Results of a New Correction Technique in Surgical Treatment of Idiopathic Scoliosis: Mid-term Clinical and Radiological Outcomes.

Abstract

IntroductionThe term "scoliosis" is defined as a spinal curvature of >10˚ in the coronal plane. A currently widely used method in scoliosis treatment is posterior instrumentation and fusion following deformity correction made with pedicle screws and rods. Various methods have been described for deformity correction during surgery, and each method has its own advantages and disadvantages. In 2009, Us et al. described a new correction method using an Ilizarov wire. The aim of this study was to present the mid-term results of the patients operated with this technique.MethodsThis study included 18 patients diagnosed with adolescent idiopathic scoliosis between 2006 and 2010, who underwent posterior instrumentation and fusion surgery with the intra-operative temporary traction method from the posterior.Results Based on the standing anteroposterior radiographs taken preoperatively, the Cobb angle of the major curvatures was calculated as mean 50.83˚ (range: 30˚-72˚). Postoperatively, the mean 68.8% correction at 15.77˚ was determined. At the final follow-up examination, a correction loss of mean 3.3% (range: 0% to 6.8%) was observed.ConclusionThis technique can be considered a simple and safe alternative method for correction in scoliosis surgery.