We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Our experience of two staged surgery in scoliotic deformities with stiff and larger curves.
- Authors
Alam, Waqar; Ahmed, Ashfaq; Amin, Qazi Muhammad; Shah, Abdullah; Shah, Faaiz Ali; Khan, Muhammad Ayaz; Aziz, Amer
- Abstract
Background: Cranio-femoral traction could gradually modernize the coronal and sagittal deformity and restore the trunk wastefulness through the elongation of the spine. The aim of this prospective study was to determine the outcome of two staged surgery in patients having severe spinal deformities in scoliosis i.e. anterior-spinal release followed by cranio-femoral traction for 5 to 7 days followed by posterior release and instrumentation in the management. Materials and Methods: This study was conducted in Orthopaedics and Spine Centre of Ghurki Trust Teaching Hospital, Pakistan from 1st April 2010 to 31st July 2014 on 17 patients. The patients with idiopathic and congenital scoliotic deformity were included in the study.All patients underwent anterior release followed by Cranio-femoral traction for 5 to 9 days and then followed by posterior release and spinal instrumentation. The difference of curves was measured from pre-operative, traction and post-operative scoliotic series x-rays. The data were analyzed through SPSS 17.0 Soft ware. Results: There were 17 patients, among them 8 were boys and 9 were females with an average age of 14.2 years ( range 10-16 years). The average total cranio-femoral traction interval were 7 days (range 5-9 days ). There were 14 idiopathic and remaining congenital scoliosis patients. The average pre-operative thoracic and lumbar scoliosis were 106.5° (range 92°-142°) and 87° (range 77°-110°), respectively. The post-operative magnitude curve was 50.6°(range 47.5° to 56°). The difference in magnitude of curve was statistically significant. One of our patient got bad chest in the interval of two stages and we postponed herand operate her for her second stage after one month when she was recovered from her chest infection and was excluded from our results. There was no neurological complication in any of our patient. One of our patient got superficial wound infection which responded to oral antibiotics and resolved. Conclusion: In this study we found that two staged surgery for stiffand larger curves in scoliosis deformities is a excellent, safe, cost effective and less complicative method.
- Subjects
SCOLIOSIS; SPINE abnormalities; SCOLIOSIS treatment; MEDICAL schools; HUMAN abnormalities
- Publication
Pakistan Journal of Surgery, 2018, Vol 34, Issue 2, p131
- ISSN
0258-8552
- Publication type
Article