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    Cervical and thoracic/lumbar motion and muscle strength in surgically treated adolescent idiopathic scoliosis patients
    (IOS Press, 2022) Turan, Kayhan; Kara, Gökhan Kürşat; Çamurcu, Yalkın; Kızılay, Yusuf Onur; Uysal, Yunus; Şahin, Ecem; Aydınlı, Ufuk
    Abstract: BACKGROUND: To date, only one study assessed the spinal mobility and muscle strength of patients who were treated either with fusion or brace treatment. OBJECTIVE: The aim of this retrospective study was to evaluate the range of motion (ROM) and strength of the cervical and thoracic/lumbar spine in patients who underwent spinal fusion for the treatment of adolescent idiopathic scoliosis (AIS) in comparison to healthy individuals. METHODS: Patients (n= 28) who were treated surgically for AIS were included in the study. An age and gender matched control group (n= 22) was included that consisted of healthy individuals. DAVID® Lumbar/Thoracic Extension, Lumbar/Thoracic Rotation, and Cervical Extension/Lateral Flexion devices were used to measure cervical and lumbar/thoracic ROM as well as muscle strength. RESULTS: Significant differences were observed between groups in all ROM measurements except thoracic/lumbar sagittal flexion ROM measurement (p= 0.198). There were significant differences between groups in terms of muscle strength, except thoracic lumbar left rotation strength (p= 0.081). CONCLUSIONS: The findings of the current study demonstrated that cervical and thoracic/lumbar range of motion, as well as muscle strength, were significantly decreased in surgically treated adolescent idiopathic scoliosis patients compared to healthy counterparts. However, trunk (thoracic/lumbar) flexion range of motion and trunk left rotation muscle strength were not significantly different.
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    Evaluation of the preferences of Turkish spine society members towards adolescent idiopathic scoliosis treatment
    (Galenos, 2020) Turan, Kayhan; Kara, Gökhan Kürşat; Çamurcu, İsmet Yalkın; Kızılay, Yusuf Onur; Uysal, Yunus; Aydınlı, Ufuk
    Objective: Controversies exist in the follow-up and treatment of adolescent idiopathic scoliosis (AIS). Thus, it is important to identify the attitudes of physicians from a national perspective to determine the status and problems associated with AIS treatment. This study aimed to evaluate the preferences of the Turkish Spine Society (TSS) physicians towards AIS treatment by investigating differences in AIS monitoring and treatment through a web questionnaire survey. Materials and Methods: This cross-sectional observational study employed a simple questionnaire focusing on AIS, which was created using Survey Monkey. Twenty questions, which were deemed as the most controversial topics of AIS, were constructed by the authors. A consensus was considered when 70% of the respondents provided the same answer. Results: A consensus was obtained among TSS physicians for using brace as conservative treatment and the brace was used 22 hours daily. Most TSS physicians agreed about the surgical indication of AIS; however, there was a disagreement about the indication of brace treatment. Conclusion: TSS physicians had a consensus on using brace in AIS treatment. However, there was a disagreement towards the indication of the brace treatment. The results demonstrated a consensus about surgical management and surgical experiences. However, a disparity existed about the time by which activities and contact sports are allowed.
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    Monoaxial pedicle screws with sublaminar fixations in the correction of adolescent idiopathic scoliosis
    (Galenos Yayınevi, 2021) Turan, Kayhan; Kara, Gökhan Kürşat; Çamurcu, Yalkın; Kızılay, Yusuf Onur; Uysal, Yunus; Aydınlı, Ufuk
    Objective: To evaluate the radiological outcomes of posterior spinal instrumentation by using monoaxial pedicle screws with sublaminar fixations for the treatment adolescent idiopathic scoliosis (AIS). Materials and Methods: The data of 14 patients who underwent posterior instrumentation by using monoaxial pedicle screws with sublaminar fixations for the treatment of AIS between 2010 and 2019 were retrospectively analyzed. Patients’ age, gender, preoperative Risser classification, preoperative Lenke classification, and operative data were recorded through our medical records. Proximal thoracic (PT), main thoracic (MT), thoracolumbar/lumbar (TL/L) curve Cobb angles as well as thoracic kyphosis (TK) and lumbar lordosis (LL) Cobb angles were measured through preoperative and postoperative standing full spine X-rays. Results: The mean preoperative PT curve Cobb angle was 33.7 degrees, and it was 4 degrees postoperatively (p=0.068). The mean preoperative MT curve Cobb angle was 53.3 degrees and it was 8.7 degrees postoperatively (p=0.008). The mean preoperative TL/L curve Cobb angle was 43 degrees and it was 9.2 degrees postoperatively (p=0.005). The overall mean coronal plane correction ratio was 84%. The mean preoperative TK Cobb angle was 25.2±17.8 degrees and it was 32.9±8.9 postoperatively (p=0.101). Conclusion: According to the results acquired from this study, monoaxial pedicle screws with sublaminar fixations demonstrated an efficient correction in both PT, MT, and TL/L curves and restoration of TK in AIS surgery