ОТДАЛЕННЫЕ РЕЗУЛЬТАТЫ ХИРУРГИИ ИДИОПАТИЧЕСКОГО СКОЛИОЗА ПОДРОСТКОВ: МЕТААНАЛИЗ
Аннотация
Представлен анализ англоязычной литературы по проблеме результатов хирургического лечения идиопатического сколиоза подростков в сроки от 5 до 30 лет после оперативного лечения. Отобрана 71 публикация, материал проанализирован в двух группах в соответствии с использованным эндокорректором (дистрактором Harrington и инструментарием CD и другими вариантами инструментария III поколения). Инструментарий III поколения дает бóльшую коррекцию и позволяет лучше ее сохранить. Развитие ложного сустава блока и осложнения, связанные с имплантатами, развиваются примерно с одинаковой частотой. Нагноения операционной раны встречаются чаще в группе CDI, а реоперации - в группе Harrington. Репродуктивная функция женщин после операции не отличается от таковой в общей популяции. Качество жизни, связанное со здоровьем, не меняется в зависимости от давности вмешательства. Отсутствует достоверная зависимость болевого синдрома от уровня расположения нижнего инструментированного позвонка и срока, прошедшего после операции.
Об авторе
Михаил Витальевич Михайловский
Новосибирский НИИ травматологии и ортопедии им. Я.Л. Цивьяна
Россия
Россия
Список литературы
1. Кузнецов С.Б., Михайловский М.В., Садовой М.А., Корель А.В., Мамонова Е.В. Генетические маркеры идиопатического и врожденного сколиозов и диагноз предрасположенности к заболеванию: обзор литературы // Хирургия позвоночника. 2015. № 1. С. 27-35. DOI: http://dx.doi.org/10.14531/ss2015.1.27-35.
2. Whitman A. Observations on the corrective and operative treatment of structural scoliosis. Arch Surg. 1922;5:578-630. DOI: 10.1001/archsurg.1922.01110150131007.
3. Harrington PR. Treatment of scoliosis. Correction and internal fixation by spine instrumentation. J Bone Joint Surg Am. 1962;44:591-610.
4. Haher T, Merola A, Zinpick R, Gorup J, Mannor D, Orchowski J. Meta-analysis of surgical outcome in adolescent idiopathic scoliosis. A 35-year English literature review of 11,000 patients. Spine. 1995;20:1575-1584.
5. Kepler C, Meredith D, Green D, Widmann RF. Long-term outcomes after posterior spinal fusion for adolescent idiopathic scoliosis. Curr Opin Pediatr. 2012;24:68-75. DOI: 10.1097/MOP.0b013e32834ec982.
6. Lykissas MG, Jain VV, Nathan ST, Pawar V, Eismann EA, Sturm PF, Crawford AH. Mid- to long-term outcomes in adolescent idiopathic scoliosis after instrumented posterior spinal fusion: a meta-analysis. Spine. 2013;38:E113-E119. DOI: 10.1097/BRS.0b013e31827ae3d0.
7. Westrick ER, Ward WT. Adolescent idiopathic scoliosis: 5-year to 20-year evidence-based surgical results. J Pediatr Orthop. 2011;31(1 Suppl):S61-S67. DOI: 10.1097/BPO.0b013e3181fd87d5.
8. Akazawa T, Minami S, Kotani T, Nemoto T, Koshi T, Takahashi K. Long-term clinical outcomes of surgery for adolescent idiopathic scoliosis 21 to 41 years later. Spine. 2012;37:402-405. DOI: 10.1097/BRS.0b013e31823d2b06.
9. Akazawa T, Kotani T, Sakuma T, Sonoda M, Fijiwara M, Ishino M, Katougi T, Minami S. Intervertebral disc degeneration 35 years after surgery for adolescent idiopathic scoliosis: long-term MRI follow-up. SRS 50th Annual Meeting & Course. Minneapolis, Minnesota, USA, September 30-October 3, 2015. Final Program. P. 179.
10. Andersen MO, Christensen SB, Thomsen K. Outcome at 10 years after treatment for adolescent idiopathic scoliosis. Spine. 2006;31:350-354. DOI: 10.1097/01.brs.0000197649.29712.de.
11. Bartie BJ, Lonstein JE, Winter RB. Long-term follow-up of adolescent idiopathic scoliosis patients who had Harrington instrumentation and fusion to the lower lumbar vertebrae. Is low back pain a problem? Spine. 2009;34:E873-E878. DOI: 10.1097/BRS.0b013e3181aa7d53.
