Posterior instrumentation and fusion for progressive idiopathic scoliosis View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2000-09

AUTHORS

Archibald von Strempel, Andreas Neckritz, Christoph Sukopp

ABSTRACT

Prevention of progression of an idiopathic scoliosis. Structural improvement of the spinal column and correction of the trunk deformity. Progressive idiopathic scoliosis with a Cobb angle > 45° in adolescents and adults. Poor general health, high anesthetic risk, severe osteoporosis. The lateral deviation is straightened through distraction and correction and stabilized with 1 rod. Two pedicle screws implanted at the caudal end of the rod assure its rotational stability. The amount of distraction corresponds to the lengthening of the spinal column as visualized on extension films according to Cotrel. Sublaminar wires inserted at the apex of the scoliosis help to approximate the deformed spine to the contoured rod. We followed up 67 out of 75 patients for at least 2 years (2 to 4 years). In 16 patients with a double major curve, the lumbar curve had been previously corrected with an anterior fusion. An average preoperative Cobb angle of 71.3° could be improved to 41.1°. No neurologic complications were noted. One patient died of a disseminated intravascular coagulopathy after an uneventful intraoperative course. Among complications we noted 2 pseudarthroses (with breakage of the rod), 1 asymptomatic rod breakage, 3 infections around the rod, 1 early infection, and 3 hematomas necessitating evacuation. More... »

PAGES

157-178

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/bf03181099

DOI

http://dx.doi.org/10.1007/bf03181099

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1029465349


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