Spine
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Review Comparative Study
Safety and efficacy of Isola instrumentation and arthrodesis for adolescent idiopathic scoliosis: two- to 12-year follow-up.
Retrospective case series including patient outcome assessment. ⋯ Isola instrumentation seems to be at least as safe and effective as other instrumentations being used for the surgical treatment of adolescent idiopathic scoliosis.
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Review Comparative Study
Cotrel-Dubousset (CD) or Universal Spine System (USS) instrumentation in adolescent idiopathic scoliosis (AIS): comparison of midterm clinical, functional, and radiologic outcomes.
A retrospective comparison of the clinical, radiologic, and functional results of Cotrell-Dubousset (CD) and Universal Spine System (USS) instrumentation for adolescent idiopathic scoliosis (AIS). ⋯ The midterm radiologic and functional outcomes were quite similar in both groups as were the SRS scores. The patients performed, on average, as well as did the reference population in nondynamometric trunk strength measurements. Intraoperative and late complications were similar in both groups.
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Review Comparative Study
Comparative analysis of pedicle screw versus hook instrumentation in posterior spinal fusion of adolescent idiopathic scoliosis.
A retrospective matched cohort study. ⋯ Pedicle screw instrumentation, although more expensive, offers a significantly better major and minor curve correction without neurologic problems and improved pulmonary function values in the operative treatment of AIS and enables a slightly shorter fusion length than segmental hook instrumentation.
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Review Comparative Study
Results of thoracoscopic instrumented fusion versus conventional posterior instrumented fusion in adolescent idiopathic scoliosis undergoing selective thoracic fusion.
Retrospective review of 31 consecutive female patients with adolescent idiopathic scoliosis undergoing selective thoracic fusion. ⋯ The efficacy of thoracoscopic surgery was similar to standard posterior procedures. Advantages included lower intraoperative blood loss. The longer operative time and intensive care unit stay were attributed to the steep learning curve of this technique.