{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,8,23]],"date-time":"2024-08-23T23:46:28Z","timestamp":1724456788864},"reference-count":16,"publisher":"Scientific Scholar","issue":"04","license":[{"start":{"date-parts":[[2019,9,26]],"date-time":"2019-09-26T00:00:00Z","timestamp":1569456000000},"content-version":"vor","delay-in-days":1273,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Neurosciences in Rural Practice"],"published-print":{"date-parts":[[2016,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>\n          Introduction: Adolescent idiopathic scoliosis is the most common type of scoliosis. A Cobb angle of 50\u00b0 will progress beyond the age of spinal maturity. Surgery over bracing is advised at a Cobb angle above or equal to 50\u00b0. The aim of surgery is to bring the Cobb angle down below 50\u00b0 to prevent reprogression as well as improve the quality of life. The objective of the study is to analyze the efficacy and significance in lifestyle improvement of pedicle screw-only fixation system versus the more common hybrid instrumentation system used for the surgical treatment of adolescent idiopathic scoliosis. Materials and Methods: A prospective cohort study was conducted involving two groups of patients were included in the study. One group was operated with pedicle screw-only method while the other with hybrid instrumentation system. The pre- and post-operative Cobb\u2019s angles were taken across a follow-up of 4 years. An SRS-30 questionnaire was given in a yearly follow-up to assess the lifestyle improvement of the patient. Results: Pedicle screw-only method was significantly more effective in reducing Cobb\u2019s angle (P = 0.0487). It was showed less loss of correction (P = 0.009) pedicle screw-only surgery was also better at reducing thoracic curves (P = 0.001). There seemed a better recovery time with pedicle screw surgery (P = 0.003). Conclusion: Pedicle screws are more effective and durable than hybrid systems at when treating adolescent idiopathic scoliosis.<\/jats:p>","DOI":"10.4103\/0976-3147.185510","type":"journal-article","created":{"date-parts":[[2016,7,5]],"date-time":"2016-07-05T10:22:44Z","timestamp":1467714164000},"page":"550-553","source":"Crossref","is-referenced-by-count":6,"title":["Comparative analysis of pedicle screw versus hybrid instrumentation in adolescent idiopathic scoliosis surgery"],"prefix":"10.25259","volume":"7","author":[{"given":"Sohail","family":"Rafi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Ziauddin University Hospital, Karachi, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naseem","family":"Munshi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Ziauddin University Hospital, Karachi, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asad","family":"Abbas","sequence":"additional","affiliation":[{"name":"Department of Surgery, Ziauddin University Hospital, Karachi, Pakistan"},{"name":"Department of Neurosurgery, Jinnah Postgraduate Medical Center, Karachi, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rabia Hassan","family":"Shaikh","sequence":"additional","affiliation":[{"name":"Department of Surgery, Ziauddin University Hospital, Karachi, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Imtiaz","family":"Hashmi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Ziauddin University Hospital, Karachi, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2019,9,26]]},"reference":[{"key":"key-10.4103\/0976-3147.185510-1","first-page":"523","volume-title":"Comparative analysis of pedicle screw versus hybrid instrumentation in adolescent idiopathic scoliosis surgery","author":"Karatoprak","year":"2008","journal-title":"Int Orthop"},{"key":"key-10.4103\/0976-3147.185510-2","first-page":"1292","volume-title":"Five-year clinical and radiographic outcomes using pedicle screw only constructs in the treatment of adolescent idiopathic scoliosis","author":"Hwang","year":"2013","journal-title":"Eur Spine J"},{"key":"key-10.4103\/0976-3147.185510-3","first-page":"345","volume-title":"Morbidity and radiographic outcomes of severe scoliosis of 90\u00b0 or more: A comparison of hybrid with total pedicle screw instrumentation","author":"Helenius","year":"2014","journal-title":"J Child