Early mobilization of adolescent scoliosis patients following Wisconsin interspinous segmental instrumentation as an adjunct to Harrington distraction instrumentation. Preliminary report.
This is a preliminary report of the authors' first 40 patients treated by posterior spinal fusion with Wisconsin interspinous segmental instrumentation (WISSI) with a minimum 18-month follow-up period. No major complications because of the instrumentation were encountered. The patients were allowed to sit in a chair on the second or third postoperative day. Early elimination of postoperative casts resulted in an increased rate of problems with fixation and led to reintroduction of a postoperative orthosis, but not the body cast. Some fixation problems may have been related to technical errors and use of the earlier one-button technique. In two patients who had hook dislodgement, the WISSI maintained spinal correction thereby demonstrating its stabilizing effect.
Heilbronner
D M
DM
University of Virginia School of Medicine.
Sussman
M D
MD
D000293:Adolescent; D004434:Early Ambulation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007902:Length of Stay; D008297:Male; D009984:Orthopedic Fixation Devices; D011183:Postoperative Complications / Q000453:epidemiology; D011859:Radiography; D012600:Scoliosis / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D013123:Spinal Fusion / Q000295:instrumentation*; D013131:Spine / Q000000981:diagnostic imaging / Q000601:surgery