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CC BY 4.0 · Rev Bras Ortop (Sao Paulo) 2024; 59(03): e358-e363
DOI: 10.1055/s-0044-1785658
Revisão Sistemática de Literatura
Coluna – Ortopedia Pediátrica

Results of the Surgical Approach of Idiopathic Scoliosis in Adolescents and Postoperative Quality of Life: Systematic Literature Review

Article in several languages: português | English
Bianca Gabriella de Oliveira 
1   Universidade Salvador (UNIFACS), Salvador, BA, Brasil
,
Thiago Silva Moura 
2   Ortopedia e Traumatologia, Centro Universitário UNIFACISA, Campina Grande, PB, Brasil
,
Guilherme de Brito Lira Dal Monte 
2   Ortopedia e Traumatologia, Centro Universitário UNIFACISA, Campina Grande, PB, Brasil
,
Bruno dos Santos Souza 
3   Ortopedia e Traumatologia, Hospital Geral Clériston Andrade, Feira de Santana, BA, Brasil
,
Leonardo da Costa Borduchi 
4   Ortopedia e Traumatologia, Centro Universitário Padre Albino (UNIFIPA), Catanduva, SP, Brasil
,
Laís Cristina Pereira da Silva 
1   Universidade Salvador (UNIFACS), Salvador, BA, Brasil
› Author Affiliations Financial Support This study received no financial support from public, commercial, or non-profit sources.
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Abstract

Adolescent idiopathic scoliosis is considered the most severe and common spinal deformity, affecting children and adolescents still in the neuropsychomotor development phase before they reach skeletal maturity.

This study aimed to evaluate the surgical approach to adolescent idiopathic scoliosis (AIS), considering the results associated with the reduction of pathological curvature, pulmonary function, and repercussions on the quality of life of adolescents undergoing such treatment.

Systematic literature review, with a quantitative and qualitative approach to the data collected, structured according to the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), carried out in the databases linked to the Medical Literature Analysis and Retrieval System Online (MEDLINE) and Latin American and Caribbean Health Sciences Literature (LILACS). The total sample of the studies was 638 adolescents with AIS, with a mean age of 14.93 years ± 1.24. The mean correction of the main pathological curvature in the studies was 55.06% ± 12.24.

In all of the selected studies using posterior spinal fusion to correct AIS, there was a significant reduction in pathological curvatures (> 49%), and the recurrence of curvature in none of the studies exceeded a pathological gain of more than 5%. As for lung function, the studies showed significant increases in forced expiratory volume in 1 second (FEV1) and forced vital capacity (FVC) in patients with severe AIS, and no pulmonary function losses were reported after surgery to correct AIS.

Keywords

adolescent - orthopedic surgery - scoliosis

Work carried out at the University of Salvador (UNIFACS), Salvador, BA, Brazil.




Publication History

Received: 29 April 2020

Accepted: 25 August 2023

Article published online:
22 June 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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