Archival Issues
Volume 19, 2017
Volume 18, 2016
Volume 17, 2015
Volume 16, 2014
Volume 15, 2013
Volume 14, 2012
Volume 13, 2011
Volume 12, 2010
Volume 11, 2009
Volume 10, 2008
Volume 9, 2007
Volume 8, 2006
Volume 7, 2005
Volume 6, 2004
Volume 5, 2003
Volume 4, 2002
Volume 3, 2001
Volume 2, 2000
Volume 1, 1999
Journal Abstract
Outcome after surgical treatment of idiopathic scoliosis using three- dimensional correction with spondylodesis
Marek Fatyga, Bogdan Kłapeć, Piotr Majcher, Andrzej Skwarcz
Ortop Traumatol Rehabil 2005; 7(3):254-259
ICID: 443299
Article type: Original article
IC™ Value: 6.66
Abstract provided by Publisher
Bakcground. Three-dimensional surgical correction of scoliosis was introduced in the 1980s by Cotrel-Dubousset. Initially only laminar and pedicular hooks, two rods (correcting and stabilizing), and transverse links joining both rods were used to correct and stabilize the spine. When implant systems had been developed and modernized, transpedicular screws in the lumbar segment were used, followed by titanium implants. The aim of our study was to evaluate the outcome after surgical correction of scoliosis using the three-dimensional correction method with spondylodesis.
Material and method. We studied 171 patients with scoliosis treated surgically by the three-dimensional method of correction in the years 1992-2002. These were patients with idiopatic scoliosis not exceeding 70-80°, depending on the degree of correction in extension tests. In 28 cases, titanium implants were used. In most cases, transpedicular screws were used in the lumbar spine, on the convex side of the scoliosis. Tytanium implants were used to enable diagnosis by CT or MRI after surgery.
Results. The mean angle of scoliosis before surgery was 56° (range 40°-90°). After surgical correction the mean angle was 16° (range 5°-37°); however, in long-term follow-up, the mean angle had increased slightly to 18° (range 8°-50°). The observation period was 2 to 16 years. There were complications in 9.3% of these cases, mainly late sterile negative tissue reactions to steel implants. Infectious and neurological adverse reactions were not observed.
Conclusions. The best outcome after surgical treatment was achieved in grade II scoliosis. The scale of correction amounted to an average 70%. Transpedicular screws in the lumbar spine enabled a reduced range of stabilization. Titanium implants enabled radiological diagnosis by MRI and CT after surgery.

ICID 443299
PMID 17611470 - click here to show this article in PubMed

Related articles
  • in IndexCopernicus™
         Cotrel- Dubousset method [1 related records]
         surgical treatment [156 related records]
         Scoliosis [110 related records]
         metoda Cotrel- Dubousset [1 related records]
         leczenie operacyjne [4 related records]

  • Related articlesin PubMed database
  • in PubMed database [ related records]


    Copyright © Ortopedia Traumatologia Rehabilitacja  2017
    Page created by Index Copernicus Ltd. All Rights reserved.