ESTUDO COMPARATIVO DOS TIPOS DE FIXAÇÃO NA ESCOLIOSE IDIOPÁTICA DO ADOLESCENTE

Garcia, Enguer Beraldo; Garcia, Liliane Faria; Garcia Júnior, Enguer Beraldo; Sá, André de; Matos, Victor de Oliveira; Camarinha, Juliana Garcia; Camarinha, Marcos Felipe; Gonçalves, Roberto Garcia; Garcia, Eduardo Beraldo; Giesbrecht, Saulo Terror

doi:10.1590/S1808-185120212001232530

person Enguer Beraldo Garcia

schoolSanta Casa de Belo Horizonte, Spine Group, Belo Horizonte, MG, Brazil.schoolInstituto da Coluna Vertebral de Belo Horizonte, Belo Horizonte, MG, Brazil.schoolSociedade Brasileira de Coluna, São Paulo, SP, Brazil.schoolUniversidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.

0000-0002-1737-7811

person Liliane Faria Garcia

schoolSanta Casa de Belo Horizonte, Spine Group, Belo Horizonte, MG, Brazil.schoolInstituto da Coluna Vertebral de Belo Horizonte, Belo Horizonte, MG, Brazil.

0000-0002-2425-8802

person Enguer Beraldo Garcia Júnior

schoolInstituto da Coluna Vertebral de Belo Horizonte, Belo Horizonte, MG, Brazil.

0000-0002-7612-2579

person André de Sá

schoolSanta Casa de Belo Horizonte, Spine Group, Belo Horizonte, MG, Brazil.

0000-0003-3819-5811

person Victor de Oliveira Matos

schoolSanta Casa de Belo Horizonte, Spine Group, Belo Horizonte, MG, Brazil.

0000-0001-8808-4787

person Juliana Garcia Camarinha

schoolInstituto da Coluna Vertebral de Belo Horizonte, Belo Horizonte, MG, Brazil.

0000-0003-4054-0821

person Marcos Felipe Camarinha

schoolInstituto da Coluna Vertebral de Belo Horizonte, Belo Horizonte, MG, Brazil.

0000-0001-9741-1727

person Roberto Garcia Gonçalves

schoolSanta Casa de Belo Horizonte, Spine Group, Belo Horizonte, MG, Brazil.schoolInstituto da Coluna Vertebral de Belo Horizonte, Belo Horizonte, MG, Brazil.

0000-0003-0376-8763

person Eduardo Beraldo Garcia

schoolSanta Casa de Belo Horizonte, Spine Group, Belo Horizonte, MG, Brazil.schoolInstituto da Coluna Vertebral de Belo Horizonte, Belo Horizonte, MG, Brazil.

0000-0003-2495-2244

person Saulo Terror Giesbrecht

schoolSanta Casa de Belo Horizonte, Spine Group, Belo Horizonte, MG, Brazil.schoolInstituto da Coluna Vertebral de Belo Horizonte, Belo Horizonte, MG, Brazil.

0000-0002-8482-479X

Correspondence: Enguer Beraldo Garcia. Av. Francisco Sales, 427, Floresta, Belo Horizonte, MG, Brasil.
enguerbg@gmail.com

All authors declare no potential conflict of interest related to this article.

CONTRIBUTION OF THE AUTHORS:

Each author made significant individual contributions to this manuscript. EBG execution of the surgeries, preparation of the entire research project. LFG, EBGJ, AS, VOM, JGC, and MFC data analysis, literature review. EBG, RGG, STG, intellectual concept.

Variable	Method	Descriptive Measurements					P-value
Variable	Method	Operative	1Q	Median	3Q	%Variation	P-value
SCA	Multiple fixation	Pre	2.0	3.00°	6.00	-100%	p<0.001
SCA	Multiple fixation	Post	0.0	0.00°	2.00	-100%	p<0.001
SCA	Traditional fixation	Pre	0.0	2.00°	5.00	-50%	p<0.001
SCA	Traditional fixation	Post	0.0	1.00°	2.00	-50%	p<0.001
SCA	Selective fixation	Pre	0.0	2.00°	4.00	-50%	p<0.002
SCA	Selective fixation	Post	0.00	1.00°	3.75	-50%	p<0.002

