{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T14:37:03Z","timestamp":1740148623965,"version":"3.37.3"},"reference-count":30,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2021,8,30]],"date-time":"2021-08-30T00:00:00Z","timestamp":1630281600000},"content-version":"vor","delay-in-days":29,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop (Sao Paulo)"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>\n          Objetivo\u2003Avaliar e correlacionar os par\u00e2metros p\u00e9lvicos, o equil\u00edbrio sagital (SB), e o resultado funcional dos pacientes submetidos ao tratamento cir\u00fargico da hipercifose de Scheuermann (SK).<\/jats:p><jats:p>\n          M\u00e9todos\u2003Foram inclu\u00eddos pacientes submetidos \u00e0 cirurgia entre janeiro de 2005 e dezembro de 2016. Foram obtidas as seguintes medidas radiogr\u00e1ficas: cifose tor\u00e1cica (TK); lordose lombar (LL); SB; incid\u00eancia p\u00e9lvica (PI); inclina\u00e7\u00e3o p\u00e9lvica (PT); e inclina\u00e7\u00e3o sacral (SS). Complica\u00e7\u00f5es foram registradas durante o per\u00edodo de seguimento.<\/jats:p><jats:p>\n          Resultados\u2003Foram inclu\u00eddos 19 pacientes (16 homens): a cifose pr\u00e9-operat\u00f3ria m\u00e9dia foi de 83\u00b0, e, ap\u00f3s a cirurgia, de 57\u00b0. A LL m\u00e9dia pr\u00e9-operat\u00f3ria foi de 66\u00b0, com uma corre\u00e7\u00e3o espont\u00e2nea p\u00f3s-operat\u00f3ria de 47\u00b0. Quanto aos par\u00e2metros p\u00e9lvicos pr\u00e9-operat\u00f3rios, as m\u00e9dias de PI, PT e SS foram de 48\u00b0, 10\u00b0 e 39\u00b0, respectivamente. No p\u00f3s-operat\u00f3rio, esses valores foram de 50\u00b0, 16\u00b0 e 35\u00b0, respectivamente. O SB pr\u00e9-operat\u00f3rio foi neutro e mantido ap\u00f3s corre\u00e7\u00e3o cir\u00fargica. Quanto \u00e0s complica\u00e7\u00f5es durante o per\u00edodo de seguimento, foram observadas tr\u00eas cifoses juncionais \u2013 duas necessitando de cirurgia de revis\u00e3o, uma m\u00e1 consolida\u00e7\u00e3o, e uma deisc\u00eancia de sutura. Em rela\u00e7\u00e3o aos resultados funcionais, a pontua\u00e7\u00e3o m\u00e9dia no question\u00e1rio de 22 itens da Scoliosis Research Society (SRS-22) foi de 4,04, e verificou-se que o SB no p\u00f3s-operat\u00f3rio n\u00e3o teve influ\u00eancia no desfecho funcional (p\u2009=\u20090,125), nem na LL p\u00f3s-operat\u00f3ria (p\u2009=\u20090,851).<\/jats:p><jats:p>\n          Conclus\u00e3o\u2003Verificamos uma melhora espont\u00e2nea da hiperlordose lombar em n\u00edveis n\u00e3o inclu\u00eddos na fus\u00e3o ap\u00f3s a corre\u00e7\u00e3o da TK. Embora os resultados funcionais p\u00f3s-operat\u00f3rios tenham sido globalmente elevados, n\u00e3o encontramos nenhuma rela\u00e7\u00e3o estatisticamente significativa com a TK nem com a LL. A PI elevada est\u00e1 associada a maior complica\u00e7\u00e3o da cifose juncional proximal (PJK), e esses par\u00e2metros p\u00e9lvicos devem ser considerados no momento do tratamento cir\u00fargico da cifose de Scheuermann.<\/jats:p>","DOI":"10.1055\/s-0041-1724078","type":"journal-article","created":{"date-parts":[[2021,8,30]],"date-time":"2021-08-30T22:36:18Z","timestamp":1630362978000},"page":"446-452","source":"Crossref","is-referenced-by-count":1,"title":["Alinhamento do plano sagital e resultados funcionais ap\u00f3s cirurgia para a cifose de Scheuermann"],"prefix":"10.1055","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8033-362X","authenticated-orcid":false,"given":"Lu\u00edsa","family":"Vital","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia e Traumatologia, Centro Hospitalar Universit\u00e1rio de S\u00e3o Jo\u00e3o, Porto, 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