The aplication of alici spinal instrumentation in the surgical treatment of scoliosis

Özet

İdiopatik skolyozu olan 34 hastaya anterior ve posterior enstrümantasyon uygulanarak cerrahi tedavileri yapılmıştır. Enstrümanlar skolyotik sagital, frontal ve aksiyel deformiteleri düzeltmek üzere tasarlanmıştır. 24 hasta idiopatik, 5 hasta nöromusküler kaynaklı, 5 hasta konjenital skolyoza sahiptir. Yaş aralığı 10-23 (ortalama 13.7) olup, hastaların 22’si kadın ve 12’si erkektir. Anterior Spinal enstrümantasyon (ASI) lomber torakolomber ve çift majör eğriliklerin lomber eğriliklerini düzeltmek için kullanılmıştır. ASI uygulanan hastalarda torakal ve torakolomber eğriliklere daha sonra posterior spinal enstrümantasyonla (PSI) düzeltilmiştir. ASI uygulanan hastalarda ayrıca anteriordan enstrümante edilen lomber eğrilikleri de posteriordan PSI ile desteklenmiştir. Hastalar kısa bir süre plastik alçı ile immobilize edilmişlerdir. ASI uygulamasıyla lomber bölgede fizyolojik lomber lordozun sağlanması yanı sıra, frontal, sagittal ve aksiyel planda başarılı bir düzeltmenin sağlandığı da belirlenmiştir.

Abstract

The surgical treatment of 34 patients with scoliosis was performed using anterior spinal and posterior spinal instruments. The instruments were designed in such a way that all of the frontal, sagittal, and axial deformities of the scoliotic curve would be corrected. The scoliosis was of idiopathic origin in 24 patients of paralytic origin in 5 patients and congenital in 5 patients. The age range was 10-23 (mean 13.7) and 22 of the patients were females and 12 of them were males. Anterior Spinal Instrumentation (ASI) was utilized in the correction of lumbar curves and the lumbar regions of thoracolumbar double curves and thoracolumbar curves. Thoracal curves and the thoracolumbar curves on which ASI’s had been applied were later corrected with posterior spinal instrumentations (PSI). All of the curves on which ASI’s had been applied were further supported by PSI’s. The patients in plastic casts were mobilized in a short period time. Succesfull results were obtained in the frontal, sagittal an axial planes, with the application of ASI and besides the correction of the deformity a physiological lumbar lordosis was also achieved.