Comparison of Vertebral Rotation Corrected by Different Techniques and Anchors in Surgical Treatment of Adolescent Thoracic Idiopathic Scoliosis

2009 ◽  
Vol 22 (3) ◽  
pp. 182-189 ◽  
Author(s):  
Gang Fu ◽  
Noriaki Kawakami ◽  
Manabu Goto ◽  
Taichi Tsuji ◽  
Tetsuya Ohara ◽  
...  
2015 ◽  
pp. 30-35
Author(s):  
Aleksandr Vasyura ◽  
◽  
Vyacheslav Novikov ◽  
Vadim Belosyorov ◽  
Inga Udalova ◽  
...  

Spine ◽  
2013 ◽  
Vol 38 (4) ◽  
pp. 328-338 ◽  
Author(s):  
Peter O. Newton ◽  
Michelle C. Marks ◽  
Tracey P. Bastrom ◽  
Randal Betz ◽  
David Clements ◽  
...  

2018 ◽  
Vol 26 (23) ◽  
pp. e496
Author(s):  
Cesare Faldini ◽  
Mohammadreza Chehrassan ◽  
Fabrizio Perna ◽  
Niccolò Stefanini ◽  
Raffaele Borghi ◽  
...  

2019 ◽  
Vol 27 (1) ◽  
pp. 42-45
Author(s):  
Fernando Flores de Araujo ◽  
Raphael Martus Marcon ◽  
Alexandre Fogaça Cristante ◽  
Tarcísio Eloy Pessoa de Barros Filho ◽  
Olavo Biraghi Letaif

ABSTRACT Objective: Adolescent idiopathic scoliosis (AIS) is characterized by rotational and lateral deformity of the spine. The measurement of vertebral rotation is important for prognosis and treatment. Our objective was to evaluate whether the Nash-Moe method can be used to measure axial deformity correction with surgical treatment using the rod derotation maneuver at both the apex and extremities of the deformity in patients with AIS. Methods: Rotation was assessed using the Nash and Moe criteria, on preoperative and postoperative radiographs. We also evaluated the severity on the coronal plane using the Cobb method, ratio of correction achieved, screw density, and number of vertebrae involved in the instrumentation. Results: The Cobb method correction average was 54.8%. When we disregarded vertebrae that presented preoperative Nash-Moe grade 0, the average measurable correction was 54.5% in the first non-instrumented vertebra above, 69.2% in the first instrumented vertebra, 32.2% in the apical vertebra, 36.8% in the last instrumented vertebra, and 30% in the first non-instrumented vertebra below. In our study, 32.14% of the patients presented a measurable correction in the apical vertebra. Conclusion: On the axial plane, correction can be satisfactorily evaluated using the Nash-Moe method. Level of Evidence VI. Case Series.


2010 ◽  
Vol 16 (2) ◽  
pp. 82-85
Author(s):  
S. V. Vissarionov ◽  
A. P. Drozdetsky

The results of surgical treatment of 263 patients with thoracic scoliosis from 13 to 18 years old with deformity 50-152° (Cobb) are presented. It was used three tactical variants with dorsal instrumentation Cotrel-Dubousset (CDI). Operation correction in idiopathic thoracic scoliosis varies within in limits from 46,2 to 95%. Lost of correction in 10 years follow up period was 5,10-10,15%. Authors concluded that tactic of surgical treatment of idiopathic thoracic scoliosis should be individual and depends on patient's age, growth potential, and degree of deformation and mobility of the curve.


2006 ◽  
pp. 025-032
Author(s):  
Mikhail Vitalyevich Mikhailovsky ◽  
Vyacheslav Viktorovich Novikov ◽  
Aleksandr Sergeyevich Vasyura ◽  
Elena Vladimirovna Gubina ◽  
Albert Leonidovich Khanaev ◽  
...  

Objective. To analyze results of surgical treatment of patients with thoracic idiopathic scoliosis. Material and Methods. Fifty-two patients with Lenke type 1 idiopathic scoliosis were operated on. Follow-up periods ranged from 2 weeks to 8 years (mean 1.8 years). Surgical treatment included four types of operation: spine deformity correction with CD instrumentation; supramalleolar-andskull traction and CDI correction; discectomy and interbody fusion with bone autograft and CDI correction; supramalleolar- and-skull traction, discectomy and interbody fusion with bone autograft, and CDI correction. Patients were interrogated with pre- and postoperative SRS-24 questionnaires and examined with Computer Optical Topograph (COMOT). Results. Scoliosis was corrected from a mean of 67.7° to 26.6°, with a mean deformity value being 30.3° at the last follow- up. Thus, postoperative progression of the thoracic curve with a mean follow-up 1.8 years was 3.7° (9 % from the achieved correction). Anterior fusion provided a threefold decrease in postoperative progression. Sagittal shape of the thoracic and lumbar spine remained within norm limits. The location of the lowest instrumented vertebra (LIV) relative to a neutral vertebra, lower stable vertebra and neutralized disc did not reliably influence on the postoperative course. Postoperative deformity progression was associated only with increase in LIV tilt. SRS-24 data showed a high rate of patients’ satisfaction with the obtained effect of treatment, the rate growing with the extension of follow-up terms. Severe complications were not observed. Conclusion. Modern 3rd generation segmental instrumentation allows to obtain stable and high results of treatment for single curve thoracic idiopathic deformities, while all regularities of postoperative course are not fully understood yet.


Spine ◽  
2010 ◽  
Vol 35 (23) ◽  
pp. E1334-E1338 ◽  
Author(s):  
Haijian Ni ◽  
Xiaodong Zhu ◽  
Shisheng He ◽  
Changwei Yang ◽  
Chuanfeng Wang ◽  
...  

2014 ◽  
Vol 9 (1) ◽  
pp. 19 ◽  
Author(s):  
Bo Ran ◽  
Guo-you Zhang ◽  
Feng Shen ◽  
Jia-yu Chen ◽  
Ji-bin Wu ◽  
...  

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