12. Cochran T, Irstam L, Nachemson A. Long-term anatomic and functional changes in patients with adolescent idiopathic scoliosis treated by Harrington rod fusion. Spine. 1983;8:576-584. DOI: 10.1097/00007632-198309000-00003.
13. Connolly PJ, Von Schroeder HP, Johnson GE, Kostuik JP. Adolescent idiopathic scoliosis. Long-term effect of instrumentation extending to the lumbar spine. J Bone Joint Surg Am. 1995;77:1210-1216.
14. Danielsson AJ, Cederlund CG, Ekholm S, Nachemson AL. The prevalence of disc aging and back pain after fusion extending into the lower lumbar spine. A matched MR study twenty-five years after surgery for adolescent idiopathic scoliosis. Acta Radiol. 2001;42:187-197. DOI: 10.1034/j.1600-0455.2001.042002187.x.
15. Danielsson AJ, Wiklund I, Pehrsson K, Nachemson AL. Health-related quality of life in patients with adolescent idiopathic scoliosis: a matched follow-up at least 20 years after treatment with brace or surgery. Eur Spine J. 2001;10:278-288. DOI: 10.1007/s005860100309.
16. Danielsson AJ, Nachemson AL. Radiologic findings and curve progression 22 years after treatment for adolescent idiopathic scoliosis. Comparison of brace and surgical treatment with matching control group of straight individuals. Spine. 2001;26:516-525. DOI: 10.1097/00007632-200103010-00015.
17. Danielsson AJ, Nachemson AL. Childbearing, curve progression, and sexual function in women 22 years after treatment for adolescent idiopathic scoliosis: a case-control study. Spine. 2001;26:1449-1456.
18. Danielsson AJ, Romberg K, Nachemson AL. Spinal range of motion, muscle endurance, and back pain and function at least 20 years after fusion or brace treatment for adolescent idiopathic scoliosis: a case-control study. Spine. 2006;31:275-283. DOI: 10.1097/01.brs.0000197652.52890.71.
19. Dickson JH, Erwin WD, Rossi D. Harrington instrumentation and arthrodesis for idiopathic scoliosis. A twenty-one year follow-up. J Bone Joint Surg Am. 1990;72:678-683.
20. Fabry G, Cuyvers P, Mulier J. Operative treatment of adolescent idiopathic scoliosis with follow-up study of the postoperative physical and social status. Arch Orthop Trauma Surg. 1980;96:287-289. DOI: 10.1007/BF00432867.
21. Fabry G, Van Melkebeek J, Bockx E. Back pain after Harrington rod instrumentation for idiopathic scoliosis. Spine. 1989;14:620-624.
22. Gotze C, Lilienqvist U, Slomka A, Gotze H, Steinbeck J. Quality of life and back pain: outcome 16.7 years after Harrington instrumentation. Spine. 2002;27:1456-1464.
23. Helenius I, Remes V, Yrjonen T, Ylikoski M, Schlenzka D, Helenius M, Poussa M. Comparison of long-term functional and radiologic outcomes after Harrington instrumentation and spondylodesis in adolescent idiopathic scoliosis: a review of 78 patients. Spine. 2002;27:176-180. DOI: 10.1097/00007632-200201150-00010.
24. Humke T, Grob D, Scheier H, Siegrist H. Cotrel-Dubousset and Harrington instrumentation in idiopathic scoliosis: a comparison of long-term results. Eur Spine J. 1995;4:280-283.
25. Jeng CL, Sponseller PD, Tolo VT. Outcome of Wisconsin instrumentation in idiopathic scoliosis. Minimum 5-year follow-up. Spine. 1993;18:1584-1590.
26. Large DF, Doig WG, Dickens DR, Torode IP, Cole WG. Surgical treatment of double major scoliosis. Improvement of the lumbar curve after fusion of the thoracic curve. J Bone Joint Surg Br. 1991;73:121-125.
27. Lonstein JE. Selective thoracic fusions for AIS: long-term radiographic and functional outcomes. SRS 50th Annual Meeting & Course. Minneapolis, Minnesota, USA, September 30-October 3, 2015. Final Program. P. 204.
