Results of Surgical Treatment of Children with Progressing Idiopathic Scoliosis

Abstract

Objective. The comparative analysis of surgical treatment results for progressive idiopathic scoliosis in children. Material and Methods. The study included 138 patients operated on using Rodnyansky and Harrington methods in different modifications and 52 patients — using two-plate endocorrector for multilevel fixation. Clinical, radiological, and mathematical methods of investigation were used. Results. The best correction of the spine was achieved in patients operated on using two-plate endocorrector for multilevel fixation. Among them patients of 11–13 years of age had better mean index of intraoperative correction of the spine, than patients of 14–17 years of age. Satisfactory indices of intraoperative correction in patients operated using Rodnyansky and Harrington methods in different modifications significantly reduced and minimum residual correction was preserved. Conclusion. Application of multilevel two-plate endocorrector significantly decreases spinal deformity in three planes, arrests its further progressing, reduces duration of hospital stay, saves patients from a prolonged bed rest, external immobilization, and additional surgical interventions.