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CONTROLLED RELEÂSE WITH DYNAMIC EKTERNÂL FIXATOR BEFORE FUSİON SN SEVERE-RSGID (KYPHO) SCOLSOSIS NEW METHOD*

  • M. CANİKLİOĞLU
  • C. MİRZANLI
  • C. AZAR
  • N. KUTLU
  • H. KARAMEHMETOĞLU

J Turk Spinal Surg 1997;8(1):6-8

İn severe rigid scoHosis the basic choice of the treatment is combined anterior andposterior approaches. After anterior. Instrumentation and fusion and before posterior fusion in order to correct the curve halo-pelvic and halo-femoral traction are currently used methods.

tn our ciinic nine patients were Ireated by this method between September 1992-June 1995. in this study to both ends of the curves, after with or without anterior release short posterior instrumentations were appüed. CAF type external fixator was connected to the proximal and distai instrumentation by means of special connectors. After conİrolled distraction of the deformity at mean 8.9 days post. Fusion was done. İn our serİes 5 maİe, 4 female patients with the mean age of 17.8 y (10-25) are preseni and mean follow up is 1.6 m (6-38). in frontai plane mean angie of deformity was 103.8 degrees before operations, mean corrections was 26.2 degrees after distraction and 35.7 degrees after post. İnstrumentation. As a resuit in this method in contrast to halo-peivic and halo-femoral, halo-gravity distraction, only the deformity is distracted instead of who!e vertebral column, easy even for the surgeon and the patients and it also reduces the risk of paraplegia.

Keywords: Severe idiopathic scoliosis, controlled distraction, dynamic external fİxation.