28. Mariconda M, Galasso O, Barca P, Milano C. Minimum 20-year follow-up results of Harrington rod fusion for idiopathic scoliosis. Eur Spine J. 2005;14:854-861. DOI: 10.1007/s00586-004-0853-7.
29. Michel CR, Lalain JJ. Late results of Harrington’s operation. Long-term evolution of the lumbar spine below the fused segments. Spine. 1985;10:414-420.
30. Mielke CH, Lonstein JE, Denis F, Vandenbrink K, Winter RB. Surgical treatment of adolescent idiopathic scoliosis. A comparative analysis. J Bone Joint Surg Am. 1989;71:1170-1177.
31. Niemeyer T, Bovingloh AS, Grieb S, Schaefer J, Halm H, Kluba T. Low back pain after fusion and Harrington instrumentation for idiopathic scoliosis. Int Orthop. 2005;29:47-50. DOI: 10.1007/s00264-004-0599-1.
32. Orvomaa E, Hillesmaa V, Poussa M, Snellman O, Tallroth K. Pregnancy and delivery in patients operated by the Harrington method for idiopathic scoliosis. Eur Spine J. 1997;6:304-307. DOI: 10.1007/BF01142675.
33. Padua R, Padua S, Aulisa L, Ceccarelli E, Padua L, Romanini E, Zanoli G, Campi A. Patient outcomes after Harrington instrumentation for idiopathic scoliosis: a 15- to 28-years evaluation. Spine. 2001;26:1268-1273. DOI: 10.1097/00007632-200106010-00019.
34. Paonessa KJ, Engler GL. Back pain and disability after Harrington rod fusion to the lumbar spine for scoliosis. Spine. 1992;17(8 Suppl):S249-S253. DOI: 10.1097/00007632-199208001-00006.
35. Poitras B, Mayo NE, Goldberg MS, Scott S, Hanley J. The Ste-Justine Adolescent Idiopathic Scoliosis Cohort Study. Part IV: Surgical correction and back pain. Spine. 1994;19:1582-1588. DOI: 10.1097/00007632-199407001-00003.
36. Simony A, Christensen SB, Carreon LY, Andersen MO. Health-related quality of life in adolescent idiopathic scoliosis patients 25 years after treatment. Eur Spine J. 2015;24(Suppl 6):S702. DOI: 10.1007/s00586-015-4129-1.
37. Iida T, Suzuki N, Kono K, Ohyama Y, Imura J, Ato A, Ozeki S, Nohara Y. Minimum 20 years long-term clinical outcome after spinal fusion and instrumentation for scoliosis: comparison of the SRS-22 patient questionnaire with that in nonscoliosis group. Spine. 2015;40:E922-E928. DOI: 10.1097/BRS.0000000000000991.
38. Willers U, Hedlund R, Aaro S, Normelli H, Westman L. Long-term results of Harrington instrumentation in idiopathic scoliosis. Spine. 1993;18:713-717.
39. Antuna SA, Mendez JG, Lopez-Fanjul JC, Paz Jimenez J. Cotrel-Dubousset instrumentation in idiopathic scoliosis. A 5-year follow-up. Acta Orthop Belg. 1997;63:74-81.
40. Asher M, Lai SM, Burton D, Manna B, Cooper A. Safety and efficacy of Isola instrumentation and arthrodesis for adolescent idiopathic scoliosis: two- to 12-year follow-up. Spine. 2004;29:2013-2023.
41. Aydin E, Akalin S, Kurtulus B, Aslan H, Ates B, Senol V, Solak S. Results of minimum 10 years follow-up of TSRH instrumentation in the treatment of adolescent idiopathic scoliosis patients. Eur Spine J. 2006;15(Suppl 4):S484. DOI: 10.1007/s00586-006-0194-9.
42. Beltran AA, Albanese S, Carl AL, Hesham K, Lavelle W. 15 to 25 year functional outcomes of patients treated with posterior Cotrel-Dubousset (CD) instrumentation. SRS 49th Annual Meeting & Course. Anchorage, USA, September 10-13, 2014. Final Program. P. 151.
43. Benli IT, 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. Eur Spine J. 2007;16:381-391. DOI: 10.1007/s00586-006-0147-3.
44. Bjerkreim I, Steen H, Brox JI. Idiopathic scoliosis treated with Cotrel-Dubousset Instrumentation: evaluation 10 years after surgery. Spine. 2007;32:2103-2110. DOI: 10.1097/BRS.0b013e318145a54a.
