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  • Title: [Effect of the extent of spondylodesis on the status of the lumbar vertebrae after surgical treatment of idiopathic scoliosis].
    Author: Nowakowski A, Napiontek M.
    Journal: Chir Narzadow Ruchu Ortop Pol; 1989; 54(3):203-8. PubMed ID: 2634522.
    Abstract:
    Fifty-five patients with primary thoracic dextral idiopathic scoliosis treated by the Harrington method were studied. Posterior spondylodesis involved 8-14 vertebrae. Immobilization by a plaster-of-Paris jacket after operation was employed for 7-11 months. The mean follow-up was 14 years and 8 months. The studies were based on the clinical, radiological, and photogramometric evaluation of patients before operation, at one year after operation, and at least 5 years after operation. Two groups of patients were considered: with spondylodesis involving 8-10 vertebrae (25 patients) and 11-13 vertebrae (29 patients). In the analyzed material, better compensated posture occurred in the patients with posterior spondylodesis of 8-10 vertebrae and in whom the lower distractor hook rested on the L1-L2 vertebral arches, and when biological maturity of the spine was medium or advanced, and the age at operation ranged from 14 to 18 years and 4 months.
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