EXPERIENCE IN APPLICATION OF UNIVERSAL DORSAL INSTRUMENTATION FOR SCOLIOSIS TREATMENT

Abstract

Objective. The objective of the study was the development of optimal, i.e simple, safe, and effective instrumentation for treatment of adolescent and adult scoliotic deformities. Material and Methods. The paper presents the results of surgical treatment in 23 patients with thoracic and thoracolumbar scoliosis with application of novel dorsal instrumentation developed at the Chair of Traumatology and Orthopaedics of the Russian University of Peoples’ Friendship. Twenty three patients at the mean age of 15.6 years (range, 11–44 years) with Grade IV thoracic and thoracolumbar scoliosis were operated on. The smallest Cobb angle of deformation was 61°, the largest – 96°. Surgical correction of scoliosis was performed with application of universal dorsal instrumentation. The follow-up period was 1 year. Results. The correction of Grade IV deformation with Cobb angle from 61 to 70° was 85.2–91.8 %; with Cobb angle from 71 to 80° was 83.8–90.5 %. The curvature from 81 to 96° was corrected by 65.6–73 % by single-stage operation. Conclusion. The suggested universal instrumentation for spine scoliosis correction is a hi-tech technique. Its advantages are the simple and safe application, good correction in three planes of deformation, the possibility of use both in children and in adults, and the absence of spine growth restriction in children.