An algorithm for selection of instrumentation levels in scoliosis

European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
J Y MarguliesJ P Farcy

Abstract

Appropriate levels for instrumentation and fusion in scoliosis have been a matter of debate among surgeons since the introduction of operative management of this deformity. We set out to examine the hypothesis that the amount of correction achieved in all planes during surgical instrumentation of a curve should be less than, or comparable to, the degree of correction attainable at any non-instrumented adjacent curve. An algorithm was designed to facilitate preoperative planning and intraoperative performance of spinal fusion procedures in the management of scoliosis. To test the validity of the hypothesis and the proposed algorithm, measurements were taken from the preoperative radiographs of 200 patients. The dimensions of the curves were obtained from an initial set of four X-ray films: (1) standing anteroposterior film of the whole spine, (2) standing lateral film of the whole spine, (3) two properly performed side-bending films including each curve of the spine. With this data, a plan was designed using the algorithm. The results of this plan were compared with the actual results of the surgery, which were revealed only at this stage. All patients in whom actual instrumentation levels fell within those predicted by the prop...Continue Reading

Citations

Apr 27, 2011·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Scott YangVincent Arlet
Aug 30, 2011·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Se-Il SukDong-Ju Lim
Jul 31, 2012·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Scott YangVincent Arlet
Apr 29, 2009·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·P ParisiniG Bakaloudis
Aug 3, 2013·The Spine Journal : Official Journal of the North American Spine Society·Michael P KellyLawrence G Lenke
Dec 6, 2011·The Spine Journal : Official Journal of the North American Spine Society·Yu WangEbbe S Hansen
Jan 17, 2014·Journal of Children's Orthopaedics·Z Deniz Olgun, Muharrem Yazici
Apr 3, 2003·Spine·Murray J BeuerleinJames K Mahood
Jun 9, 2007·Neurosurgery Clinics of North America·James M Mok, Serena S Hu
Jan 13, 2015·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Philippe PhanHubert Labelle
Nov 13, 2014·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Bassel G DieboPedro Berjano
Oct 18, 2002·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·J P GrantCharles G Fisher
Jan 5, 2011·Journal of Pediatric Orthopedics·Mark A Erickson, David M Baulesh
Jun 27, 2020·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Kazunori HayashiIbrahim Obeid

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