Surgical Treatment of Lenke 1 Main Thoracic Idiopathic Scoliosis

Abstract

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Surgical treatment of double thoracic adolescent idiopathic scoliosis with a rigid proximal thoracic curve

“…In this study, patient-based outcome measures as well as radiological assessments were used to evaluate patients with scoliosis [17,22,24]. Here, the preoperative average total SRS score improved significantly to 4.4 at the final follow-up.…”

“…Radiographs and Scoliosis Research Society (SRS) outcome instrument scores (SRS-22) were evaluated for all patients. The average age and Risser sign at surgery were 15.8 (12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23) years and 3.7 (0-5), respectively. The minimum follow-up period was 2 years (mean, 2.7 years).…”

Fusionless Correction of Moderate Adolescent Idiopathic Scoliosis with a New Minimally Invasive Dynamic Implant (ApiFix®) and Postoperative Schroth Scoliosis Specific Exercises-Case Series

“…In addition to the loss of natural spinal motion, standard fusion surgery has additional disadvantages, including considerable blood loss, requiring blood transfusions [10,11], a 12%…”

“…prevalence of non-neurologic complications [11,12], late infections, and pseudoarthrosis. Almost all complications can be avoided by the use of ApiFix®: specifically, there is minimal blood loss and no need for blood transfusion, the prevalence of non-neurologic complications is negligible, neurological complications can be expected to be significantly reduced by the use of only two pedicle screws and the gradual nature of the deformity correction, and there is no risk of pseudoarthrosis since fusion is not attempted.…”

“…Adolescent idiopathic scoliosis (AIS) is a condition that affects 1-3% of children aged [10][11][12][13][14][15][16] years [1]. A structural lateral curvature of the spine with a rotational component develops in otherwise healthy teenagers during puberty.…”