BRIDGING THE GAP: ANATOMICAL CONSIDERATIONS IN THE TREATMENT OF SCOLIOSIS

Main Article Content

Dr Qurat ul ain Khan
Dr Abdul Rehman
Dr Nasrul Huda
Dr Muhammad Hussain
Dr Afsheen Mansoor
Emaan Mansoor

Keywords

Abstract

Introduction: Scoliosis (abnormal curvature of the spine) represents a disturbance of an otherwise efficient 25-part intercalated series of spinal segments.


Objectives: The main objective of the study is to find the anatomical considerations in the treatment of scoliosis.


Methodology of the study: This retrospective study was conducted at Jinnah postgraduate medical Center Karachi from January 2023 to January 2024. Data were collected from 20 patients according to inclusion and exclusion criteria. Patients with confirmed diagnosis of scoliosis and with complete medical records, including relevant imaging studies such as X-rays and MRIs, were included in the study. Patients with spinal deformities other than scoliosis, such as kyphosis or lordosis were excluded from the study.


Results: Data were collected from 20 patients of confirmed scoliosis. Mean age of the patients was 15.68±2.34 years. There were 12 male and 08 female patients. The analysis revealed a strong positive correlation (Pearson's r = 0.78, p < 0.05) between preoperative Cobb angle and postoperative correction, indicating that patients with higher initial curvature experienced greater improvement following surgical intervention. Conversely, vertebral rotation showed a weak negative correlation (Pearson's r = -0.12, p = 0.45) with treatment outcomes.


Conclusion: It is concluded that treatment strategies according to anatomical considerations play an important role in optimizing outcomes for patients with scoliosis. Both conservative measures and surgical interventions demonstrate efficacy in addressing varying degrees of spinal curvature and deformity.

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References

1. Berdishevsky, H., Lebel, V.A., Bettany-Saltikov, J. et al. Physiotherapy scoliosis-specific exercises – a comprehensive review of seven major schools. Scoliosis 11, 20 (2016). https://doi.org/10.1186/s13013-016-0076-9
2. Sengupta, D. K., & Webb, J. K. (2010). Scoliosis – The current concepts. Indian Journal of Orthopaedics, 44(1), 5-8. https://doi.org/10.4103/0019-5413.58600
3. Pu Chu, E. C., & Kai Huang, K. H. (2017). Bridging the gap between observation and brace treatment for adolescent idiopathic scoliosis. Journal of Family Medicine and Primary Care, 6(2), 447-449. https://doi.org/10.4103/jfmpc.jfmpc_52_17
4. Loughenbury, P. R., & Tsirikos, A. I. (2022). Current concepts in the treatment of neuromuscular scoliosis: clinical assessment, treatment options, and surgical outcomes. Bone & Joint Open, 3(1), 85-92.
5. Tandon, M. S., Dhingra, A., & Varma, V. (2020). Management of Patient with Scoliosis. Problem Based Learning Discussions in Neuroanesthesia and Neurocritical Care, 291-330.
6. Cristante, A. F., Costa, G. H. R. D., & Marcon, R. M. (2021). Adult degenerative scoliosis. Revista Brasileira de Ortopedia, 56, 1-8.
7. Labrom, F. R., Izatt, M. T., Claus, A. P., & Little, J. P. (2021). Adolescent idiopathic scoliosis 3D vertebral morphology, progression and nomenclature: a current concepts review. European Spine Journal, 30, 1823-1834.
8. Kelly, A., Younus, A., & Lekgwara, P. (2020). Adult degenerative scoliosis–A literature review. Interdisciplinary Neurosurgery, 20, 100661.
9. YAĞCI, G., & Bek, N. (2022). A Historical Perspective of the Management of Scoliosis. Erciyes Medical Journal, 44(4).
10. Chu, E. C. P., Huang, K. H. K., & Shum, J. S. F. (2020). Lumbosacral transitional vertebra as a potential contributing factor to scoliosis: a report of two cases. Asia-Pac Chiropr J, 1, 007.
11. Kim, H. S., Wu, P. H., Lee, Y. J., Kim, D. H., & Jang, I. T. (2021). Technical considerations of uniportal endoscopic posterolateral lumbar interbody fusion: a review of its early clinical results in application in adult degenerative scoliosis. World Neurosurgery, 145, 682-692.
12. Ruiz, G., Torres-Lugo, N. J., Marrero-Ortiz, P., Guzmán, H., Olivella, G., & Ramírez, N. (2022). Early-onset scoliosis: a narrative review. EFORT Open Reviews, 7(8), 599-610.
13. Theologis, A. A., Ramirez, J., & Diab, M. (2020). Preoperative CT angiography informs instrumentation in anterior spine surgery for idiopathic scoliosis. JAAOS Global Research & Reviews, 4(4), e19.
14. Cheung, J. P. Y. (2020). The importance of sagittal balance in adult scoliosis surgery. Annals of translational medicine, 8(2).
15. Maqsood, A., Hashmi, S. Z., Hartwell, M., & Sarwark, J. F. (2020). Idiopathic scoliosis: A pilot MR study of early vertebral morphological changes and spinal asymmetry. Journal of Orthopaedics, 19, 174-177.
16. Negm, E. E., Saraph, V., & Said, M. S. (2020). Surgical management of neuromuscular scoliosis: approaches, pitfalls and outcomes. Pediatric Traumatology, Orthopaedics and Reconstructive Surgery, 8(2), 137-150.
17. Huang, Q., Luo, H., Yang, C., Li, J., Deng, Q., Liu, P., ... & Li, X. (2022). Anatomical prior based vertebra modelling for reappearance of human spines. Neurocomputing, 500, 750-760.