrospectively collected and analyzed. Results Preoperative main Cobb angles (groups N/C) were 56.8°/60.0°, which had improved to 15.2°/17.1° at the latest follow-up. Thoracic kyphosis increased from 16.8° to 21.3° in group N and from 16.0° to 23.4° in group C. Correction rates were 73.2% in group N and 71.7% in group C. There were no significant differences for either parameter. Mean operating time, however, was significantly shorter in group N (364 min) than in group C (456 min). Conclusion We developed a new corrective surgical technique for AIS using a 6.35 mm diameter pure titanium rod initially on the convex side. Correction rates in the coronal, sagittal, and axial planes were the same as those achieved with conventional methods, but the operation time was significantly shorter. convex manipulation (dpeaa)DE-He213 different stiffness (dpeaa)DE-He213 adolescent idiopathic scoliosis (AIS) (dpeaa)DE-He213 Toyoda, Hiromitsu aut Suzuki, Akinobu aut Dozono, Sho aut Yasuda, Hiroyuki aut Tamai, Koji aut Nakamura, Hiroaki aut Enthalten in Scoliosis London : BioMed Central, 2006 10(2015), Suppl 2 vom: 11. Feb. (DE-627)51230078X (DE-600)2236126-1 1748-7161 nnns volume:10 year:2015 number:Suppl 2 day:11 month:02 https://dx.doi.org/10.1186/1748-7161-10-S2-S14 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2015 Suppl 2 11 02
allfieldsSound	10.1186/1748-7161-10-S2-S14 doi (DE-627)SPR029538254 (SPR)1748-7161-10-S2-S14-e DE-627 ger DE-627 rakwb eng Terai, Hidetomi verfasserin aut A new corrective technique for adolescent idiopathic scoliosis: convex manipulation using 6.35 mm diameter pure titanium rod followed by concave fixation using 6.35 mm diameter titanium alloy 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Terai et al; licensee BioMed Central Ltd. 2015 Background It has been thought that corrective posterior surgery for adolescent idiopathic scoliosis (AIS) should be started on the concave side because initial convex manipulation would increase the risk of vertebral malrotation, worsening the rib hump. With the many new materials, implants, and manipulation techniques (e.g., direct vertebral rotation) now available, we hypothesized that manipulating the convex side first is no longer taboo. Methods Our technique has two major facets. (1) Curve correction is started from the convex side with a derotation maneuver and in situ bending followed by concave rod application. (2) A 6.35 mm diameter pure titanium rod is used on the convex side and a 6.35 mm diameter titanium alloy rod on the concave side. Altogether, 52 patients were divided into two groups. Group N included 40 patients (3 male, 37 female; average age 15.9 years) of Lenke type 1 (23 patients), type 2 (2), type 3 (3), type 5 (10), type 6 (2). They were treated with a new technique using 6.35 mm diameter different-stiffness titanium rods. Group C included 12 patients (all female, average age 18.8 years) of Lenke type 1 (6 patients), type 2 (3), type 3 (1), type 5 (1), type 6 (1). They were treated with conventional methods using 5.5 mm diameter titanium alloy rods. Radiographic parameters (Cobb angle/thoracic kyphosis/correction rates) and perioperative data were retrospectively collected and analyzed. Results Preoperative main Cobb angles (groups N/C) were 56.8°/60.0°, which had improved to 15.2°/17.1° at the latest follow-up. Thoracic kyphosis increased from 16.8° to 21.3° in group N and from 16.0° to 23.4° in group C. Correction rates were 73.2% in group N and 71.7% in group C. There were no significant differences for either parameter. Mean operating time, however, was significantly shorter in group N (364 min) than in group C (456 min). Conclusion We developed a new corrective surgical technique for AIS using a 6.35 mm diameter pure titanium rod initially on the convex side. Correction rates in the coronal, sagittal, and axial planes were the same as those achieved with conventional methods, but the operation time was significantly shorter. convex manipulation (dpeaa)DE-He213 different stiffness (dpeaa)DE-He213 adolescent idiopathic scoliosis (AIS) (dpeaa)DE-He213 Toyoda, Hiromitsu aut Suzuki, Akinobu aut Dozono, Sho aut Yasuda, Hiroyuki aut Tamai, Koji aut Nakamura, Hiroaki aut Enthalten in Scoliosis London : BioMed Central, 2006 10(2015), Suppl 2 vom: 11. Feb. (DE-627)51230078X (DE-600)2236126-1 1748-7161 nnns volume:10 year:2015 number:Suppl 2 day:11 month:02 https://dx.doi.org/10.1186/1748-7161-10-S2-S14 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2015 Suppl 2 11 02
