COMBINED ANTERIOR AND POSTERIOR SURGERY FOR SCOLIOSIS THE USE OF THE HARTSHILL SYSTEM
Journal Title: Journal of Turkish Spinal Surgery - Year 1990, Vol 1, Issue 1
Abstract
From January 1984 to November 1988, 25 patients had combined anterior and posterior corrective surgery using the Hartshill Rectangle. There were 6 male and 19 female patients. The age range was 5 to 30 years (mean 13). In 17 cases the scoliosis was idiopathic, the others were due to spina bifida, hemivertebra, diastematomyelia and paraspinal tumour. 12 were done as a combined procedure, and 13 had a delayed second stage. Anterior surgery consisted of epiphyseodesis or growth arrest without internal fixaton in 18, and Dwyer's instrumentation in 7. The average preoperative curve was 79 degrees (range 38-140), and the postoperative average was 35 degrees (5- 88). At latest follow up the residual curve averaged 41 degrees (5-107). Complications were few, with one superficial wound infection, one deep wound infection. In one case of spina bifida, the fixation of the rectangle on the sacrum was lost. Two cases had neurological complications, with complete recovery in one. The other was a complete lesion with little recovery at latest review. Combined anterior and posterior surgery using the llartshill system is reliable and successful, with good correction of deformity and an acceptably low incidence of complications.
Authors and Affiliations
N. W. Valentine, J. Dove
Keywords
Related Articles
- EP ID EP676065
- DOI -
- Views 164
- Downloads 0
THE EFFECT OF cis-4-HYDROXY-L-PROLINE ON POSTLAMINECTOMY EPIDURAL FIBROSIS
Previous clinical studies have demonstrated a significant association between the presence of postlaminectomy fibrous tissue formation and the recurrence of low back and radicular pain. Many materials have previously...
JOHN HOWARD MOE VE ROBERT WINTER
One of the surgeons who had many contribitions for spinal surgery, John Howard Moe, lived between 1905 and 1988. He is called as a frontier of spinal surgery because of his contribitions for development of modern sc...
MEASUREMENT OF ANTERIOR ATLANTODENTAL INTERVAL IN ADULTS WITH COMPUTERIZED TOMOGRAPHY
Objective: The aim of this study is to determine the normal value range of the anterior atlantodental interval in adults. Materials and Methods: 100 adult patients (50 females and 50 males), who had no trauma in t...
THE TREATMENT BY HARRINGTON RODS OF THORACOLUMBAR FRACTURES
From 1986 to 1990, 100 patients had open reduction and posterior stabilisation with Harrington rods for traumatic fractures. There were 73 male and 27 female. The average ages were 33 of 15 patients also had inter spinal...
EFFECTIVENESS OF VERTEBROPLASTY AND KYPHOPLASTY IN OSTEOPOROTIC VERTEBRAL BODY COMPRESSION FRACTURES: A COMPERATIVE STUDY
Purpose: It is the comparison of effectiveness of vertebroplasty and kyphoplasty for pain management and reduction of vertebral height loss in osteoporotic vertebral body fractures. Material and Methods: In our cl...