Ortopedia, traumatologia, rehabilitacja
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Ortop Traumatol Rehabil · Nov 2009
Comparative StudyComparison of results of Cotrel-Dubousset instrumentation with partial rib resection at curve apex and without resection treatment based on the Scoliosis Research Society questionnaire.
To compare subjective treatment outcomes in patients with idiopathic scoliosis who underwent Cotrel-Dubousset instrumentation with rib resection at the curve apex and in patients who did not undergo rib resection at the same time as scoliosis correction. ⋯ In the light of the SRS questionnaire, reduction of rib curve height concurrent with Cotrel-Dubousset instrumentation increased the degree of treatment satisfaction and improved patients' self-esteem without increasing back or chest pain.
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Ortop Traumatol Rehabil · Nov 2009
Retrospective study of two-stage surgery in the treatment of scoliosis exceeding 100 degrees - assessment including spinal balance evaluation.
Scoliosis exceeding 100 degrees remains an important problem in spinal orthopaedics. The choice of an optimal surgical technique is crucial, not only because of the degree of correction needed, but also because of the need to minimize the number of complications and avoid imbalance after surgery. The aim of this work is to analyse the outcomes of a two-stage surgical regimen for scoliosis exceeding 100 degrees consisting of anterior release, cranio-femoral traction, and posterior fusion with derotational instrumentation. ⋯ Two-stage treatment of very severe scoliosis enables stable correction with some improvement of spinal balance in both the coronal and sagittal plane.
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Ortop Traumatol Rehabil · Nov 2009
Assessment of quality of life in patients with idiopathic scoliosis treated operatively.
A small percentage of patients with idiopathic scoliosis undergo surgery, which is only used in the case of the most extreme deformities of the spine and chest and progression of disease despite conservative treatment. The aim of this study was to assess the quality of life in patients with idiopathic scoliosis treated operatively and to examine the correlations between the quality of life and radiographic and socio-demographic indices. ⋯ 1. Operative correction of scoliosis enhances patients' self-assessment of their body image and contributes to a high assessment score for treatment satisfaction. 2. No correlations were found between the overall quality of life and previous conservative treatment. 3. Deterioration of physical fitness, mental health impairment and increasing pain intensity were observed among patients residing in small towns and rural areas and those experiencing socioeconomic problems 4. The degree of scoliosis correction in the thoracic spine contributes to increasing life quality, especially in late assessment.
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Ortop Traumatol Rehabil · Nov 2009
Case ReportsThe use of computer tomography for preoperative planning and outcome assessment in surgical treatment of idiopathic scoliosis with pedicle screw based constructs - case presentation.
In recent years pedicle screw based constructs have been increasingly used in the operative management of scoliosis. The current principles of screw placement are based on normal anatomy and therefore may not be applicable in cases of severe vertebral deformity due to torsion. The aim of this study was to evaluate the usefulness of computer tomography (CT) in preoperative planning and outcome assessment in operative management of idiopathic scoliosis with severe internal vertebral deformity. ⋯ CT allows detailed preoperative planning of scoliosis surgery and identification of segments in which pedicle screws cannot be safely placed. This may lower the incidence of complications associated with inaccurate pedicle screw placement.