Complex orthopedic-surgical treatment of scoliotic disease

Abstract

Treatment results of 271 patients with scoliosis are analysed. All patients have been treated according to the system which was worked out by the author and introduced into practice in Azerbaijan. Within this system the conservative and treatment are considered as the components of a single complex of curative measures. Long course of outpatient treatment included the use of corrective deep plaster beds, dynamic corsets of Lion and Charleston type, kineso- therapy, electrostimulation of muscles, drug therapy for metabolism disturbances. Spine deformity stabilization has been noted in 72.3%) of patients including 21.4%) of those in whom the curvature correction was within 1218. In 75 patients (27.7%) the progression of the deformity continued. 46 out of them have been operated on. Plate correctors of the authors design (23 patients), combination of Harrington instrumentation and plate correctors (5 patients), modified Harrington technique (18 patients) were used. The use of plate endocorrectors in patients with the deformities up to 65 enabled to achieve 35 correction. The combination of two endocorrectors was effective in patients with rigid scoliosis and allowed to decrease the loss of the correction. Systemic pre- and postoperative treatment contributed to the preservation of the achieved correction.