The radiological changes and complications during the first three years following Endoscopic Scoliosis surgery
Hay, Douglas, Adam, Clayton J., Izatt, Maree T., Labrom, Robert D., & Askin, Geoffrey N. (2007) The radiological changes and complications during the first three years following Endoscopic Scoliosis surgery. In British Orthopaedic Association Annual Congress, 25-28 September 2007, Manchester, United Kingdom.
Anterior endoscopic scoliosis surgery has become an alternative to open or posterior correction of thoracic scoliosis. This technique has the potential advantage of saving levels fused without the morbidity of open thoracotomy. The study aim was to investigate radiological changes during the first 3 years following surgery.
The initial correction rate of the structural curve was in keeping with previous studies. Postoperatively, there was a small, though significant, loss of coronal correction. This occurred at the caudal end beyond the instrumented curve. The distal non-structural curve when present increased postoperatively presumably to balance the structural curve. The proximal non-structural curve did not change in the postoperative period. This was reflected clinically by a constant rib hip correction. This surgical technique restored and held thoracic kyphosis. There was a significant complication rate. We now use a 5.5mm rod and femoral head allograft to avoid rod fracture. The FBCI was 1.17. This technique is effective in achieving correction equal to that of the preoperative bending films. Anterior endoscopic surgery is effective in restoring both sagittal and coronal balance. However, there is small loss of correction in the structural curve. This technique should be considered an alternative to open or posterior correction methods.
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|Item Type:||Conference Paper|
|Keywords:||endoscopic anterior scoliosis correction, correction rate, idiopathic scoliosis|
|Subjects:||Australian and New Zealand Standard Research Classification > ENGINEERING (090000) > BIOMEDICAL ENGINEERING (090300) > Biomechanical Engineering (090302)|
|Divisions:||Past > QUT Faculties & Divisions > Faculty of Built Environment and Engineering|
Current > Institutes > Institute of Health and Biomedical Innovation
|Copyright Owner:||Copyright 2007 (please contact author)|
|Deposited On:||24 Jun 2008|
|Last Modified:||11 Aug 2011 01:22|
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