{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:50:20Z","timestamp":1777881020820,"version":"3.51.4"},"reference-count":35,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2020,8,7]],"date-time":"2020-08-07T00:00:00Z","timestamp":1596758400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Orthop Surg (Hong Kong)"],"published-print":{"date-parts":[[2020,9,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>Various surgical strategies including combined approach and spinal osteotomies in severe rigid scoliosis had been reported with significant perioperative complication rates. The use of single-staged posterior spinal fusion (PSF) utilizing a dual attending surgeon strategy for severe rigid scoliosis has not been widely reported.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This was a retrospective study aimed to evaluate the perioperative outcome of single-staged PSF in severe rigid idiopathic scoliosis patients (Cobb angle \u226590\u00b0 and \u226430% flexibility). Forty-one patients with severe rigid idiopathic scoliosis who underwent single-staged PSF were included. The perioperative outcome parameters were operation duration, intraoperative blood loss, intraoperative hemodynamic parameters, preoperative and postoperative hemoglobin, transfusion rate, patient-controlled anesthesia morphine usage, length of postoperative hospital stay, and perioperative complications. Radiological parameters included preoperative and postoperative Cobb angle, correction rate, side-bending flexibility, and side-bending correction index.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The mean age was 16.9 \u00b1 5.6 years. The mean preoperative Cobb angle was 110.8 \u00b1 12.1\u00b0 with mean flexibility of 23.1 \u00b1 6.3%. The mean operation duration was 215.5 \u00b1 45.2 min with mean blood loss of 1752.6 \u00b1 830.5 mL. The allogeneic blood transfusion rate was 24.4%. The mean postoperative hospital stay was 76.9 \u00b1 26.7 h. The mean postoperative Cobb angle and correction rate were 54.4 \u00b1 12.8\u00b0 and 50.9 \u00b1 10.1%, respectively. The readmission rate in this cohort was 2.4%. Four perioperative complications were documented (9.8%), one somatosensory evoke potential signal loss, one superficial infection, one lung collapse, and one superior mesenteric artery syndrome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Severe rigid idiopathic scoliosis treated with single-staged PSF utilizing a dual attending surgeon strategy demonstrated an average correction rate of 50.9%, operation duration of 215.5 min, and postoperative hospital stay of 76.9 h with a 9.8% perioperative complication rate.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2309499020936005","type":"journal-article","created":{"date-parts":[[2020,8,7]],"date-time":"2020-08-07T09:07:45Z","timestamp":1596791265000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Perioperative outcome of severe rigid idiopathic scoliosis: Single-staged posterior spinal fusion utilizing a dual attending surgeon strategy. A report of 41 patients"],"prefix":"10.1177","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7245-0295","authenticated-orcid":false,"given":"Chris Yin Wei","family":"Chan","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, National Orthopaedic Centre of Excellence for Research and Learning (NOCERAL), Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Weng Hong","family":"Chung","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, National Orthopaedic Centre of Excellence for Research and Learning (NOCERAL), Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuki","family":"Mihara","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, National Orthopaedic Centre of Excellence for Research and Learning (NOCERAL), Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia"},{"name":"Department of Orthopaedic Surgery, Hamamatsu University School of Medicine, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sin Ying","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, National Orthopaedic Centre of Excellence for Research and Learning (NOCERAL), Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pei Ying","family":"Ch\u2019ng","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, National Orthopaedic Centre of Excellence for Research and Learning (NOCERAL), Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohd Shahnaz","family":"Hasan","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Faculty of Medicine, University of Malaya, Kuala Lumpur"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4198-1541","authenticated-orcid":false,"given":"Chee Kidd","family":"Chiu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, National Orthopaedic Centre of Excellence for Research and Learning (NOCERAL), Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9512-3155","authenticated-orcid":false,"given":"Mun Keong","family":"Kwan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, National Orthopaedic Centre of Excellence for Research and Learning (NOCERAL), Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,8,7]]},"reference":[{"key":"bibr1-2309499020936005","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3181f3a326"},{"key":"bibr2-2309499020936005","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200711000-00013"},{"key":"bibr3-2309499020936005","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000197188.76369.13"},{"key":"bibr4-2309499020936005","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200509000-00005"},{"key":"bibr5-2309499020936005","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-016-4694-y"},{"key":"bibr6-2309499020936005","doi-asserted-by":"publisher","DOI":"10.1016\/j.jspd.2015.12.005"},{"key":"bibr7-2309499020936005","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000170590.21071.c1"},{"key":"bibr8-2309499020936005","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-005-1016-1"},{"key":"bibr9-2309499020936005","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3181b53cba"},{"key":"bibr10-2309499020936005","doi-asserted-by":"publisher","DOI":"10.1016\/j.jspd.2014.06.008"},{"key":"bibr11-2309499020936005","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000153707.80497.a2"},{"key":"bibr12-2309499020936005","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-200107000-00020"},{"key":"bibr13-2309499020936005","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000000675"},{"key":"bibr14-2309499020936005","doi-asserted-by":"publisher","DOI":"10.1097\/BPB.0b013e32836486b6"},{"key":"bibr15-2309499020936005","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000000501"},{"key":"bibr16-2309499020936005","doi-asserted-by":"publisher","DOI":"10.1227\/01.neu.0000462076.73701.09"},{"key":"bibr17-2309499020936005","doi-asserted-by":"publisher","DOI":"10.31616\/asj.2018.12.4.669"},{"key":"bibr18-2309499020936005","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-016-4529-x"},{"key":"bibr19-2309499020936005","doi-asserted-by":"publisher","DOI":"10.4184\/asj.2014.8.6.804"},{"key":"bibr20-2309499020936005","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000002206"},{"key":"bibr21-2309499020936005","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000240704.42264.c4"},{"key":"bibr22-2309499020936005","doi-asserted-by":"publisher","DOI":"10.1186\/1749-799X-3-26"},{"key":"bibr23-2309499020936005","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-011-1861-z"},{"key":"bibr24-2309499020936005","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3182a3cd90"},{"key":"bibr25-2309499020936005","doi-asserted-by":"publisher","DOI":"10.3171\/2014.10.SPINE13690"},{"key":"bibr26-2309499020936005","doi-asserted-by":"publisher","DOI":"10.1177\/2192568218763147"},{"key":"bibr27-2309499020936005","doi-asserted-by":"publisher","DOI":"10.31616\/asj.2018.12.4.632"},{"key":"bibr28-2309499020936005","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2018.06.344"},{"key":"bibr29-2309499020936005","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000002276"},{"key":"bibr30-2309499020936005","doi-asserted-by":"publisher","DOI":"10.1016\/j.jspd.2014.05.004"},{"key":"bibr31-2309499020936005","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.17.00597"},{"key":"bibr32-2309499020936005","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e318269fab1"},{"key":"bibr33-2309499020936005","doi-asserted-by":"publisher","DOI":"10.1590\/1413-785220192701189400"},{"key":"bibr34-2309499020936005","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-017-1695-x"},{"key":"bibr35-2309499020936005","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200209150-00015"}],"container-title":["Journal 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