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Treatment of Adolescent Idiopathic Scoliosis Using Texas Scottish Rite Hospital Instrumentation
- Source :
- Spine. 19:1598-1605
- Publication Year :
- 1994
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 1994.
-
Abstract
- STUDY DESIGN To determine the effectiveness of posterior TSRH instrumentation for the treatment of idiopathic scoliosis, 103 patients with a 2-year minimum followup were retrospectively studied. METHODS Patients who underwent operations between October 1988 and April 1991 were evaluated for curve correction, spinal balance, and complications. Age at surgery averaged 14.3 years. Follow-up averaged 2.5 years. RESULTS Thoracic curve correction averaged 65% in those with King Type III/IV curves and 54% in those with Type II curves. With follow-up, correction loss averaged approximately 13% for each group. Lumbar curve correction after instrumentation in Type I and II curves averaged 48% postop but lost approximately 20% with follow-up. Trunk balance improved 77% toward midline after surgery in those with Type III/IV curves. Improvement in trunk balance was less impressive in patients with Type II curves, particularly after selective thoracic fusions. Thoracic sagittal contour improved 43% for hypokyphotic (< 20 degrees) patients but, in the remainder, no significant radiographic change was evident. No neurologic complications occurred. Delayed deep infections developed in ten patients (10%) between 11 and 45 months postoperative. Cultures eventually grew Propionibacterium acnes, staph epidermidis, or staph coagulase negative in eight patients. Two patients had pseudarthroses. CONCLUSIONS Frontal and sagittal thoracic curve correction can be satisfactorily obtained using TSRH instrumentation. Continued efforts are being made to improve lumbar hook patterns and technique to achieve and maintain better lumbar curve correction.
- Subjects :
- Male
medicine.medical_specialty
Time Factors
Adolescent
Radiography
Scoliosis
Thoracic Vertebrae
Postoperative Complications
Lumbar
Humans
Surgical Wound Infection
Medicine
Orthopedics and Sports Medicine
Child
Rachis
Retrospective Studies
Lumbar Vertebrae
business.industry
Lumbar Curve
medicine.disease
Trunk
Internal Fixators
Sagittal plane
Surgery
Spinal Fusion
medicine.anatomical_structure
Orthopedic surgery
Female
Neurology (clinical)
business
Follow-Up Studies
Subjects
Details
- ISSN :
- 03622436
- Volume :
- 19
- Database :
- OpenAIRE
- Journal :
- Spine
- Accession number :
- edsair.doi.dedup.....5887d988f57c101502e605c4969f68af
- Full Text :
- https://doi.org/10.1097/00007632-199407001-00008