Dynamics of changes in symmetry of the body after surgical treatment in patients with idiopathic scoliosis

Authors

  • Dmytro Petrenko

DOI:

https://doi.org/10.15674/0030-59872015167-71

Keywords:

idiopathic scoliosis, the symmetry of the trunk, ventral and posterior spinal fusion

Abstract

Improving of the shape of the body is the main aim of conservative  or  surgical  treatment  of  scoliotic  curvature.  Topicality  of

our work is in comparison of the cosmetic outcomes of surgical treatment  of  idiopathic  scoliosis.  Objective:  To  determine  and compare the dynamics of changes in the symmetry of the body in patients with idiopathic scoliosis after anterior and posterior corrective spinal fusion. Methods: A prospective study was performed in 36 patients aged from 12 to 28 years with idiopathic scoliosis type Lenke 1A and 5C. Patients were divided into two groups (18 people in each) depending on the method of treatment: I group — anterior spinal fusion (ASF), II — posterior spinal fusion (PSF). We performed an assessment of the cosmetic outcome of treatment using the posterior symmetr y index trunk (PSIT) before, immediately after and after 1 and 2 years after surgery. Results: the same changes in dynamics of PSIT during the observation period were defined in both groups of patients. Prior to surgery PSIT in group I was 19,7 ± 12,69, in II — 18,7 ± 11,5, and after correction of the curvature index turned out well to improve by 41.3 and 41 %, respectively. One year after surgery PSIT in group I was 6,4 ± 4,3, in II — 5,4 ± 3,2, and after 2 years — 5,4 ± 3,2 and 4,5 ± 3,3, respectively. Conclusions: The use of ASF and PSF allows to reach an identical cosmetic outcome and dynamics of changes in the symmetry of the trunk in patients with idiopathic scoliosis. Under identical indications for corrective ASF or PSF an advantage of the first one is the reduction in the length of fixation of the spine in combination of the same cosmetic effect.

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How to Cite

Petrenko, D. (2015). Dynamics of changes in symmetry of the body after surgical treatment in patients with idiopathic scoliosis. ORTHOPAEDICS TRAUMATOLOGY and PROSTHETICS, (1), 67–71. https://doi.org/10.15674/0030-59872015167-71

Issue

No. 1 (2015)

Section

ORIGINAL ARTICLES

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