ArticleBMC musculoskeletal disorders2023
Sequential correction of severe and rigid kyphoscoliosis: a new technical note and preliminary results.
Article in BMC musculoskeletal disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 6 citations in OpenAlex.
- A new uniplanar correction strategy for severe thoracic kyphoscoliosis: concept, device design, and simulation with a 3D-printed model.Spine deformity · 2026Article
- Single-staged kyphoscoliosis correction using Smith-Petersen's osteotomy (SPO) in an adolescent with severe thoracolumbar kyphoscoliosis and Marfanoid habitus: a case report.International journal of surgery case reports · 2026Article
- Application value of halo‑pelvic traction in the treatment of severe rigid spinal deformity.Spine deformity · 2026Article
- Improved intraoperative tidal volume during deformity correction in a 16-year-old with spina bifida, severe kyphoscoliosis, and thoracic insufficiency syndrome: illustrative case.Journal of neurosurgery. Case lessons · 2025Article
- Factors associated with postoperative coronal imbalance in adult patients with severe and rigid scoliosis: a retrospective study.Journal of orthopaedic surgery and research · 2024Article
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Authors and funding
10 authors at 2 institutions in 1 country.
Funding
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Abstract
objectiveThe present study is to evaluate the clinical outcomes of the sequential correction of severe and rigid kyphoscoliosis.
methodsBetween January 2014 and December 2020, 27 adults with severe and rigid kyphoscoliosis underwent sequential correction combined with posterior grade 4 or grade 5 spinal osteotomy. Radiological parameters, including the major curve Cobb angle, kyphotic angle, coronal imbalance, and sagittal vertical axis (SVA), were compared. Patient self-reported health-related quality of life (HRQOL) scores were used to evaluate clinical outcomes.
resultsThe mean major curve Cobb angle improved from 134.30 ± 13.24° to 44.48 ± 9.34° immediately after surgery and to 46.11 ± 8.94° at the final follow-up. The mean kyphotic angle improved from 112.15 ± 20.28° to 38.63 ± 15.00° immediately after surgery and to 39.85 ± 14.92° at the final follow-up. The mean preoperative major curve Cobb angle of grade 5 spinal osteotomy group was higher than that of grade 4 spinal osteotomy group. Coronal imbalance and SVA slightly improved. The patient self-reported HRQOL scores improved postoperatively and at the final follow-up. Activity, appearance and total scores of the SRS-22 of the grade 5 spinal osteotomy group at the final follow-up were significantly better than those of the grade 4 spinal osteotomy group.
conclusionsSequential correction combined with posterior grade 4 or grade 5 spinal osteotomies is an excellent and safe treatment for severe and rigid kyphoscoliosis in adults. Sequential correction combined with posterior grade 5 spinal osteotomies can be used to correct severe and rigid kyphoscoliosis with higher major curve Cobb angle.
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