RESULTS OF POSTERIOR-ONLY ALL PEDICLE SCREW INSTRUMENTATION IN THE SURGİCAL TREATMENT OF SCHEUERMANNʼS KYPHOSIS

J Turk Spinal Surg 2010;21(2):137-146

1. Orthopaedic surgeon, Chief of residency programme, S.B. İstanbul Education and Research Hospital, Department of Orthopaedics and Traumatology, İstanbul.

2. Resident in orthopaedics, S.B. İstanbul Education and Research Hospital, Department of Orthopaedics and Traumatology, İstanbul.

3. Orthopaedic surgeon, S.B. İstanbul Education and Research Hospital, Department of Orthopaedics and Traumatology, İstanbul.

4. Assoc. Prof., Orthopaedic surgeon, Chief of department, S.B. İstanbul Education and Research Hospital, Department of Orthopaedics and Traumatology, İstanbul.

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ABSTRACT

The aim of this retrospective study was to evaluate our clinical and radiographical results with the posterior-only all pedicle screw instrumentation in the surgical treatment of Scheuermannʼs Kyphosis. Sixteen patients who underwent posterior-only all pedicle screw instrumented spine fusion in our institute were selected and the clinical and radiographical data of them were analyzed retrospectively. The mean follow-up period was 47,5 months. The mean preoperative thoracic kyphosis was 80.4º. The final kyphosis correction rate was 43.3 % respectively. There was a spontaneous reduction in lumbar lordosis up to 26.5 %. One hemothorax case which was managed with tube drainnage and one proximal junctional kyphosis which did not affect the clinical outcome were the only complications noted. Posterior-only all pedicle screw instrumentation is a safe and effective modality of treatment in the surgical management of Scheuermannʼs Kyphosis.