Acta Ortopédica Mexicana

Mota BR, Delbouis MAL, Escalona VR
Tridimensional correction of thoracic scoliotic deformities by transoperative transverse traction after two year follow-up
Acta Ortop Mex 2000; 14 (1)

Language: Español
References: 7
Page: 80-83
PDF: 66.63 Kb.

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ABSTRACT

A series of 10 patients who had thoracic idiopathic scoliosis is reported. Tridimensional correction is required since loss of thoracic kyphosis and decrease of thoracic capacity often occurs in thoracic scoliosis. Transoperative transversal correction was performed by apical rib traction on the concave side, by rib-wiring and lateral traction by the mechanism of an external Cotrel frame and lowering the level of operating table for producing kyphosis. Posterior Luque segmental instrumentation is applied once corrected the thoracic curve has been achieved. Average correction of curve in frontal plane was 52 % and average increase of functional kyphosis was 9.7 degrees.


Key words: scoliosis, spine, thorax, traction, instrumentation, Luque.


REFERENCES

  1. Aaro S. The effect of Harrington instrumentation on the longitudinal axis rotation of the apical vertebra and spinal Rib-Cage deformity in idiopathic scoliosis studied by computer tomography. Spine 1982; 7(5): 456-62.

  2. Benson D. Roentgenographic evaluation of vertebral rotation». J Bone Join Surg 1976; 58A: 1125-9.

  3. Cundy P. Cotrell-Dubousset instrumentation and vertebral rotation in adolescent idiopathic scoliosis. J Bone Joint Surg 1990; 72(B): 670-4.

  4. Deacon P. Idiopathic scoliosis in three dimensions. J Bone Joint Surg 1984; 66(B): 509-12.

  5. Hullin M. The effect of Luque segmental sublaminar instrumentation on the Rib-Hump in idiopathic scoliosis. Spine 1991; 16(4): 402-8.

  6. Lawton JO, Scott SA, Dickson RA. Physiological treatment for idiopathic scoliosis. J Bone Joint Surg 1985; 67B: 160.

  7. Resina Ferreira. A technique of correction and internal fixation for scoliosis. J Bone Joint Surg 1977; 59B: 159-65.