Surgical treatment of progressive idiopathic scoliosis in adolescents aged 10–14 years: literature review
| Autor: | Marija A. Chernyadjeva, Aleksandr S. Vasyura |
|---|---|
| Jazyk: | English<br />Russian |
| Rok vydání: | 2019 |
| Předmět: | |
| Zdroj: | Хирургия позвоночника, Vol 16, Iss 3, Pp 33-40 (2019) |
| Druh dokumentu: | article |
| ISSN: | 1810-8997 2313-1497 |
| DOI: | 10.14531/ss2019.3.33–40 |
| Popis: | Objective. To perform a systematic review of publications devoted to the evaluation of the results of surgical treatment of adolescents with idiopathic scoliosis aged 10–14 years. Material and Methods. Publications on surgery for adolescent idiopathic scoliosis for the last 40 years were analyzed taking into account different treatment approaches. The long-term results of surgical correction and complications occurred at different stages of the vertebrology development were reviewed based on the data of 23 publications including data on 826 patients aged 10 to 14 years in the period of active growth. Results. The prevalence of anterior interventions such as discectomy and anterior spinal fusion at the early stages of the scoliosis surgery development was justified. This was due to the lack of instrumentation at that time to prevent postoperative progression of scoliotic deformity in growing patients. The occurrence of crankshaft phenomenon was prevented by performing intraoperative spine release and subsequent stabilization owing to the formation of interbody bone block. Conclusion. Despite the fact that the method of total transpedicular fixation occupies a leading position at the present stage of scoliosis surgery evolution, the anterior spinal release remains relevant and necessary stage of surgical treatment of patients with severe and rigid spinal deformities at any age. The need for anterior intervention is determined not by the prevention of possible postoperative progression, but by the magnitude of spinal deformity, that is, anterior surgery is performed to mobilize severe and rigid scoliotic deformity. |
| Databáze: | Directory of Open Access Journals |
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