45. Boachie-Adjei O, Lawborne T, Green D, Mintz D, Rawins B, Burke S. Long-term (11 year) follow-up of posterior spinal fusion for adolescent idiopathic scoliosis: an evaluation of the rate of uninstrumented lumbar disc degeneration utilizing long-term post-op MRI. Spine: Affiliated Society Meeting Abstracts. 2008:19. DOI: 10.1097/01.brs.0000320178.21918.31.
46. Boos N, Dolan LA, Weinstein SL. Long-term clinical and radiographic results of Cotrel-Dubousset instrumentation of right thoracic adolescent idiopathic scoliosis. Iowa Orthop J. 2007;27:40-46.
47. Burton DC, Asher MA, Lai SM. Patient-based outcomes analysis of patients with single torsion thoracolumbar-lumbar scoliosis treated with anterior or posterior instrumentation: an average 5- to 9-year follow-up study. Spine. 2002;27:2363-2367.
48. Carreon L, Spanyer J, Glassman S, Burke L, Canan C, Crawford C. Predictors of long-term SRS total scores in patients with adolescent idiopathic scoliosis treated surgically. Spine J. 2011;11 Suppl:S28-S29. DOI: 10.1016/j.spinee.2011.08.081.
49. 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;17:1336-1349. DOI: 10.1007/s00586-008-0731-9.
50. Edwards CC 2nd, Lenke LG, Peelle M, Sides B, Rinella A, Bridwell KH. Selective thoracic fusion for adolescent idiopathic scoliosis with C modifier lumbar curves: 2- to 16-year radiographic and clinical results. Spine. 2004;29:536-546.
51. Enercan M, Kahraman S, Cobanoglu M, Yilar S, Gokcen BH, Karadereler S, Mutlu A, Ulusoy LO, Ozturk C, Erturer E, Gebes E, Sanli T, Alanay A, Hamzaoglu A. Selective thoracic fusion provides similar health-related quality of life but can cause more lumbar disc and facet joint degeneration: a comparison of adolescent idiopathic scoliosis patients with normal population 10 years after surgery. Spine Deformity. 2015;3:469-475. DOI: 10.1016/j.jspd.2015.07.001.
52. Green DW, Lawhorne TW 3rd, Widmann RF, Kepler CK, Ahern C, Mintz DN, Rawlins BA, Burke SW, Boachie-Adjei O. Long-term magnetic resonance imaging follow-up demonstrates minimal transitional level lumbar disc degeneration after posterior spine fusion for adolescent idiopathic scoliosis. Spine. 2011;36:1948-1954. DOI: 10.1097/BRS.0b013e3181ff1ea9.
53. Helenius I, Remes V, Yrjonen T, Ylikoski M, Schlenzka D, Helenius M, Poussa M. Harrington and Cotrel-Dubousset instrumentation in adolescent idiopathic scoliosis. Long-term functional and radiographic outcomes. J Bone Joint Surg Am. 2003;85:2303-2309.
54. Humke T, Grob D, Scheier H, Siegrist H. Cotrel-Dubousset and Harrington instrumentation in idiopathic scoliosis: a comparison of long-term results. Eur Spine J. 1995;4:280-283.
55. Kelly DM, McCarthy RE, McCullough FL, Kelly HR. Long-term outcomes of anterior spinal fusion with instrumentation for thoracolumbar and lumbar curves in adolescent idiopathic scoliosis. Spine. 2010;35:194-198. DOI: 10.1097/BRS.0b013e3181bc948e.
56. Kohler R, Galland O, Mechin H, Michel CR, Onimus M. The Dwyer procedure in the treatment of idiopathic scoliosis. A 10-year follow-up review of 21 patients. Spine. 1990;15:75-80.
57. Larson AN, Fletcher ND, Daniel C, Richards BS. Lumbar curve is stable after selective thoracic fusion for adolescent idiopathic scoliosis: a 20-year follow-up. Spine. 2012;37:833-839. DOI: 10.1097/BRS.0b013e318236a59f.
58. Larson AN, Polly DW, Shaughnessy WJ, Yaszemski MJ. Minimum 20-year radiographic outcomes for treatment of adolescent idiopathic scoliosis: preliminary results from a novel cohort of US patients. SRS 49th Annual Meeting & Course. Anchorage, USA, September 10-13, 2014. Final Program. P. 183.
