PURPOSE: Posterior-only approach arthrodesis by all-pedicle screw instrumentation has a correction rate similar to correction obtained by traditional combined anterior/posterior approach surgery and avoids the complications associated with the thoracic approach. METHODS: We treated 25 patients, with a mean age 16.5 years, with severe adolescent idiopathic scoliosis by posterior-only approach using all-screw instrumentation arthrodesis. Mean scoliosis curve in Cobb degrees was 95° Cobb. All cases were treated by the same senior surgeon, by free hand technique, without intraoperative neurophysiologic monitoring and spine navigation aids. RESULTS: Mean scoliosis curve after surgery was 37° Cobb. Mean follow-up was 4 years. No perioperative complications, curve progression or arthrodesis malunion were reported at the follow-up. CONCLUSIONS: Posterior spinal fusion with pedicle screw-only instrumentation obtains a good and stable correction of severe scoliosis; compared to hybrid instrumentation, it allows a greater coronal correction of the deformity and less correction loss at the follow-up.
PURPOSE: Posterior-only approach arthrodesis by all-pedicle screw instrumentation has a correction rate similar to correction obtained by traditional combined anterior/posterior approach surgery and avoids the complications associated with the thoracic approach. METHODS: We treated 25 patients, with a mean age 16.5 years, with severe adolescent idiopathic scoliosis by posterior-only approach using all-screw instrumentation arthrodesis. Mean scoliosis curve in Cobb degrees was 95° Cobb. All cases were treated by the same senior surgeon, by free hand technique, without intraoperative neurophysiologic monitoring and spine navigation aids. RESULTS: Mean scoliosis curve after surgery was 37° Cobb. Mean follow-up was 4 years. No perioperative complications, curve progression or arthrodesis malunion were reported at the follow-up. CONCLUSIONS: Posterior spinal fusion with pedicle screw-only instrumentation obtains a good and stable correction of severe scoliosis; compared to hybrid instrumentation, it allows a greater coronal correction of the deformity and less correction loss at the follow-up.
Authors: Timothy R Kuklo; Lawrence G Lenke; Michael F O'Brien; Ronald A Lehman; David W Polly; Teresa M Schroeder Journal: Spine (Phila Pa 1976) Date: 2005-01-15 Impact factor: 3.468
Authors: Yongjung J Kim; Lawrence G Lenke; Keith H Bridwell; Kyoungnam L Kim; Karen Steger-May Journal: J Bone Joint Surg Am Date: 2005-07 Impact factor: 5.284
Authors: Douglas C Burton; Andrew A Sama; Marc A Asher; Stephen W Burke; Oheneba Boachie-Adjei; R C Huang; D W Green; Bernard A Rawlins Journal: Spine (Phila Pa 1976) Date: 2005-09-01 Impact factor: 3.468
Authors: Matthew B Dobbs; Lawrence G Lenke; Yongjung J Kim; Scott J Luhmann; Keith H Bridwell Journal: Spine (Phila Pa 1976) Date: 2006-09-15 Impact factor: 3.468
Authors: Scott J Luhmann; Lawrence G Lenke; Yongjung J Kim; Keith H Bridwell; Mario Schootman Journal: Spine (Phila Pa 1976) Date: 2005-09-15 Impact factor: 3.468
Authors: Viola Bullmann; Henry F H Halm; Tobias Schulte; Thomas Lerner; Thomas P Weber; Ulf R Liljenqvist Journal: Eur Spine J Date: 2006-01-12 Impact factor: 3.134