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CONGENITAL SCOLIOSIS Moderate Term Results of Surgical Intervention

  • SURAT A.
  • ACAROĞLU E.
  • YAZICI M.
  • ALPASLAN M.
  • TOKGÖZOĞLU M.
  • SURAT A.
  • ACAROĞLU E.
  • YAZICI M.
  • ALPASLAN M.
  • TOKGÖZOĞLU M.

J Turk Spinal Surg 1991;2(1):21-24

Forty-three patients with congenital spinal deformities, that had surgical treatment in Hacettepe University hos-pitals are presented. Average patient age at the time of surgery was 11.0 years, 15 patients were males 28 were females.

Average pre-operative Cobb measurement was 71.1 degrees and was corrected to an average of 58.6 de-grees. The patients were analysed according to the different types of surgical procedures utilised. Tvventy patients have only had posterior fusions, eight patients both anterior and posterior fusions and 15 patients had anterior or posterior instrumentation procedures. Seventeen patients overall had both anterior and posterior surgeries with or vvithout instrumentations.

Average follow-up period was 39,7 years. İt was seen that instrumentedpatients had the best percentages of correction, whiie those that had two stage surgeries had the best maintenance of their corrections.

There were three complete and two incomplete neurologic complications, none in the post fusion only group, two in the anterior and posterior fusion w/o instrumentation group and three in patients that had undergone anterior and posterior surgeries with instrumentations.

İt is concluded that anterior and posteriorsurgical procedures coupled with spinal instrumentation do give befter cosmetic and functional results but carry a substantial risk of neurologic complications especially if not performed with utmost care.