title: Sagittal plane analysis in idiopathic scoliosis patients treated with Cotrel-Dubousset instrumentation.
abstract: One hundred sixty patients with idiopathic scoliosis treated with Cotrel-Dubousset instrumentation (CDI) underwent preoperative and postoperative sagittal plane analysis of the thoracic spine, thoracolumbar junction, and lumbar spine. The data suggest that mild to moderate improvements in thoracic hypokyphosis are possible. When crossing the thoracolumbar junction, reversal of rod bend and reversal of hooks on the derotation rod appear to provide the most physiologic sagittal contour. Cotrel-Dubousset instrumentation to the mid and distal lumbar spine can preserve and, at times, enhance lumbar lordosis.
authors.affiliation: Department of Orthopedic Surgery, Washington University, St. Louis, Missouri.
authors.forename: K H
authors.initials: KH
authors.lastname: Bridwell
authors.forename: R
authors.initials: R
authors.lastname: Betz
authors.forename: A M
authors.initials: AM
authors.lastname: Capelli
authors.forename: G
authors.initials: G
authors.lastname: Huss
authors.forename: C
authors.initials: C
authors.lastname: Harvey
mesh_terms: D006801:Humans; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging; D009984:Orthopedic Fixation Devices; D011859:Radiography; D012600:Scoliosis / Q000000981:diagnostic imaging / Q000601:surgery*; D013123:Spinal Fusion; D013904:Thoracic Vertebrae / Q000000981:diagnostic imaging