"Bone-οn-Bone" surgical reconstruction of moderate severity, flexible single curve adolescent idiopathic scoliosis: continuing improvements of the technique and results in three scoliosis centers after almost twenty years of use.

Robert W Gaines,Kan Min,Daniel Zarzycki

doi:10.1186/s13013-015-0032-0

Abstract

The “bone-on-bone” reconstruction for adolescent idiopathic scoliosis is reviewed in this article. Extensive use over the past 18 years has identified it’s functional benefits outstanding clinical results, and very limited complications. This is an extensive update of it’s application, since it’s introduction, 18 years ago.Electronic supplementary materialThe online version of this article (doi:10.1186/s13013-015-0032-0) contains supplementary material, which is available to authorized users.

Highlights

Optimal surgical correction of single curve adolescent idiopathic scoliosis reduces the primary curve to less than 30 degrees, and reduces and balances the compensatory curves
Evolution of the procedure Dwyer [5] introduced the use of the anterior approach, multiple discectomy, anterior fusion and anterior instrumentation for the correction of adolescent idiopathic scoliosis
Following report of post-op pulmonary function tests which showed some permanent post-operative reduction from normal levels, following open thoracotomy, Newton, Sucato and Lonner began using thoracoscopic partial discectomy and instrumentation for adolescent idiopathic scoliosis to avoid the concern about post-op pulmonary function

Summary

Introduction

Optimal surgical correction of single curve adolescent idiopathic scoliosis reduces the primary curve to less than 30 degrees, and reduces and balances the compensatory curves. Evolution of the procedure Dwyer [5] introduced the use of the anterior approach, multiple discectomy, anterior fusion and anterior instrumentation for the correction of adolescent idiopathic scoliosis.

Results

Conclusion