language	English
source	Enthalten in Scoliosis 10(2015), Suppl 2 vom: 11. Feb. volume:10 year:2015 number:Suppl 2 day:11 month:02
sourceStr	Enthalten in Scoliosis 10(2015), Suppl 2 vom: 11. Feb. volume:10 year:2015 number:Suppl 2 day:11 month:02
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	convex manipulation different stiffness adolescent idiopathic scoliosis (AIS)
isfreeaccess_bool	true
container_title	Scoliosis
authorswithroles_txt_mv	Terai, Hidetomi @@aut@@ Toyoda, Hiromitsu @@aut@@ Suzuki, Akinobu @@aut@@ Dozono, Sho @@aut@@ Yasuda, Hiroyuki @@aut@@ Tamai, Koji @@aut@@ Nakamura, Hiroaki @@aut@@
publishDateDaySort_date	2015-02-11T00:00:00Z
hierarchy_top_id	51230078X
id	SPR029538254
language_de	englisch
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With the many new materials, implants, and manipulation techniques (e.g., direct vertebral rotation) now available, we hypothesized that manipulating the convex side first is no longer taboo. Methods Our technique has two major facets. (1) Curve correction is started from the convex side with a derotation maneuver and in situ bending followed by concave rod application. (2) A 6.35 mm diameter pure titanium rod is used on the convex side and a 6.35 mm diameter titanium alloy rod on the concave side. Altogether, 52 patients were divided into two groups. Group N included 40 patients (3 male, 37 female; average age 15.9 years) of Lenke type 1 (23 patients), type 2 (2), type 3 (3), type 5 (10), type 6 (2). They were treated with a new technique using 6.35 mm diameter different-stiffness titanium rods. Group C included 12 patients (all female, average age 18.8 years) of Lenke type 1 (6 patients), type 2 (3), type 3 (1), type 5 (1), type 6 (1). They were treated with conventional methods using 5.5 mm diameter titanium alloy rods. Radiographic parameters (Cobb angle/thoracic kyphosis/correction rates) and perioperative data were retrospectively collected and analyzed. Results Preoperative main Cobb angles (groups N/C) were 56.8°/60.0°, which had improved to 15.2°/17.1° at the latest follow-up. Thoracic kyphosis increased from 16.8° to 21.3° in group N and from 16.0° to 23.4° in group C. Correction rates were 73.2% in group N and 71.7% in group C. There were no significant differences for either parameter. Mean operating time, however, was significantly shorter in group N (364 min) than in group C (456 min). Conclusion We developed a new corrective surgical technique for AIS using a 6.35 mm diameter pure titanium rod initially on the convex side. 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author	Terai, Hidetomi
spellingShingle	Terai, Hidetomi misc convex manipulation misc different stiffness misc adolescent idiopathic scoliosis (AIS) A new corrective technique for adolescent idiopathic scoliosis: convex manipulation using 6.35 mm diameter pure titanium rod followed by concave fixation using 6.35 mm diameter titanium alloy
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topic_title	A new corrective technique for adolescent idiopathic scoliosis: convex manipulation using 6.35 mm diameter pure titanium rod followed by concave fixation using 6.35 mm diameter titanium alloy convex manipulation (dpeaa)DE-He213 different stiffness (dpeaa)DE-He213 adolescent idiopathic scoliosis (AIS) (dpeaa)DE-He213
topic	misc convex manipulation misc different stiffness misc adolescent idiopathic scoliosis (AIS)
topic_unstemmed	misc convex manipulation misc different stiffness misc adolescent idiopathic scoliosis (AIS)
topic_browse	misc convex manipulation misc different stiffness misc adolescent idiopathic scoliosis (AIS)
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title	A new corrective technique for adolescent idiopathic scoliosis: convex manipulation using 6.35 mm diameter pure titanium rod followed by concave fixation using 6.35 mm diameter titanium alloy
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title_full	A new corrective technique for adolescent idiopathic scoliosis: convex manipulation using 6.35 mm diameter pure titanium rod followed by concave fixation using 6.35 mm diameter titanium alloy
