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Spinal loop rectangle and sub laminar wiring as a technique for scoliosis correction.

Bhojraj SY, Varma RG, Nene AM, Mohite S - Indian J Orthop (2010)

Bottom Line: Along with clinicoradiological outcome, patient satisfaction (as per the SRS 24), was accounted.Patient satisfaction results were encouraging in 36 patients as per - SRS24).About 80.2% patients were ready to undergo the same surgery if required. (SRS24).

View Article: PubMed Central - PubMed

Affiliation: Consultant Spine Surgeon, Lilavati Hospital and MRC and Breach Candy Hospital, Mumbai, India.

ABSTRACT

Background: Most literature popularizes the efficacy of third generation instrumentation in the surgical correction of spinal deformities. A cheap and effective scoliotic deformity correction method is reviewed in this article. The aim of this study is to evaluate the efficacy of spinal loop rectangle and sub laminar wires as a modality for spinal deformity correction and its co-relation with patients' satisfaction and clinical outcome.

Material and methods: Thirty six patients of scoliotic spinal deformities with various etiologies (congenital-4, idiopathic- 25, neurofibromatosis-3, neuromuscular-2 and 'syndromic'-3) with ages ranging from 8 to 23 years underwent corrective posterior spinal arthrodesis with stainless steel Hartshill loop rectangle and sublaminar wires. Clinicoradiological evaluation was done at an average follow-up of 6 (1/2) years (min-2 (1/2), years). Along with clinicoradiological outcome, patient satisfaction (as per the SRS 24), was accounted.

Results: Average preoperative Cobb's angle were 73.25 degrees in the entire group and 66.48 degrees in the idiopathic group. Average percentage correction was 64.34% in the entire group and the (average degree of correction was 47.13). In the idiopathic group, the respective values were 69.19% and 46 degrees . Loss of correction in the whole group was 2.2 degrees at two year follow up. Sagittal profiles, truncal balance were well corrected too; minimal complications were seen. Patient satisfaction results were encouraging in 36 patients as per - SRS24). About 80.2% patients were ready to undergo the same surgery if required. (SRS24).

Conclusion: Segmental spinal fixation with locally made spinal loop rectangle and sublaminar wires is comparable as a modality to correct scoliotic spinal deformities.

No MeSH data available.


Related in: MedlinePlus

(a) X-ray dorso lumbar spine antero posterior view showing idiopathic scoliotic deformity (b) X-ray dorso lumbar spine antero posterior view showing good coronal correction of an idiopathic scoliotic deformity at five years post operative (c) MRI T2WI Axial shows rotation of the vertebral body (Pre operative) (d) CT Scan Axial image shows appreciable derotation post operatively
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Figure 0001: (a) X-ray dorso lumbar spine antero posterior view showing idiopathic scoliotic deformity (b) X-ray dorso lumbar spine antero posterior view showing good coronal correction of an idiopathic scoliotic deformity at five years post operative (c) MRI T2WI Axial shows rotation of the vertebral body (Pre operative) (d) CT Scan Axial image shows appreciable derotation post operatively

Mentions: The average Cobb's angle in the entire group (n=36) was 73.25°C and in the idiopathic group (n=25) was 66.48°C. Seven patients were Left convex curves, while 29 were right convex curves. The sagittal profile was measured between T2 – T12 for thoracic kyphosis and L1 – S1 for lumbar lordosis. The normal thoracic kyphosis was taken as 20 – 40° and lumbar lordosis as 40 – 60°. In the ‘idiopathic group’ the thoracic curves average 68° and the lumbar curves 48° [Figure 1].


Spinal loop rectangle and sub laminar wiring as a technique for scoliosis correction.

Bhojraj SY, Varma RG, Nene AM, Mohite S - Indian J Orthop (2010)

(a) X-ray dorso lumbar spine antero posterior view showing idiopathic scoliotic deformity (b) X-ray dorso lumbar spine antero posterior view showing good coronal correction of an idiopathic scoliotic deformity at five years post operative (c) MRI T2WI Axial shows rotation of the vertebral body (Pre operative) (d) CT Scan Axial image shows appreciable derotation post operatively
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2822420&req=5

Figure 0001: (a) X-ray dorso lumbar spine antero posterior view showing idiopathic scoliotic deformity (b) X-ray dorso lumbar spine antero posterior view showing good coronal correction of an idiopathic scoliotic deformity at five years post operative (c) MRI T2WI Axial shows rotation of the vertebral body (Pre operative) (d) CT Scan Axial image shows appreciable derotation post operatively
Mentions: The average Cobb's angle in the entire group (n=36) was 73.25°C and in the idiopathic group (n=25) was 66.48°C. Seven patients were Left convex curves, while 29 were right convex curves. The sagittal profile was measured between T2 – T12 for thoracic kyphosis and L1 – S1 for lumbar lordosis. The normal thoracic kyphosis was taken as 20 – 40° and lumbar lordosis as 40 – 60°. In the ‘idiopathic group’ the thoracic curves average 68° and the lumbar curves 48° [Figure 1].

Bottom Line: Along with clinicoradiological outcome, patient satisfaction (as per the SRS 24), was accounted.Patient satisfaction results were encouraging in 36 patients as per - SRS24).About 80.2% patients were ready to undergo the same surgery if required. (SRS24).

View Article: PubMed Central - PubMed

Affiliation: Consultant Spine Surgeon, Lilavati Hospital and MRC and Breach Candy Hospital, Mumbai, India.

ABSTRACT

Background: Most literature popularizes the efficacy of third generation instrumentation in the surgical correction of spinal deformities. A cheap and effective scoliotic deformity correction method is reviewed in this article. The aim of this study is to evaluate the efficacy of spinal loop rectangle and sub laminar wires as a modality for spinal deformity correction and its co-relation with patients' satisfaction and clinical outcome.

Material and methods: Thirty six patients of scoliotic spinal deformities with various etiologies (congenital-4, idiopathic- 25, neurofibromatosis-3, neuromuscular-2 and 'syndromic'-3) with ages ranging from 8 to 23 years underwent corrective posterior spinal arthrodesis with stainless steel Hartshill loop rectangle and sublaminar wires. Clinicoradiological evaluation was done at an average follow-up of 6 (1/2) years (min-2 (1/2), years). Along with clinicoradiological outcome, patient satisfaction (as per the SRS 24), was accounted.

Results: Average preoperative Cobb's angle were 73.25 degrees in the entire group and 66.48 degrees in the idiopathic group. Average percentage correction was 64.34% in the entire group and the (average degree of correction was 47.13). In the idiopathic group, the respective values were 69.19% and 46 degrees . Loss of correction in the whole group was 2.2 degrees at two year follow up. Sagittal profiles, truncal balance were well corrected too; minimal complications were seen. Patient satisfaction results were encouraging in 36 patients as per - SRS24). About 80.2% patients were ready to undergo the same surgery if required. (SRS24).

Conclusion: Segmental spinal fixation with locally made spinal loop rectangle and sublaminar wires is comparable as a modality to correct scoliotic spinal deformities.

No MeSH data available.


Related in: MedlinePlus