Download PDF
CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2023; 58(06): e833-e838
DOI: 10.1055/s-0043-1776885
Revisão Sistemática e Metanálise
Ortopedia Pediátrica

Cirurgia toracoscópica na abordagem da escoliose idiopática: Revisão sistemática de literatura

Article in several languages: português | English
Rodrigo Ibrahim Aziz 
1   Médico residente do Hospital Nossa Senhora das Graças, Canoas, Rio Grande do Sul, Brasil
,
Juliano Boemo Blattes 
1   Médico residente do Hospital Nossa Senhora das Graças, Canoas, Rio Grande do Sul, Brasil
› Author Affiliations Suporte Financeiro A presente pesquisa não recebeu nenhum financiamento específico de agências de financiamento dos setores público, comercial ou sem fins lucrativos.
› Further Information
Also available at
   Permissions and Reprints

Resumo

A escoliose idiopática é caracterizada por um quadro de deformidade tridimensional da coluna vertebral com rotação axial e inclinação lateral com angulação maior que 10° segundo o Método de Cobb. Sua abordagem pode se dar de maneira conservadora ou cirúrgica, a depender do grau de angulação, desenvolvimento osteomuscular e idade da criança ou adolescente acometido, ou ainda, a depender do comprometimento funcional advindo da condição. O objetivo deste estudo foi analisar o impacto da videotoracoscopia na abordagem da escoliose idiopática. Trata-se de uma revisão sistemática de literatura, construída conforme protocolo Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) e registrada no PROSPERO sob número CRD42022351466. A busca por estudos foi realizada entre agosto de 2022 e setembro do mesmo ano, em bancos de dados bibliográficos incluindo MEDLINE, The Cochrane Library e Web of Science. A técnica é uma alternativa minimamente invasiva à toracotomia que apresentou grande evolução nos últimos anos. Destacam-se como principais vantagens a menor perda sanguínea durante procedimento, menor tempo de internação e melhora da estética pós-cirúrgica. Uma das desvantagens citadas pelos autores é a maior complexidade e exigência tecnológica, maior tempo cirúrgico e necessidade de seleção criteriosa dos pacientes, conforme graus de desvio vertebral. O uso de analgésicos e anti-inflamatórios não teve diferença significativa entre os procedimentos tradicionais (toracotomia) ou videotoracoscopia.

Palavras-chave

escoliose - toracoscopia - cirurgia minimamente invasiva

Nota

O artigo intitulado “Cirurgia toracoscopica na abordagem da escoliose idiopática: revisão sistemática de literatura” trata-se de uma revisão sistemática, utilizando o protocolo PRISMA, não sendo necessário submeter o trabalho ao comitê de ética em pesquisa.


Estudo desenvolvido no Hospital Nossa Senhora das Graças, Canoas, RS, Brasil.




Publication History

Received: 06 September 2022

Accepted: 23 November 2022

Article published online:
08 December 2023

© 2023. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

 

