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dc.contributor.authorKorkmaz, Murat
dc.contributor.authorKarademir, Gökhan
dc.contributor.authorAkgül, Turgut
dc.contributor.authorDikici, Fatih
dc.contributor.authorDomaniç, Ünsal
dc.contributor.authorSarıyılmaz, Kerim
dc.contributor.authorÖzkunt, Okan
dc.contributor.authorGemalmaz, Halil Can
dc.date.accessioned2021-03-05T18:23:19Z
dc.date.available2021-03-05T18:23:19Z
dc.date.issued2020
dc.identifier.citationKarademir G., Sarıyılmaz K., Özkunt O., Gemalmaz H. C. , Akgül T., Korkmaz M., Dikici F., Domaniç Ü., "Lenke 5 curves. Is thoracic fusion really necessary?", Journal of Turkish Spinal Surgery, cilt.31, ss.64-67, 2020
dc.identifier.othervv_1032021
dc.identifier.otherav_ca18ec0f-d13a-4226-9427-7f1980cb2f2b
dc.identifier.urihttp://hdl.handle.net/20.500.12627/133888
dc.identifier.urihttps://avesis.istanbul.edu.tr/api/publication/ca18ec0f-d13a-4226-9427-7f1980cb2f2b/file
dc.identifier.urihttps://doi.org/10.4274/jtss.galenos.2020.168
dc.description.abstractObjective: The recommended surgery for Lenke type 5 curve is only the fusion of structural curve (SF: Selective fusion). However, some surgeons prefer to fuse both the thoracolumbar and lumbar (TL/L) curve and the non-structural thoracic (T) curve (NSF: Non-selective fusion). There is a lack of data with regard to the mid-to-long-term outcomes of the SF and NSF. In this study, it was aimed to compare SF and NSF in terms of TL/L and T curve correction rates and the prognosis of the corrected curves. Materials and Methods: A retrospective study of AIS patients treated at a single institution was conducted. A total of 59 patients (55F/M4) were included in the study. Preoperative, early postoperative, and last follow-up TL/L Cobb and T Cobb angles were measured with software. SF and NSF correction rate comparison was done using the Mann-Whitney U test. Results: Overall, 35 patients underwent NSF while 24 patients underwent SF. The mean follow-up duration was 43±18.05 months (54-98). Early T Cobb correction rate was 69% in group 1 (SF) and 79% group 2 (NSF); however, this difference was not statistically significant when the groups were compared (p=0.71138). The last follow-up T Cobb correction rates for group 1 and group 2 were 66% and 79%, respectively (p=0.5485). Early TL/ L Cobb correction rate was 78% in group 1 and it was 79% in group 2 (p=0.8493). Last follow-up TL/L Cobb follow-up correction rates for groups were 79% and 76%, respectively (p=0.9203).Conclusion: This study concluded that SF had favorable outcomes without loss of correction for the patients with Lenke type 5C AIS in the mid-to-long-term.Keywords: Lenke type 5C AIS, selective fusion, non-selective fusion, loss of correction, prognosis
dc.language.isoeng
dc.subjectTıp
dc.subjectKlinik Tıp (MED)
dc.subjectKlinik Tıp
dc.subjectSağlık Bilimleri
dc.titleLenke 5 curves. Is thoracic fusion really necessary?
dc.typeMakale
dc.relation.journalJournal of Turkish Spinal Surgery
dc.contributor.departmentAcıbadem Mehmet Ali Aydınlar Üniversitesi , Sağlık Hizmetleri Meslek Yüksekokulu ,
dc.identifier.volume31
dc.identifier.issue2
dc.identifier.startpage64
dc.identifier.endpage67
dc.contributor.firstauthorID2208852


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