Surgical Treatment of Scoliosis
10.4055/jkoa.1972.7.4.431
- Author:
Se Il SUK
;
Myung Chul YOU
- Publication Type:Original Article
- MeSH:
Follow-Up Studies;
Humans;
Immobilization;
Methods;
Orthopedics;
Scoliosis;
Seoul;
Spinal Fusion;
Transplants
- From:The Journal of the Korean Orthopaedic Association
1972;7(4):431-438
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Harrington instrumentation with posterior spinal fusion were caried out on 9 patients among 62 scoliotic patients at Department of Orthopedic Surgery, Seoul National University Hospital from January 1968 to September 1972. The youngest patient was 13 years old and the oldest was 17 Six cases were idiopathic and three cases were paralytic type. Preoperative localizer cast was applied and posterior window was made through which snrgery was performed. Harrington inatrumentation was applied in all cases with meticulous posterior fusion and massive autogenous iliac bone graft in Goldstein method. Postoperative immobilization in localizer cast was continued between 25 to 34 weeks, in average of 29.5 weeks. Average preoperative scoliotic curvature was 87.6 degrees ranging from 59 to 118 degrees. Correction obtained by preoperative localizer cast was 37.4 degrees with correction rate of 42.9 percent. Immediate postoperative correction by Harrington instrumentation was from 41 to 69 degrees with average of 50.1 degrees and correction rate of 63.5 percent. The loss of correction in average after two years follow up was 5.2 degrees with rate of 10.2 pecent. Solid bony union was obained in all cases with satifactory result. This treatment is considered excellent method of scoliosis correction and maintainence.
