Document Detail


Frontal plane and sagittal plane balance following Cotrel-Dubousset instrumentation for idiopathic scoliosis.
MedLine Citation:
PMID:  2772724     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Postoperative decompensation has been reported following Cotrel-Dubousset instrumentation for right thoracic idiopathic scoliosis. The authors examined balance in the frontal and sagittal planes in 53 patients to determine optimal levels for fusion. King et al Type II curves, particularly larger ones, shifted to the left when the thoracic curve was fused to the stable vertebra or just below. Most Type III curves balanced well regardless of the levels fused. One-third of all patients developed mild radiographic junctional kyphosis at the lower level instrumented, more commonly when instrumentation ended at or above T12. The authors recommend fusing one segment short of the stable vertebra in most Type II curves. Large Type II curves need both curves fused for optimal balance. Type III curves can be fused short of the stable vertebra.
Authors:
B S Richards; J G Birch; J A Herring; C E Johnston; J W Roach
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Spine     Volume:  14     ISSN:  0362-2436     ISO Abbreviation:  Spine     Publication Date:  1989 Jul 
Date Detail:
Created Date:  1989-10-06     Completed Date:  1989-10-06     Revised Date:  2009-07-09    
Medline Journal Info:
Nlm Unique ID:  7610646     Medline TA:  Spine (Phila Pa 1976)     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  733-7     Citation Subset:  IM    
Affiliation:
Texas Scottish Rite Hospital, Dallas.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Child
Female
Follow-Up Studies
Humans
Kyphosis / etiology
Orthopedic Fixation Devices*
Scoliosis / surgery*
Spinal Fusion / instrumentation*,  methods

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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