Juvenile idiopathic scoliosis treated with posterior arthrodesis and segmental pedicle screw instrumentation before the age of 9 years: a 5-year follow-up.

Scoliosis
Ahmet Yilmaz SarlakResul Musaoğlu

Abstract

Retrospective study. To evaluate the radiological results of fusion with segmental pedicle screw fixation in juvenile idiopathic scoliosis with a minimum 5-year follow-up. Progression of spinal deformity after posterior instrumentation and fusion in immature patients has been reported by several authors. Segmental pedicle screw fixation has been shown to be effective in controlling both coronal and sagittal plane deformities. However, there is no long term study of fusion with segmental pedicle screw fixation in these group of patients. Seven patients with juvenile idiopathic scoliosis treated by segmental pedicle screw fixation and fusion were analyzed. The average age of the patients was 7.4 years (range 5-9 years) at the time of the operation. All the patients were followed up 5 years or more (range 5-8 years) and were all Risser V at the most recent follow up. Three dimensional reconstruction of the radiographs was obtained and 3DStudio Max software was used for combining, evaluating and modifying the technical data derived from both 2d and 3d scan data. The preoperative thoracic curve of 56 +/- 15 degrees was corrected to 24 +/- 17 degrees (57% correction) at the latest follow-up. The lumbar curve of 43 +/- 14 degrees was ...Continue Reading

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Citations

Oct 9, 2012·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Carrie A LaituriGeorge W Holcomb
Apr 22, 2011·Current Opinion in Pediatrics·Mark A Erickson, David M Baulesh
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Methods Mentioned

BETA
chips

Software Mentioned

3DsMax
Silverfast Ai6 Professional Scan
SPSS
3DStudio Max
Canvas

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