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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

Preoperative and post operative x-rays antero posterior and lateral views (a-d) shows a novel concept of sacral fixation using pedicular screws in L4-S1, fixed to the split arms of the rectangle, in severe dystrophic curve in neurofibromatosis. Preoperative and post operative clinical photographs (e,f) shows significant correction in both planes and good spinal function at five years follow up
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Figure 0003: Preoperative and post operative x-rays antero posterior and lateral views (a-d) shows a novel concept of sacral fixation using pedicular screws in L4-S1, fixed to the split arms of the rectangle, in severe dystrophic curve in neurofibromatosis. Preoperative and post operative clinical photographs (e,f) shows significant correction in both planes and good spinal function at five years follow up

Mentions: In three patients, lower end of the spinal rectangle was incorporated with pedicle screws for a hybrid construct because of double major curves with rigid lumbar curves warranting extending the construct into the sacrum for which wires are inadequate [Figure 3].


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)

Preoperative and post operative x-rays antero posterior and lateral views (a-d) shows a novel concept of sacral fixation using pedicular screws in L4-S1, fixed to the split arms of the rectangle, in severe dystrophic curve in neurofibromatosis. Preoperative and post operative clinical photographs (e,f) shows significant correction in both planes and good spinal function at five years follow up
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 0003: Preoperative and post operative x-rays antero posterior and lateral views (a-d) shows a novel concept of sacral fixation using pedicular screws in L4-S1, fixed to the split arms of the rectangle, in severe dystrophic curve in neurofibromatosis. Preoperative and post operative clinical photographs (e,f) shows significant correction in both planes and good spinal function at five years follow up
Mentions: In three patients, lower end of the spinal rectangle was incorporated with pedicle screws for a hybrid construct because of double major curves with rigid lumbar curves warranting extending the construct into the sacrum for which wires are inadequate [Figure 3].

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