Comparison of results of Cotrel-Dubousset instrumentation with partial rib resection at curve apex and without resection treatment based on the Scoliosis Research Society questionnaire
Journal Title: Ortopedia Traumatologia Rehabilitacja - Year 2009, Vol 11, Issue 6
Abstract
Objective. To compare subjective treatment outcomes in patients with idiopathic scoliosis who underwent Cotrel-Dubousset instrumentation with rib resection at the curve apex and in patients who did not undergo rib resection at the same time as scoliosis correction. Material and methods. Treatment outcomes were assessed with the Scoliosis Research Society questionnaire. The study group included 68 patients who had undergone scoliosis correction with Cotrel-Dubousset instrumentation without concurrent rib resection and 60 patients who underwent rib resection during scoliosis correction surgery using fragments of the resected ribs for posterior fusion. Mean time since surgery was 4 years 4 months in the first group, and 2 years and 6 months in the second. Mean age of patients at the time of Cotrel-Dubousset instrumentation surgery was 14 years 8 months in the first group and 15 years 6 months in the second. Results. There was a statistically significant difference between the two groups (in favour of the group with the rib resection) in the mean number of points per question in the overall score and the satisfaction with surgery, pain, general self-image, and post-operative function domain scores. Conclusion. In the light of the SRS questionnaire, reduction of rib curve height concurrent with Cotrel-Dubousset instrumentation increased the degree of treatment satisfaction and improved patients’ self-esteem without increasing back or chest pain.
Authors and Affiliations
Maciej Głowacki, Ewa Misterska
Keywords
Related Articles
- EP ID EP56962
- DOI -
- Views 128
- Downloads 0
Bone mineral density in patients with femoral neck fractures
Backround. By providing essential information regarding bone mineral density (BMD), Densitometry can predict the mechanical resistance of bone tissue and the risk of fractures. However, fractures frequently occur in the...
Influence of degenerative changes in shoulder joints at ill after the cerebral stroke for the returnof the function of the uppelimp
Introduction: with Frequent complications appearing at ill there are disorders of the function and pathological changes in structures of a shoulder joint after the cerebral stroke. Degenerative changes overlapping each o...
Leczenie operacyjne złamań szyjki kości promieniowej u dzieci
Streszczenie Wstęp: Urazy okolicy stawu łokciowego należą do częstych uszkodzeń narządu ruchu u dzieci. Spośród nich złamania bliższego odcinka kości promieniowej charakteryzuje różnorodność zastosowanych metod leczenia...
Intraoperative Complications in an Open Intra-articular Fracture of the Proximal Tibia. A Case Study
We present the case of a 35-year-old female patient who was professionally active and practised recreational sports. The patient was involved in a traffic accident during which she sustained multiple trauma including an...
Antoni Marian Gabryszewski as a Pioneer of Orthopaedics and Rehabilitation in Poland
This article describes the work of Dr. Antoni Marian Gabryszewski, orthopaedic surgeon, associate professor at Lvov University, towards the development of orthopaedics and rehabilitation in Poland before World War I. It...