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Is posteromedial translation with sublaminar bands effective in correcting axial rotation in adolescent idiopathic scoliosis surgery? A 3D reconstruction study

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A Correction to this article was published on 08 December 2022

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Abstract

Purpose

Hybrid constructs with sublaminar bands have recently regained popularity as an alternative to all-screw construct for correction of adolescent idiopathic scoliosis (AIS). The aim of this study is to evaluate the ability of hybrid constructs with sublaminar bands to achieve a tridimensional correction of the scoliotic deformity. Our hypothesis is that hybrid construct with sublaminar bands are able to achieve a substantial derotation of the apical vertebrae, while preserving the thoracic kyphosis.

Methods

A prospective evaluation of 50 consecutive cases (41 F, 9 M, mean age 14.7 ± 2 years) of AIS correction with hybrid construct was performed. In all cases, sublaminar bands were used at the apex of the main curve on concave side. All patients underwent pre and postoperative X-rays with EOS System, with full 3D reconstruction. Spinopelvic parameters and axial rotation of the vertebrae were measured pre and postoperatively.

Results

2.7 ± 0.9 mean sublaminar bands were used per patient. Mean correction of deformity was 50 ± 9.5%. on the coronal plane. The mean axial rotation of the apical vertebra went from 18° ± 11.5° preoperatively to 9.4° ± 7.2° postoperatively (p < 0.001) with a mean derotation of 47.7%. Thoracic kyphosis went from 32.1° ± 18° preoperatively to 37.3° ± 13.1° postoperatively (p < 0.05). No intraoperative complications due to sublaminar bands were recorded.

Conclusions

Hybrid construct with sublaminar band have been showed to be safe and effective in deformity correction and in maintaining or restoring thoracic kyphosis. This study showed that with sublaminar bands applied at the curve apex a substantial derotation of the apical vertebrae can be achieved.

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Avaliability of data and material

The data that support the findings of this study are available from the corresponding author, upon reasonable request.

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Authors and Affiliations

  1. U.O. Ortopedia e Traumatologia per le Patologie della Colonna Vertebrale, ASST Gaetano Pini - CTO, Milan, Italy

    Enrico Gallazzi & Giovanni Andrea La Maida

  2. Dipartimento di Scienze Biomediche per la Salute, Università Degli Studi Di Milano, Milan, Italy

    Ludovica Maria Pallotta

  3. U.O. Chirurgia Vertebrale III – Scoliosi, IRCCS Ospedale Galeazzi-Sant’Ambrogio, Milan, Italy

    Andrea Luca & Marco Brayda-Bruno

  4. LABS—Laboratory of Biological Structures Mechanics, IRCCS Ospedale Galeazzi-Sant’Ambrogio, Milan, Italy

    Tito Bassani

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  1. Enrico Gallazzi
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Correspondence to Enrico Gallazzi.

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Gallazzi, E., Pallotta, L.M., La Maida, G.A. et al. Is posteromedial translation with sublaminar bands effective in correcting axial rotation in adolescent idiopathic scoliosis surgery? A 3D reconstruction study. Eur Spine J 32, 202–209 (2023). https://doi.org/10.1007/s00586-022-07449-8

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