Immediate and long-term results of treatment of patients with idiopathic scoliosis by the method of transpedicular fixation

Abstract

Background. Evaluation of treatment results and control over the condition of operated patients is the most important task, which allows increasing the effectiveness of treatment and improving its results.Purpose of work. To study the immediate and long-term results of treatment of patients with idiopathic scoliosis of varying severity by the method of posterior transpedicular fixation. Material and methods. Single-center retrospective study. Evidence level IV. In 300 patients with idiopathic scoliosis of varying severity, the immediate and long-term results of treatment were studied according to the data of clinical, X-ray examination, according to the questionnaires SRS30, SRS22.Results. All patients received positive results. After treatment, the overall result of improvement in the condition according to the SRS22 questionnaire was 37.1%. Analysis of the SRS30 questionnaire showed that there were significant differences in changes in function, self-image, and relationships with others in 100 patients treated with transpedicular fixation.Conclusion. The study of the results of treatment of patients with scoliosis showed that a positive result took place in all cases, however, with a deformity of more than 90°, the difference in scores for different domains in comparison with preoperative values was greater than with a lesser deformity, especially when assessing the general appearance, mental health, relationships with others. The overall result of the improvement in the condition according to the SRS22 questionnaire was 37.1%.