Adolescent idiopathic scoliosis (AIS) is commonly associated with rib hump (RH) deformity, which poses a significant cosmetic concern for patients. Traditionally, thoracoplasty (TH) has been the preferred treatment to address this issue. This systematic review and meta-analysis evaluates the impact of combining TH with posterior spinal fusion (PSF) compared to PSF alone in AIS surgery. It focuses on patient-reported outcome measures (PROMs), particularly self-image scores, to assess the true cosmetic benefit of incorporating TH into PSF procedures.
Effect of thoracoplasty on patient-reported outcomes in adolescent idiopathic scoliosis patients undergoing posterior spinal fusion: a systematic review and meta-analysis / Brigato, Paolo; Albert Ouellet, Jean; Saran, Neil; De Salvatore, Sergio; Oggiano, Leonardo; Palombi, Davide; Sangiovanni, Gian Mario; Cardahi, Federico; Vadalà, Gianluca; Costici, Pier Francesco; Papalia, Rocco; Denaro, Vincenzo. - In: EUROPEAN SPINE JOURNAL. - ISSN 0940-6719. - (2025). [10.1007/s00586-025-09418-3]
Effect of thoracoplasty on patient-reported outcomes in adolescent idiopathic scoliosis patients undergoing posterior spinal fusion: a systematic review and meta-analysis
Davide Palombi;Gian Mario Sangiovanni;Pier Francesco Costici;
2025
Abstract
Adolescent idiopathic scoliosis (AIS) is commonly associated with rib hump (RH) deformity, which poses a significant cosmetic concern for patients. Traditionally, thoracoplasty (TH) has been the preferred treatment to address this issue. This systematic review and meta-analysis evaluates the impact of combining TH with posterior spinal fusion (PSF) compared to PSF alone in AIS surgery. It focuses on patient-reported outcome measures (PROMs), particularly self-image scores, to assess the true cosmetic benefit of incorporating TH into PSF procedures.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.


