SURGICAL TREATMENT OF CHILDREN WITH IDIOPATHIC SCOLIOSIS OF LENKE TYPE I WITH THE USE OF TOTAL TRANSPEDICULAR FIXATION

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Abstract


The purpose of the study. To assess the results of surgical treatment in children with idiopathic scoliosis of thoracic localization. Material and methods. We operated 56 patients aged from 13 to 18 years old with a level of deformity 40-136° according to Cobb. Surgical correction of the deformity was performed with three tactical options using Cotrel-Dubousset dorsal instrumentation. Results. In idiopathic thoracic scoliosis the operating correction ranged from 48 to 100 %. Loss of correction in the follow-up period from 1 year to 3.5 years was 0-7 %. Conclusion. Surgical treatment of idiopathic thoracic scoliosis should be individualized. Application of multisupporting transpedicular metal constructions allows to increase the degree of deformity correction, to perform true derotation of vertebral bodies on top of curvature and to save the result achieved in the postoperative period.

Sergei Valentinovich Vissarionov

FSBI “Scientific and Research Institute for Children’s Orthopedics n. a. G. I. Turner” under the Ministry of Health of the Russian Federation

Email: turner01@mail.ru
MD, PhD, DMedSc, Deputy Director for Research and Academic Affairs, head of the department of spinal pathology and neurosurgery.

Dmitriy Nikolaevich Kokushin

FSBI “Scientific and Research Institute for Children’s Orthopedics n. a. G. I. Turner” under the Ministry of Health of the Russian Federation

MD, research associate of the department of spinal pathology and neurosurgery.

Sergei Mikhailovich Belyanchikov

FSBI “Scientific and Research Institute for Children’s Orthopedics n. a. G. I. Turner” under the Ministry of Health of the Russian Federation

Email: belijanchikov@list.ru

Vladislav Valerievich Murashko

FSBI “Scientific and Research Institute for Children’s Orthopedics n. a. G. I. Turner” under the Ministry of Health of the Russian Federation

MD, orthopedic and trauma surgeon of the department of spine pathology and neurosurgery.

Kirill Aleksandrovich Kartavenko

NWSMU n. a. I. I. Mechnikov

MD, PhD student of the chair of Pediatric traumatology, orthopedics and surgery

Nurbek Nadirovich Nadirov

FSBI “Scientific and Research Institute for Children’s Orthopedics n. a. G. I. Turner” under the Ministry of Health of the Russian Federation

MD, PhD student of the department of spine pathology and neurosurgery.

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Copyright (c) 2014 Vissarionov S.V., Kokushin D.N., Belyanchikov S.M., Murashko V.V., Kartavenko K.A., Nadirov N.N.

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