The Cotrel-Dubousset system--results in spinal reconstruction. Early experience in 47 patients.
Forty-seven patients were treated with spinal fusion and Cotrel-Dubousset instrumentation and were followed for an average of 28 months. Spinal procedures included: 1) posterior spinal fusion for idiopathic scoliosis (26 patients); 2) posterior pseudarthrosis repair (5 patients); 3) combined anterior/posterior fusion to the sacrum (6 patients); and 4) combined anterior/posterior osteotomies (10 patients). Group 1: Partial derotational correction was achieved for adolescent idiopathic scoliosis. Group 2: Successful pseudarthrosis repair was achieved in four patients. Group 3: A solid arthrodesis was obtained in two patients, whereas the other three patients underwent revision of sacral screw fixation for pseudarthrosis. One patient died postoperatively. Group 4: Pain relief and a balanced correction was achieved in all patients. The Cotrel-Dubousset system appears to be a versatile system and provides a wide range of possibilities for a variety of spinal problems.
Boachie-Adjei
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Southern California Complex Spine and Scoliosis Center, Whittier.
Bradford
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D000293:Adolescent; D000328:Adult; D000368:Aged; D001863:Bone Screws; D006801:Humans; D008875:Middle Aged; D009984:Orthopedic Fixation Devices; D011183:Postoperative Complications; D011859:Radiography; D012600:Scoliosis / Q000601:surgery; D013122:Spinal Diseases / Q000601:surgery*; D013123:Spinal Fusion; D013131:Spine / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000601:surgery*