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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2023; 58(03): 397-403
DOI: 10.1055/s-0042-1756318
Artigo Original
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Impact of the Suspension of Elective Surgeries for Adolescent Idiopathic Scoliosis during the COVID-19 Pandemic[*]

Article in several languages: português | English
Matheus Neves Castanheira 
1   Serviço de Ortopedia e Traumatologia do Hospital Municipal Universitário de Taubaté, Taubaté, SP, Brasil
,
Giovanni Salvatore Nardone 
1   Serviço de Ortopedia e Traumatologia do Hospital Municipal Universitário de Taubaté, Taubaté, SP, Brasil
,
Rafael de Paiva Luciano 
1   Serviço de Ortopedia e Traumatologia do Hospital Municipal Universitário de Taubaté, Taubaté, SP, Brasil
,
Márcio Squassoni Leite 
1   Serviço de Ortopedia e Traumatologia do Hospital Municipal Universitário de Taubaté, Taubaté, SP, Brasil
› Author Affiliations Financial Support This study received no financial support from public, commercial, or non-profit sources.
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Abstract

Objectives This study evaluated the radiographic progressions of scoliotic curves higher than 40° in patients with adolescent idiopathic scoliosis (AIS). These subjects waited for the surgical procedure while elective surgeries were on hold during the COVID-19 pandemic. In addition to radiographic progressions, this study described the quality of life of these patients.

Methods This study is a retrospective cohort assessing 29 AIS patients with surgical indications registered in the Brazilian public healthcare service. We compared the scoliotic radiographic measurements in two moments: at the beginning of the interruption of elective surgeries due to the COVID-19 pandemic and when these procedures resumed.

Results When comparing the radiographic measurements before and after the suspension of assessments for elective surgeries, we observed a significant increase in main curve angles (p < 0.001), with variations ranging from 0 to 68° and a median value of 10°. In secondary curves, we observed an increase in angles from the proximal thoracic (p < 0.001) and lumbar (p = 0.001) regions. However, the increase in the main thoracic region was not significant (p = 0.317).

Conclusion The suspension of elective surgeries for AIS resulted in a significant increase in the radiographic values of patients' spine deformities. This increase harmed the quality of life of these subjects and their families.

Keywords

adolescent - scoliosis - elective surgical procedures - unified health system

* Study developed at the Orthopedics and Traumatology Service, Hospital Municipal Universitário de Taubaté, Taubaté, SP, Brazil.




Publication History

Received: 01 June 2022

Accepted: 29 July 2022

Article published online:
14 October 2022

© 2022. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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