Surgical treatment of juvenile progressive scoliosis (staged message)

Abstract

At the Department of Child and Adolescent Vertebrology of Novosibirsk SRI TO a multi-step technique was used for the surgical treatment of 21 patients with progressive juvenile scoliosis. That technique included epiphysiospondylodesis on the convex side of curvature, step by step distraction with endocorrector from the Cotrel-Dubousset instrumentation set and completely posterior spondylodesis at the age of sexual maturation. Six out of 21 patients completed treatment; the deformity was decreased from 74.6 to 41.5 and the achieved correction has been almost completely preserved. That surgical technique did not disturb the growth of patients trunk (mean growth rate was 6 cm per year). Torsion component of the deformity did not increase confirming the efficacy of epiphysiospondylodesis. Mean follow up made up 27 months. In spite of the significant number of complications the obtained results testified the prospectiveness of that direction.