59. Lawborne TW, Green DW, Mintz DN, Rawlins BA, Burke SW, Widmann RF, Boachie-Adjei O. Accelerated disc degeneration below posterior spinal fusion for idiopathic scoliosis: a long-term MRI and clinical follow-up. SRS 43rd Annual Meeting & Course. Salt Lake City, Utah, USA, September 10-13, 2008. Scientific Program Abstracts. Paper 2.
60. Lenke LG, Bridwell KH, Blanke K, Baldus C, Weston J. Radiographic results of arthrodesis with Cotrel-Dubousset instrumentation for the treatment of adolescent idiopathic scoliosis. A five to ten-year follow-up study. J Bone Joint Surg Am. 1998;80:807-814.
61. Metin D, Deria D, Us K. Five years results of CDI in surgical treatment of idiopathic scoliosis. 4th International Congress on Spine Surgery. Izmir, Turkey, May 26-30, 1996. Final Programme & Abstracts. P. 60.
62. Mueller FJ, Gluch H. Adolescent idiopathic scoliosis (AIS) treated with arthrodesis and posterior titanium instrumentation: 8 to 12 years follow up without late infections. Scoliosis. 2009;4:16. DOI: 10.1186/1748-7161-4-16.
63. Newton PO, Upasani VV, Lhamby J, Ugrinov VL, Pawelek JB, Bastrom TP. Surgical treatment of main thoracic scoliosis with thoracoscopic anterior instrumentation. A five-year follow-up study. J Bone Joint Surg Am. 2008;90:2077-2089. DOI: 10.2106/JBJS.G.01315.
64. Nohara A, Kawakami N, Seki K, Tsuji T, Ohara T, Saito T, Kawakami K. The effects of spinal fusion on lumbar disc degeneration in patients with adolescent idiopathic scoliosis: a minimum 10-year follow-up. Spine Deformity. 2015;3:402-468. DOI: 10.1016/j.jspd.2015.04.001.
65. Otani K, Saito M, Sibasaki K. Anterior instrumentation in idiopathic scoliosis: a minimum follow-up of 10 years. Int Orthop. 1997;21:4-8. DOI: 10.1007/s002640050108.
66. Perez-Grueso FS, Fernandes-Baillo N, Araus de Robles S, Garcia Fernandez A. The low lumbar spine below Cotrel-Dubousset instrumentation: long-term findings. Spine. 2000;25:2333-2341. DOI: 10.1097/00007632-200009150-00011.
67. Pesenti S, Blondel B, Peltier E, Morin C, Sale de Gauzy J, Wolff S, Chalopin A, Jouve JL. Evolutions of adolescent idiopathic scoliosis: results of a 20-year follow-up study. SRS 50th Annual Meeting & Course. Minneapolis, Minnesota, USA, September 30-October 3, 2015. Final Program. P. 204.
68. Remes V, Helenius I, Schlenzka D, Yrjonen T, Ylikoski M, Poussa M. Cotrel-Dubousset (CD) or Universal Spine System (USS) Instrumentation in adolescent idiopathic scoliosis (AIS). Spine. 2004;29:2024-2030. DOI: 10.1097/01.brs.0000138408.64907.dc.
69. Samdani AF, Garg H, Cahill PJ, Marks MC, Bastrom T, Clements DH, Shah SA, Shufflebarger HL, Betz RR, Newton PO. Five year results for Lenke 1 or 2 curves: comparison of anterior, posterior hybrid, and posterior all pedicle screws. SRS 46th Annual Meeting & Course. Louisville, Kentucky, USA, September 14-17, 2011. Final Program. P. 103.
70. Sucato DJ, McClung A, Saran N, Thawani D, Garg S, Schiller JR. Ten year outcome of patients following initial AIS surgery: a comparison of single surgery and revision surgery patients. SRS 46th Annual Meeting & Course. Louisville, Kentucky, USA, September 14-17, 2011. Final Program. P. 104-105.
71. Sucato DJ, Brown KE, McClung AM. Results of AIS surgery at a minimum of 10 years using modern implant systems - are patients troubled by symptoms and a high reoperation rate? SRS 50th Annual Meeting & Course. Minneapolis, Minnesota, USA, September 30-October 3, 2015. Final Program. P. 246.
72. Sudo H, Ito M, Kaneda K, Shono Y, Abumi K. Long-term outcomes of anterior dual-rod instrumentation for thoracolumbar and lumbar curves in adolescent idiopathic scoliosis: a twelwe to twelwe-three-years follow-up study. J Bone Joint Surg Am. 2013;95:e49. DOI: 10.2106/JBJS.L.00781.
