Results of Posterior Fixation and Instrumentation in Adolescent Idiopathic Scoliosis

Ahmet Serhat Genc, Engin Eren Desteli and Serdar Azat Ataman

Department of Orthopedics and Traumatology, Gazi State Hospital, Turkey
Department of Orthopedics and Traumatology, Uskudar State Hospital, Turkey
Department of Orthopedics and Traumatology, Private Medical Park Samsun Hospital, Samsun, Turkey

^*Correspondance to: Engin Eren Desteli 

 PDF  Full Text DOI: 10.25107/2474-1647.2609

Abstract

Objectives: The aim was to evaluate the patients treated with posterior fusion and instrumentation for adolescent idiopathic scoliosis both clinically and radiologically. Materials and Methods: 49 patients with the diagnosis of adolescent idiopathic scoliosis who were operated at Ondokuz Mayis University, Department of Orthopedics and Traumatology were retrospectively evaluated. Preoperative and postoperative radiography and clinical examination was performed to each of the patient. Mean age at the time of operation was 14.6 Mean postoperative follow-up was 35.1 months (4-84 months). Results: Frontal plane correction rate was 48%, considering sagittal plane in 91% of the patients the resultant thoracal kyphosis was in normal range and in 93.9% of them normal lordosis was reached. Apical vertebra derotation was 33.6%. In 87.7% of the patient’s frontal balance was obtained and in 96% of the patient's sagittal balance was obtained. Complication rate was 6.1% however we did not observe any major neurological or vascular complication. Conclusion: Accurate preoperative planning is essential in surgical treatment of adolescent idiopathic scoliosis to be able to reach multi planar correction of the deformity and to lower the postoperative lumber pain complication fusion site must not involve lower segments of the spinal column.

Keywords

Adolescent Idiopathic Scoliosis; Posterior Segmental Instrumentation; Lumber Pain

Cite the article

Genc AS, Desteli EE, Ataman SA. Results of Posterior Fixation and Instrumentation in Adolescent Idiopathic Scoliosis. Clin Surg. 2019; 4: 2609..