Application of Cross-Section Corrective («Translation») Forces at Surgical Treatment for Scoliosis

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Abstract

Surgical treatment results for 53 patients with III—IV stage of scoliosis are presented. In all patients original endocorrector has been applied. Endocorrector is based on the application of cross-section corrective («translation effect») forces that enable to shift the vertebrae of the main scoliotic arch to the median line of the trunk. Endocorrector was the most effective in curvature arch under 75° and provided 35—45° correction. Mathematic modeling of a situation «endocor- rector—curved spine» was performed as well as the pattern of forces created by endocorrector and participated in the scoliotic deformity correction was studied. Surgical intervention enabled to achieve stable fixation of the spine with its sagittal contours preservation. At long-term follow up (1—6 years) loss of correction did not exceed 8—10°. In scoliosis with arch over 75° step-by- step corrections were performed and loss of correction could make up 15°.

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Применение поперечно корригирующих («транслирующих») сил в оперативном лечении сколиоза
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References

  1. Luque E.R. Segmental spinal instrumentation for correction of scoliosis. Clin. Orthop. 1982; (163): 193-198.
  2. Herring J.A., eds. Tachdjian"s pediatric ortopaedics from texas scottish rate hospital for children. 3rd ed. Philadelphia: W.B. Saunders; 2002: 213-260.
  3. Ветрилэ С.Т., Кулешов А.А., Швец В.В. Сравнительный анализ результатов хирургического лечения сколиоза с применением дистрактора Harrington в сочетании с методом Luque и системы Cotrel-Doubosset. Вестн. травматол. ортопед. 1999; 2: 7-15.
  4. Drummond D.S. Harrington instrumentation with spinous process wiring for idiopathic scoliosis. Orthop. Clin. North Am. 1988; 19 (2): 281.
  5. Bago J., Ramirez M., Pellise F., Villanueva C. Survivorship analysis of Cotrel-Dubousset instrumentation in idiopathic scoliosis. Eur. Spine J. 2003; 12 (4): 435-439.
  6. Benli I.T., Kaya A. Correction and instrumentation techniques in surgical treatment of adolescent idiopathic scoliosis. J. Turkish Spinal Surg. 2008; 19 (3): 233-293.
  7. Asher M.A., Lai S.M., Burton D., Manna B., Cooper A. Safety and efficacy of Isola instrumentation and arthodesis for adolescent idiopathic scoliosis: two- to 12-year follow-up. Spine. 2004; 29 (18): 2013-2023.
  8. Asher M.A. Practice audit. 5th European Isola Meeting, Amsterdam, feb. 20-21, 1998. Amsterdam; 1998.
  9. Benli I.T., Akalin S, Aydin E., Baz A., Citak M., Kis M., Duman E. Isola spinal instrumentation system for idiopathic scoliosis. Arch. Orthop. Trauma Surg 2001; 121 (1-2): 17-25.
  10. Girardi F.P., Boachie-Adjei Rawlins B.A. Safety of sublaminar wires with Isola instrumentation for the treatment of idiopathic scoliosis. Spine. 2000; 25 (6): 691-695.
  11. Akgul T., Polat G., Talu U., Domanich U. The results of the adolescent idiopatic scoliosis patients treated with posterior seqmental pedicle screw method. J. Turkish Spinal Surg. 2008; 19 (3): 223-231.
  12. Coe J.D., Arlet V., Donaldson W., Berven S., Hanson D.S., Mudiyam R. et al. Complications in spinal fusion for adolescent idiopatic scoliosis in the new millennium. A report of the scoliosis research society morbidity and mortality committee. Spine. 2006; 31 (3): 345-349.
  13. Джалилов Я.Р. Комплексное ортопедо-хирургическое лечение сколиотической болезни. Вестн. травматол. ортопед. 2002; 3: 47-52.
  14. Джалилов Я.Р. Хирургическая коррекция сколиоза с применением новых дистрагирующих и деротирую- щих эндокорректоров. Адаптация различных систем организма при сколиотической деформации позвоночника. В кн.: Материалы международного симпозиума. М.; 2003: 131-133.
  15. Джалилов Я.Р., Джалилов Т.Я. Индекс торсии (It) позвонков при сколиозе и способ ее определения. Актуальные вопросы травматологии и ортопедии. Красноярск; 2004: 32-35.
  16. Ho E., Upadhyay S.S., Chan F.L., Hsu L., Leong J. New methods of measuring vertebral rotation from computed tomographic scans: an intraobserver and interobserver study on girls with scoliosis. Spine. 1993; 18 (9): 1173-1177.

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