Background Initial results for the use of single and dual growing rod techniques in the treatment of early onset scoliosis （EOS） has been seldom documented. The aim of this research was to investigate the initial ef...Background Initial results for the use of single and dual growing rod techniques in the treatment of early onset scoliosis （EOS） has been seldom documented. The aim of this research was to investigate the initial efficacy of single and dual growing rods in treatment of EOS. Methods A retrospective study of 25 early onset scoliosis cases treated with growing rod technique between November 2002 and May 2010 was performed, including six cases in the single growing rod group and 19 cases in the dual growing rod group. Operation time, intra-operative bleeding, correction rate, changes in C7-S1 distance, and incidence of complications of the first operation were compared for the two techniques. Results The average post-operative follow-up duration was 31.9 months. There was no statistical difference observed between operation time, intra-operative bleeding, and complication incidence between the single and dual growing rod groups. In addition, no statistical difference was observed in the pre-operative coronal Cobb＇s angle （P 〉0.05）, or in the pre-operative sagittal Cobb＇s angle between both groups （P 〉0.05）. The correction rate of the dual growing rod group was significantly superior to that of the single growing rod group in the coronal plane （P 〈0.01）, but not in the sagittal plane （P 〉0.05）. The C7-S1 distance in the dual growing rod group was significantly larger than that in the single growing rod group （P 〈0.05）. Conclusions The growing rod technique is an effective option for surgical treatment of EOS. The dual growing rod technique shows relative superiority in the correction outcome as compared to the single growing rod technique.展开更多
Background:This study aimed to investigate the potential variance in the prevalence of early‐onset scoliosis among children aged 4–7 years and analyze the influencing factors.The goal was to establish a crucial refe...Background:This study aimed to investigate the potential variance in the prevalence of early‐onset scoliosis among children aged 4–7 years and analyze the influencing factors.The goal was to establish a crucial reference point for monitoring and evaluating spinal curvature development in preschoolers,ultimately to reduce the occurrence of adverse health outcomes.Methods:Children aged 4–7 years within the main urban area of Nanjing were selected using a stratified random sampling method.A team of four senior therapists conducted screenings for spinal curvature among children using visual inspection,the Adams forward bending test,and an electronic scoliometer to measure the angle of trunk rotation(ATR)and identify children displaying signs of scoliosis.Children with suspected scoliosis in the initial screening underwent X‐ray Cobb angle assessment for confirmation.The prevalence of early‐onset scoliosis was then determined from the screening results.R version 4.2.0 software was used to analyze the factors associated with scoliosis among children using partial least squares structural equation modeling.Results:A total of 2281 children were included in this study,consisting of 1211 boys and 1070 girls,with a mean age of 5.44±0.81 years(ranging from 4 to 7 years).Among them,7.58%exhibited positive signs of scoliosis,5.87%had early‐onset scoliosis,and the positive predictive value was 77.5%.Significant differences in ATR were observed among children in different age groups(Kruskal–Wallis=15,p=0.0104)and by sex(t=3.17,p=0.00153).Significant variations in ATR were noted in children with scoliosis(t=−22.7,p<0.001),with a cutoff at ATR=4.5°,and auxiliary values of 0.947 and 0.990.Children diagnosed with early‐onset scoliosis generally exhibited lower body mass index values,with a statistically significant difference(t=2.99,p=0.003).Conclusions:Using visual inspection,the Adams test,and an electronic scoliometer to measure the ATR,the present triad method is more sensitive for early scoliosis screening in children with abnormal posture aged 4–7 years.A full spine X‐ray is advised in children with an ATR over 4.5°and poor posture.展开更多
文摘Background Initial results for the use of single and dual growing rod techniques in the treatment of early onset scoliosis （EOS） has been seldom documented. The aim of this research was to investigate the initial efficacy of single and dual growing rods in treatment of EOS. Methods A retrospective study of 25 early onset scoliosis cases treated with growing rod technique between November 2002 and May 2010 was performed, including six cases in the single growing rod group and 19 cases in the dual growing rod group. Operation time, intra-operative bleeding, correction rate, changes in C7-S1 distance, and incidence of complications of the first operation were compared for the two techniques. Results The average post-operative follow-up duration was 31.9 months. There was no statistical difference observed between operation time, intra-operative bleeding, and complication incidence between the single and dual growing rod groups. In addition, no statistical difference was observed in the pre-operative coronal Cobb＇s angle （P 〉0.05）, or in the pre-operative sagittal Cobb＇s angle between both groups （P 〉0.05）. The correction rate of the dual growing rod group was significantly superior to that of the single growing rod group in the coronal plane （P 〈0.01）, but not in the sagittal plane （P 〉0.05）. The C7-S1 distance in the dual growing rod group was significantly larger than that in the single growing rod group （P 〈0.05）. Conclusions The growing rod technique is an effective option for surgical treatment of EOS. The dual growing rod technique shows relative superiority in the correction outcome as compared to the single growing rod technique.
基金Science and Technology Development Fund of Nanjing Medical University,Grant/Award Number:NMUB20200103。
文摘Background:This study aimed to investigate the potential variance in the prevalence of early‐onset scoliosis among children aged 4–7 years and analyze the influencing factors.The goal was to establish a crucial reference point for monitoring and evaluating spinal curvature development in preschoolers,ultimately to reduce the occurrence of adverse health outcomes.Methods:Children aged 4–7 years within the main urban area of Nanjing were selected using a stratified random sampling method.A team of four senior therapists conducted screenings for spinal curvature among children using visual inspection,the Adams forward bending test,and an electronic scoliometer to measure the angle of trunk rotation(ATR)and identify children displaying signs of scoliosis.Children with suspected scoliosis in the initial screening underwent X‐ray Cobb angle assessment for confirmation.The prevalence of early‐onset scoliosis was then determined from the screening results.R version 4.2.0 software was used to analyze the factors associated with scoliosis among children using partial least squares structural equation modeling.Results:A total of 2281 children were included in this study,consisting of 1211 boys and 1070 girls,with a mean age of 5.44±0.81 years(ranging from 4 to 7 years).Among them,7.58%exhibited positive signs of scoliosis,5.87%had early‐onset scoliosis,and the positive predictive value was 77.5%.Significant differences in ATR were observed among children in different age groups(Kruskal–Wallis=15,p=0.0104)and by sex(t=3.17,p=0.00153).Significant variations in ATR were noted in children with scoliosis(t=−22.7,p<0.001),with a cutoff at ATR=4.5°,and auxiliary values of 0.947 and 0.990.Children diagnosed with early‐onset scoliosis generally exhibited lower body mass index values,with a statistically significant difference(t=2.99,p=0.003).Conclusions:Using visual inspection,the Adams test,and an electronic scoliometer to measure the ATR,the present triad method is more sensitive for early scoliosis screening in children with abnormal posture aged 4–7 years.A full spine X‐ray is advised in children with an ATR over 4.5°and poor posture.
