Open AccessSurgical treatment of children with idiopathic thoracolumbar scoliosis using transpedicular spinal systems
Author(s) -
Sergey Vissarionov,
Виссарионов Сергей Валентинович,
Nurbek Nadirov,
Надиров Нурбек Надирович,
Sergei Mikhailovich Belyanchikov,
Белянчиков Сергей Михайлович,
D.N. Kokushin,
Кокушин Дмитрий Николаевич,
Vladislav Murashko,
Мурашко Владислав Валерьевич,
Кирилл Александрович Картавенко,
Картавенко Кирилл Александрович
Publication year - 2015
Publication title -
ortopediâ, travmatologiâ i vosstanovitelʹnaâ hirurgiâ detskogo vozrasta
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.157
H-Index - 4
eISSN - 2410-8731
pISSN - 2309-3994
DOI - 10.17816/ptors3315-20
Subject(s) - medicine , idiopathic scoliosis , cobb angle , scoliosis , sagittal plane , coronal plane , surgery , deformity , spinal deformity , orthodontics , radiology
Purpose of the study. Evaluation of the surgical treatment of children with idiopathic scoliosis of thoracolumbar localization. Materials and methods. Surgery was performed on 33 patients aged from 13 to 17 years with a curve approximating 42°-123°, according to Cobb. Surgical correction of the deformity was performed using three tactical options with the use of a transpedicular multi-basic metallic device. Results. In idiopathic thoracolumbar scoliosis, the surgical correction ranged from 74% to 100%. Loss of correction in the follow-up period from 2 to 5 years was 2°-4°. Conclusion. Surgical treatment of children with idiopathic thoracolumbar scoliosis depends on the degree of the main curve, spinal mobility, and the patient's age. Application of a multi-basic transpedicular metallic device allows significant correction of the angle of the curve, a true de-rotation of vertebral bodies at the apex of the curve to be performed, and the frontal and sagittal profile of the spine to be restored while maintaining the results achieved in the late postoperative period.