THE EVALUATION OF CORONAL AND SAGITTAL PLANE OF THE LENKE TYPE III SCOLIOSIS PATIENTS TREATED WITH POSTERIOR SEGMENTER INSTRUMENTATION

Journal Title: Journal of Turkish Spinal Surgery - Year 2011, Vol 22, Issue 4

Abstract

In this study, patients (21 female, 5 male, mean age 15±2 years, mean follow-up period 60±22 months) with Lenke type 3 adolescent idiopathic scoliosis (AIS) treated with long segmental posterior instrumentation and fusion between the years 2000-2008 were evaluated retrospectively. Proximal thoracic, main thoracic, and lumbar/thoracolumbar Cobb angles, apical vertebral rotations (AVR), apical vertebra translations (AVT), kyphosis, lordosis and vertebral balance were evaluated in anterior-posterior (AP), lateral, traction and bending x-rays. In the early postoperative period, correction ratios, the amount of compensation, AVT, AVR, kyphosis, lordosis and vertebral balance were evaluated. In the final follow-up, coronal and sagittal correction losses and balance were evaluated and SRS- 30 form was used for clinical evaluation. Preoperative mean thoracic Cobb angle was 51° and mean lumbar Cobb angle was 44°. Early postoperative mean correction ratio was measured as 73 %, lumbar/thoracolumbar correction ratio as 77 %; in the last follow-up the mean correction losses were measured as 3 % in the thoracic region and 5 % in the lumbar region. In the sagittal and coronal planes, all cases were found within balance limits. There were no neurological deficits, pseudarthrosis and deep infections in any of our patients. According to SRS-30, total average was measured as 3,8. As a result, segmenter posterior instrumentation and fusion were sucsessfull in the treatment of Lenke type 3 AIS to achieve a significant correction degrees and stability in coronal and sagittal plane and to prevent from decompenzation.

Authors and Affiliations

Tahir Mutlu DUYMUŞ, Onat ÜZÜMCÜGİL, Merter YALÇINKAYA, Yusuf ÖZTÜRKMEN, Hilmi KARADENİZ, Mustafa CANİKLİOĞLU

Keywords

Related Articles

EFFECT OF PROPERLY AND INPROPERLY İNSERTED PEDICULAR SCREW ON THE RESULTS OF THE SPINE FRACTURES

The biomechanics of reduction and loss of correction of the burst fractures treated with transpedicular systems have not been adequately investigated. There are a wide range of conditions that can cause instability of th...

LUMBAR SPINAL ASPERGILLUS ABSCESS IN AN IMMUNOCOMPETENT PATIENT

Only a few species of Aspergillus cause infections in humans. But, these infections lead highly mortal abscesses by located in the central nervous system and spine. It is accentuated frequently in the literature that the...

EARLY RESULTS OF LUMBAR PERCUTANEOUS ENDOSCOPIC DISCECTOMY

Aim: To discuss the early results of lumbar percutaneous endoscopic discectomy. History: Endoscopic disc surgery, which allows minimally invasive discectomy, is a method that has recently begun to be used in Turke...

PROF. NECDET ŞÜKRÜ ALTUN, M.D.

Prof. Dr. Necdet Altun was born in February 13, 1957, in Artvin. In 1975, he started his education in Ankara University Faculty of Medicine. He started his speciality education in Gazi University Faculty of Medicine, Dep...

SURGICAL TREATMENT OF THORACOLUMBAR VERTEBRAL FRACTURES

Conservative treatment of unstable thoracal and lumbar vertebral fractures results in severe local kyphosis or changes in sagittal contours in long term follow-up. This study evaluates 89 thoracolumbar vertebral fracture...

Download PDF file
  • EP ID EP676695
  • DOI -
  • Views 121
  • Downloads 0

How To Cite

Tahir Mutlu DUYMUŞ, Onat ÜZÜMCÜGİL, Merter YALÇINKAYA, Yusuf ÖZTÜRKMEN, Hilmi KARADENİZ, Mustafa CANİKLİOĞLU (2011). THE EVALUATION OF CORONAL AND SAGITTAL PLANE OF THE LENKE TYPE III SCOLIOSIS PATIENTS TREATED WITH POSTERIOR SEGMENTER INSTRUMENTATION. Journal of Turkish Spinal Surgery, 22(4), -. https://europub.co.uk/articles/-A-676695