Email this article 
Surgical correction of spinal deformity with the use of transpedicular screw spinal systems in children with idiopathic thoracic scoliosis
- Authors: Nadirov N.N1, Belyanchikov S.M1, Kokushin D.N1, Murashko V.V1, Kartavenko K.A1
-
Affiliations:
- The Turner Scientific and Research Institute for Children’s Orthopedics
- Issue: Vol 4, No 2 (2016)
- Pages: 37-44
- Section: Articles
- URL: https://journals.eco-vector.com/turner/article/view/3050
- DOI: https://doi.org/10.17816/PTORS4237-44
- ID: 3050
Cite item
Open Access
Access granted
Abstract
Aim.
To compare the results of surgical correction of spinal deformity in children with idiopathic thoracic scoliosis with the use of transpedicular screw spinal systems with different pedicle screw placement.
Material and methods.
Thirty-one patients (14–17 years) with spinal curvature with a Cobb angle from 40° to 79° were operated on. Surgical correction of the deformity was performed using two methods, depending on the possible placement of a pedicle screw. The first group included 16 patients for whom the transpedicular support elements were placed on both sides, throughout the completely deformed spine. The second group included 15 patients for whom the pedicle screws were not placed for two or more vertebrae on the concave side of the curve, at the top of the main curve.
Results.
The mean percent correction of the spinal deformity for the first and second groups was 92.5% and 82.6%, respectively. The mean percentage of derotation of the apical vertebra for the first and second groups was 73.9% and 23%, respectively.
Conclusion.
The use of data based on the anatomical and anthropometric features of the vertebral body with scoliosis facilitates selection of the best option for correction of thoracic curve in children with idiopathic scoliosis using pedicle multi-support metal construction. The use of the spinal pedicle system for correction of spinal deformity in children with idiopathic scoliosis enabled a uniform load distribution along the support elements of the metal construction and maintained the correction in the late postoperative follow-up period.
Full Text
About the authors
Nurbek N Nadirov
The Turner Scientific and Research Institute for Children’s Orthopedics
Author for correspondence.
Email: nurbeknadir@mail.ru
MD, PhD student of the department of spine pathology and neurosurgery. The Turner Scientific and Research Institute for Children’s Orthopedics. Russian Federation
Sergei M Belyanchikov
The Turner Scientific and Research Institute for Children’s Orthopedics
Email: belijanchikov@list.ru
MD, PhD, chief of the department of spinel pathology and neurosurgery. The Turner Scientific and Research Institute for Children’s Orthopedics Russian Federation
Dmitriy N Kokushin
The Turner Scientific and Research Institute for Children’s Orthopedics
Email: fake@eco-vector.com
MD, research associate of the department of spinal pathology and neurosurgery. The Turner Scientific and Research Institute for Children’s Orthopedics. Russian Federation
Vladislav V Murashko
The Turner Scientific and Research Institute for Children’s Orthopedics
Email: fake@eco-vector.com
MD, orthopedic and trauma surgeon of the department of spine pathology and neurosurgery. The Turner Scientific and Research Institute for Children’s Orthopedics. Russian Federation
Kirill A Kartavenko
The Turner Scientific and Research Institute for Children’s Orthopedics
Email: fake@eco-vector.com
MD, orthopedic and trauma surgeon of the department of spine pathology and neurosurgery. The Turner Scientific and Research Institute for Children’s Orthopedics. Russian Federation
References
- Lee SM, Suk SI, Chung ER. Direct vertebral rotation: a new technique of three-dimensional deformity correction with segmental pedicle screw fixation in adolescent idiopathic scoliosis. Spine. 2004;29:343-9. doi: 10.1097/01.brs.0000109991.88149.19.
- Kim Y, Lenke L, Kim J, et al. Comparative analysis of pedicle screw versus hybrid instrumentation in posterior spinal fusion of adolescent idiopathic scoliosis. Spine. 2006;31(3):291-298. doi: 10.1097/01.brs.0000197865.20803.d4.
- Asghar J, Samdani AF, Pahys JM, et al. Computed tomography evaluation of rotation correction in adolescent idiopathic scoliosis. A comparison of an all pedicle screw construct versus a hook-rod system. Spine. 2009;34:804-7. doi: 10.1097/brs.0b013e3181996c1b.
- Yilmaz G, Borkhuu B, Dhawale AA, et al. Comparative analysis of hook, hybrid, and pedicle screw instrumentation in the posterior treatment of adolescent idiopathic scoliosis. J Pediatr Orthop. 2012;32(5):490-499. doi: 10.1097/bpo.0b013e318250c629.
- Виссарионов С.В., Кокушин Д.Н., Белянчиков С.М., и др. Хирургическое лечение деформаций позвоночника у детей с идиопатическим сколиозом транспедикулярными спинальными системами // Пособие для врачей. - СПб., 2014. - 40 с. [Vissarionov SV, Kokushin DN, Beljanchikov SM, et al. Hirurgicheskoe lechenie deformacij pozvonochnika u detej s idiopaticheskim skoliozom transpedikuljarnymi spinal'nymi sistemami. Posobie dlja vrachej. Saint-Petersburg; 2014:40. (In Russ).]
- Виссарионов С.В., Белянчиков С.М., Кокушин Д.Н., и др. Результаты коррекции деформации позвоночника транспедикулярными спинальными системами у детей с идиопатическим сколиозом // Хирургия позвоночника. - 2013. - № 3. - С. 30-37. [Vissarionov SV, Beljanchikov SM, Kokushin DN, et al. Results of spinal deformity correction using transpedicular instrumentation in children with idiopathic scoliosis. Spine Surgery. 2013;(3):30-37. (In Russ).] doi: 10.14531/ss2013.4.30-37.
- Peter S. Rose, Lawrence G. Lenke, et al. Pedicle Screw Instrumentation for Abult Idiopathic Scoliosis. An Improvement Over Hook/Hybrid Fixation. Spine. 2009;34(8):852-857. doi: 10.1097/brs.0b013e31818e5962.
- Steven W. Hwang, Amer F. Samdani, et al. Comparison of 5-year outcomes between pedicle screw and hybrid constructs in adolescent idiopathic scoliosis. J Neurosurg Spine. 2012.17:212-219. doi: 10.3171/2012.6.spine1215.
- Виссарионов С.В. Технологии коррекции деформаций позвоночника транспедикулярными спинальными системами у детей с идиопатическим сколиозом // Хирургия позвоночника. - 2013. - № 1. - С. 21-27. [Vissarionov SV. Approaches to spinal deformity correction using transpedicular systems in children with idiopathic scoliosis. Spine Surgery. 2013;(1);21-27. (In Russ).] doi: 10.14531/ss2013.1.21.
- Aaro S, Ohlen G. The effect of Harrington instrumentation on the sagittal configuration and mobility of the spine in scoliosis.Spine. 1983;8(6):570-575. doi: 10.1097/00007632-198309000-00002.
Supplementary files
