Abstract
Background: Scoliosis is a complex three dimensional deformity characterized by coronal, sagittal and horizontal plane deviation. Treatment of scoliosis has made significant development in techniques and modalities of internal fixation. Objective: To see the efficacy of Hartshill rectangle and sublaminar wiring for correction of scoliotic deformity, clinical outcome and patients satisfaction. Methods: During the period of July 2008 to June 2011, 14 patients of scoliotic spinal deformities of various etiologies (Congenital-02, idiopathic-12) were operated. Age ranged from 11 to 23 years with mean 16.71 ± 03.22 years. Female 09 and male 05 patients were included where Hartshill rectangles with sublaminar wiring were used for every case. Results: At least 12 months (range 12-36 months) follow up regarding clinico-radiological evaluation and patients satisfaction were accounted as per the SRS-24 questionnaire. The mean scoliosis in the coronal plane (Cobbs angle) measured 53.50o ± 03.98o preoperatively reducing significantly to 21.14o ± 02.77o (p<0.05) and the mean preoperative sagittal plane angle 60.14o ± 07.30o reducing significantly to average 42.14o ± 05.28o (p<0.05) at 1 year as determined by paired t-test. No neurological complication was seen except transient hyperesthesia in 02 patients, superficial wound infection in 01 patient and 01 wire breakage. All the patients were happy to live with their present back status. Conclusion: Overall outcome in segmental spinal fixation with sublaminar wire and Hartshill rectangle is satisfactory and effective.DOI: http://dx.doi.org/10.3329/bsmmuj.v5i1.10981 BSMMU J 2012; 5(1):6-11
Highlights
Scoliosis is a triplanar deformity with lateral, anteroposterior and rotational component.[1]
Management differs for the different types of scoliosis[2] but there is no data which support the view that brace or exercise can alter the natural history of scoliosis permanently.[3]
The surgical correction of scoliosis is marked with Paul Harrington introducing Harrington rod instrumentation in 1955.4 Since there has been a tremendous improvement in the instrumentation techniques for correction of scoliosis
Summary
Scoliosis is a triplanar deformity with lateral, anteroposterior and rotational component.[1]. The posterior instrumentation technique advanced from two-point fixation to segmental fixation.[5] The concept of segmental fixation was pioneered by Resina and Ferreira[6] in 1963 by fixation with segmental wiring for the treatment of scoliotic curves. Scoliosis is a complex three dimensional deformity characterized by coronal, sagittal and horizontal plane deviation. Treatment of scoliosis has made significant development in techniques and modalities of internal fixation. Objective: To see the efficacy of Hartshill rectangle and sublaminar wiring for correction of scoliotic deformity, clinical outcome and patient’s satisfaction. Methods: During the period of July 2008 to June 2011, 14 patients of scoliotic spinal deformities of various etiologies (Congenital-02, idiopathic-12) were operated. Female 09 and male 05 patients were included where Hartshill rectangles with sublaminar wiring were used for every case. Conclusion: Overall outcome in segmental spinal fixation with sublaminar wire and Hartshill rectangle is satisfactory and effective
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: Bangabandhu Sheikh Mujib Medical University Journal
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
