A comparison between spinous process and sublaminar wiring combined with Harrington distraction instrumentation in the management of adolescent idiopathic scoliosis.
A study of the efficacy of two techniques of spinal instrumentation on patients with adolescent idiopathic scoliosis was performed. Twenty consecutive patients treated with a single Harrington distraction rod and sublaminar wiring (H-SL) were compared with 20 consecutive patients treated with a single Harrington distraction and spinous process wiring (H-SP). The patients in both groups were similar in age, curve magnitude, curve flexibility, and curve type. The immediate postoperative correction (61% H-SL, 58% H-SP) and follow-up correction (50% H-SL, 49% H-SP) were equivalent. No pseudarthroses were recognized in either group. One patient with H-SL had transient postoperative paresthesias.
Thometz
J G
JG
Department of Orthopaedics, Medical College of Wisconsin, Milwaukee 53226.
Emans
J B
JB
D000293:Adolescent; D000328:Adult; D001864:Bone Wires; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D009984:Orthopedic Fixation Devices; D012189:Retrospective Studies; D012600:Scoliosis / Q000601:surgery*; D013115:Spinal Canal / Q000601:surgery; D013131:Spine / Q000601:surgery*