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Anterior and posterior vertebral column resection for severe and rigid idiopathic scoliosis.

Authors :
Zhou C
Liu L
Song Y
Liu H
Li T
Gong Q
Zeng J
Kong Q
Source :
European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society [Eur Spine J] 2011 Oct; Vol. 20 (10), pp. 1728-34. Date of Electronic Publication: 2011 Jun 02.
Publication Year :
2011

Abstract

A total of 16 patients with severe and rigid idiopathic scoliosis treated by anterior and posterior vertebral column resection (APVCR) were retrospectively reviewed after a minimum follow-up of 2 years. The indication for APVCR was scoliosis more than 90° with flexibility less than 20%. The radiographic parameters were evaluated, and clinical records were reviewed. All patients underwent APVCR with posterior pedicle screw instrumentation in a two-stage surgery. The rib hump was reduced from 7.2 cm preoperatively to 1.8 cm at final follow-up (75% correction). Preoperative curves ranged from 93° to 110° Cobb angle. Coronal plane correction of the major curve averaged 67% with an average loss of correction of 1.4%. The apical vertebral translation of the major curve was corrected by 63.5%. The preoperative coronal imbalance of 0.9 cm (range 0-2.4) was improved to 0.8 cm (range 0.1-1.7) at the most recent follow-up. The preoperative sagittal imbalance of 1.0 cm (range -3.1 to 4.6) was improved to 0.9 cm (range -2.6 to 3.0) at the most recent follow-up. Complications were encountered in four patients. One patient required ventilator support for 12 h after anterior surgery. Malposition of one pedicle screw was found in one patient. Malposition of titanium mesh cage happened to two patients. There were no neurological complications, deep wound infections or pseudarthrosis. APVCR is an effective alternative for severe and rigid idiopathic scoliosis.

Details

Language :
English
ISSN :
1432-0932
Volume :
20
Issue :
10
Database :
MEDLINE
Journal :
European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
Publication Type :
Academic Journal
Accession number :
21633792
Full Text :
https://doi.org/10.1007/s00586-011-1861-z