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Journal Abstract
Treatment results of triplanar correction of idiopathic scoliosis in relation to curve pattern and degree of scoliosis
Maciej Kołban, Sławomir Zacha, Michał Chmielnicki
Ortop Traumatol Rehabil 2005; 7(3):260-265
ICID: 443301
Article type: Original article
IC™ Value: 6.66
Abstract provided by Publisher
Background. The King classification enables the surgeon to assess the curve pattern of scoliosis which determines the choice of operative technique as well as the extent of spinal fusion. The final outcome of operative treatment depends on the curve pattern and the degree of scoliosis.
Material and methods. The aim of the study was to assess the relation between the correction of the deformity and the curve pattern. In this retrospective study, 97 patients were included who had undergone scoliosis surgery between 1999 and 2001, and for whom the follow-up period was at least 36 months. 12 patients were classified as type I according to the King classification, 26 as type II, 49 as type III, and 5 each as type IV and V. The mean Cobb angle in the whole group was 58° in the thoracic region and 38° in the lumbar region, while in the sagittal plane there was kyphosis of the thoraco-lumbar region of 3°.
Results. Postoperative values were as follows: thoracic region – 30.2°, lumbar region – 27.6° and thoraco-lumbar region – lordosis of 4°.
Conclusions. The Cotrel-Dubousset method makes it possible to achieve an average correction of 65% of the original deformity, the best result being achieved for type IV and V. Operative treatment should be applied to patients with scoliosis of an angle below 60°, which enables compensation of trunk transposition.

ICID 443301
PMID 17611471 - click here to show this article in PubMed

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