title: Aortic issues in scoliosis and scoliotic operations.
abstract: The spatial relations between the aorta and vertebrae are changing with posture, surgical techniques, and operative maneuvers. "Risky screws" (within 1-3 mm proximity to the aorta or other adjacent tissues) were found in 5.8-15.2% screws. In order to avoid early and later aortic complications secondary to scoliotic operations, careful preoperative metrology of aorto-vertebrae relations is of crucial importance. Compared with patients with idiopathic scoliosis, Marfan-related scoliosis is characterized by faster progression and it is more bracing-resistant due to the particular developmental anomalies in Marfan syndrome, implying the refractory nature of the latter. The present study aims to highlight the clinical impact of preoperative aorto-vertebra metrology in the scoliotic operations.
authors.affiliation: Department of Cardiothoracic Surgery, The First Hospital of Putian, Teaching Hospital, Fujian Medical University, Putian, Fujian Province, P. R. China.
authors.forename: Shi-Min
authors.initials: SM
authors.lastname: Yuan
authors.affiliation: Department of Orthopedics, The First Hospital of Putian, Teaching Hospital, Fujian Medical university, Putian, Fujian Province, P. R. China. g.r.wang@sohu.com.
authors.forename: Guo-Rong
authors.initials: GR
authors.lastname: Wang
mesh_terms: D001013:Aorta, Thoracic / Q000293:injuries*; D019317:Evidence-Based Medicine; D006801:Humans; D007796:Laminectomy / Q000009:adverse effects* / Q000379:methods*; D012600:Scoliosis / Q000601:surgery*; D013123:Spinal Fusion / Q000009:adverse effects*; D016896:Treatment Outcome; D057772:Vascular System Injuries / Q000209:etiology* / Q000517:prevention & control
keywords: Aorta; Marfan syndrome; Orthopedic procedures; Scoliosis; Spine