Object

This publication is protected and available only for logged users.
This publication is protected and available only for logged users.

Title: Influence of the extent of spondylodesis on the spinal compensation in idiopathic scoliosis

Abstract:

Scoliosis is a triplanar spinal deformity, in which the basic rules of surgery consist of: curve correction in frontal plane and normal sagittal alignment restoration. The main aim of the work is the preparation of an instrumentation algorithm for posterior approach surgery in idiopathic scoliosis. Material consists of 150 patients, 136 females and 14 males. The mean age at the time of surgery was 15.5 years with the follow up time of 3.7 years. The curve angle according to Cobb was in thoracic spine mean 56.1o, and in lumbar spine 51.2o. All the patients underwent posterior fusion with derotational instrumentation Radiological assessment was performed using postero-anterior, lateral and elongation radiograms. Own scale of treatment result evaluation was introduced. Mean correction of thoracic curve was 61.8% and lumbar curve - 66.6%. Good results in frontal plane were noted in 97 cases (65%) and bad in 53 (35%). In sagittal plane, good results were in 112 patients (75%), and bad in 38 (25%) patients. Good result in both planes was observed in 76 cases (51%), and bad – in 24 (16%) patients. Upper end of instrumentation tied in with upper neutral vertebra and use of lumbar pedicular screws give good end result. Fusion up to L3 vertebra gives bad result in frontal plane. Reverse hooks at the end of fusion cause good sagittal result. Fusion to L4 is particularly advised when: lumbar Cobb angle >60o; elongation lumbar angle ≥25o; AVT2 ≥35 mm, lordosis <30o and kyphosis <20o; L4 angle and LS angle >10o; improper position of L4 vertebra.

Level of degree:

2 - studia doktoranckie

Degree discipline:

ortopedia

Degree grantor:

Wydział Lekarski

Promoter:

Daniel Zarzycki

Date issued:

2007

Format:

application/pdf

Identifier:

oai:dl.cm-uj.krakow.pl:949

Call number:

ZB-106435

ControlNumberVIRTUA:

click here to follow the link

Access rights:

tylko w bibliotece

Location of original object:

Biblioteka Medyczna Uniwersytetu Jagiellońskiego - Collegium Medicum

Object collections:

Last modified:

Feb 12, 2020

In our library since:

Nov 21, 2012

Number of object content hits:

10

Number of object content views in PDF format

9

All available object's versions:

http://dl.cm-uj.krakow.pl:8080/publication/949

Show description in RDF format:

RDF

Show description in OAI-PMH format:

OAI-PMH

Edition name Date
ZB-106435 Feb 12, 2020
×

Citation

Citation style:

This page uses 'cookies'. More information