The use of fulcrum bending films in anterior thoracic correction of scoliosis

Hay, Douglas, Izatt, Maree T., Adam, Clayton J., Labrom, Robert D., & Askin, Geoffrey N. (2007) The use of fulcrum bending films in anterior thoracic correction of scoliosis. European Spine Journal, 16(S1), S91-S92.

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The use of bending films is well established in scoliosis surgery. The technique has been refined by Cheung et al(1) using a fulcrum. Luk(2) has shown that in posterior surgery, the correction achieved can be predicted by fulcrum bending films. The relevance to anterior correction has been disputed, as this commonly involves shortening the spine by the removal of intervertebral discs. The aim of the study was to see whether the preoperative bending angle reflected the degree of correction achieved. In our series, fulcrum bending films have been significantly predictive of the correction achieved following anterior endoscopic surgery. The correction rate of 60.1% is in keeping with other series. In addition, the FBCI was 107%, implying that the anterior instrumentation had corrected slightly beyond the flexibility achieved at the time of the preoperative bending films. We conclude that the use of preoperative bending films is significantly predictive of correction achieved in anterior surgery, however one can expect a small additional correction due to the discectomy.

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ID Code: 13876
Item Type: Journal Article
Refereed: Yes
Keywords: fulcrum bending film, scoliosis surgery, anterior scoliosis correction, anterior endoscopic scoliosis correction, Fulcrum Bending Correction Index
DOI: 10.1007/s00586-007-0448-1
ISSN: 1432-0932
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
Current > QUT Faculties and Divisions > Science & Engineering Faculty
Copyright Owner: Copyright 2007 Springer
Copyright Statement: The original publication is available at SpringerLink
Deposited On: 25 Jun 2008 00:00
Last Modified: 24 Jun 2017 14:32

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