مقایسه‌ی نتایج درمانی اسکولیوز با منشأ ناشناخته در نوجوانان به دو روش Hybrid Fixation و All-Pedicle-Screw

نوع مقاله : مقاله های پژوهشی

نویسندگان

1 دانشیار، گروه ارتوپدی، دانشکده‌ی پزشکی و بیمارستان الزهرا (س)، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

2 دستیار، گروه ارتوپدی، دانشکده‌ی پزشکی و بیمارستان الزهرا (س)، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

چکیده

مقدمه: این مطالعه با هدف مقایسه‌ی تأثیر دو روش All-pedicle-screw و Hybrid fixation در بهبود اسکولیوز با منشأ ناشناخته‌ی سن بلوغ انجام شد.روش‌ها: در یک مطالعه‌ی هم‌گروهی، 40 بیمار تحت درمان با روش All-pedicle-screw تحت عمل جراحی قرار گرفتند و نتایج عمل بر اساس بررسی معیارهای رادیولوژیک (میزان اصلاح Major cobb’s angle) و پرسش‌نامه‌ی Scoliosis research society-30 (SRS-30) با یافته‌های حاصل از عمل 40 بیمار مشابه با روش Hybrid fixation در دو سال بعد از عمل مقایسه گردید.یافته‌ها: میانگین درصد اصلاح زاویه‌ی انحنا در دو گروه All-pedicle-screw و Hybrid fixation به ترتیب 7/82 و 3/76 درصد بود و میزان اصلاح زاویه در گروه All-pedicle-screw، به طور معنی‌داری بیشتر بود (044/0 = P). بر اساس پرسش‌نامه‌ی SRS-30، کلیه‌ی شاخص‌ها در گروه All-pedicle-screw به طور معنی‌داری بهبود پیدا کرد، اما در گروه All-pedicle-screw، شاخص‌های تصویر ذهنی فرد از خود و رضایتمندی از درمان، مطلوب‌تر از گروه Hybrid fixation بود (001/0 > P).نتیجه‌گیری: هر دو روش All-pedicle-screw و Hybrid fixation در اصلاح زاویه‌ی انحنا مؤثر بودند، اما میزان اصلاح در روش All-pedicle-screw مطلوب‌تر بود و بیماران عمل شده با این روش، تصویر ذهنی از خود و رضایتمندی بیشتری نسبت به گروه Hybrid fixation داشتند.

کلیدواژه‌ها

عنوان مقاله [English]

Evaluation of Surgical Outcome of All-Pedicle-Screw versus Hybrid Fixation in Patients with Adolescent Idiopathic Scoliosis

نویسندگان [English]

  • Mohammadreza Etemadifar 1
  • Pouya Rajabzadeh 2
  • Hadi Ravanbod 2
1 Associate Professor, Department of Orthopedic Surgery, School of Medicine AND Alzahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran
2 Resident, Department of Orthopedic Surgery, School of Medicine AND Alzahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran
چکیده [English]

Background: The aim of current study was to compare the effects of all-pedicle-screw versus hybrid fixation techniques in surgical correction of adolescent idiopathic scoliosis.Methods: This clinical-trial study conducted on 40 patients who underwent corrective scoliosis surgery using all-pedicle-screw technique. Surgical outcome was assessed using radiological criteria (major Cobb’s angle correction) and Scoliosis Research Society-30 (SRS-30) questionnaire with measurements done before and two years after surgery. Findings were compared with results of 40 similar patients’ outcomes found in another study with hybrid fixation technique.Findings: Mean correction of Cobb’s angle in all-pedicle-screw and hybrid fixation groups was 82.7 and 76.3 percent, respectively. Rate of correction was significantly higher in all-pedicle-screw group (P = 0.044). Based on SRS-30 questionnaire, all domains scores were significantly improved in all-pedicle-screw group and in comparison to hybrid fixation, this method was only significantly better in patients' personal image/appearance and satisfaction domains (P < 0.001).Conclusion: Both techniques of pedicle screw and hybrid fixation are effective in correction of scoliosis, but this correction is more desirable in all-pedicle-screw group. Patients who had undergone all-pedicle-screw technique in comparison to hybrid fixation showed higher rate of satisfaction from surgery and personal image/appearance.

کلیدواژه‌ها [English]

  • Scoliosis
  • Puberty
  • Skeletal fixation
  • Pedicle screws

مراجع

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مجله دانشکده پزشکی اصفهان
دوره 36، شماره 491 - شماره پیاپی 491
مهر و آبان 1397
صفحه 930-936

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سابقه مقاله

  • تاریخ دریافت: 05 مهر 1396
  • تاریخ بازنگری: 11 آبان 1403
  • تاریخ پذیرش: 17 فروردین 1401

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