Surgical treatment of severe progressive forms of scoliosis: simultaneous intervention on the ventral and dorsal spine using cotrel-dubousset instruments

Abstract

The experience in surgical treatment of 20 patients with severe progressive scoliosis is presented. Age of patients ranged from 8 to 28 years. One-step intervention on ventral and dorsal spine was performed. At first the anterior spine mobilization (multi-level diskectomy) was carried out and then dorsal correction of the deformity was made using instrumentation. In 17 cases the correction by Cotrel-Dubousset instrumentation was used, in the rest - combination of Harrington and Luque instrumentation was applied. In significant stenosis of spinal canal complicated by spinal compression syndrome the rsconstruction of spinal canal with spinal cord decompression was performed. Use of this method for the treatment of severe progressive scoliosis enabled to achieve significant correction of the deformity (over 40%) and preserve it for 2 years after operation.