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Effects of Posterior Spinal Correction and Fusion on Postural Stability in Patients with Adolescent Idiopathic Scoliosis

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Title: Effects of Posterior Spinal Correction and Fusion on Postural Stability in Patients with Adolescent Idiopathic Scoliosis
Authors: Osuka, Satoshi Browse this author
Sudo, Hideki Browse this author →KAKEN DB
Yamada, Katsuhisa Browse this author
Tachi, Hiroyuki Browse this author
Watanabe, Kentaro Browse this author
Sentoku, Fuma Browse this author
Chiba, Takeshi Browse this author
Iwasaki, Norimasa Browse this author
Mukaino, Masahiko Browse this author
Tohyama, Harukazu Browse this author
Keywords: adolescent idiopathic scoliosis
anatomical spinal correction
postural stability
center of pressure
force plate
Issue Date: Jan-2023
Publisher: MDPI
Journal Title: Journal of clinical medicine
Volume: 12
Issue: 1
Start Page: 270
Publisher DOI: 10.3390/jcm12010270
Abstract: The present study aimed to assess the effects of posterior spinal correction and fusion on postural stability in patients with adolescent idiopathic scoliosis (AIS). The study included 41 female patients with AIS at our institution. All patients performed three 10 s single-leg standing trials on a force plate. The center of pressure (COP) was measured preoperatively, and at 1 week and 6 months postoperatively. The postural stability parameters were absolute minimum time-to-boundary (TTB), mean of the minimum TTB, mean COP velocity, standard deviation, range, and 95% confidence ellipse area. One-way repeated analysis of variance or Friedman test was applied to the postural stability parameters. Multiple comparisons were performed using the Bonferroni correction. The absolute minimum TTB and the mean minimum TTB showed a significant increase 6 months post-operation as compared to preoperatively and 1 week postoperatively. The COP velocity significantly decreased at 6 months post-operation compared to preoperatively and 1 week postoperatively. These changes in postural stability indicate that spinal correction and fusion can be considered to improve postural stability during single-leg standing tests in the postoperative period.
Type: article
URI: http://hdl.handle.net/2115/88125
Appears in Collections:北海道大学病院 (Hokkaido University Hospital) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

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