Anterior release may not be necessary for idiopathic scoliosis with a large curve of more than 75° and a flexibility of less than 25%

2018 ◽  
Vol 18 (5) ◽  
pp. 769-775 ◽  
Author(s):  
Ming Fai Cheng ◽  
Hsiao-Li Ma ◽  
Hsi-Hsien Lin ◽  
Po-Hsin Chou ◽  
Shih-Tien Wang ◽  
...  
2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Ahmad Jabir Rahyussalim ◽  
Ifran Saleh ◽  
Dyah Purnaning ◽  
Tri Kurniawati

Adult scoliosis is defined as a spinal deformity in a skeletally mature patient with a Cobb angle of more than 10 degrees in the coronal plain. Posterior-only approach with rod and screw corrective manipulation to add strength of contra bending manipulation has correction achievement similar to that obtained by conventional combined anterior release and posterior approach. It also avoids the complications related to the thoracic approach. We reported a case of 25-year-old male adult idiopathic scoliosis with double curve. It consists of main thoracic curve of 150 degrees and lumbar curve of 89 degrees. His curve underwent direct contra bending posterior approach using rod and screw corrective manipulation technique to achieve optimal correction. After surgery the main thoracic Cobb angle becomes 83 degrees and lumbar Cobb angle becomes 40 degrees, with 5 days length of stay and less than 800 mL blood loss during surgery. There is no complaint at two months after surgery; he has already come back to normal activity with good functional activity.


2018 ◽  
Vol 17 (2) ◽  
pp. 45-49
Author(s):  
Alicja Diak ◽  
Agnieszka Gniadek

Abstract Introduction. The adolescence period is a special stage in the development of every human being. During puberty, significant changes occur in the somatic, psychological and spiritual spheres. The main feature of adolescence is intensified emotionality. During this period there are significant changes in the range of body growth; very often the appearance of idiopathic scoliosis is observed. In the majority of cases, this disorder concerns adolescent girls. The etiology of idiopathic scoliosis is unknown. Treatment of severe scoliosis is complicated and involves high risk. One of the methods of surgical treatment of scoliosis with a severe primary curve is a two-stage surgery. The first stage consists of anterior release with halo - femoral traction. This kind of treatment is a very difficult period of time for patient, both in somatic and psychological terms. Negative emotional states can generate or increase the existing pain, what creates a vicious cause and effect circle. Aim. Diagnose emotional problems of adolescents treated with the halo - femoral traction. Conclusions. Emotional problems of surgically treated patients are often marginalized, although the emotional state influences the assessment of satisfaction with the treatment effects. The period of treatment with the halo - femoral traction is one of the most difficult stages of treatment for a young patient also in terms of emotions. Empathy, support and understanding are essential to successfully engage the patient in cooperation with a multidisciplinary therapeutic team and to minimize the negative emotional effects of traum.


1997 ◽  
Vol 46 (3) ◽  
pp. 767-769
Author(s):  
Shin-ichi Hida ◽  
Kosuke Ogata ◽  
Yasushi Asakawa ◽  
Kazuhiko Saeki ◽  
Taisuke Kitamura ◽  
...  

Spine ◽  
2005 ◽  
Vol 30 (17) ◽  
pp. 1979-1984 ◽  
Author(s):  
Douglas C. Burton ◽  
Andrew A. Sama ◽  
Marc A. Asher ◽  
Stephen W. Burke ◽  
Oheneba Boachie-Adjei ◽  
...  

2002 ◽  
Vol 44 (02) ◽  
pp. 130 ◽  
Author(s):  
Yngvi Ólafsson ◽  
Hans E Persson ◽  
Helena Saraste
Keyword(s):  

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