EFFECT OF SURGICAL TREATMENT OF SCOLIOTIC CURVATURE ON THE SPINE AND UPPER LIMBS

ABSTRACT Objectives: Evaluate the surgical treatment of scoliotic curvature effects and sagittal radiographic parameters spine upper limbs after with direct vertebral rotation (DVR) associated type 1 osteotomy in adolescents idiopathic scoliosis (AIS). Material Methods: 41 patients AIS were evaluated compared before surgery. Scoliosis was confirmed by a spine. The were: Cobb angles (proximal distal thoracic), segmental kyphosis (T5-T12), total (T1-T12), cervical lordosis (C2-C7), distance from center gravity skull to C7 (Cervical VAS), measurement T1 slope (T1), neck slope, IT (AP), angle chest opening plumb line C7-S1 (SVA C7-S1). Statistical analysis pre- post-surgical shoulder parameters. Results: After procedure, significant reductions observed for following measurement: proximal thoracic angle, correction 68% main curve. measurements inclination profile also improve Regarding shoulders, there reduction AP intercoracoid other did not show differences. Conclusion: Surgical promoted better angles, spine, inclination, symmetry. Level Evidence II; Prospective study.