>Cirugía y Cirujanos
>Year 2018, Issue 5
Zárate-Kalfópulos B, Martínez-Ríos HR, López-Meléndez F, García-Ramos CL, Rosales-Olivarez LM, Reyes-Sánchez AA
Idiopathic scoliosis’s surgical treatment. Results in Mexico’s National Rehabilitation Institute. 24 months follow
Cir Cir 2018; 86 (5)
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Background: Adolescent’s idiopathic scoliosis is defined as a three-dimensional deformity of the spine, which occurs between
10 and 18-year-old, has a spinal curvature ›10° in the coronal plane. This deformity affects 2–3% of the general population,
however, only 10% of the total will require surgery at some point. The method of choice for management is the use of pedicle
screws and rods derotational. Objective: To perform a descriptive analysis of patients who received surgical treatment in our
institute with pedicle screws and rods. Methods: This is an observational, retrospective, analytical, open study, non-probabi-lity sampling, in which patients requiring surgical treatment at our institute between 2012 and 2013 were included, the deformities
were stratified according to the classification of Lenke. The angle of deformity correction, instrumented levels, amount
of bleeding, presence of complications were the variables analyzed. Results: Lenke classifying mostly IBN, Moe Nash III, an
average of 59.4° Cobb and kyphosis of 47.8. On average it was followed patients for 35.84 months, detecting an increase
2.28° coronal curvature and sagittal curvature increase of 2.8°. Conclusion: Comparing these results and world literature
concluded that the treatment of adolescent’s idiopathic scoliosis is a safe and reproducible method that provides greater biomechanical
and biological advantage over the use of mixed instrumentation used previously.
||Adolescent idiopathic scoliosis, Pedicle screws, Spinal fusion, Treatment outcome.
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>Cirugía y Cirujanos
>Year 2018, Issue 5