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

Retrospective study of two-stage surgery in the treatment of scoliosis exceeding 100o – assessment including spinal balance evaluation

Barbara Jasiewicz , Tomasz Potaczek , Andrzej Szczęśniak , Maciej Tęsiorowski
Ortop Traumatol Rehabil 2009; 11(6):495-500
ICID: 900702
Article type: Original article
IC™ Value: 7.53
Abstract provided by Publisher
Background. Scoliosis exceeding 100o remains an important problem in spinal orthopaedics. The choice of an optimal surgical technique is crucial, not only because of the degree of correction needed, but also because of the need to minimize the number of complications and avoid imbalance after surgery. The aim of this work is to analyse the outcomes of a two-stage surgical regimen for scoliosis exceeding 100o consisting of anterior release, cranio-femoral traction, and posterior fusion with derotational instrumentation.Material and methods. Twelve patients with thoracic scoliosis (7 females and 5 males) were assessed retrospectively. The mean curve angle before surgery was 129o. All patients underwent a two-stage procedure consisting of anterior release followed by 10-14 days of cranio-femoral traction and posterior fusion with derotational instrumentation. Mean age at surgery was 19 years. The mean follow-up period was 5 years. Radiological evaluation was based on postero-anterior and lateral radiographs. Results. Mean curve correction was 44% and this result was stable during the follow-up period. Thoracic kyphosis did not change significantly after treatment, remaining at 61o on average. Coronal decompensation was noted in 4 patients before surgery and one of the four after treatment. The Th1-midline distance improved significantly, as did the Th12-L2 angle on lateral radiographs. There were no neurological complications. Conclusion: Two-stage treatment of very severe scoliosis enables stable correction with some improvement of spinal balance in both the coronal and sagittal plane.

ICID 900702
PMID 20032525 - click here to show this article in PubMed

Related articles
  • in IndexCopernicus™
         Scoliosis [110 related records]
         Surgery [393 related records]
         spinal balance [0 related records]
         balans kręgosłupa [0 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.