Results evaluation of surgical treatment of scoliosis in spinal muscular atrophy type 2 Evaluación de los resultados del tratamiento quirúrgico de la escoliosis en la atrofia muscular espinal tipo 2

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dc.contributor.authorDa Rocha L.E.M.
dc.contributor.authorPudles E.
dc.contributor.authorLampert H.B.
dc.date.accessioned2024-03-13T01:29:08Z
dc.date.available2024-03-13T01:29:08Z
dc.date.issued2011
dc.description.abstractObjective: To evaluate the outcome of surgical treatment of scoliosis in patients with spinal muscular atrophy (SMA) type 2. Methods: A retrospective study with 12 patients with SMA type 2 who underwent arthrodesis and instrumentation for scoliosis correction with more than two years of follow-up. The degree and rate of correction of deformity and pelvic obliquity postoperatively and loss in the last evaluation were evaluated, in addition to the complications and the impact of treatment on respiratory function. Results: Mean follow-up was 77.5 months (6.4 years) ± 58.9 months (4.9 years), Cobb angle before surgery averaged 76.1° ± 31.7° (35° to 144°) and postoperatively was 29.5° ± 23.2° (5° to 90°), with correction average of 46.6° (61.29%). The average pelvic obliquity preoperatively was 15.1° ± 13.3° (range 0° to 37°), and 8.5° ± 9.9° (range 0° to 30°) postoperatively, with an average correction of 6.5° (43.37%). Five patients had complications (41.6%). The forced ventilatory capacity (FVC) preoperative average was 62.9% ± 38.6% (range 23.3% to 89%) and 45.9% ± 25.0% (range 15% to 86.2%) in the last evaluation. The decline was 17% of vital capacity, with a reduction of 2.4% per year of follow-up. Conclusions: Surgical treatment of scoliosis in patients with SMA allows the correction of pelvic obliquity and restoration of the sagittal and coronal balance freeing the hands for activities of daily living. Lung function was positively affected by treatment.
dc.description.firstpage211
dc.description.issuenumber3
dc.description.lastpage215
dc.description.volume10
dc.identifier.doi10.1590/s1808-18512011000300009
dc.identifier.issn1808-1851
dc.identifier.urihttps://dspace.mackenzie.br/handle/10899/37050
dc.relation.ispartofColuna/ Columna
dc.rightsAcesso Aberto
dc.subject.otherlanguageArthrodesis
dc.subject.otherlanguageMuscular atrophy
dc.subject.otherlanguageRespiratory function tests
dc.subject.otherlanguageScoliosis/surgery
dc.subject.otherlanguageSpinal
dc.subject.otherlanguageSpinal fusion
dc.titleResults evaluation of surgical treatment of scoliosis in spinal muscular atrophy type 2 Evaluación de los resultados del tratamiento quirúrgico de la escoliosis en la atrofia muscular espinal tipo 2
dc.typeArtigo
local.scopus.citations1
local.scopus.eid2-s2.0-84855501782
local.scopus.updated2024-05-01
local.scopus.urlhttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84855501782&origin=inward
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