[Surgical treatment for scoliosis. Minimal evolution control at 5 years].
BACKGROUND
We undertook this study to determine the surgical treatments results performed often to correct scoliosis in the Spinal Surgery Service in the INR/Orthopedics (National Institute of Rehabilitation/Orthopedics), Mexico City.


METHODS
We conducted a longitudinal, prospective, descriptive, and clinical study with a deliberated intervention controlled from a historical cohort. One hundred twenty patients with scoliosis were reviewed in whom surgery was performed during 1990-1999. For quantitative variables, pre- vs. postoperative measures were compared using non-parametric means with chi(2) or in this case with ANOVA by Kruskall-Wallis test. Differences are considered significant if p <0.05.


RESULTS
Age average of patients was 12 years. There were 75 females and 45 males. There were 59 idiopathic scoliosis cases and 54 congenital scoliosis cases. Anterior approach was accomplished in 61 cases with posterior fixation. Posterior approach was used in 54 cases. There were 76 cases of Luque segmental instrumentation. Pre-operatively, scoliosis was ranked (18 to 110 grades) and postoperatively (5 to 90 grades) (p = 0.00001). There were 21 complications, 9 due to injuries or infection. In 76 patients, different fixation techniques were used, obtaining a correction average of 14.47 grades. Forty four patients were structured with bars, four distal screws, two compression screws, proximal hooks with sublaminar wire, and the angle was reduced on average 23.11 grades. CONCLUSIONS. Average reduction of scoliosis was higher with the modified Luque III instrumentation (p <0.045). There was no difference between etiology and preoperative angle.
Rosales-Olivares
Luis Miguel
LM
Jefe de Servicio de Cirugía de Columna Vertebral, Instituto Nacional de Rehabilitación/Ortopedia.
García
Jhaxel
J
Miramontes-Martínez
Victor Paul
VP
Alpízar-Aguirre
Armando
A
Arenas-Sordo
María de la Luz
Mde L
Reyes-Sánchez
Alejandro Antonio
AA
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D004868:Equipment Failure; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D016268:Internal Fixators; D008297:Male; D011446:Prospective Studies; D012600:Scoliosis / Q000601:surgery*; D013119:Spinal Cord Injuries / Q000453:epidemiology / Q000209:etiology; D013123:Spinal Fusion / Q000379:methods / Q000706:statistics & numerical data*; D013530:Surgical Wound Infection / Q000453:epidemiology