author_sort	Terai, Hidetomi
journal	Scoliosis
journalStr	Scoliosis
lang_code	eng
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author_browse	Terai, Hidetomi Toyoda, Hiromitsu Suzuki, Akinobu Dozono, Sho Yasuda, Hiroyuki Tamai, Koji Nakamura, Hiroaki
container_volume	10
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author-letter	Terai, Hidetomi
doi_str_mv	10.1186/1748-7161-10-S2-S14
title_sort	new corrective technique for adolescent idiopathic scoliosis: convex manipulation using 6.35 mm diameter pure titanium rod followed by concave fixation using 6.35 mm diameter titanium alloy
title_auth	A new corrective technique for adolescent idiopathic scoliosis: convex manipulation using 6.35 mm diameter pure titanium rod followed by concave fixation using 6.35 mm diameter titanium alloy
abstract	Background It has been thought that corrective posterior surgery for adolescent idiopathic scoliosis (AIS) should be started on the concave side because initial convex manipulation would increase the risk of vertebral malrotation, worsening the rib hump. With the many new materials, implants, and manipulation techniques (e.g., direct vertebral rotation) now available, we hypothesized that manipulating the convex side first is no longer taboo. Methods Our technique has two major facets. (1) Curve correction is started from the convex side with a derotation maneuver and in situ bending followed by concave rod application. (2) A 6.35 mm diameter pure titanium rod is used on the convex side and a 6.35 mm diameter titanium alloy rod on the concave side. Altogether, 52 patients were divided into two groups. Group N included 40 patients (3 male, 37 female; average age 15.9 years) of Lenke type 1 (23 patients), type 2 (2), type 3 (3), type 5 (10), type 6 (2). They were treated with a new technique using 6.35 mm diameter different-stiffness titanium rods. Group C included 12 patients (all female, average age 18.8 years) of Lenke type 1 (6 patients), type 2 (3), type 3 (1), type 5 (1), type 6 (1). They were treated with conventional methods using 5.5 mm diameter titanium alloy rods. Radiographic parameters (Cobb angle/thoracic kyphosis/correction rates) and perioperative data were retrospectively collected and analyzed. Results Preoperative main Cobb angles (groups N/C) were 56.8°/60.0°, which had improved to 15.2°/17.1° at the latest follow-up. Thoracic kyphosis increased from 16.8° to 21.3° in group N and from 16.0° to 23.4° in group C. Correction rates were 73.2% in group N and 71.7% in group C. There were no significant differences for either parameter. Mean operating time, however, was significantly shorter in group N (364 min) than in group C (456 min). Conclusion We developed a new corrective surgical technique for AIS using a 6.35 mm diameter pure titanium rod initially on the convex side. Correction rates in the coronal, sagittal, and axial planes were the same as those achieved with conventional methods, but the operation time was significantly shorter. © Terai et al; licensee BioMed Central Ltd. 2015
abstractGer	Background It has been thought that corrective posterior surgery for adolescent idiopathic scoliosis (AIS) should be started on the concave side because initial convex manipulation would increase the risk of vertebral malrotation, worsening the rib hump. With the many new materials, implants, and manipulation techniques (e.g., direct vertebral rotation) now available, we hypothesized that manipulating the convex side first is no longer taboo. Methods Our technique has two major facets. (1) Curve correction is started from the convex side with a derotation maneuver and in situ bending followed by concave rod application. (2) A 6.35 mm diameter pure titanium rod is used on the convex side and a 6.35 mm diameter titanium alloy rod on the concave side. Altogether, 52 patients were divided into two groups. Group N included 40 patients (3 male, 37 female; average age 15.9 years) of Lenke type 1 (23 patients), type 2 (2), type 3 (3), type 5 (10), type 6 (2). They were treated with a new technique using 6.35 mm diameter different-stiffness titanium rods. Group C included 12 patients (all female, average age 18.8 years) of Lenke type 1 (6 patients), type 2 (3), type 3 (1), type 5 (1), type 6 (1). They were treated with conventional methods using 5.5 mm diameter titanium alloy rods. Radiographic parameters (Cobb angle/thoracic kyphosis/correction rates) and perioperative data were retrospectively collected and analyzed. Results Preoperative main Cobb angles (groups N/C) were 56.8°/60.0°, which had improved to 15.2°/17.1° at the latest follow-up. Thoracic kyphosis increased from 16.8° to 21.3° in group N and from 16.0° to 23.4° in group C. Correction rates were 73.2% in group N and 71.7% in group C. There were no significant differences for either parameter. Mean operating time, however, was significantly shorter in group N (364 min) than in group C (456 min). Conclusion We developed a new corrective surgical technique for AIS using a 6.35 mm diameter pure titanium rod initially on the convex side. Correction rates in the coronal, sagittal, and axial planes were the same as those achieved with conventional methods, but the operation time was significantly shorter. © Terai et al; licensee BioMed Central Ltd. 2015
abstract_unstemmed	Background It has been thought that corrective posterior surgery for adolescent idiopathic scoliosis (AIS) should be started on the concave side because initial convex manipulation would increase the risk of vertebral malrotation, worsening the rib hump. With the many new materials, implants, and manipulation techniques (e.g., direct vertebral rotation) now available, we hypothesized that manipulating the convex side first is no longer taboo. Methods Our technique has two major facets. (1) Curve correction is started from the convex side with a derotation maneuver and in situ bending followed by concave rod application. (2) A 6.35 mm diameter pure titanium rod is used on the convex side and a 6.35 mm diameter titanium alloy rod on the concave side. Altogether, 52 patients were divided into two groups. Group N included 40 patients (3 male, 37 female; average age 15.9 years) of Lenke type 1 (23 patients), type 2 (2), type 3 (3), type 5 (10), type 6 (2). They were treated with a new technique using 6.35 mm diameter different-stiffness titanium rods. Group C included 12 patients (all female, average age 18.8 years) of Lenke type 1 (6 patients), type 2 (3), type 3 (1), type 5 (1), type 6 (1). They were treated with conventional methods using 5.5 mm diameter titanium alloy rods. Radiographic parameters (Cobb angle/thoracic kyphosis/correction rates) and perioperative data were retrospectively collected and analyzed. Results Preoperative main Cobb angles (groups N/C) were 56.8°/60.0°, which had improved to 15.2°/17.1° at the latest follow-up. Thoracic kyphosis increased from 16.8° to 21.3° in group N and from 16.0° to 23.4° in group C. Correction rates were 73.2% in group N and 71.7% in group C. There were no significant differences for either parameter. Mean operating time, however, was significantly shorter in group N (364 min) than in group C (456 min). Conclusion We developed a new corrective surgical technique for AIS using a 6.35 mm diameter pure titanium rod initially on the convex side. Correction rates in the coronal, sagittal, and axial planes were the same as those achieved with conventional methods, but the operation time was significantly shorter. © Terai et al; licensee BioMed Central Ltd. 2015
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container_issue	Suppl 2
title_short	A new corrective technique for adolescent idiopathic scoliosis: convex manipulation using 6.35 mm diameter pure titanium rod followed by concave fixation using 6.35 mm diameter titanium alloy
url	https://dx.doi.org/10.1186/1748-7161-10-S2-S14
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author2	Toyoda, Hiromitsu Suzuki, Akinobu Dozono, Sho Yasuda, Hiroyuki Tamai, Koji Nakamura, Hiroaki
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up_date	2024-07-04T01:23:24.581Z
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A new corrective technique for adolescent idiopathic scoliosis: convex manipulation using 6.35 mm diameter pure titanium rod followed by concave fixation using 6.35 mm diameter titanium alloy

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