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In this review article, we present an overview of the Luque segmental spinal instrumentation, which was and continues to be one of the most commonly used methods for the treatment of paralytic scoliosis. The present article is center in the historical and social aspects in Mexico that boost the invention of the system, the previous anatomical and morphopathological studies that were carried out for the knowledge of the pathology and the understanding of it. Furthermore, the biomechanics and characteristics of the system, and its surgical technique, as well as the extension of its indications for use, a comparison between the Harrington method, which represents the standard of care in this pathology at the time, the diffusion of the technique around the world, the complications and limitations of its use, and the actual status of the technique. The Luque system is still taught in universities in Mexico to residents in training due to the persistence in some patients of a lack of social coverage, as well as extremely low social conditions, as some of the approximately 300 cases treated with this technique in our center since 1976.

medicina universitaria/medina universitaria

Forty-five years of development of the Luque segmental spinal instrumentation for the treatment of deformities and fractures of the thoracolumbar spine