Description and Reliability of Rigo Classification of Adolescent Idiopathic Scoliosis Associated with Brace Therapy
Issue:
Volume 5, Issue 4, July 2019
Pages:
53-57
Received:
9 July 2019
Accepted:
10 August 2019
Published:
23 August 2019
Abstract: Objectives To develop the Rigo classification system for scoliosis brace design and treatment and to compare the reliability and reproducibility of the Rigo classification system for scoliosis within and across observers related to orthopedic treatment. Methods The imaging data of 136 cases of adolescent idiopathic scoliosis were collected, and a Rigo classification system was established to determine the specific corrective principles and methods needed for the effective design and manufacturing of braces. Three observers, one spine surgeon, one imaging surgeon and one orthopedic brace surgeon, diagnosed and classified 136 AIS patients. The collected data were used to analyze the reliability across different observers and the repeatability within the same observer, and kappa values were calculated to confirm the consistency. Results The kappa value of the classification results of the spine surgeons and radiologists was 0.936, that of the spine surgeons and brace surgeons was 0.901, that of the imaging surgeons and brace surgeons was 0.886, the average repeatability was 90%, and the average Kappa was 0.887. Conclusion The Rigo classification system for scoliosis brace therapy has good practicability and consistency. The reliability of the Rigo classification system is acceptable both within and across observers. The system is suitable for clinical applications.
Abstract: Objectives To develop the Rigo classification system for scoliosis brace design and treatment and to compare the reliability and reproducibility of the Rigo classification system for scoliosis within and across observers related to orthopedic treatment. Methods The imaging data of 136 cases of adolescent idiopathic scoliosis were collected, and a R...
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Complications of Deep Brain Stimulation in the Treatment of Parkinson’s Disease
Hui Huang,
Liyuan Xie,
Min Chen,
Ming Guo,
Xingen Zhu,
Suyue Zheng,
Mingwei Lu
Issue:
Volume 5, Issue 4, July 2019
Pages:
58-61
Received:
14 August 2019
Accepted:
10 September 2019
Published:
26 September 2019
Abstract: Objectives: To study the therapeutic effect and complications of deep brain stimulation (DBS) to Parkinson’s disease (PD). Patients and Methods: A retrospective analysis of DBS performed on 44 patients with Parkinson’s disease who had complications in the post-operation. Results: 1). A stimulation effect was observed in all PD patients during the operation, with the most obvious effect being relief of muscular tension, followed by improvement in tremor and bradykinesia. 2). The implantable pulse generator was activated from 3 days to 1 month after the implantation of the stimulation electrode, and then had an obvious effect. 3). Clinical follow-up was performed from 3 months to 2.5 years post-implantation. The symptoms assessed using the UPDRS score were significantly improved. 4). Two cases of cerebral hemorrhage and vesicular effusion were related to surgical methods. There were several cases of pneumonia in the postoperative fever and two cases of urinary system infection. One case of traverse fracture also occurred. Postoperative electrode exposure and local infection occurred in 1 case. There were 3 cases of lethargy, 2 cases of hallucinations. In the postoperative period, intelligence decreased further in 1 case. One patient had no obvious improvement in rigidity. 5). One case had difficulties in eye opening within 1 month. One case of PD had poor rigidity control. There was also decrease memory after stimulation in 2 cases. Conclusion: Proper selection of patients, appropriate DBS surgical methods and reasonable adjustment of stimulation parameters can effectively prevent and treat related complications.
Abstract: Objectives: To study the therapeutic effect and complications of deep brain stimulation (DBS) to Parkinson’s disease (PD). Patients and Methods: A retrospective analysis of DBS performed on 44 patients with Parkinson’s disease who had complications in the post-operation. Results: 1). A stimulation effect was observed in all PD patients during the o...
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