Ponte osteotomies for treatment of spinal deformities: they are not all made equal
- 31.05.2024
- Original Article
Erschienen in:
- Verfasst von
- Luigi Aurelio Nasto
- Seyed Hirbod Mousavi Nasab
- Angelo Sieczak
- Alessandro Cattolico
- Paolo Ulisse
- Enrico Pola
- Erschienen in
- European Spine Journal | Ausgabe 7/2024
Abstract
Purpose
To compare surgical outcomes of Ponte’s osteotomies for treatment of adolescent idiopathic scoliosis (AIS), Scheuermann’s kyphosis (SK), and adult scoliosis (AdS).
Methods
We conducted a retrospective review of patients with AIS, SK, and AdIS who underwent posterior spinal instrumented fusion (PSIF) at our Institution from January 2019 to December 2022. Demographics, imaging, and intraoperative data (including number of osteotomies performed, blood losses, surgical timing, and complications) were extracted from patient charts.
Results
A total of 80 patients (62 AIS, 7 SK, and 11 AdS) were enrolled in the study. All patients were treated with a PSIF and a total of 506 Ponte osteotomies were performed (5.8 ± 4.1, 9.3 ± 2.4, and 7.5 ± 2.5 average osteotomies per patient in the AIS, SK, and AdS group, respectively; p = 0.045). Average time per osteotomy was 6.3 ± 1.5 min in the AIS group, and 5.8 ± 2.1 and 8.7 ± 4.0 in the SK and AdS group, respectively (p = 0.002). Blood loss was significantly smaller in the SK group (8.6 ± 9.6 ml per osteotomy) compared to AIS group (34.9 ± 23.7 ml) and AdS group (34.9 ± 32.7 ml) (p = 0.001). A total of 4 complications were observed in the AIS group (1.1%) and 2 complications in the AdS group (2.4%), but this was not statistically significant.
Conclusions
Our study shows that Ponte's osteotomies are safe and effective in surgical treatment of AIS, SK, and AdS. Blood loss and execution time per osteotomy are significantly smaller in the SK group compared to AIS and AdS. No significant differences were noted in terms of complications between the three groups.
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- Titel
- Ponte osteotomies for treatment of spinal deformities: they are not all made equal
- Verfasst von
-
Luigi Aurelio Nasto
Seyed Hirbod Mousavi Nasab
Angelo Sieczak
Alessandro Cattolico
Paolo Ulisse
Enrico Pola
- Publikationsdatum
- 31.05.2024
- Verlag
- Springer Berlin Heidelberg
- Erschienen in
-
European Spine Journal / Ausgabe 7/2024
Print ISSN: 0940-6719
Elektronische ISSN: 1432-0932 - DOI
- https://doi.org/10.1007/s00586-024-08334-2
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