<br /> Retrospective study of two-stage surgery in the treatment of scoliosis exceeding 100o – assessment including spinal balance evaluation<br />
Journal Title: Ortopedia Traumatologia Rehabilitacja - Year 2009, Vol 11, Issue 6
Abstract
Background. Scoliosis exceeding 100o remains an important problem in spinal orthopaedics. The choice of an optimal surgical technique is crucial, not only because of the degree of correction needed, but also because of the need to minimize the number of complications and avoid imbalance after surgery. The aim of this work is to analyse the outcomes of a two-stage surgical regimen for scoliosis exceeding 100o consisting of anterior release, cranio-femoral traction, and posterior fusion with derotational instrumentation.Material and methods. Twelve patients with thoracic scoliosis (7 females and 5 males) were assessed retrospectively. The mean curve angle before surgery was 129o. All patients underwent a two-stage procedure consisting of anterior release followed by 10-14 days of cranio-femoral traction and posterior fusion with derotational instrumentation. Mean age at surgery was 19 years. The mean follow-up period was 5 years. Radiological evaluation was based on postero-anterior and lateral radiographs. Results. Mean curve correction was 44% and this result was stable during the follow-up period. Thoracic kyphosis did not change significantly after treatment, remaining at 61o on average. Coronal decompensation was noted in 4 patients before surgery and one of the four after treatment. The Th1-midline distance improved significantly, as did the Th12-L2 angle on lateral radiographs. There were no neurological complications. Conclusion: Two-stage treatment of very severe scoliosis enables stable correction with some improvement of spinal balance in both the coronal and sagittal plane.
Authors and Affiliations
Barbara Jasiewicz , Tomasz Potaczek , Andrzej Szczęśniak , Maciej Tęsiorowski
Keywords
Related Articles
- EP ID EP56956
- DOI -
- Views 78
- Downloads 0
Wyniki leczenia operacyjnego skolioz idiopatycznych metodą trójpłaszczyznowej korekcji ze spondylodezą
Wstęp. Metodę operacyjnej trójpłaszczyznowej korekcji skolioz wprowadził Cotrel w latach 80-tych XX wieku. W początkowym okresie, do korekcji i stabilizacji kręgosłupa wykorzystywano haki laminarne lub pedikularne, dwa p...
Assesment scores of functional efficiency in hip osteoathritis
One of the fundamental problem to solved, connected with a way of proceeding in hip osteoarthritis is appropriate selection of diagnosis methods. Various scores helps in assessment of functional efficiency of the hip. Th...
The Results of Treatment of Prostate Cancer Bone Metastases after CyberKnife Radiosurgery
Background. Bony metastases from prostate cancer are often associated with severe pain. Standard palliative radiotherapy does not provide full analgesic effect in most patients. CyberKnife radiosur...
The application of spinal orthoses in the treatment of scoliosis
This article presents the most commonly used types of spinal orthoses, their effectiveness in the prevention of progression of scoliosis, and the impact of various factors on treatment outcome in patients qualified for c...
Oxford Phase 3 Unicompartmental Knee Arthroplasty (UKA): Clinical and radiological results of minimum follow-up of 2 years
Background. Since the introduction minimally invasive techniques, interest in unicompartmental knee arthroplasty (UKA) has rapidly increased. This minimally invasive approach preserves the anatomy of the knee with less d...