مقاله انگلیسی راهکارهای جراحی استفاده شده برای اصلاح قوز شوئرمان
Introduction
Materials and Methods
Results
Discussion
Conclusion
References
Introduction
Scheuermann’s kyphosis (SK) is a rigid developmental thoracic kyphosis, which can cause severe back pain and cosmetic disorders to patients [1, 2]. Although conservative treatment measures are initially applied, surgical treatment is indicated for kyphosis that is over 70–75 degrees, with significant pain that has not responded to conservative management, and/or respiratory problems due to severe kyphosis, and neurological issues [3–5]. *e surgical treatment consists of two different ways; one is the combined anterior-posterior approach (AP) and the other is a posterior-only way (PO), with various types of anchors [6, 7]. However, previous studies on surgical procedure selection for correction of SK have drawn contradictory conclusions. It was reported that a sufficient correction can be achieved by the PO approach, but the AP approach was more likely to get into a satisfying correction [8]. By contrast, a comparative study reported that the PO approach was more successful with a lower incidence of complications, as compared to the AP approach [9]. Interestingly, Koller et al. [10] found that both approaches achieved similar degrees of correction with higher fusion level in the PO group, after comparing the AP with PO procedures in correcting kyphosis. Considering the controversy stated above, in this study, a meta-analysis was performed in order to figure out a better way between AP and PO procedures in treating SK patients. 2. Materials and Methods 2.1. Ethical Statement. *e ethical approval was waived because all analyses were based on previously published studies.