[Effect of the extent of spondylodesis on the status of the lumbar vertebrae after surgical treatment of idiopathic scoliosis].
Fifty-five patients with primary thoracic dextral idiopathic scoliosis treated by the Harrington method were studied. Posterior spondylodesis involved 8-14 vertebrae. Immobilization by a plaster-of-Paris jacket after operation was employed for 7-11 months. The mean follow-up was 14 years and 8 months. The studies were based on the clinical, radiological, and photogramometric evaluation of patients before operation, at one year after operation, and at least 5 years after operation. Two groups of patients were considered: with spondylodesis involving 8-10 vertebrae (25 patients) and 11-13 vertebrae (29 patients). In the analyzed material, better compensated posture occurred in the patients with posterior spondylodesis of 8-10 vertebrae and in whom the lower distractor hook rested on the L1-L2 vertebral arches, and when biological maturity of the spine was medium or advanced, and the age at operation ranged from 14 to 18 years and 4 months.
Nowakowski
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A
Napiontek
M
M
D000293:Adolescent; D005260:Female; D006801:Humans; D008159:Lumbar Vertebrae / Q000002:abnormalities* / Q000503:physiopathology / Q000601:surgery; D008297:Male; D011187:Posture / Q000502:physiology; D012600:Scoliosis / Q000534:rehabilitation / Q000601:surgery*; D013123:Spinal Fusion / Q000379:methods*; D013718:Tensile Strength; D013997:Time Factors
Wpływ długości spondylodezy na zachowanie sie Czesci ledzwiowej kregosłupa po leczeniu operacyjnym skolioz idiopatycznych.