Variants of Spine Deformity Correction in Children with Idiopathic Scoliosis of Thoracic Localization

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Abstract

Treatment results for 24 patients (21 girls and 3 boys), aged 14—17 years, with idiopathic thoracic scoliosis are presented. In all cases right-side type of deformity was observed. The main arch of curvature ranged from 52° to 92° by Cobb. The operation was performed from dorsal approach with application of metallic devices with transpedicular supporting elements using 3D-CT navigation. Depending on anatomical and anthropometric peculiarities of vertebral bone structures within the curvature arch, two variants of surgical correction were applied. Correction of the first type was performed in 18 patients; second type of correction was applied in 6 children. Second type of deformity correction differed from the first one by the sequence of rods implantation relative to the sides of main arch and corrective maneuvers at deformity correction. In the first group postoperative deformity correction in frontal plane made up 92—99%, derotation correction of the apical vertebra from 72 to 94% versus 91—100% and from 11,4 to 29,4% in the second group.

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Варианты коррекции деформации позвоночника у детей с идиопатическим сколиозом грудной локализации
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References

  1. Boss N., Webb J.K. Pedicle screw fixation in spinal disorders: A European view. Eur. Spine J. 1997; 6 (1): 2-18.
  2. Gaines R.W. The use of pedicle-screw internal fixation for the operative treatment of spinal disorders. J. Bone Jt Surg. Am. 2000; 82 (10): 1458-1476.
  3. Modi H.N., Suh S.W., Hong J.Y., Yang J.H. Accuracy of thoracic screw using ideal pedicle entry point in severe scoliosis. Clin. Orthop. Relat. Res. 2010; 468 (7): 18301837.
  4. Karatoprak О., Unay К., Tezer М., Ozturk С., Aydogan М., Mirzanli1 С. Comparative analysis of pedicle screw versus hybrid instrumentation in adolescent idiopathic scoliosis surgery. Int. Orthop. 2008; 32 (4): 523-528.
  5. Kim Y.J., Lenke L.G., Kim J., Bridwell K.H., Cho S.K., Cheh G., Sides B. Comparative analysis of pedicle screw versus hybrid instrumentation in posterior spinal fusion of adolescent idiopathic scoliosis. Spine (Phila Pa 1976). 2006; 31 (3): 291-298.
  6. Liljenqvist U., Lepsien U, Hackenberg L., Niemeyer T, Halm H. Comparative analysis of pedicle screw and hook instrumentation in posterior correction and fusion of idiopathic thoracic scoliosis. Eur. Spine J. 2002; 11 (4): 336-343.
  7. Suk S.I., Kim W.J., Kim J.H., Lee S.M. Restoration of thoracic kyphosis in the hypokyphotic spine: a comparison between multiple-hook and segmental pedicle screw fixation in adolescent idiopathic scoliosis. J. Spinal Disord. 1999; 12 (6): 489-495.
  8. Costa F., Cardia A., Ortolina A., Fabio G., Zerbi A., Fornari M. Spinal navigation: standard preoperative versus intraoperative computed tomography data set acquisition for computer-guidance system: radiological and clinical study in 100 consecutive patients. Spine (Phila Pa 1976). 2011; 36 (24): 2094-2098.
  9. Iampreechakul P., Chongchokdee C., Tirakotai W. The accuracy of computer-assisted pedicle screw placement in degenerative lumbrosacral spine using single-time, paired point registration alone technique combined with the surgeon's experience. J. Med. Assoc. Thai. 2011; 94 (3): 337-345.
  10. Zhou D., Xu N.W., Nong L.M., Zhang Y. Pedicle screw fixation of thoracic spinal fracture assisted by CT-based navigation system. Zhonghua Yi Xue Za Zhi. 2010; 90 (23): 1612-1614. Chinese.
  11. Виссарионов С.В., Кокушин Д.Н., Дроздецкий А.П., Белянчиков С.М. Технология использования 3D-KT- навигации в хирургическом лечении детей с идиопа- тическим сколиозом. Хирургия позвоночника. 2012; 1: 41-47.

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