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Purpose   Evaluation of a novel instrumentation device for adolescent idiopathic scoliosis.Methods   A new osteosynthesis implant (Universal Clamp) primarily consisting of a sublaminar band and titanium clamp was prospectively studied in 32 patients (average age, 15 years) with a major thoracic curve.Results   The Universal Clamp was used without anterior release to reduce and maintain correction of the thoracic curve, which improved from 55.1° preoperatively to 14.5° at 3 months without neurological complication or loss of kyphosis.Conclusions   This implant distributes stress over a larger area of the laminar cortex than sublaminar wires, patently reducing the risk of laminar fracture for equivalent reduction forces, and permits progressive reduction at several apical levels simultaneously.

Use of the Universal Clamp for deformity correction and as an adjunct to fusion: Preliminary results in scoliosis