Video-assisted thoracoscopic surgery plus lumbar mini-open surgery for adolescent idiopathic scoliosis

Hyon Su Chong, Hak Sun Kim, Nanda Ankur, Phillip Anthony Kho, Sung Jun Kim, Do Yeon Kim, Jin Oh Park, Seong Hwan Moon, Hwan Mo Lee, Eun Su Moon

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Purpose: The objectives of this study are to describe the outcome of adolescent idiopathic scoliosis (AIS) patients treated with Video Assisted Thoracoscopic Surgery (VATS) plus supplementary minimal incision in the lumbar region for thoracic and lumbar deformity correction and fusion. Materials and Methods: This is a case series of 13 patients treated with VATS plus lumbar mini-open surgery for AIS. A total of 13 patients requiring fusions of both the thoracic and lumbar regions were included in this study: 5 of these patients were classified as Lenke type 1A and 8 as Lenke type 5C. Fusion was performed using VATS up to T12 or L1 vertebral level. Lower levels were accessed via a small mini-incision in the lumbar area to gain access to the lumbar spine via the retroperitoneal space. All patients had a minimum follow-up of 1 year. Results: The average number of fused vertebrae was 7.1 levels. A significant correction in the Cobb angle was obtained at the final follow-up (p = 0.001). The instrumented segmental angle in the sagittal plane was relatively well-maintained following surgery, albeit with a slight increase. Scoliosis Research Society-22 (SRS-22) scores were noted have significantly improved at the final follow-up (p < 0.05). Conclusion: Indications for the use of VATS may be extended from patients with localized thoracic scoliosis to those with thoracolumbar scoliosis. By utilizing a supplementary minimal incision in the lumbar region, a satisfactory deformity correction may be accomplished with minimal post-operative scarring.

Original languageEnglish
Pages (from-to)130-136
Number of pages7
JournalYonsei medical journal
Volume52
Issue number1
DOIs
Publication statusPublished - 2011 Jan 1

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Video-Assisted Thoracic Surgery
Scoliosis
Lumbosacral Region
Thorax
Spine
Retroperitoneal Space
Cicatrix
Research

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Chong, H. S., Kim, H. S., Ankur, N., Kho, P. A., Kim, S. J., Kim, D. Y., ... Moon, E. S. (2011). Video-assisted thoracoscopic surgery plus lumbar mini-open surgery for adolescent idiopathic scoliosis. Yonsei medical journal, 52(1), 130-136. https://doi.org/10.3349/ymj.2011.52.1.130
Chong, Hyon Su ; Kim, Hak Sun ; Ankur, Nanda ; Kho, Phillip Anthony ; Kim, Sung Jun ; Kim, Do Yeon ; Park, Jin Oh ; Moon, Seong Hwan ; Lee, Hwan Mo ; Moon, Eun Su. / Video-assisted thoracoscopic surgery plus lumbar mini-open surgery for adolescent idiopathic scoliosis. In: Yonsei medical journal. 2011 ; Vol. 52, No. 1. pp. 130-136.
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Chong, HS, Kim, HS, Ankur, N, Kho, PA, Kim, SJ, Kim, DY, Park, JO, Moon, SH, Lee, HM & Moon, ES 2011, 'Video-assisted thoracoscopic surgery plus lumbar mini-open surgery for adolescent idiopathic scoliosis', Yonsei medical journal, vol. 52, no. 1, pp. 130-136. https://doi.org/10.3349/ymj.2011.52.1.130

Video-assisted thoracoscopic surgery plus lumbar mini-open surgery for adolescent idiopathic scoliosis. / Chong, Hyon Su; Kim, Hak Sun; Ankur, Nanda; Kho, Phillip Anthony; Kim, Sung Jun; Kim, Do Yeon; Park, Jin Oh; Moon, Seong Hwan; Lee, Hwan Mo; Moon, Eun Su.

In: Yonsei medical journal, Vol. 52, No. 1, 01.01.2011, p. 130-136.

Research output: Contribution to journalArticle

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T1 - Video-assisted thoracoscopic surgery plus lumbar mini-open surgery for adolescent idiopathic scoliosis

AU - Chong, Hyon Su

AU - Kim, Hak Sun

AU - Ankur, Nanda

AU - Kho, Phillip Anthony

AU - Kim, Sung Jun

AU - Kim, Do Yeon

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AU - Moon, Seong Hwan

AU - Lee, Hwan Mo

AU - Moon, Eun Su

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N2 - Purpose: The objectives of this study are to describe the outcome of adolescent idiopathic scoliosis (AIS) patients treated with Video Assisted Thoracoscopic Surgery (VATS) plus supplementary minimal incision in the lumbar region for thoracic and lumbar deformity correction and fusion. Materials and Methods: This is a case series of 13 patients treated with VATS plus lumbar mini-open surgery for AIS. A total of 13 patients requiring fusions of both the thoracic and lumbar regions were included in this study: 5 of these patients were classified as Lenke type 1A and 8 as Lenke type 5C. Fusion was performed using VATS up to T12 or L1 vertebral level. Lower levels were accessed via a small mini-incision in the lumbar area to gain access to the lumbar spine via the retroperitoneal space. All patients had a minimum follow-up of 1 year. Results: The average number of fused vertebrae was 7.1 levels. A significant correction in the Cobb angle was obtained at the final follow-up (p = 0.001). The instrumented segmental angle in the sagittal plane was relatively well-maintained following surgery, albeit with a slight increase. Scoliosis Research Society-22 (SRS-22) scores were noted have significantly improved at the final follow-up (p < 0.05). Conclusion: Indications for the use of VATS may be extended from patients with localized thoracic scoliosis to those with thoracolumbar scoliosis. By utilizing a supplementary minimal incision in the lumbar region, a satisfactory deformity correction may be accomplished with minimal post-operative scarring.

AB - Purpose: The objectives of this study are to describe the outcome of adolescent idiopathic scoliosis (AIS) patients treated with Video Assisted Thoracoscopic Surgery (VATS) plus supplementary minimal incision in the lumbar region for thoracic and lumbar deformity correction and fusion. Materials and Methods: This is a case series of 13 patients treated with VATS plus lumbar mini-open surgery for AIS. A total of 13 patients requiring fusions of both the thoracic and lumbar regions were included in this study: 5 of these patients were classified as Lenke type 1A and 8 as Lenke type 5C. Fusion was performed using VATS up to T12 or L1 vertebral level. Lower levels were accessed via a small mini-incision in the lumbar area to gain access to the lumbar spine via the retroperitoneal space. All patients had a minimum follow-up of 1 year. Results: The average number of fused vertebrae was 7.1 levels. A significant correction in the Cobb angle was obtained at the final follow-up (p = 0.001). The instrumented segmental angle in the sagittal plane was relatively well-maintained following surgery, albeit with a slight increase. Scoliosis Research Society-22 (SRS-22) scores were noted have significantly improved at the final follow-up (p < 0.05). Conclusion: Indications for the use of VATS may be extended from patients with localized thoracic scoliosis to those with thoracolumbar scoliosis. By utilizing a supplementary minimal incision in the lumbar region, a satisfactory deformity correction may be accomplished with minimal post-operative scarring.

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