METHODS: All patients of EOS managed with either TGR or MCGR were included in the study. The patients managed with other methods or having follow-up < 2-years were excluded from the study. A total of 20 patients were recruited in the MCGR group and 28 patients were recruited in the TGR group. Both groups were matched by etiology, gender, pre-operative radiological parameters, and complications including unplanned surgeries.
RESULTS: The mean age in our study was 7.90 years in the MCGR group and 7.46 years in the TGR group. The mean duration of follow-up in the MCGR group was 50.89 months and in the TGR group 94.2 months. Pre-operative cobb\'s angle in the coronal plane and T1-S1 were comparable in both groups with a mean cobb\'s angle of 65.4 in MCGR and 70.5 in TGR. The mean T1-S1 length in the MCGR group was 36.1cms and in the TGR group was 35.2 cms (p = 0.18). The average increase in T1-S1 length was 1.3 cm/year in the TGR group and 1.1 cm/year in the MCGR group (p > 0.05). The TGR patients underwent 186 open lengthening surgeries and 11 unplanned surgeries for various complications. The MCGR group has 180 non-invasive lengthening with only 4 unplanned returns to OT for various causes.
CONCLUSIONS: The curve correction was similar in both TGR and MCGR groups. The average T1-S1 length achieved on final follow-up was similar in both groups. The MCGR patients have attained similar correction with fewer invasive procedures and lesser complications compared to the TGR group.
方法:所有接受TGR或MCGR治疗的EOS患者均纳入研究。采用其他方法治疗或随访<2年的患者被排除在研究之外。MCGR组招募了20例患者,TGR组招募了28例患者。两组均符合病因,性别,术前放射参数,以及包括计划外手术在内的并发症.
结果:我们研究的平均年龄在MCGR组为7.90岁,在TGR组为7.46岁。MCGR组的平均随访时间为50.89个月,TGR组为94.2个月。两组术前冠状面中的cobb角和T1-S1具有可比性,MCGR的平均cobb角为65.4,TGR的平均cobb角为70.5。MCGR组的平均T1-S1长度为36.1cms,TGR组为35.2cms(p=0.18)。TGR组T1-S1长度平均增加1.3cm/年,MCGR组平均增加1.1cm/年(p>0.05)。TGR患者接受了186例开放式延长手术和11例非计划手术治疗各种并发症。MCGR组有180个非侵入性的延长,只有4个计划外的返回OT的各种原因。
结论:TGR组和MCGR组的曲线校正相似。两组最终随访时获得的平均T1-S1长度相似。与TGR组相比,MCGR患者获得了类似的矫正,侵入性手术较少,并发症较少。