COMBINED ANTERIOR AND POSTERIOR SURGERY FOR THE TREATMENT OF RIGID IDIOPATHIC SCOLIOSIS
Journal Title: Journal of Turkish Spinal Surgery - Year 1995, Vol 6, Issue 1
Abstract
Posterior instrumentation is not sufficient generally for the correction of rigid idiopathic thoracal or lumbar curves; över correction invites the neurological complications, anterior release is generally necessary for this rea-son. Twenty-one rigid idiopathic scoliosis cases have been treated by combined anterior and posterior surgery. With Texas Scottish Rite Hospital (TSRH) İnstrumentation from November 1991 to May 1994 vvith a mean of 12.4 months. Twelve patients undenvent combined surgery in two stages in the same operative time. Preoperatively mean frontalplane Cobb angle of the curves was 74° and mean postoperative Cobb angle correction vvas 49.7 %. Physiological thoracal kyphosis has been obtained on 16 cases. There was no early or late postoperative complications except one patient. This patient had incomplet paraplegia postoperatively and had been improved com-pletely during follow-up period. W e concluded that anterior release for idiopathic scoliosis curves could be per-formed in the same operative time with posterior instrumentation and fusion an protection of segmental vertebral vessels reduce neurological deficit risk during anterior surgical procedure.
Authors and Affiliations
Şükrü SOLAK, İ. Teoman BENLİ, Erbil AYDIN, Mahmut KIŞ, Mert TÜZÜNER, Serdar AKALIN
Keywords
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