Posterior-only versus combined anterior/posterior fusion in Scheuermann disease: a large retrospective study

@article{Riouallon2018PosterioronlyVC,
  title={Posterior-only versus combined anterior/posterior fusion in Scheuermann disease: a large retrospective study},
  author={Guillaume Riouallon and Christian Morin and Yann Philippe Charles and Pierre Roussouly and Gaby Kreichati and Ibrahim Obeid and St{\'e}phane Wolff},
  journal={European Spine Journal},
  year={2018},
  volume={27},
  pages={2322-2330}
}
PurposeThe literature shows controversies concerning surgical treatment of Scheuermann’s kyphosis between posterior-only fixation and combined anterior/posterior fusion. The aim of this study is to compare the clinical and radiological results and the rate of complications between these two techniques.MethodsWe performed a multicentric retrospective review of 131 patients who underwent primary fusion for Scheuermann’s kyphosis divided into two groups: 67 patients operated via posterior approach… 
Posterior-only versus combined anterior-posterior fusion in Scheuermann disease: a systematic review and meta-analysis.
TLDR
PO surgery using posterior osteotomies can achieve correction of Scheuermann kyphosis as successfully as AP surgery does, and regardless of fixation methods, PO surgical approaches achieved comparable angles.
Surgical correction of Scheuermann’s kyphosis by posterior-only approach: a prospective study
TLDR
The posterior-only approach is a successful technique in treatment of Scheuermann’s kyphosis using pedicle screws with Ponte osteotomies and the SRS 22 questionnaire improved significantly.
Surgical Procedures Used for Correction of Scheuermann's Kyphosis: A Meta-Analysis
TLDR
A meta-analysis shows similar treatment effects between AP and PO procedures in correcting Scheuermann's kyphosis, suggesting the advantage of PO procedures due to less blood loss and surgical duration.
Long-Term (Over Five Years) Results of Surgical Correction of Scheuermann’s Kyphosis
TLDR
Surgical treatment improves the quality of life of patients with Scheuermann’s disease; the improvement is also observed in the long-term postoperative period.
Prospective Comparison of Patient-selected Operative Versus Nonoperative Treatment of Scheuermann Kyphosis
TLDR
Patients who elect to receive operative treatment for SK have improved radiographic and SRS-22 parameters at 2-year follow-up compared with patients who elect nonoperative treatment.
Scheuermann’s disease surgery. Major problems: non-systematic literature review (part I).
TLDR
Two-stage surgical correction of Scheuermann’s kyphosis has no noticeable advantages over one-stage surgery, however, new studies with long postoperative follow-up are needed.
Scheuermann’s disease surgery. Major problems: non-systematic literature review (part II)
TLDR
This review of literature data on the frequency of junctional kyphosis in surgery for Scheuermann’s disease, its relationship withspinopelvic parameters, risk factors and prevention of its development is the largest in terms of coverage of literary sources.
Assessment of Quality of Life for Scheuermann’s Kyphosis Patients with Cobb’s Angle 50°–65° Treated Conservatively or Surgically in North Jordan: A Prospective Comparative Study
TLDR
Surgical treatment of Scheuermann's kyphosis with curves of 50°–65° resulted in better QOL, Cobb’s angle, and PFT than conservative treatment, which was because of lower patient cooperation in the conservative management group, which made the curve less flexible for exercises and bracing.
Morbus Scheuermann
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TLDR
Clinical and radiological parameters were similar in both groups after surgical correction while, complication rates, operation time and blood loss were significantly higher in ASF/PSF procedure.
Analysis of the Sagittal Plane After Surgical Management for Scheuermann’s Disease: A View on Overcorrection and the Use of an Anterior Release
TLDR
Surgical management should aim at a correction within the high normal kyphosis range of 40° to 50°, consequently providing good results and, particularly in flexible adolescents and young adults, minimizing the necessity for an anterior release.
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TLDR
The late deterioration of correction in the sagittal plane was mainly caused by removal of the posterior instrumentation, and occurred despite radiographs, bone scans and thorough intra-operative explorations demonstrating solid fusions, and the indication for surgery in patients with Scheuermann's disease can be questioned.
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TLDR
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TLDR
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TLDR
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TLDR
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Complications of Spinal Fusion for Scheuermann Kyphosis: A Report of the Scoliosis Research Society Morbidity and Mortality Committee
TLDR
The incidence of complications associated with spinal fusion for SK in adults is significantly greater than in pediatric patients, and these data may be used to counsel patients regarding complications associated in the hands of experienced spinal deformity surgeons.
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