Treatment

Radiographic Data: Posterior Vertebral Column Resection

Lawrence G. Lenke, MD
The Jerome J. Gilden Professor of Orthopedic Surgery
Co-Chief Pediatric & Adult Spinal, Scoliosis & Reconstructive Surgery
St. Louis, MO
Brenda Sides, M.S.
Washington University School of Medicine
St. Louis, MO
Linda Koester, BS
Washington University School of Medicine
St. Louis, MO
Marsha Hensley, RN
Shrinters Hospital for Children
St. Louis, MO
Kathy M. Blanke, RN
Wsahington University School of Medicine
St. Louis, MO

Scoliosis Research Society Paper #13
42nd Annual Meeting
Edinburgh, Scotland
September 5-8, 2007

Table 2 - Radiographic Data

Pt. # Dx. Preop AP Cobb Preop Coronal Flexibility (degrees/%) Initial PO Coronal Cobb Latest PO Coronal Cobb % Coronal Correction Preop Max Lat. Cobb Preop HE Lat. Initial PO Lat. Cobb Latest PO Lat. Cobb % Sagittal Correction
12 SS 79° 66°/16% 31° 34° 57% 91° 58° 34° 36° 60%
17 SS 112° 80°/29% 21° 18° 84% 31° N/A 26° 28° 10%
28 SS 78° 64°/20% 20° n/a 74% 54° N/A 24° N/A 56%
33 SS 78° 76°/3% 40° 39° 50% 25° N/A 11° 9° 64%
34 SS 45° 42°/7% 15° 14° 69% 12° N/A 14° 23° 92%
36 SS 53° 50°/6% 3° 3° 94% 29° N/A 16° 16° 45%
40 SS 150° 140°/6% 42° 68° 55% 40° N/A 33° 32° 20%
Ave. Range 85.3° 45-150° 74.7°/11.7%
42-150°/3-24%		 24.6°
3-42°		 28°
3-68°		 69.1%
50-94%		          
Pt. # Dx. Preop AP Cobb Preop Coronal Flexibility (degrees/%) Initial PO Coronal Cobb Latest PO Coronal Cobb % Coronal Correction Preop Max Lat. Cobb Preop HE Lat. Initial PO Lat. Cobb Latest PO Lat. Cobb % Sagittal Correction
10 GK 11° N/A 5° 3° N/A 105° 98° 48° 46° 56%
15 GK 40° UTD 25° 24° 40% 113° 75° 66° 63° 44%
21 GK N/A N/A N/A N/A N/A 113° 91° 43° 46° 59%
23 GK N/A N/A N/A N/A N/A 120° 93° 66° 59° 51%
24 GK N/A
N/A
 7° 6° N/A 70° 53° 13° 12° 83%
26 GK 45° 36°/20% N/A N/A 87% 94° 81° 40° 39° 59%
27 GK N/A N/A N/A N/A N/A 108° None 46° 48° 56%
29 GK 57°
N/A
 N/A N/A 63% 118° None 61° 84° 29%
37 GK 50° 40°/20% N/A N/A 30% 95° 90° 21° 21° 78%
39 GK N/A N/A N/A N/A N/A 97° 70° 56° 58° 40%
41 GK 44° 26°/41% 31° 31° 30% 82° 50° 41° 41° 50%
42 GK N/A N/A N/A N/A N/A 97° None 52° 52° 46%
Ave. Range 41.1° 11-57° 34°/27%
26-40°/20-41%		 17°
5-31°		 20°
6-35°
50%
30-87%
 92.5°
70-118°		 77.9° 50-98° 46.1°
13-66°		 48.3°
12-84°		 54.3%
29-83%
Pt. # Dx. Preop AP Cobb Preop Coronal Flexibility (degrees/%) Initial PO Coronal Cobb Latest PO Coronal Cobb % Coronal Correction Preop Max Lat. Cobb Preop HE Lat. Initial PO Lat. Cobb Latest PO Lat. Cobb % Sagittal Correction
3 AK N/A N/A N/A N/A N/A 44° 15° 7° 5° 87%
4 AK N/A N/A N/A N/A N/A 62° 50° 13° 27° 56%
5 AK 23° 15°/35% 8° 5° 78% 45° None 21° 26° 42%
6 AK N/A N/A N/A N/A N/A 52° 26° 14° 15° 71%
7 AK 122° N/A 22° 18° 85% 135° None 46° 41° 70%
9 AK N/A N/A N/A N/A N/A 80° None 29° 29° 48%
11 AK N/A N/A N/A N/A N/A 92° 83° 45° 28° 70%
13 AK N/A N/A N/A N/A N/A 66° None None 45° 32%
18 AK 20° None 6° 10° 50% 56° 44° 18° 18° 68%
43 AK 27° 11°/59% 8° 11° 59% 95° 60° 12° 10° 89%
Ave. Range 48°
20-122°		 13°/47%
11-15°/35-59%		 11°
6-22°		 11°
5-18°		 68%
50-85%		 72.7°
44-135°		 46.3° 15-83° 22.9°
7-46°		 24.4°
5-45°		 63.3%
32-89%
Pt. # Dx. Preop AP Cobb Preop Coronal Flexibility (degrees/%) Initial PO Coronal Cobb Latest PO Coronal Cobb % Coronal Correction Preop Max Lat. Cobb Preop HE Lat. Initial PO Lat. Cobb Latest PO Lat. Cobb % Sagittal Correction
1 KS 54° 46°/15% (36 PP) 22° 26° 56% 60° 68° 29° 37° 38%
2 KS 86° 64°/26% N/A 30° 65% 107° 79° None 56° 48%
8 KS 71° 55°/23% (PP) 21° 27° 62% 76° 52° 28° 30° 61%
14 KS 124° 110°/11% 76° 62° 50% 144° 115° 73° 65° 55%
16 KS 68° 62°/9% 41° 35° 44% 138° 103° 86° 80° 42%
19 KS 98° 76°/23% 41° 38° 61% 109° 68° 33° 38° 65%
20 KS 74° 78°/14% 37° 44° 41% 88° 65° 38° 30° 66%
22 KS 127° 88°/31% 76° 52° 56% 110° 85° 67° 55° 50%
25 KS 104° 97°/7% 75° 70° 33% 91° 77° 35° 35° 62%
30 KS 56° None 28° 28° 50% 83° None 42° 42° 49%
31 KS 85° 77°/9% 39° 37° 56% 110° 40° 27° 28° 75%
32 KS 91° 77°/15% 20° 11° 88% 109° 75° 67° 71° 35%
35 KS 92° N/A 57° 58° 37% 87° None 37° 39° 55%
38 KS 135 121°/10% 39° 41° 70% 140° None 24° 27° 80%
Ave. Range 90.1° 52-135° 44.4°
20-76°		 40.2°
11-70°		 55.1%
33-88%		 103.6°
60-144°		 75.2° 40-115° 45.1°
28-86°		 45.2° 27-80° 55.8%
35-80%

AP - anteroposterior; PO - postoperative; HE - hyperextension; PP - push prone

Last Updated: 11/26/2007
Continue Reading: Materials and Methods: Vertebral Column Resection (VCR) for Severe Pediatric and Adult Spinal Deformity
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