THE USE OF TEXAS SCOTTISH-RITE INSTRUMENTATION IN IDIOPATHIC SCOLIOSIS - A PRELIMINARY-REPORT

被引：13

作者：

BISCHOFF, R ^{[1
]}

BENNETT, JT ^{[1
]}

STUECKER, R ^{[1
]}

DAVIS, JM ^{[1
]}

WHITECLOUD, TS ^{[1
]}

机构：

[1] TULANE UNIV,SCH MED,NEW ORLEANS,LA 70112

来源：

SPINE | 1993年 / 18卷 / 16期

关键词：

TEXAS-SCOTTISH-RITE-HOSPITAL (TSRH); IDIOPATHIC SCOLIOSIS; 3 POINT INTERFERENCE FIT; SMOOTH RODS; COTREL-DUBOUSSET (CD);

D O I：

10.1097/00007632-199312000-00014

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

The Texas Scottish-Rite instrumentation (TSRH) is a new system for the correction of spinal deformities that uses smooth rods and hooks stabilized to the rod with a three-point interference fit. This obviates the need for the break-off hex bolts and should make for easier removal and/or revision. Twenty-three patients with TSRH instrumentation were followed for an average of 18 months after surgery. The major scoliotic curve was corrected an average of 49% with the compensatory curve averaging 37% correction. Loss of thoracic kyphosis was less than 9-degrees although it increased on average 8-degrees in those patients where kyphosis was improved. There were no acute complications, but late complications included four cases of hook pull-out. Results are comparable to those found with the CD instrumentation. The TSRH instrumentation is an attractive alternative in scoliosis surgery, particularly because of the relative ease in which revision surgery may be performed.

引用

页码：2452 / 2456

页数：5

共 12 条

[1]

Birch J.G., Herring J.A., Roach J.W., Johnston C.E., Cotrel- Dubousset instrumentation in idiopathic scoliosis: A preliminary report, CORR, 227, pp. 24-29, (1988)

[2]

Bridwell K.H., McAllister J.W., Betz R.R., Huss G., Clancy M., Schoenecker P.L., Manual decompensation produced by Cotrel- Dubousset “ derotation” maneuver in idiopathic right thoracic scoliosis, Spine, 16, 7, pp. 769-777, (1991)

[3]

Cotrel Y., Dubousset J., Nouvelle technique d’osteosynthese rachidienne segmentaire per voie posterieure, Rev Chir Orthop, 70, pp. 489-495, (1984)

[4]

Cotrel Y., Dubousset J., New segmental posterior instrumentation of the spine, Orthop Trans, 9, 1, (1985)

[5]

Denis F., Cotrel-Dubousset instrumentation in the treatment of idiopathic scoliosis, Orthop Clin North Am, 19, 2, pp. 291-311, (1988)

[6]

Holt R., Unpublished Data: Selection of Fusion Levels for Cotrel-Dubousset Instrumentation for Idiopathic Scoliosis, (1991)

[7]

King H.A., Moe J.H., Bradford D.S., Winter R.B., The selection of fusion levels in thoracic idiopathic scoliosis, J Bone Joint Surg, 65A, 9, pp. 1302-1313, (1983)

[8]

Leatherman K.D., Johnson J.R., Holt R.T., Broadstone P., Aclinical assessment of 357cases of segmental spinal instrumentation, Segmental Spinal Instrumentation, pp. 165-184, (1984)

[9]

Luque E.R., Cardosa A., Segmental Correction of Scoliosis with Rigid Internal Fixation, (1976)

[10]

Moe J.H., Methods and technique of evaluating idiopathic scoliosis, AAOS Symposium on the Spine, pp. 196-240, (1969)

← 1 2 →