Evidence map›Paper›PMID 41366367›Full record

ArticleBMC musculoskeletal disorders2025

Three-Staged correction of severe congenital scoliosis with type I split cord malformation: a retrospective study without vertebral osteotomy.

Lishuai Bao, Guoqing Xiao, Wei Zhao, Xuanze Liu, Yuhao Yan, Mingliang He, Jian Li, Yijian Liang

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Article in BMC musculoskeletal disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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8 authors.

Lishuai Bao *Department of Orthopedic Surgery, The Second Affiliated Hospital of Chengdu Medical College, Nuclear Industry 416 Hospital, Chengdu, 610000, Sichuan, China.
Guoqing Xiao *Sports Medicine Center, Department of Orthopedic Surgery, West China Hospital, Sichuan University, Chengdu, 610000, Sichuan, China. doctor_xiaoguoqing@126.com.
Wei Zhao *Department of Orthopedic Surgery, North Sichuan Medical College Affiliated Chengdu Xinhua Hospital, Chengdu, 610000, Sichuan, China.
Xuanze LiuDepartment of Orthopedic Surgery, The Second Affiliated Hospital of Chengdu Medical College, Nuclear Industry 416 Hospital, Chengdu, 610000, Sichuan, China.
Yuhao YanDepartment of Orthopedic Surgery, The Second Affiliated Hospital of Chengdu Medical College, Nuclear Industry 416 Hospital, Chengdu, 610000, Sichuan, China.
Mingliang HeDepartment of Orthopedic Surgery, The Second Affiliated Hospital of Chengdu Medical College, Nuclear Industry 416 Hospital, Chengdu, 610000, Sichuan, China.
Jian LiSports Medicine Center, Department of Orthopedic Surgery, West China Hospital, Sichuan University, Chengdu, 610000, Sichuan, China.
Yijian LiangDepartment of Orthopedic Surgery, The Third People's Hospital of Chengdu, Southwest Jiao Tong University, Chengdu, 610000, China. yijiancq@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo explore the safety and efficacy of three staged treatment for extremely severe congenital scoliosis (CS) with type Ⅰ split cord malformation (SCM).

methodsThe clinical data of 26 patients with extremely severe CS and type Ⅰ SCM were retrospectively analyzed. The height (cm), weight (kg), coronal and sagittal Cobb Angles (°), coronal and sagittal balances (cm), coronal and sagittal correction rates (%) were recorded at admission(A), before(B) and after(C) thoracoplasty + spinal instrumentation.

resultsAll the patients were followed up for three years. The heights at time A, B and C were 136.58 ± 9.60 cm, 146.27 ± 9.90 cm and 151.27 ± 9.51 cm respectively. The weights at time A, B and C were 40.02 ± 8.38 kg, 43.98 ± 7.18 kg and 43.33 ± 6.40 kg respectively. The coronal Cobb Angles at time A, B and C were 139.93 ± 21.58°, 84.82 ± 19.48°and 55.03 ± 18.35°respectively. The sagittal Cobb Angles at time A, B and C were 90.18 ± 23.56°, 64.05 ± 10.88°and 42.33 ± 8.88°respectively. The coronal balances at time A, B and C were 48.02 ± 33.11 cm, 22.75 ± 19.87 cm and 14.07 ± 13.71 cm respectively. The sagittal balances at time A, B and C were 37.41 ± 26.99 cm, 22.16 ± 22.03 cm and 12.61 ± 18.19 cm respectively. The coronal correction rates at time B and C were 39.19 ± 11.32% and 60.77 ± 12.14%. The sagittal correction rates at time B and C were 27.38 ± 13.70% and 50.73 ± 13.94%.

conclusionsThe three-staged treatment achieves significant spinal correction without 3-column osteotomy and addressing type I SCM in cases of extremely severe CS with Type I SCM.

Indexed as

Neural Tube DefectsScoliosisSpinal CordThoracoplastyAdolescentChildChild, PreschoolFemaleFollow-Up StudiesHumansMaleOsteotomyRetrospective StudiesSeverity of Illness IndexTreatment OutcomeCongenital scoliosisHalo-pelvic tractionSplit cord malformationVertebral osteotomy

Identifiers

PMID41366367
PMCPMC12802332

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.