SURGICAL CORRECTION OF ADOLESCENT IDIOPATHIC SCOLIOSIS BY MEANS OF CD INSTRUMENTATION
Journal Title: Journal of Turkish Spinal Surgery - Year 1990, Vol 1, Issue 1
Abstract
Our experience includes 30 operations on 30 patients with idiopathic scoliosis, 22 of which were females and 8 males. Minimum follow-up period was one year and average age of the patients 13 years (11-16). We have had 13 patients with thoracic curvature (instrumentation T5-L1), 6 patients with double (thoracic+lumbar) curvature (instrumentation T5-L4), 5 patients with thoracolumbar curve (instrumentation T10-L4) and 5 patients having curvature in the lumbar region (instrumentiation T10-L4). Preoperative angulation ranged from 55° to 95° (mean initial angulation being 65°). Postoperative angulation was 16° (12°-30°), or 74% correction of the average initial angulation. Preoperative rotation measured by Perdriolle ruler was 40° (25-45°) and postoperative rotation 30° (15-35°). Achievement of normal thoracal kyphosis in cases of thoracal lordosis (13 cases) was satisfactory although not spectacular. Lumbar lordosis was preserved in all cases. Average loss of the correction at follow-up examinations (one year after operation) was 5° (2-7°). Solid bone calus oceured 9-10 months after the operation and can be seen on lateral X-rays of the spine. In all cases we performed spinal cord monitoring by using intra-operative awakening and test of foot movement. No abnormalities were found during the wake-up test. Complications oceured in 3 cases and they mainly refered to hook dislocations. From the aesthetic aspect, all the obtained resilts were satisfactory. In case where initial angulation was 95° thoracophrenolumbotomy with anterior fusion was done in the first stage and posterior fusion with CD instrumentation in the second stage. All patients were ambulatory in the second week after operation, without any external support and returned to their school or family activities.
Authors and Affiliations
M. S. Filipovic, Z. B. Milinkovic, V. Basara
Keywords
Related Articles
- EP ID EP676069
- DOI -
- Views 180
- Downloads 0
RESULTS OF TRANSPEDICULAR SCREW-ROD FIXATION İN THORACOLUMBAR VERTEBRA FRACTURES
Fiftyeight patients who had Ihoracolumbar vertebrae fractures and that vvere fixed with transpedicular screw and rod combination between 1987-T993 vvere evalualed after a minimum follow-up of one year. Mean age ol patien...
CURRENT TREATMENT APPROACHES OF SPINE DEFORMITY ASSOCIATED WITH INTRASPINAL PATHOLOGIES
Pathologies of the spinal cord may be associated with scoliosis. When the spine deformity is corrected, neurological deficits due to spinal cord tension may develop. For this reason, surgical procedures may be required f...
GROWING ROD TECHNIQUE FOR THE TREATMENT OF PROGRESSIVE EARLY-ONSET SCOLIOSIS
Many different etiologies may cause progressive spinal deformities that are grouped together as earlyonset scoliosis, including infantile and juvenile idiopathic scoliosis, congenital scoliosis, neuromuscular scoliosis,...
COCCYGODYNİA
We performed radiographic imaging in 16 patients (13 femafe and 3 male) having a painful coccyx, foiiowİng trauma and no pathological findings except dislocation and/or fracture was found. Locai anasthetic (lignocaine 1...
RESULTS OF POSTERIOR-ONLY ALL PEDICLE SCREW INSTRUMENTATION IN THE SURGİCAL TREATMENT OF SCHEUERMANNʼS KYPHOSIS
The aim of this retrospective study was to evaluate our clinical and radiographical results with the posterior-only all pedicle screw instrumentation in the surgical treatment of Scheuermannʼs Kyphosis. Sixteen patients...