title: Combined Dwyer and Harrington instrumentation and fusion in the treatment of selected patients with painful adult idiopathic scoliosis.
abstract: Five patients with painful adult idiopathic scoliosis and double structural curve patterns were treated by combined Dwyer and Harrington instrumentation and fusion. The goal of treatment, achieved in all 5 cases, was elimination of pain, stabilization of the spine, and restoration of torso balance. The thoracic curve was corrected an average of 24%, and the lumbar curve, 46%. The loss of correction was only 5 degrees at followup. There were no pseudoarthroses and no complications.
mesh_terms: D000328:Adult; D000367:Age Factors; D005260:Female; D006801:Humans; D008159:Lumbar Vertebrae / Q000601:surgery; D008722:Methods; D009984:Orthopedic Fixation Devices; D011379:Prognosis; D011542:Pseudarthrosis / Q000517:prevention & control; D012600:Scoliosis / Q000601:surgery*; D013123:Spinal Fusion