ADÖLESAN İDİYOPATİK SKOLYOZLU HASTALARDA POSTERİOR SPİNAL FÜZYON VE VERTEBRA CİSİM GERDİRME CERRAHİSİNİN SONUÇLARININ VE YAŞAM KALİTESİNİN DEĞERLENDİRİLMESİ

Amaç: Adölesan idiopatik skolyoz’un (AIS) cerrahi tedavisinde standart yaklaşımı posterior enstrümentasyon ve füzyon (PEF) oluşturur. Tedaviye alternatif, füzyonsuz cerrahi yöntem olan vertebra cisim gerdirme (VBT) ise giderek daha sık kullanılmaktadır. Bu çalışmayla, PEF ve VBT yöntemleri ile ameliyat edilmiş AIS hastalarının düzelme miktarları ve yaşam kalitelerinin karşılaştırılması amaçlanmıştır. Materyal ve Metot: Eşleşmiş kohortlar, 2 yıl takipli 40⁰-70⁰ eğriliği olan AIS hastaları incelenerek elde edildi. Lomber eğriliğin cerrahiye dahil edildiği hastalar çalışmadan çıkartıldı. Hastaların demografik verileri, perioperatif ve takip radyografik ölçümleri ve hasta tarafından bildirilen SRS-22 skorları karşılaştırıldı. Bulgular: Çalışmaya, 16 PEF ve 18 VBT hastası (30K, 4E) dahil edildi. Kohortun ortalama yaşı 13,4 (10-17) yıl ve takip süresi 25,7 (24–32) aydı. Grupların preoperatif üst torasik, ana torasik (MT) ve torakolomber (TL) skolyoz açıları benzerdi. PEF grubunda MT eğrilikte cerrahi düzelme oranı daha fazla (%84–%53, p

OUTCOMES OF POSTERIOR SPINAL FUSION AND VERTEBRAL BODY TETHERING IN PATIENTS WITH ADOLESCENT IDIOPATHIC SCOLIOSIS AND EVALUATION OF QUALITY OF LIFE

Objectives: Posterior instrumentation and fusion (PEF) is the standard surgical approach and vertebral body tethering (VBT) emerged as an alternative non-fusion technique in the treatment of idiopathic scoliosis. The aim of this study was to compare the correction and health-related life quality of the patients who have undergone PEF and VBT. Materials and Methods: Matched cohorts were obtained among patients whose curves ranged between 40⁰- 70⁰ who had >2 years follow-up. Patients with a lumbar curve included in surgery were excluded. Patients' demographic data, perioperative and follow-up radiographic measurements, and SRS-22 scores were compared. Results: 16 PEF and 18 VBT patients (30F, 4M) were included. The mean age and follow-up were 13.4 (10-17) years and 25.7 (24–32) months. Preoperative upper thoracic, main thoracic (MT), and thoracolumbar (TL) curves were similar among groups. The surgical correction percentage in the MT curve was greater in the PEF group (84%–53%, p

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