Experience in the Use of Hybrid Instrumentation in Surgical Treatment of Thoracic Idiopathic Scoliosis with Lumbar Counter-curve
Objective. To analyze results of surgical treatment of patients with thoracic idiopathic scoliosis with lumbar counter-curve using hybrid instrumentations. Material and Methods. A total of 86 patients (10 males and 76 females) with Lenke type III idiopathic scoliosis were operated on. The average...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Ministry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan"
2015-12-01
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| Series: | Хирургия позвоночника |
| Subjects: | |
| Online Access: | https://www.spinesurgery.ru/jour/article/view/271/1440 |
| Summary: | Objective. To analyze results of surgical treatment of patients with thoracic idiopathic scoliosis with lumbar counter-curve
using hybrid instrumentations.
Material and Methods. A total of 86 patients (10 males and 76 females) with Lenke type III idiopathic scoliosis were operated on. The average age of patients was 15.3 ± 1.8 (range: 10.3–18.0) years, with mean follow-up of 3.5 ± 0.7 (range:
2.2–5.7) years. All patients underwent correction of spinal deformity by hybrid instrumentation with laminar fixation of
the thoracic spine and lumbar transpedicular fixation of the thoracolumbar spine. Postoperatively, patients were interviewed using the SRS-24 questionnaire.
Results. The average initial magnitude of primary thoracic curve was 63.4° ± 19.2°, immediately after surgery – 19.0° ±
10.0°; correction – 45.3° ± 15.5°; postoperative progression was 1.3° ± 3.7°. The initial magnitude of counter-curve was 41.0° ± 19.9°, immediately after surgery 10.4° ± 11.9°; correction 28.9° ± 17.8°; postoperative progression was 0.6° ± 2.1°. The tilt angle of the lower instrumented vertebra decreased after surgery from 21.2° ± 9.7° to 5.5° ± 4.2°, at the last follow-up ex-
amination it almost did not change – 5.4° ± 3.9°. The questionnaire results demonstrated a high degree of patient satisfaction with the treatment. Severe complications were not observed.
Conclusion. The use of hybrid instrumentation in the treatment of patients with thoracic idiopathic scoliosis and lumbar
counter-curve allows achieving good correction of spinal deformity and sustain the achieved correction. |
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| ISSN: | 1810-8997 2313-1497 |