Orthop"},{"key":"key-10.4103\/0976-3147.185510-4","first-page":"S808","volume-title":"Treatment of severe scoliosis with posterior-only approach arthrodesis and all-pedicle screw instrumentation","author":"Crostelli","year":"2013","journal-title":"Eur Spine J"},{"key":"key-10.4103\/0976-3147.185510-5","first-page":"39","volume-title":"Surgery for idiopathic scoliosis: Currently applied techniques","author":"Maruyama","year":"2009","journal-title":"Clin Med Pediatr"},{"key":"key-10.4103\/0976-3147.185510-6","first-page":"13","volume-title":"Evaluation of implant loosening following segmental pedicle screw fixation in adolescent idiopathic scoliosis: A 2 year follow-up with low-dose CT","author":"Abul-Kasim","year":"2014","journal-title":"Scoliosis"},{"key":"key-10.4103\/0976-3147.185510-7","first-page":"1393","volume-title":"Hybrid versus total pedicle screw instrumentation in patients undergoing surgery for neuromuscular scoliosis: A comparative study with matched cohorts","author":"Mattila","year":"2012","journal-title":"J Bone Joint Surg Br"},{"key":"key-10.4103\/0976-3147.185510-8","first-page":"489","volume-title":"Restoration of thoracic kyphosis in hypokyphotic spine a comparison between multiple hook and segmental pedicle screw fixation in adolescent idiopathic scoliosis","author":"Suk","year":"1999","journal-title":"J Spinal Disord"},{"key":"key-10.4103\/0976-3147.185510-9","first-page":"2040","volume-title":"Comparative analysis of pedicle screw versus hook instrumentation in posterior spinal fusion of adolescent idiopathic scoliosis","author":"Kim","year":"1976","journal-title":"Spine (Phila Pa"},{"key":"key-10.4103\/0976-3147.185510-10","first-page":"1927","volume-title":"Subjective evaluation of treatment outcomes of instrumentation with pedicle screws or hybrid constructs in lenke type 1 and 2 adolescent idiopathic scoliosis: What happens when judges are blinded to the instrumentation?","author":"Arlet","year":"2009","journal-title":"Eur Spine J"},{"key":"key-10.4103\/0976-3147.185510-11","first-page":"338","volume-title":"How is the trachea at risk of injury from pedicle screw insertion in proximal thoracic curve of adolescent idiopathic scoliosis patients?","author":"Qian","year":"2013","journal-title":"Eur Spine J"},{"key":"key-10.4103\/0976-3147.185510-12","first-page":"777","volume-title":"Primary thoracoplasty and pedicle screw instrumentation in thoracic idiopathic scoliosis","author":"Min","year":"2005","journal-title":"Eur Spine J"},{"key":"key-10.4103\/0976-3147.185510-13","first-page":"163","volume-title":"Posterior pedicle screw system and interbody fusion in the treatment of degenerative scoliosis","author":"Liu","year":"2003","journal-title":"Beijing Da Xue Xue Bao"},{"key":"key-10.4103\/0976-3147.185510-14","first-page":"291","volume-title":"Comparative analysis of pedicle screw versus hybrid instrumentation in posterior spinal fusion of adolescent idiopathic scoliosis","author":"Kim","year":"1976","journal-title":"Spine (Phila Pa"},{"key":"key-10.4103\/0976-3147.185510-15","first-page":"369","volume-title":"Idiopathic scoliosis patients with curves more than 45 cobb degrees refusing surgery can be effectively treated through bracing with curve improvements","author":"Negrini","year":"2011","journal-title":"Spine J"},{"key":"key-10.4103\/0976-3147.185510-16","first-page":"1951","volume-title":"Brace treatment is effective in idiopathic scoliosis over 45\u00b0: An observational prospective cohort controlled study","author":"Lusini","year":"2014","journal-title":"Spine J"}],"container-title":["Journal of Neurosciences in Rural Practice"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.4103\/0976-3147.185510.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,10,3]],"date-time":"2022-10-03T15:17:41Z","timestamp":1664810261000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.4103\/0976-3147.185510"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,4]]},"references-count":16,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2019,9,26]]},"published-print":{"date-parts":[[2016,4]]}},"URL":"https:\/\/doi.org\/10.4103\/0976-3147.185510","relation":{},"ISSN":["0976-3147","0976-3155"],"issn-type":[{"value":"0976-3147","type":"print"},{"value":"0976-3155","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,4]]}}}