Remote results of surgical treatment of idiopathic scoliosis in adults

Oleksandr Barkov, Andrey Mezentsev, Volodymyr Radchenko, Dmytro Petrenko

Abstract


The article deals with results of remote surgical treatment of 57 adult patients with idiopathic scoliosis. All the patients underwent corrective and stabilizing surgical interventions with help of polysegmental fabricated metals on the base of screws and hooks. The analysis of the obtained results revealed that the main problems of adult patients with scoliotic deformities consisted in their pain syndrome and neurologic disturbances; the available polysegmental metals made it possible to achieve from 38% to 52% of the deformity correction in the frontal plane and preserve the sagittal contour of the vertebral column and the vertebropelvic balance both after the operation and during a remote postoperative period. Determination of intervertebral disk angles LIV-LV, as well as those of LIV-SI and LV-SI in the frontal and sagittal planes are significant radiological criteria for revealing the influence of the above metals on indices of the frontal and sagittal balance and prognosis of irregular loading of an intervertebral disk below the area of spondylodesis.


Keywords


adult scoliosis; surgical treatment; long-term results

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DOI: https://doi.org/10.15674/0030-59872011112-17

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