ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2014
Posterior-only correction of Scheuermann kyphosis using pedicle screws: economical optimization through screw density reduction.
Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Surgical Procedures Used for Correction of Scheuermann's Kyphosis: A Meta-Analysis.Pain research & managementPooled it
- Implant density reduction to avoid proximal junctional failure in adult spine surgery: Computer models and simulations.North American Spine Society journal · 2025Article
- Evaluation of screw density in Lenke type 1 adolescent idiopathic scoliosis: are low and high-density constructs truly comparable?European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Surgical Strategies and Challenges in Scheuermann's Kyphosis: A Comprehensive Review.Journal of clinical medicine · 2025Review
- Posterior instrumented correction and fusion of Scheuermann´s results in physiological reconstruction of sagittal alignment and excellent overall clinical outcome- clinical trail of 73 patients.BMC musculoskeletal disorders · 2025Article
- A Novel Surgical Indication for Scheuermann's Kyphosis.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2024Article
- Long-term outcome after surgical treatment of Scheuermann's Kyphosis (SK).Spine deformity · 2022Observational
- Maria Adelaide brace in the management of Scheuermann's Kyphosis.Spine deformity · 2021Observational
- Long-Term Surgical Results of Skip Pedicle Screw Fixation for Patients with Adolescent Idiopathic Scoliosis: A Minimum-Ten-Year Follow-Up Study.Journal of clinical medicine · 2020Article
- Severe rigid Scheuermann kyphosis in adult patients; correction with posterior-only approach.Musculoskeletal surgery · 2018Article
- Posterior-only versus combined anterior/posterior fusion in Scheuermann disease: a large retrospective study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2018Article
- Comparison of low density and high density pedicle screw instrumentation in Lenke 1 adolescent idiopathic scoliosis.BMC musculoskeletal disorders · 2017Article
- Posterior-Only Approach with Pedicle Screws for the Correction of Scheuermann's Kyphosis.Asian spine journal · 2017Article
- Staged Correction of Severe Thoracic Kyphosis in Patients with Multilevel Osteoporotic Vertebral Compression Fractures.Global spine journal · 2016Article
- Does surgery for Scheuermann kyphosis influence sagittal spinopelvic parameters?European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2015Article
- Multiple Ponte osteotomies with low implant density: Is it enough for correction of Scheuermann's kyphosis?Journal of craniovertebral junction & spineArticle
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6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionPosterior-only approach using pedicle screws' fixation has emerged as the preferred surgical technique for Scheuermann kyphosis (SK) correction. Insertion of multiple pedicle screws while increasing stability increases also the risk of complications related to screw malpositioning and surgical cost. The optimal screw density required in surgical correction of SK remains unclear. This study compares the safety and efficacy of low screw density (LSD) versus high screw density (HSD) technique used in posterior-only correction of SK.
methodsTwenty-one patients underwent surgical correction of SK between 2007 and 2011 and were reviewed after a mean of 29 months. HSD technique (i.e., 100 % of available pedicles, averaged 25.2 ± 4 screws) was used in 10 cases and LSD technique (i.e., 54-69 % of available pedicles in a pre-determined pattern, averaged 16.8 ± 1.3 screws; p < 0.001) was used in 11 cases. Kyphosis correction was assessed by comparing thoracic kyphosis, lumbar lordosis and sagittal balance on preoperative and postoperative radiographs. Cost saving analysis was performed for each group.
resultsPreoperative thoracic kyphosis, lumbar lordosis and sagittal balance were similar for both groups. The average postoperative kyphosis correction was similar in both HSD and LSD groups (29° ± 9° vs. 34° ± 6°, respectively; p = 0.14). Complication occurred in four patients (19 %) in the HSD group and in two patients (9 %) in the LSD group (p = 0.56). Three patients required re-operation. Compared to HSD using LSD saves 4,200 pounds sterling per patient in hardware and 88,200 pounds sterling for the entire cohort.
conclusionLSD technique is as safe and effective as HSD technique in posterior-only correction of SK. Implant-related cost could be reduced by 32 %.
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