Surgical outcome of scoliosis in patients with Marfan syndrome
Issued Date
2022-11-01
Resource Type
ISSN
2212134X
eISSN
22121358
Scopus ID
2-s2.0-85140275623
Pubmed ID
35908146
Journal Title
Spine Deformity
Volume
10
Issue
6
Start Page
1453
End Page
1460
Rights Holder(s)
SCOPUS
Bibliographic Citation
Spine Deformity Vol.10 No.6 (2022) , 1453-1460
Suggested Citation
Chotigavanichaya C., Vatidvarodom P., Ariyawatkul T., Ruangchainikom M., Wilartratsami S., Chotivichit A., Thanapipatsiri S., Santipas B., Adulkasem N., Luksanapruksa P. Surgical outcome of scoliosis in patients with Marfan syndrome. Spine Deformity Vol.10 No.6 (2022) , 1453-1460. 1460. doi:10.1007/s43390-022-00547-z Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/85413
Title
Surgical outcome of scoliosis in patients with Marfan syndrome
Author's Affiliation
Other Contributor(s)
Abstract
Purpose: To evaluate clinical and radiographic outcomes after surgical scoliosis correction and posterior instrumented fusion in SMF patients. Methods: A single-center medical database was reviewed to identify MF patients who presented with scoliosis from 2000 to 2015. Patients who underwent spinal fusion surgery were included. Demographic, operative and clinical data were reviewed, and the preoperative, postoperative, and latest follow-up radiographic parameters were compared. Results: Twelve patients were identified (2 males, 10 females) with an average age at surgery of 14.4 ± 2.6 years. Comorbidities were found in 84.6%. Most patients (90.9%) presented with a right thoracic curve. The average preoperative Cobb angle was 75.6 ± 15.5 degrees. Posterior instrumented spinal fusion was performed in all patients (1 hook/pedicular screw and 11 pedicle screws only). The average follow-up period was 6.8 ± 3.1 years. The mean postoperative Cobb angle after surgery and at the final follow-up was 33.4 ± 18.0 degrees and 35.5 ± 18.4 degrees, respectively. There was a statistically significant difference among the preoperative and postoperative Cobb angles (p < 0.001), but no significant difference among the sagittal angles. Two perioperative complications including superficial wound infection and broken rods were observed. Conclusions: Posterior scoliosis correction and instrumented spinal fusion resulted in a satisfactory outcome in MF patients. Perioperative complications are not uncommon; however, no neurological complication or spinal decompensation was observed in this study. Level of evidence: IV.