Does a stiffer construct improve deformity correction in adolescent idiopathic scoliosis?

Abstract

s / International Journal of Surgery 12 (2014) S13eS117 S67 12 months. Both insertional and non-insertional tendinopathies were found to be improved after surgical treatment. Conclusions: Our series shows surgical treatment of Achilles tendinopathies can be successful in patients who fail conservative treatment. 1396: ‘TIERS OF DELAY’: WARFARIN, HIP FRACTURES AND TARGET DRIVEN CARE Will Eardley , Hannah Freeman, Kirsty MacLeod, Anne Tate. Jaems Cook University Hospital, Middlesbrough, UK. Introduction: Anticoagulation reversal causes operative delays and loss of Best Practice Tariff (BPT). We sought to establish the impact on BPT for hip fracture patients admitted on warfarin. Methods: Patients undergoing surgery for a hip fracture over a 32-month period were reviewed. Time to theatre, length of stay and mortality were subject to independent samples t-tests. Results: 83 patients on warfarin had a mean time to theatre of 49.74 hrs (1.71-121.88), a 79% breach of BPT. In the control group, 908patients tookon average 24.51 hrs (1.2-287.48), a 28% breach of BPT (p 50degrees) demonstrateda significant improvement in correction with the CoCr constructs (0.81 vs 0.69, P1⁄40.02). Sagittal balancewas improved in both (CoCr 27.8, Ti 28.0) without significant difference (p1⁄40.84). Preoperative kyphosiswas normal in 49% and 43% of the CoCr and Ti Groups respectively (p1⁄40.63). 12 Ti patients moved from normal kyphosis to abnormal. 9 moved from abnormal to normal (p1⁄40.66). 10 CoCr patients were normalised with only 2 becoming abnormal (p1⁄40.04). Conclusions: Stiffer CoCr rods improve coronal correction for patients with large curves and normalise hypokyphotic deformities more effectively. Improvements weren't seen in sagittal balance or coronal curves less than 40 degrees.