title: [Range of distal spondylodesis in surgical treatment of idiopathic scoliosis using multisegmental instrumentation].
abstract: This presentation aim was to provide correct answer in question of range of spondylodesis (both proximal and distal levels) in surgical treatment of idiopathic scoliosis with multisegmental instrumentation. The postoperative evaluation o 88 patients (77 girls and 11 boys) was done according to King and Moe classification. Average patients age was 13.8 years (11.4-17.1) with 18.2 months (12-29) follow-up. In 53 cases it was longer than 2 years. The identification of the curve pattern in both the coronal and sagittal planes will allow you to decide which curves to fuse. In the choice of upper fusion level one should keep attention to shoulder balance and presence of superior junctional kyphosis, extending than range of the fusion up to T2. In the lower level there is important to keep distal fusion mass in vertical alignment transsected by CSL (just like in the upper end in thoracic spine) to preserve spine compensation and remaining as many sa possible mobile spine segments below the fusion.
authors.affiliation: Kliniki Ortopedii Instytutu Ortopedii i Rehabilitacji Akademii Medycznej w Poznaniu.
authors.forename: A
authors.initials: A
authors.lastname: Nowakowski
authors.forename: L
authors.initials: L
authors.lastname: Labaziewicz
authors.forename: H
authors.initials: H
authors.lastname: Skrzypek
mesh_terms: D000293:Adolescent; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D012600:Scoliosis / Q000601:surgery*; D013123:Spinal Fusion / Q000295:instrumentation / Q000379:methods*