Preoperative CT Angiography Informs Instrumentation in Anterior Spine Surgery for Idiopathic Scoliosis.
Journal
Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews
ISSN: 2474-7661
Titre abrégé: J Am Acad Orthop Surg Glob Res Rev
Pays: United States
ID NLM: 101724868
Informations de publication
Date de publication:
04 2020
04 2020
Historique:
received:
26
08
2019
accepted:
30
01
2020
entrez:
8
5
2020
pubmed:
8
5
2020
medline:
8
5
2020
Statut:
epublish
Résumé
The objective of this study is to evaluate whether the artery of Adamkiewicz localization with preoperative CT angiography influences anterior spinal instrumentation. Children with idiopathic scoliosis who underwent anterior instrumentation and with a preoperative CT angiography were evaluated retrospectively. Data included curve type, artery of Adamkiewicz level/laterality, surgical approach laterality, number of instrumented levels and segmental vessels ligated, intraoperative neuromonitoring changes, and postoperative neural complications. Thirty-nine girls and eight boys (mean age 12 years [6.7 to 16.8 years]) were analyzed. Instrumented curves indicate 28 thoracic, 14 thoracolumbar, and seven double major. The artery of Adamkiewicz: T6 (left-1), T8 (left-1), T9 (left-4/right-2), T10 (left-11/right-4), T11 (left-4/right-4), T12 (left-1/right-2), L1 (left-2/right-1), and L2 (left-3/right-2). Four had bilateral dominant segmentals, whereas in nine patients, none was identified. T10 (32%) and left side (57%) were most frequent. On average, 7.1 (4 to 11) segmentals were ligated In children with idiopathic scoliosis who underwent anterior instrumentation, the artery of Adamkiewicz was identified on the left in >50% and at T10 in 32%. In one-third of the patients, the artery was within intended surgical levels and resulted in instrumentation modification.
Identifiants
pubmed: 32377614
doi: 10.5435/JAAOSGlobal-D-19-00123
pii: JAAOSGlobal-D-19-00123
pmc: PMC7188266
pii:
doi:
Types de publication
Journal Article
Langues
eng
Informations de copyright
Copyright © 2020 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Orthopaedic Surgeons.
Déclaration de conflit d'intérêts
None of the following authors or any immediate family member has received anything of value from or has stock or stock options held in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Theologis, Dr. Ramirez, and Dr. Diab.
Références
Ann Thorac Surg. 2000 Jul;70(1):38-43
pubmed: 10921679
AJNR Am J Neuroradiol. 2003 Jan;24(1):13-7
pubmed: 12533320
J Bone Joint Surg Br. 1974 May;56(2):225-35
pubmed: 4854669
J Vasc Surg. 2001 Dec;34(6):997-1003
pubmed: 11743551
Eur J Cardiothorac Surg. 2007 Apr;31(4):643-8
pubmed: 17293121
Br J Radiol. 1970 Jan;43(505):19-30
pubmed: 4983587
Spine (Phila Pa 1976). 2005 Feb 15;30(4):406-10
pubmed: 15706337
Eur J Vasc Endovasc Surg. 2010 Apr;39(4):436-40
pubmed: 20034815
Spine (Phila Pa 1976). 1996 Sep 1;21(17):1996-9; discussion 2000
pubmed: 8883201
J Neurosurg. 2002 Jan;96(1 Suppl):1-5
pubmed: 11795693
Clin Orthop Relat Res. 1977 Jun;(125):45-8
pubmed: 880778
Radiology. 2002 Apr;223(1):39-45
pubmed: 11930046
Spine (Phila Pa 1976). 1991 Aug;16(8 Suppl):S365-70
pubmed: 1785089
J Natl Cancer Inst. 1989 Sep 6;81(17):1307-12
pubmed: 2769783
Spine (Phila Pa 1976). 1998 Feb 1;23(3):324-31
pubmed: 9507620
Spine (Phila Pa 1976). 2005 Aug 15;30(16):1870-4
pubmed: 16103858
Spine (Phila Pa 1976). 2007 Jan 15;32(2):275-80
pubmed: 17224826
Spine (Phila Pa 1976). 2005 Dec 1;30(23):2701-5
pubmed: 16319758
J Pediatr Orthop. 2000 Mar-Apr;20(2):251-4
pubmed: 10739292
J Thorac Cardiovasc Surg. 2004 Apr;127(4):1188-92
pubmed: 15052221
Spine (Phila Pa 1976). 2005 Mar 1;30(5):483-6
pubmed: 15738778
AJNR Am J Neuroradiol. 2007 Feb;28(2):216-9
pubmed: 17296982
J Thorac Cardiovasc Surg. 1996 Nov;112(5):1202-13; discussion 1213-5
pubmed: 8911316
Radiographics. 2006 Oct;26 Suppl 1:S63-73
pubmed: 17050520
Ann Thorac Surg. 2004 Sep;78(3):846-51; discussion 851-2
pubmed: 15337003
Spine (Phila Pa 1976). 1996 May 15;21(10):1232-3; discussion 1233-4
pubmed: 8727198
Spine (Phila Pa 1976). 2006 Oct 1;31(21):E781-9
pubmed: 17023839
Radiology. 1993 Oct;189(1):165-71
pubmed: 8372189
Neurosurgery. 2016 May;78(5):602-11
pubmed: 27082966
J Bone Joint Surg Am. 1979 Apr;61(3):371-4
pubmed: 429405
Radiology. 2010 Jun;255(3):873-81
pubmed: 20501724
Clin Orthop Relat Res. 1969 Jan-Feb;62:192-202
pubmed: 5774835
J Bone Joint Surg Br. 2008 Apr;90(4):474-9
pubmed: 18378922
Spine (Phila Pa 1976). 2008 Jun 15;33(14):1533-41
pubmed: 18520634