Abstract
ABSTRACT Scoliosis is a three-dimensional deformity of the spine that occurs during growth. Surgery is indicated when the curve progresses despite conservative treatment. The traditional surgical treatment involves correction of the deformity using segmental spinal fixation to obtain solid bone fusion by decortication and bone grafting. Vertebral osteotomies or even vertebrectomies may be required for huge deformities. These techniques provide good results, but they are invasive, involving lengthy surgery, increased blood loss, and longer recovery times. Therefore, we developed another technique: The Minimally Invasive Bipolar Technique, based on gradual internal correction of the deformity secondary to viscoelastic relaxation of the trunk. This method is aimed at reducing surgical risks while providing satisfactory results and improving quality of life for the patients and their families. Additionally, this technique is cost effective for public health. T ype of the study: Update article.
Highlights
Whatever the etiology, some forms of early onset scoliosis in young children are progressive and resistant to conservative treatment, requiring surgery
For severe and rigid curves, anterior release, vertebral osteotomies, or even vertebrectomies may be indicated in order to obtain maximum mobility and the best possible immediate correction of the deformity, since vertebral arthrodesis is a final operation
On a simple traction test, plastic deformity produces an irreversible elongation of the body
Summary
Some forms of early onset scoliosis in young children are progressive and resistant to conservative treatment, requiring surgery. Surgery is indicated in cases of neglected and complex spinal deformities in adolescents and young adults. Posterior vertebral arthrodesis is the “Gold Standard” technique; increasingly, surgeons are instrumenting all the fused levels with pedicle screws.[1]. For severe and rigid curves, anterior release, vertebral osteotomies, or even vertebrectomies may be indicated in order to obtain maximum mobility and the best possible immediate correction of the deformity, since vertebral arthrodesis is a final operation
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