SURGICAL APPROACH TO THE TREATMENTOF CHILDREN WITH THORACICIDIOPATHIC SCOLIOSIS
https://doi.org/10.14531/ss2010.4.25-29
Abstract
Objective. To assess surgical treatment results in children with thoracic idiopathic scoliosis.
Material and Methods. Surgical treatment was performed in 263 patients aged from 13 to 18 years and having spinal deformity of 50 to 152° Cobb angle. Three tactical options using dorsal Cotrel – Dubousset instrumentation were applied in surgical correction.
Results. The achieved surgical correction of idiopathic thoracic scoliosis varied from 46.2 to 95,0 %. Lost of correction within a follow-up period of 6-month to 10-year was 5.1 to 10.2 %.
Conclusion. Surgical approach to the treatment of idiopathic thoracic scoliosis should be individual and depend on patient’s age, growth potential, deformity severity, and curve mobility.
About the Authors
Sergey Valentinivich VissarionovRussian Federation
Aleksey Polykarpovich Drozdetsky
Russian Federation
References
1. Ветрилэ С.Т., Кулешов А.А., Швец В.В. и др. Концепция оперативного лечения различных форм сколиоза с использованием современных технологий // Хирургия позвоночника. 2009. № 4. С. 21–30.
2. Ветрилэ С.Т., Кулешов А.А., Швец В.В. и др. Оптимальные методы лечения тяжелых ригидных форм сколиоза // Вестн. травматол. и ортопед. им. Н.Н. Приорова. 2006. № 1. С. 63–70.
3. Колесов С.В., Кудряков С.А., Шавырин И.А. и др.Особенности коррекции сколиотических деформаций позвоночника из вентрального доступа // Хирургия позвоночника. 2009. № 4.С. 15–20.
4. Михайловский М.В., Новиков В.В., Васюра А.С. и др. Хирургическое лечение идиопатических сколиозов грудной локализации // Хирургия позвоночника. 2006. № 1. С. 25–32.
5. Михайловский М.В., Фомичев Н.Г. Хирургия деформаций позвоночника. Новосибирск, 2002.
6. Bullmann V., Halm H.F., Schulte T., et al. Combined anterior and posterior instrumentation in severe and rigid idiopathic scoliosis // Eur. Spine. J. 2006. Vol. 15. P. 440–448.
7. Davis M.A. Posterior fusion versus anterior/posterior spinal fusion for adolescent idiopathic scoliosis: a decision analysis // Spine. 2009. Vol. 34. P. 2318–2323.
8. Harrington P.R. Treatment of scoliosis. Correction and internal fixation by spine instrumentation // J. Bone Joint Surg. Am. 1962. Vol. 44. P. 591–610.
9. Helenius I., Remes V., Yrjonen T., et al. Harrington and Cotrel – Dubousset instrumentation in adolescent idiopathic scoliosis. Long-term functional and radiographic outcomes // J. Bone Joint Surg. Am. 2003. Vol. 85. P. 2303–2309.
10. Kim Y.J., Lenke L.G., Kim J., et al. Comparative analysis of pedicle screw versus hybrid instrumentation in posterior spinal fusion of adolescent idiopathic scoliosis // Spine. 2006. Vol. 31. P. 291–298.
11. Kuklo T.R., Potter B.K., Polly D.W., et al. Monoaxial versus multiaxial thoracic screws in the correction of adolescent idiopathic scoliosis // Spine. 2005. Vol. 30. P. 2113–2120.
Review
For citations:
Vissarionov S.V., Drozdetsky A.P. SURGICAL APPROACH TO THE TREATMENTOF CHILDREN WITH THORACICIDIOPATHIC SCOLIOSIS. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2010;(4):025-029. (In Russ.) https://doi.org/10.14531/ss2010.4.25-29