Table 2. Comparison of radiographic parameters between the distal foundation augmentation group, non-distal foundation augmentation group, and dual traditional growing rod group.
| Parameters | sTGR cohort (n=48) | dTGR Cohort (n=26) | P value | |||
|---|---|---|---|---|---|---|
| DFA Group (n=24) |
Non-DFA Group (n=24) | Between groups | DFA vs.
Non-DFA |
DFA vs. dTGR | ||
| Coronal and sagittal alignment | ||||||
| Major curve (°) | ||||||
| Pre OP | 102.50±17.71 | 93.60±21.87 | 95.74±19.15 | 0.267 | 0.121 | 0.228 |
| Post OP | 55.71±19.12a | 60.64±19.90a | 52.32±18.01a | 0.306 | 0.372 | 0.531 |
| FU | 59.47±18.81a | 70.88±19.72ab | 56.90±17.41a | 0.024 | 0.037 | 0.628 |
| Correction rate (post vs. pre OP) | 45.2%±18.8% | 36.9%±15.2% | 46.2%±17.9% | 0.131 | 0.104 | 0.840 |
| Correction rate (FU vs. pre OP) | 40.6%±20.4% | 24.0%±17.1% | 41.1%±17.6% | 0.001 | 0.001 | 0.917 |
| Maximal kyphosis (°) | ||||||
| Pre OP | 93.30±32.16 | 83.64±28.40 | 88.35±28.55 | 0.533 | 0.264 | 0.558 |
| Post OP | 50.08±15.50a | 52.24±18.32a | 47.92±18.20a | 0.681 | 0.669 | 0.661 |
| FU | 54.67±14.89a | 65.54±19.63ab | 50.82±16.48a | 0.010 | 0.031 | 0.428 |
| Correction rate (post vs. pre OP) | 46.9%±13.0% | 41.0%±15.5% | 44.0%±16.0% | 0.398 | 0.176 | 0.501 |
| Correction rate (FU vs. pre OP) | 42.2%±19.3% | 22.0%±15.0% | 39.1%±17.3% | 0.001 | 0.001 | 0.519 |
| T2–5 thoracic kyphosis (°) | ||||||
| Pre OP | 22.17±11.54 | 23.99±9.75 | 14.34±10.83 | 0.005 | 0.559 | 0.012 |
| Post OP | 17.58±9.55 | 20.09±10.96 | 15.15±10.71 | 0.254 | 0.408 | 0.413 |
| FU | 27.11±13.35b | 31.01±13.29b | 23.99±14.04ab | 0.154 | 0.289 | 0.386 |
| T5–12 thoracic kyphosis (°) | ||||||
| Pre OP | 69.90±32.07 | 62.65±28.12 | 72.69±28.64 | 0.474 | 0.400 | 0.740 |
| Post OP | 41.80±13.84a | 36.44±15.19a | 39.54±13.43a | 0.425 | 0.194 | 0.575 |
| FU | 45.83±14.24a | 43.54±16.79a | 40.73±15.90a | 0.518 | 0.615 | 0.255 |
| Coronal and sagittal alignment | ||||||
| C7PL-CSVL (mm) | ||||||
| Pre OP | 28.77±19.19 | 34.02±20.14 | 25.02±19.56 | 0.275 | 0.358 | 0.503 |
| Post OP | 22.76±16.39 | 26.10±17.38 | 23.67±18.07 | 0.788 | 0.507 | 0.854 |
| FU | 21.00±17.01 | 31.21±17.84 | 18.13±14.88 | 0.018 | 0.036 | 0.543 |
| AVT (mm) | ||||||
| Pre OP | 88.36±27.21 | 94.60±29.40 | 70.99±24.07 | 0.008 | 0.425 | 0.026 |
| Post OP | 42.49±18.78a | 52.59±21.96a | 34.66±16.58a | 0.006 | 0.072 | 0.153 |
| FU | 45.50±21.14a | 58.91±23.25a | 37.10±20.76a | 0.003 | 0.036 | 0.177 |
| DF tilt (°) | ||||||
| Pre OP | 37.87±10.45 | 35.14±11.11 | 37.35±12.81 | 0.684 | 0.415 | 0.874 |
| Post OP | 10.30±6.64 | 14.64±7.88 | 9.06±5.57 | 0.013 | 0.029 | 0.518 |
| FU | 12.73±7.40 | 17.97±8.53 | 10.17±6.89 | 0.002 | 0.020 | 0.240 |
| SVA (mm) | ||||||
| Pre OP | 3.61±41.50 | −10.79±42.23 | 12.55±35.03 | 0.119 | 0.212 | 0.428 |
| Post OP | 21.92±37.19 | 25.32±40.05a | −13.92±47.28a | 0.002 | 0.779 | 0.003 |
| FU | 20.61±35.65 | 28.20±41.58a | 19.22±32.85b | 0.657 | 0.477 | 0.894 |
| Thoracic and spinal height | ||||||
| T1–12 height (mm) | ||||||
| Pre OP | 143.46±21.92 | 136.88±20.57 | 141.96±21.25 | 0.532 | 0.287 | 0.804 |
| Post OP | 188.52±23.83a | 177.20±20.39a | 192.66±21.97a | 0.046 | 0.081 | 0.510 |
| FU | 203.75±24.57ab | 189.19±23.94a | 205.80±23.86ab | 0.029 | 0.032 | 0.771 |
| T1–S1 height (mm) | ||||||
| Pre OP | 232.15±29.86 | 223.34±27.68 | 239.16±28.53 | 0.157 | 0.291 | 0.391 |
| Post OP | 316.18±32.63a | 300.49±30.22a | 320.78±32.06a | 0.069 | 0.090 | 0.610 |
| FU | 340.44±28.99ab | 322.01±31.55ab | 344.10±32.71ab | 0.034 | 0.044 | 0.680 |
Data are presented as mean ± standard deviation. a, significantly different from the preoperative value; b, significantly different from the postoperative value (P<0.05). sTGR, single traditional growing rod; dTGR, dual traditional growing rod; DFA, distal foundation augmentation; OP, operation; FU, follow-up; C7PL-CSVL, distance between the C7 plumb line and the central sacral vertical line; AVT, apical vertebral translation; DF, distal foundation; SVA, sagittal vertical axis.