Radiological Outcome of Cotrel-Dubousset Instrumentation in Nineteen Patients with Adolescent Idiopathic Scoliosis

Authors : Murat ÇALBIYIK

Pages : 1-8

Doi:10.19127/mbsjohs.315163

View : 13 | Download : 5

Publication Date : 2017-08-28

Article Type : Research Paper

Abstract :Objective: Adolescent idiopathic scoliosis is a progressive type of scoliosis that may lead to permanent deformity unless prevented and treated effectively. To present radiological outcome of patients with adolescent idiopathic scoliosis treated with the Cotrel-Dubousset insert ignore into journalissuearticles values(CD); instrumentation in our clinic. Methods: This was a prospective follow-up study of 19 patients insert ignore into journalissuearticles values(8 males, 11 females; mean age 18.5 years; age range 12-43 years); who underwent CD instrumentation for late onset idiopathic scoliosis. The CD instrumentation and posterior spinal fusion was performed using the standard technique through either anterior or posterior approach. On average, 13.52 vertebrae insert ignore into journalissuearticles values(range, 8-16); were included in the spinal fusion. The mean postoperative follow-up duration was 18 months insert ignore into journalissuearticles values(2-32 months);. Results: Cobb angle on frontal plane was corrected 47.74%±21.73% at thoracic region and 34.52%±15.96% at lumbar region. On sagittal plane, the percentage of correction was 28.61%±20.91% on thoracic kyphosis angle and 38.96%±29.73% lumbar lordosis angle. In general, physiological sagittal contour of spine was obtained in 49.2% of patients after CD instrumentation. The most common postoperative complications were hook dislocation insert ignore into journalissuearticles values(n=8);, bending and dislocation of screw insert ignore into journalissuearticles values(n=7);, broken lamina and pedicule insert ignore into journalissuearticles values(n=5);, and infection insert ignore into journalissuearticles values(n=3);, all of which were effectively treated. Conclusio n: CD instrumentation effectively corrects the late onset idiopathic scoliosis if it is performed after a proper preoperative planning.
Keywords : Curl up exercise, abdominal muscles, sternocleidomastoid, electromyography