Method	Descriptive Measurements								P-value
Method	N	Mean	S.D.	Minimum	Maximum	1Q	Median	3Q	P-value
Multiple fixation	93	2.27°	3.37	-7	15	0.00	2.00°	4.50	p<0.001
Traditional fixation	101	1.30°	3.78	-5	20	-1.00	0.00°	3.00
Selective fixation	84	0.30°	4.89	-10	32	-1.75	0.00°	2.00

Variable	Method	Descriptive Measurements					P-value
Variable	Method	Operative	1Q	Median	3Q	%Variation	P-value
Proximal thoracic curve	Traditional fixation	Pre	31.25	44.00°	67.75	-75%	p<0.001
Proximal thoracic curve	Traditional fixation	Post	8.00	11.00°	21.00	-75%	p<0.001
Proximal thoracic curve	Multiple fixation	Pre	30.00	33.00°	40.00	-78%	p<0.001
Proximal thoracic curve	Multiple fixation	Post	3.00	7.00°	10.00	-78%	p<0.001
Proximal thoracic curve	Selective fixation	Pre	28.00	35.00°	42.00	−60%	p<0.001
Proximal thoracic curve	Selective fixation	Post	9.00	14.00°	21.00	−60%	p<0.001

Method	Descriptive Measurements								P-value
Method	N	Mean	S.D.	Minimum	Maximum	1Q	Median	3Q	P-value
Multiple fixation	59	26.36°	7.72	8	44	21.00	27.00°	30.00	p<0.001
Traditional fixation	16	34.25°	16.72	12	78	21.50	33.00°	44.50	p<0.001
Selective fixation	31	18.45°	12.79	0	46	7.00	18.00°	26.00	p<0.001

Variable	Method	Descriptive Measurements					P-value
Variable	Method	Operative	1Q	Median	3Q	%Variation	P-value
Middle thoracic curve	Traditional fixation	Pre	45.00	55.00°	65.00	-87%	p<0.001
Middle thoracic curve	Traditional fixation	Post	3.00	7.00°	10.00	-87%	p<0.001
Middle thoracic curve	Multiple fixation	Pre	45.00	52.00°	62.00	-84.6%	p<0.001
Middle thoracic curve	Multiple fixation	Post	4.50	8.00°	12.00	-84.6%	p<0.001
Middle thoracic curve	Selective fixation	Pre	40.50	52.00°	61.00	-83.6%	p<0.001
Middle thoracic curve	Selective fixation	Post	4.00	8.50°	12.75	-83.6%	p<0.001

Method	Descriptive Measurements								P-value
Method	N	Mean	S.D.	Minimum	Maximum	1Q	Median	3Q	P-value
Multiple fixation	93	45.89°	15.0	13	98	36.00	45.00°	52.50	p=0.032
Traditional fixation	95	48.23°	14.09	10	100	40.00	47.00°	56.00	p=0.032
Selective fixation	84	42.00°	17.26	8	82	30.00	45.00°	53.00	p=0.032

Variable	Method	Descriptive Measurements					P-value
Variable	Method	Operative	1Q	Median	3Q	%Variation	P-value
Lumbosacral curve	Traditional fixation	Pre	42.25	53.00°	70.25	-85%	p<0.001
	Traditional fixation	Post	4.25	8.00°	13.75
Lumbosacral curve	Multiple fixation	Pre	38.00	45.00°	54.00	-84.4%	p<0.001
	Multiple fixation	Post	4.00	7.00°	10.00
Lumbosacral curve	Selective fixation	Pre	40.00	46.00°	52.50	-76%	p<0.001
	Selective fixation	Post	6.00	11.00°	18.00

Method	Descriptive Measurements								P-value
Method	N	Mean	S.D.	Minimum	Maximum	1Q	Median	3Q	P-value
Multiple fixation	79	38.44°	12.12	6	62	30.00	39.00°	47.00	p=0.001
Traditional fixation	36	46.64°	15.89	2	75	38.00	45.00°	58.00	p=0.001
Selective fixation	72	37.06°	15.96	12	102	28.25	36.00°	43.00	p=0.001

[TFN1] Note: The significance probabilities (p-value) refer to the Wilcoxon test.

ESTUDO COMPARATIVO DOS TIPOS DE FIXAÇÃO NA ESCOLIOSE IDIOPÁTICA DO ADOLESCENTE

RESUMO