  • Referências

  • 1 Li X, Huo Z, Hu Z. et al. Which interventions may improve bracing compliance in adolescent idiopathic scoliosis? A systematic review and meta-analysis. PLoS One 2022; 17 (07) e0271612
    CrossrefPubMedGoogle Scholar
  • 2 Kaya MH, Erbahçeci F, Alkan H. et al. Factors influencing of quality of life in adolescent idiopathic scoliosis. [published online ahead of print, 2022 Jul 19] Musculoskelet Sci Pract 2022; 62: 102628
    CrossrefPubMedGoogle Scholar
  • 3 van Es LJM, van Royen BJ, Oomen MWN. Clinical significance of concomitant pectus deformity and adolescent idiopathic scoliosis: systematic review with best evidence synthesis. N Am Spine Soc J 2022; 11: 100140
    PubMedGoogle Scholar
  • 4 Liu Z, Hai Y, Li Z, Wu L. Zebrafish and idiopathic scoliosis: the ‘unknown knowns’. Trends Genet 2022; 38 (06) 524-528
    CrossrefPubMedGoogle Scholar
  • 5 Abdelaal A, Munigangaiah S, Davidson N, Trivedi J. Early-onset scoliosis: challenges and current management options. Orthop Trauma 2020; 34 (06) DOI: 10.1016/j.mporth.2020.09.009.
    CrossrefGoogle Scholar
  • 6 Stuecker S, Mladenov K, Kunkel P, Hagemann C, Freiwald E, Stuecker R. Vertebral column growth in children with early onset scoliosis treated with magnetically controlled growing rods - Effects of distraction on vertebral and disc morphology. Surgeon. 2021
    PubMedGoogle Scholar
  • 7 Karsaclian M, Cúneo A, Severo SR, Schimchak M, Wodowóz O, Álvarez I. Corrección instrumentada de laescoliosis idiopática del adolescente y artrodesisconaloinjerto de banco. Rev Med Urug (Montev) 2007; 23 (04) 351-359
    Google Scholar
  • 8 Bakaloudis G, Gioia G, Corti G, Isidori A, Ramieri A. The role of less invasive surgery in the treatment of adolescent idiopathic scoliosis and adult spinal deformity. Orthop Trauma 2021; 35 (Suppl. 04) DOI: 10.1016/j.mporth.2021.09.008.
    CrossrefGoogle Scholar
  • 9 Fiore M, Ruffilli A, Viroli G, Barile F, Manzetti M, Faldini C. Minimally invasive surgery using posterior-only Pedicle screw fixation in treatment of Adolescent Idiopathic Scoliosis: A Systematic Review and Meta-Analysis. J Clin Neurosci 2022; 99: 317-326
    CrossrefPubMedGoogle Scholar
  • 10 Bomback DA, Charles G, Widmann R, Boachie-Adjei O. Video-assisted thoracoscopic surgery compared with thoracotomy: early and late follow-up of radiographical and functional outcome. Spine J 2007; 7 (04) 399-405
    CrossrefPubMedGoogle Scholar
  • 11 Mack MJ, Regan JJ, Bobechko WP, Acuff TE. Application of thoracoscopy for diseases of the spine. Ann Thorac Surg 1993; 56 (03) 736-738
    CrossrefPubMedGoogle Scholar
  • 12 Son-Hing JP, Blakemore LC, Poe-Kochert C, Thompson GH. Video-assisted thoracoscopic surgery in idiopathic scoliosis: evaluation of the learning curve. Spine 2007; 32 (06) 703-707
    CrossrefPubMedGoogle Scholar
  • 13 Puertas EB, del Curto D, Ueta RHS, Martins Filho DE, Wajchenberg M. Resultados imediatos da correção cirúrgica de escoliose idiopática do adolescente por via posterior com instrumentação após liberação anterior por videotoracoscopia. Coluna/Columna 2009; 8 (04) 363-367
    CrossrefGoogle Scholar
  • 14 Dittmar-Johnson HM, Cruz-López F, González-Camacho E. et al. Surgical correction of juvenile idiopathic scoliosis. Our patients' perception of their quality of life. Coluna/Columna 2022; 21 (01) e259475
    CrossrefGoogle Scholar
  • 15 Pérez-Caballero Macarrón C, Burgos Flores J, Martos Sánchez I. et al. Early postoperative complications of thoracoscopy versus thoracotomy in pediatric idiopathic scoliosis. An Pediatr (Engl Ed) 2006; 65 (06) 569-572
    PubMedGoogle Scholar
  • 16 Feiz HH, Afrasiabi A, Parvizi R, Safarpour A, Fouladi RF. Scoliosis after thoracotomy/sternotomy in children with congenital heart disease. Indian J Orthop 2012; 46 (01) 77-80
    CrossrefPubMedGoogle Scholar
