PMID: 8581528Jan 1, 1995Paper

Cotrel-Dubousset and Harrington Instrumentation in idiopathic scoliosis: a comparison of long-term results

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
T HumkeH Siegrist

Abstract

Between 1968 and 1977, 72 patients with idiopathic scoliosis underwent Harrington Instrumentation (HI). Between 1985 and 1988, 21 patients with idiopathic scoliosis had posterior spinal fusion with Cotrel-Dubousset instrumentation (CDI). All patients were operated by the same orthopedic surgeon. None of the CDI patients had postoperative brace or cast protection, the HI group had on average 6 months' postoperative brace treatment. The two groups of patients were comparable in age, sex, and type of curves. The HI group and CDI group were reexamined with clinical and radiological assessment after mean periods of 148 months and 60 months respectively. The average preoperative Cobb angle in the CDI group was 59.9 degrees (HI group 67.8 degrees), which improved to 20.8 degrees (HI group 33 degrees) postoperatively--a correction of 66.3% (HI group 51.3%). The loss of correction on reassessment amounted to 5% in the CDI group and 20.7% in the HI group. In both groups, the mean rib hump height was reduced to 2.2 cm. In 40% of the Harrington patients, a flat back was found, but this was not related to clinical back pain. The rate of complications and reintervention was 9.5% in the CDI group and 8.3% in the HI group. There were no neurol...Continue Reading

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Citations

Nov 5, 2004·International Orthopaedics·Thomas NiemeyerTorsten Kluba
Jun 27, 2003·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 BagoC Villanueva
Nov 14, 2008·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·Samuel KadouryHubert Labelle
Mar 23, 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·Guanyu CuiMorio Matsumoto
Mar 27, 2001·Computer Methods in Biomechanics and Biomedical Engineering·BONITA J. SawatzkyKELLOGG S. Booth
Mar 3, 2004·The American Psychologist·Gary W Evans
Apr 8, 2015·Orvosi hetilap·S Tamás Illés
Jun 28, 2003·Journal of Family Psychology : JFP : Journal of the Division of Family Psychology of the American Psychological Association (Division 43)·Sanford L BraverWilliam V Fabricius
Jan 5, 2011·Journal of Pediatric Orthopedics·Edward R Westrick, W Timothy Ward
Jan 1, 1996·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·I T BenliR Tandoğan
Oct 6, 2020·Journal of Healthcare Engineering·Li PengXiaobo Zhou
Dec 12, 2003·The Journal of Bone and Joint Surgery. American Volume·Ilkka HeleniusMikko Poussa
Mar 9, 2002·Spine·Sébastien DelormeCarl-Eric Aubin
Feb 26, 2020·Spine Deformity·Dean PerfettiVishal Sarwahi

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