Surgical treatment of children with idiopathic thoracolumbar scoliosis using transpedicular spinal systems

Sergei Valentinovich Vissarionov; Nurbek Nadirovich Nadirov; Sergei Mikhailovich Belyanchikov; Dmitriy Nikolaevich Kokushin; Vladislav Valerievich Murashko; Kirill Aleksandrovich Kartavenko

doi:10.17816/PTORS3315-20

Pediatric Traumatology, Orthopaedics and Reconstructive Surgery ›› 2015, Vol. 3 ›› Issue (3) : 15 -20. DOI: 10.17816/PTORS3315-20

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Surgical treatment of children with idiopathic thoracolumbar scoliosis using transpedicular spinal systems

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The Turner Institute for Children’s Orthopedics, Saint-Petersburg, Russian Federation

MD, PhD, professor, Deputy Director for Research and Academic Affairs, head of the department of spinal pathology and neurosurgery. The Turner Scientific and Research Institute for Children’s Orthopedics. Professor of the chair pediatric traumatology and orthopedics. North-Western State Medical University n. a. I. I. Mechnikov.

MD, PhD student of the department of spine pathology and neurosurgery. The Turner Scientific and Research Institute for Children’s Orthopedics

MD, PhD, chief of the department of spine pathology and neurosurgery. The Turner Scientific and Research Institute for Children’s Orthopedics, Saint-Petersburg, Russian Federation

MD, research associate of the department of spinal pathology and neurosurgery. The Turner Scientific and Research Institute for Children’s Orthopedics

MD, orthopedic and trauma surgeon of the department of spine pathology and neurosurgery. The Turner Scientific and Research Institute for Children’s Orthopedics

MD, PhD student of the chair of pediatric traumatology and orthopedics. North-Western State Medical University n. a. I. I. Mechnikov

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Abstract

Purpose of the study. Evaluation of the surgical treatment of children with idiopathic scoliosis of thoracolumbar localization. Materials and methods. Surgery was performed on 33 patients aged from 13 to 17 years with a curve approximating 42°-123°, according to Cobb. Surgical correction of the deformity was performed using three tactical options with the use of a transpedicular multi-basic metallic device. Results. In idiopathic thoracolumbar scoliosis, the surgical correction ranged from 74% to 100%. Loss of correction in the follow-up period from 2 to 5 years was 2°-4°. Conclusion. Surgical treatment of children with idiopathic thoracolumbar scoliosis depends on the degree of the main curve, spinal mobility, and the patient's age. Application of a multi-basic transpedicular metallic device allows significant correction of the angle of the curve, a true de-rotation of vertebral bodies at the apex of the curve to be performed, and the frontal and sagittal profile of the spine to be restored while maintaining the results achieved in the late postoperative period.

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Sergei Valentinovich Vissarionov, Nurbek Nadirovich Nadirov, Sergei Mikhailovich Belyanchikov, Dmitriy Nikolaevich Kokushin, Vladislav Valerievich Murashko, Kirill Aleksandrovich Kartavenko. Surgical treatment of children with idiopathic thoracolumbar scoliosis using transpedicular spinal systems. Pediatric Traumatology, Orthopaedics and Reconstructive Surgery, 2015, 3(3): 15-20 DOI:10.17816/PTORS3315-20

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