Zárate-Kalfópulos B, Martínez-Ríos HR, López-Meléndez F, García-Ramos CL, Rosales-Olivarez LM, Reyes-Sánchez AA

Language: Spanish
References: 21
Page: 392-398
PDF size: 249.28 Kb.

ABSTRACT

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.

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