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. 2024 Jun 22;59(3):e358-e363.
doi: 10.1055/s-0044-1785658. eCollection 2024 Jun.

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

Bianca Gabriella de Oliveira  1 , Thiago Silva Moura  2 , Guilherme de Brito Lira Dal Monte  2 , Bruno Dos Santos Souza  3 , Leonardo da Costa Borduchi  4 , Laís Cristina Pereira da Silva  1
Affiliations

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

Bianca Gabriella de Oliveira et al. Rev Bras Ortop (Sao Paulo). .

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.

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Conflict of interest statement

Conflito de Interesses Os autores não têm conflitos de interesses a declarar.

Figures

Fig. 1
Fig. 1
Screening and selection of studies according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology. Source: Elaborated by the authors (2023).
Fig. 2
Fig. 2
Mean correction of pathological curvature using the Cobb angle pre-and postoperatively.
Fig. 1
Fig. 1
Triagem e seleção de estudos conforme metodologia PRISMA. Fonte: Autoria própria (2023).
Fig. 2
Fig. 2
Correção média da curvatura patológica através do ângulo de Cobb pré e pós-operatório.
See this image and copyright information in PMC

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