Chinese Journal of Tissue Engineering Research

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Three-stage installment correction for severe rigid scoliosis

Long Zhi-sheng, Chen Gang, Chen Zong-he, Li Hong-bo, Yu Xi-hua, Xiao Yu-hua, Gong Fei-peng, Li Yu-xu, Tang Zhi-ming, Li Jian-fei   

  1. First Department of Orthopedics, Jiangxi Provincial People’s Hospital, Nanchang  360000, Jiangxi Province, China
  • Received:2013-03-05 Revised:2013-04-01 Online:2013-10-22 Published:2013-11-02
  • Contact: Chen Gang, M.D., Associate chief physician, First Department of Orthopedics, Jiangxi Provincial People’s Hospital, Nanchang 360000, Jiangxi Province, China
  • About author:Long Zhi-sheng★, Master, Attending physician, First Department of Orthopedics, Jiangxi Provincial People’s Hospital, Nanchang 360000, Jiangxi Province, China lzs2001@qq.com

Abstract:

BACKGROUND: The treatment of severe rigid idiopathic scoliosis is the difficulty of clinical treatment. The studies in recent years have shown that the three-stage correction is a safe and effective treatment method.
OBJECTIVE: To explore the efficacy of three-stage correction in the treatment of severe rigid scoliosis.
METHODS: Retrospective analysis was performed on 10 severe rigid scoliosis patients undergoing three-stage correction, the mean age of the patients was 12 years. The average Cobb angle in the coronal plane was 140° (ranged 110°-180°), the average Cobb angle in the sagittal plane was 75° (ranged 50°-100°). The treatment was divided three stages: anterior release, Halo-plevic traction and third step with posterior osteotomy and fixation.
RESULTS AND CONCLUSION: All of the patients underwent the surgery safely without severe complications. After anterior release and Halo-plevic traction, the Cobb angle in the coronal plane was 90°, and the mean correction rate was 35.7%; the Cobb angle in the sagittal plane was 50° with correction rate of 33.3%. The mean Cobb angle in the coronal plane was 40° with the correction rate of 71.4% after osteotomy, and the Cobb angle in the sagittal plane was 35° with the correction rate of 53.3%. The results show that three-stage correction is a safe and effective method for the treatment of severe rigid scoliosis.

Key words:  prostheses and implants, scoliosis, traction, osteotomy

CLC Number: