Articles
| Open Access |
DOI: Surgical approach to idiopathic scoliosis: a systematic review with meta-analysis
Bianca Gabriella de Oliveira , Universidade Salvador-UNIFACS, Salvador, BA, Brasil Lucas da Silva Lucena , Médico residente de Ortopedia e Traumatologia pelo Hospital Fornecedores de Cana, Piracicaba, São Paulo, Brasil Tiago Alves da Silva , Médico residente de Ortopedia e Traumatologia Hospital Fornecedores de Cana, Piracicaba, São Paulo, Brasil Fred Schinaider Cerqueira , Médico residente de Ortopedia e Traumatologia pelo Hospital Fornecedores de Cana, Piracicaba, São Paulo, Brasil Marcella Rodrigues Costa Simões , Universidade Federal de Minas Gerais, Belo Horizonte, MG, BrasilAbstract
Objectives: to analyze surgical approaches for the treatment of idiopathic scoliosis and the prognosis achieved. Methodology: A systematic review with meta-analysis was carried out using the electronic databases PubMed/MEDLINE and Cochrane Library. Results: The sample consisted of 217 patients with a mean age of 15 years diagnosed with idiopathic scoliosis. In all the studies included, the pathological curvature was reduced by more than 49%. Conclusion: The pathological curvature was reduced in all surgical interventions, and the short- and long-term post-operative results were satisfactory.
Keywords
Scoliosis, Adolescent, Surgical procedures
References
Traversari M, Ruffilli A, Barile F, et al. Surgical treatment of severe adolescent idiopathic scoliosis through one-stage posterior-only approach: A systematic review and meta-analysis. J Craniovertebr Junction Spine. 2022;13(4):390-400. doi:10.4103/jcvjs.jcvjs_80_22
Chen L, Sun Z, He J, et al. Effectiveness and safety of surgical interventions for treating adolescent idiopathic scoliosis: a Bayesian meta-analysis. BMC Musculoskelet Disord. 2020;21(1):427. Published 2020 Jul 2. doi:10.1186/s12891-020-03233-1
Cordani C, Malisano L, Febbo F, et al. Influence of Specific Interventions on Bracing Compliance in Adolescents with Idiopathic Scoliosis-A Systematic Review of Papers Including Sensors' Monitoring. Sensors (Basel). 2023;23(17):7660. Published 2023 Sep 4. doi:10.3390/s23177660
Bettany-Saltikov J, Weiss HR, Chockalingam N, Kandasamy G, Arnell T. A Comparison of Patient-Reported Outcome Measures Following Different Treatment Approaches for Adolescents with Severe Idiopathic Scoliosis: A Systematic Review. Asian Spine J. 2016;10(6):1170-1194. doi:10.4184/asj.2016.10.6.1170
Page MJ, McKenzie JE, Bossuyt PM, et al. A declaração PRISMA 2020: diretriz atualizada para relatar revisões sistemáticas [The PRISMA 2020 statement: an updated guideline for reporting systematic reviewsDeclaración PRISMA 2020: una guía actualizada para la publicación de revisiones sistemáticas]. Rev Panam Salud Publica. 2022;46:e112. Published 2022 Dec 30. doi:10.26633/RPSP.2022.112
Byun YM, Iida T, Yamada K, et al. Long-term pulmonary function after posterior spinal fusion in main thoracic adolescent idiopathic scoliosis. PLoS One. 2020;15(6):e0235123. doi:10.1371/journal.pone.0235123
Zhang HQ, Deng A, Guo CF, Tang MX, Alonge E. Posterior-only surgical correction with heavy halo-femoral traction for the treatment of extremely severe and rigid adolescent idiopathic scoliosis (> 130°). Arch Orthop Trauma Surg. 2022;142(7):1317-1324. doi:10.1007/s00402-020-03720-
Sapriza S, Galli N, Pereyra L, Velasco JM, Rocchietti Á, García F. Long-term follow-up of ais treated surgically with pedicular screws. Coluna/Columna. 2021;20(2):132-136. doi:10.1590/s1808-185120212002236330
Santos HAM, Barsotti CEG, B Junior CAB, Andrade RM, Torini AP, Ribeiro AP. Effect of surgical treatment of scoliotic curvature on the spine and upper limbs. Coluna/Columna. 2022;21(4):e262464-e262464. doi:10.1590/s1808-185120222104262464
Benli İT, Ates B, Akalin S, Citak M, Kaya A, Alanay A. Minimum 10 years follow-up surgical results of adolescent idiopathic scoliosis patients treated with TSRH instrumentation. European Spine Journal. 2007;16(3):381-391. doi:10.1007/s00586-006-0147-3
Hwang CJ, Lee JY, Lee DH, et al. Novel Screw Placement Method for Extremely Small Lumbar Pedicles in Scoliosis. J Clin Med. 2024;13(4):1115. Published 2024 Feb 16. doi:10.3390/jcm13041115
Di Silvestre M, Bakaloudis G, Lolli F, Vommaro F, Martikos K, Parisini P. Posterior fusion only for thoracic adolescent idiopathic scoliosis of more than 80 degrees: pedicle screws versus hybrid instrumentation. Eur Spine J. 2008;17(10):1336-1349. doi:10.1007/s00586-008-0731-9
Johnson MA, Cirrincione PM, Zucker CP, Blanco JS, Widmann RF, Heyer JH. Changes in height, weight, and body mass index after posterior spinal fusion in juvenile and adolescent idiopathic scoliosis. J Child Orthop. 2023;17(4):354-359. Published 2023 May 22. doi:10.1177/18632521231177041
Article Statistics
Copyright License
Copyright (c) 2025 Bianca Gabriella de Oliveira, Lucas da Silva Lucena, Tiago Alves da Silva, Fred Schinaider Cerqueira, Marcella Rodrigues Costa Simões
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors retain the copyright of their manuscripts, and all Open Access articles are disseminated under the terms of the Creative Commons Attribution License 4.0 (CC-BY), which licenses unrestricted use, distribution, and reproduction in any medium, provided that the original work is appropriately cited. The use of general descriptive names, trade names, trademarks, and so forth in this publication, even if not specifically identified, does not imply that these names are not protected by the relevant laws and regulations.