73. Suk SI, Lee SM, Chung ER, Kim JH, Kim SS. Selective thoracic fusion with segmental pedicle screw fixation in the treatment of thoracic idiopathic scoliosis. More than 5-year follow-up. Spine. 2005;30:1602-1609. DOI: 10.1097/01.brs.0000169452.50705.61.
74. Takahashi S, Delecrin J, Passuti N. Changes in the unfused lumbar spine in patients with idiopathic scoliosis. A 5- to 9-year assessment after Cotrel-Dubousset Instrumentation. Spine. 1997;22:517-524.
75. Takayama K, Nakamura H, Matsuda H. Quality of life in patients treated surgically for scoliosis longer than 16 years follow-up. Spine. 2009;34:2179-2184. DOI: 10.1097/BRS.0b013e3181abf684.
76. Upasani VV, Caltoum C, Petcharapom M, Bastrom TP, Pawelek JB, Betz RR, Clements DH, Lenke LG, Lowe TG, Newton PO. Adolescent idiopathic scoliosis patients report increased pain at five years compared with two years alter surgical treatment. Spine. 2008;33:1107-1112. DOI: 10.1097/BRS.0b013e31816f2849.
77. Violas P, Chapius M, Bracq H. Local autograft bone in the surgical management of adolescent idiopathic scoliosis. Spine. 2004;29:189-192. DOI: 10.1097/01.BRS.0000105536.65164.B1.
78. Jianguo Z. Long-term results of selective anterior thoracolumbar/lumbar fusion for adolescent idiopathic scoliosis more than 7 years follow-up in a single center. SRS 50th Annual Meeting & Course. Minneapolis, Minnesota, USA, September 30-October 3, 2015. Final Program. P. 246.
79. Chavanne A, Tuschel A, Becker S, Ogon M. 55 year follow-up of non-instrumented scoliosis surgery. Eur Spine J. 2005;14(Suppl 1):S76. DOI: 10.1007/s00586-005-0997-0.
80. Moskowitz A, Moe JH, Winter RB, Binner H. Long-term follow-up of scoliosis fusion. J Bone Joint Surg Am. 1980;62:364-376.
81. Risser JC. Scoliosis treated by cast correction and spine fusion. A long term follow-up study. Clin Orthop Relat Res. 1976;116:86-94. DOI: 10.1097/00003086-197605000-00014.
82. Winter RB, Lonstein JE. Adolescent idiopathic scoliosis: case report with 63-year follow-up postsurgery. Spine. 2003;28:E441-E444. DOI: 10.1097/01.BRS.0000096461.08464.A9.
83. Sackett DL, Rosenberg WM, Gray JA, Haynes RB, Richardson WS. Evidence based medicine: what it is and what it isn’t. BMJ. 1996;312:71-72.
84. Asher MA, Min Lai S, Burton DC. Further development and validation of the Scoliosis Research Society (SRS) outcomes instrument. Spine. 2000;25:2381-2386. DOI: 10.1097/00007632-200009150-00018.
85. Baldus C, Bridwell K, Harrast J, Shaffrey C, Ondra S, Lenke L, Schwab F, Mardjetko S, Glassman S, Edwards C 2nd, Lowe T, Horton W, Polly D Jr. The Scoliosis Research Society Health-Related Quality of Life (SRS-30) age-gender normative data: an analysis of 1346 adult subjects unaffected by scoliosis. Spine. 2011;36:1154-1162. DOI: 10.1097/BRS.0b013e3181fc8f98.
Для цитирования:
Михайловский М.В. ОТДАЛЕННЫЕ РЕЗУЛЬТАТЫ ХИРУРГИИ ИДИОПАТИЧЕСКОГО СКОЛИОЗА ПОДРОСТКОВ: МЕТААНАЛИЗ. "Хирургия позвоночника". 2016;13(4):28-39. https://doi.org/10.14531/ss2016.4.28-39
For citation:
Mikhaylovskiy M.V. LONG-TERM RESULTS OF SURGERY FOR IDIOPATHIC SCOLIOSIS IN ADOLESCENTS: A META-ANALYSIS. Hirurgiâ pozvonočnika (Spine Surgery). 2016;13(4):28-39. https://doi.org/10.14531/ss2016.4.28-39
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