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EARLY RESULTS OF TEXAS SCOTTISH RITE HOSPITAL (TSRH) SYSTEM IN THE TREATMENT OF IDIOPATHIC SCOLIOSIS

  • KIŞ M.
  • BENLİ T.
  • ÇITAK M.
  • AKALIN S.

J Turk Spinal Surg 1991;2(1):25-31

Texas Scottish Rite Hospitai (TSRH) Instrumentation, one of the recently developed systems, builds a rigid frame with multiple hooks and crosslink plates and is effective in correcting the deformity in three planes in the treatment of scoliotic deformities.

From September 1991 toApril 1992, 21 TSRH instrumentations were performed forthe treatment of idiopathic scoliosis at the 1st Orthopaedics and Traumatology Clinic of Ankara Social Security Hospitai. When ali curve types were included, the mean preoperative Cobb angle of the majör curve that vvas 55,9° ± 17,7° was corrected by 57,9 ± 18,3 %. The highest correction rate was obtanied in King Type III curves with a single thoracal flexible curve (mean 73.2 %). İn 71.4 % of the patients physiologic thoracal kyphosis and in 47.6 % physiologic lumbar lordosis was reconsituted. İn ali of the patients, an improvement in pulmonary functions was observed at 6 months follow-up. Complication rate in the early postoperative period vvas 9.5 %.

İn light of these findings it is suggested that TSRH system is one of the first choices in the treatment of idiopathic scoliosis surgery, as it has advantages such as providing correction in three planes and the possibility of building a rigid frame with crosslink plates.

Keywords: İdiopathic scoliosis, TSRH, Spinal instrumentation.