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09-05-2023 | Scoliosis | Original Article

Ten-year trends in surgical management of 1207 congenital scoliosis

Authors: Guanfeng Lin, You Du, Shengru Wang, Yang Yang, Xiaohan Ye, Yiwei Zhao, Weijie Yu, Zhiyi Li, Sen Zhao, Nan Wu, Qianyu Zhuang, Jianxiong Shen, Jianguo Zhang

Published in: European Spine Journal | Issue 7/2023

Abstract

Purpose

To report and analyze development trends in the surgical treatment of congenital scoliosis (CS) in a large CS cohort over a 10-year period.

Methods

We retrospectively searched and extracted medical records of CS inpatients receiving posterior instrumented fusion surgery at our institute from January 2010 to December 2019. We analyzed information on demographics and surgical information, including the surgical approach, number of fused segments, use of osteotomy and titanium cage implantation, length of stay, intraoperative blood loss, and rates of complications and readmission.

Results

1207 CS inpatients were included. In the past decade, the proportion of patients younger than 5 years increased from 15.5 to 26.9%. The average number of fused segments decreased from 9.24 to 7.48, and the proportion of patients treated with short-segment fusion increased from 13.4 to 30.3%. The proportion of patients treated with osteotomy and titanium cage implantation increased from 55.65% and 12.03% to 76.5% and 40.22%. The average length of stay and blood loss decreased from 16.5 days and 816.1 ml to 13.5 days and 501.7 ml. The complication and readmission rates also decreased during these ten years.

Conclusion

During this ten-year period, the surgical treatment of CS at our institute showed trends toward a younger age at fusion, lower number of fused segments, higher rate of osteotomy and titanium cage implantation, reduced blood loss, shorter length of stay and lower rate complications and readmission. These results suggest performing osteotomy combined with titanium cage implantation at an earlier age can achieve fewer fused segments and complications.

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Title: Ten-year trends in surgical management of 1207 congenital scoliosis
Authors: Guanfeng Lin
You Du
Shengru Wang
Yang Yang
Xiaohan Ye
Yiwei Zhao
Weijie Yu
Zhiyi Li
Sen Zhao
Nan Wu
Qianyu Zhuang
Jianxiong Shen
Jianguo Zhang
Publication date: 09-05-2023
Publisher: Springer Berlin Heidelberg
Keyword: Scoliosis
Published in: European Spine Journal / Issue 7/2023
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-023-07685-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Ten-year trends in surgical management of 1207 congenital scoliosis

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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