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Mechanical Complications during Endoscopic Scoliosis Surgery

Crawford, John R. , Izatt, Maree T., Adam, Clayton J., Labrom, Robert D. , & Askin, Geoffrey N. (2006) Mechanical Complications during Endoscopic Scoliosis Surgery. In McPhee, Bruce (Ed.) Spine Society of Australia, April 28-30, 2006, Sydney, Australia.

Abstract

MECHANICAL COMPLICATIONS DURING ENDOSCOPIC SCOLIOSIS SURGERY

John R Crawford, MareeT Izatt, Clayton J Adam, Robert D Labrom, Geoffrey N Askin

Paediatric Spine Research Group, Queensland University of Technology and Mater Health Services, Brisbane, Australia

INTRODUCTION

Endoscopic scoliosis surgery can be complicated by rod breakage. The aim of this study was to examine the effect of rod breakage on clinical outcome and to determine any predisposing factors.

METHODS

We studied 83 consecutive patients that had undergone endoscopic correction for scoliosis. Patients were assessed pre-operatively and at regular intervals for up to three years post-operatively. Those patients sustaining rod breakages were compared with those that did not. Clinical outcome was assessed using the Scoliosis Research Society outcome instrument (SRS-24). Radiological assessment included coronal Cobb angles and the angle between adjacent screws.

RESULTS

There were 13 (15.7%) patients sustaining 16 rod breaks at a mean time from operation of 21.5 months. No significant change in Cobb angle occurred after rod breakage (mean 18.3 vs 19.7 degrees), p>0.05. Comparing patients with and without rod breaks we found no difference in SRS-24 scores for pain (4.30 vs 4.39), self image (3.50 vs 3.70), function (3.56 vs 3.35) or patient satisfaction (4.22 vs 4.58). There was no significant difference in screw angle for those patients that developed rod breakages (mean 3.2 vs 2.7 degrees). Significantly more breakages occurred with rib (11/40) and iliac crest (2/7) autograft compared with femoral allograft (0/36), p<0.01.

DISCUSSION

Rod breakage can occur following endoscopic scoliosis surgery. Our study shows that this is not associated with any significant loss of curve correction and has no effect on clinical outcome. Since changing to femoral allograft and by increasing the rod diameter no further rod breakages have occurred.

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ID Code: 6924
Item Type: Conference Paper
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > CLINICAL SCIENCES (110300) > Orthopaedics (110314)
Divisions: Past > QUT Faculties & Divisions > Faculty of Built Environment and Engineering
Current > Institutes > Institute of Health and Biomedical Innovation
Copyright Owner: Copyright 2006 (please consult author)
Deposited On: 11 Apr 2007
Last Modified: 11 Aug 2011 01:22

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