Abstract
Objective . Comparative analysis of treatment outcomes in patients with idiopathic scoliosis in the thoracic spine using anterior and posterior segmental instrumentation. Material and Methods. The study included 56 patients aged 12 to 18 years with Lenke type 1 scoliotic deformity in the thoracic spine. Correction with anterior instrumentation was performed in 36 cases and with posterior – in 20. Results. The mean value of deformity correction in patients with anterior instrumentation was 81.1 %. Physiological sagittal contour was formed in all patients after surgery. The mean value of deformity correction in patients with posterior instrumentation was 52.5 %. After surgery the magnitude of the primary curve was 32.2° (range, 30–42°), of the compensatory curve – 12.4° and at long-term follow-up it comprised 13.3°. Conclusion. Efficacy of anterior correction is comparable with results of posterior segmental instrumentation. Correction of the thoracic scoliosis using anterior instrumentation is the equivalent method of choice for surgical treatment of idiopathic scoliosis.
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