Research Article

Posterior Vertebral  Column  Resection for Severe Spinal Deformity Correction: Comparison of Pediatric, Adolescent, and Adult Groups

Table 1

Comparison between patients in different age groups.

Total (%)Pediatric 0–12 yr(%)Adolescent 13–19 yr(%)Adult >20 yr(%)

Number (n)87144726
Age (yr)18.910.915.629.1

Etiology (n)
Nonidiopathic57(65.5)14(100)31(66.0)12(46.2)
Congenital357217
TB13355
Idiopathic30(34.5)0(0.0)16(34.0)14(53.8)

Curve categories (n)
Kyphosis14(16.1)3(21.4)5(10.6)6(23.1)
Kyphoscoliosis-Scoliosis larger48(55.2)7(50.0)24(51.1)14(53.8)
Kyphoscoliosis-Kyphosis larger25(28.7)4(28.6)18(38.3)6(23.1)

Comorbidity (n)
Cardiac11(12.6)4(28.6)5(10.6)2(7.7)
Intracanal23(26.4)2(14.3)14(29.8)7(26.9)
Resected seg (n)1.341.911.211.29
Fixed segment (n)13.311.814.313.4
EBL (per total blood volume %)158.8201.9155.5141.6
OP time (Min)594.741644595.625575.75
Precor cobb108.7 ± 24.5102.2 ± 29.3109.0 ± 25.7111.6 ± 23.3
Post-cor cobb36.2 ± 12.427.0 ± 14.537.2 ± 15.339.3 ± 12.8
Corr. Rate %66.773.665.864.9
Pre-sag cobb89.7 ± 28.173.2 ± 21.892.6 ± 35.293.4 ± 24.9
Post-sag cobb29.8 ± 14.120.3 ± 13.032.0 ± 14.730.8 ± 11.9
Corr. Rate %66.872.365.467.0
Major nonneuro complication (n)20(23.0)2(14.3)8(17.0)10(38.5)
IOM abnormal (n)11(12.6)1(7.1)3(6.4)7(26.9)
Implant failure (n)3(3.4)0(0.0)0(0.0)3(11.5)
FVC% improve (%)6.07.86.73.8
FEV% improve (%)6.17.76.84.0

Note. indicates significant statistical difference with .