  • 17 Lawal TA, Gosemann JH, Kuebler JF, Glüer S, Ure BM. Thoracoscopy versus thoracotomy improves midterm musculoskeletal status and cosmesis in infants and children. Ann Thorac Surg 2009; 87 (01) 224-228
    CrossrefPubMedGoogle Scholar
  • 18 Alkhalife YI, Padhye KP, El-Hawary R. New Technologies in Pediatric Spine Surgery. Orthop Clin North Am 2019; 50 (01) 57-76
    CrossrefPubMedGoogle Scholar
  • 19 Little JP, Loch-Wilkinson TJ, Sundberg A. et al. Quantifying Anterior Chest Wall Deformity in Adolescent Idiopathic Scoliosis: Correlation With Other Deformity Measures and Effects of Anterior Thoracoscopic Scoliosis Surgery. Spine Deform 2019; 7 (03) 436-444
    CrossrefPubMedGoogle Scholar
  • 20 Wong HK, Ruiz JNM, Newton PO, Gabriel Liu KP. Non-Fusion Surgical Correction of Thoracic Idiopathic Scoliosis Using a Novel, Braided Vertebral Body Tethering Device: Minimum Follow-up of 4 Years. JBJS Open Access 2019; 4 (04) e0026
    CrossrefPubMedGoogle Scholar
  • 21 Green DW, Lawhorne 3rd TW, Widmann RF. et al. Long-term magnetic resonance imaging follow-up demonstrates minimal transitional level lumbar disc degeneration after posterior spine fusion for adolescent idiopathic scoliosis. Spine 2011; 36 (23) 1948-1954
    CrossrefPubMedGoogle Scholar
  • 22 Crawford 3rd CH, Lenke LG. Growth modulation by means of anterior tethering resulting in progressive correction of juvenile idiopathic scoliosis: a case report. J Bone Joint Surg Am 2010; 92 (01) 202-209
    CrossrefPubMedGoogle Scholar
  • 23 Costanzo S, Pansini A, Colombo L. et al. Video-assisted thoracoscopy for vertebral body tethering of juvenile and adolescent idiopathic scoliosis: tips and tricks of surgical multidisciplinary management. Children (Basel) 2022; 9 (01) 74
    PubMedGoogle Scholar
  • 24 Newton PO, Bartley CE, Bastrom TP, Kluck DG, Saito W, Yaszay B. Anterior Spinal Growth Modulation in Skeletally Immature Patients with Idiopathic Scoliosis: A Comparison with Posterior Spinal Fusion at 2 to 5 Years Postoperatively. J Bone Joint Surg Am 2020; 102 (09) 769-777
    CrossrefPubMedGoogle Scholar
  • 25 Baker CE, Milbrandt TA, Larson AN. Anterior vertebral body tethering for adolescent idiopathic scoliosis: early results and future directions. Orthop Clin North Am 2021; 52 (02) 137-147
    CrossrefPubMedGoogle Scholar
  • 26 Miyanji F, Pawelek J, Nasto LA, Rushton P, Simmonds A, Parent S. Safety and efficacy of anterior vertebral body tethering in the treatment of idiopathic scoliosis. Bone Joint J 2020; 102-B (12) 1703-1708
    CrossrefPubMedGoogle Scholar
  • 27 Rushton PRP, Nasto L, Parent S, Turgeon I, Aldebeyan S, Miyanji F. Anterior Vertebral Body Tethering for Treatment of Idiopathic Scoliosis in the Skeletally Immature: Results of 112 Cases. Spine 2021; 46 (21) 1461-1467
    PubMedGoogle Scholar
  • 28 Rushton PRP, Nasto L, Parent S, Turgeon I, Aldebeyan S, Miyanji F. in the Skeletally Immature. Results of 112 Cases. Spine 2021; 46 (21) 1461-1467
    CrossrefPubMedGoogle Scholar
  • 29 Bernard J, Bishop T, Herzog J. et al. Dual modality of vertebral body tethering : anterior scoliosis correction versus growth modulation with mean follow-up of five years. Bone Jt Open 2022; 3 (02) 123-129
    CrossrefPubMedGoogle Scholar
  • 30 Hoernschemeyer DG, Boeyer ME, Robertson ME. et al. Anterior Vertebral Body Tethering for Adolescent Scoliosis with Growth Remaining: A Retrospective Review of 2 to 5-Year Postoperative Results. J Bone Joint Surg Am 2020; 102 (13) 1169-1176
    CrossrefPubMedGoogle Scholar
  • 31 Pehlivanoglu T, Oltulu I, Erdag Y. et al. Comparison of clinical and functional outcomes of vertebral body tethering to posterior spinal fusion in patients with adolescent idiopathic scoliosis and evaluation of quality of life: preliminary results. Spine Deform 2021; 9 (04) 1175-1182
    CrossrefPubMedGoogle Scholar