Posterior screw-rod fixation for idiopathic scoliosis: factors affecting the results
Author(s): Bi Zhong-pu, Xia Lei, Xu Jing-lei, Zhou Ya-qi, Ke Guang-shui, Sang Liang, Department of Orthopedics, First Affiliated Hospital, Zhengzhou University
Pages: 1374-1379
Year: 2014 Issue: 9
Journal: Journal of Clinical Rehabilitative Tissue Engineering Research
Keyword: spine; spinal curvatures; scoliosis; internal fixators; bone nails; orthotic devices;
Abstract: BACKGROUND: Idiopathic scoliosis is most common among all the scoliosis. Accompanied by the nervous system, the endocrine system as well as nutritional and metabolic abnormalities, patients usually cannot be redressed and cured by conservative treatment, but often require surgical operation. Surgery for malformation is a very complicated project, and is really of great significance for an in-depth research on treatment and turnover of idiopathic scoliosis. OBJECTIVE: To observe the correction effect of posterior screw-rod fixation for idiopathic scoliosis, and explore the relevant factors influencing its effectiveness. METHODS: We retrospectively analyzed 80 cases receiving pedicle screw fixation in the treatment of idiopathic scoliosis in the latest four years. Age, gender, disease duration, preoperative and postoperative X-ray measurement of coronal Cobb’s angle, and trunk deviation were recorded, and statistically analyzed. RESULTS AND CONCLUSION: Univariate analysis showed that gender and disease duration were not significantly correlated with postoperative correction results(P > 0.05). However, the age distribution of patients, the location of scoliosis, and scoliosis flexibility were associated with curative effects of internal fixation(P < 0.05). Posterior screw-rod fixation for idiopathic scoliosis can achieve significant effects. The patient’s age, location and flexibility of scoliosis have a significant effect on the effects of fixation. The patient’s gender and disease duration had no significant effect on fixation effects.
Pages: 1374-1379
Year: 2014 Issue: 9
Journal: Journal of Clinical Rehabilitative Tissue Engineering Research
Keyword: spine; spinal curvatures; scoliosis; internal fixators; bone nails; orthotic devices;
Abstract: BACKGROUND: Idiopathic scoliosis is most common among all the scoliosis. Accompanied by the nervous system, the endocrine system as well as nutritional and metabolic abnormalities, patients usually cannot be redressed and cured by conservative treatment, but often require surgical operation. Surgery for malformation is a very complicated project, and is really of great significance for an in-depth research on treatment and turnover of idiopathic scoliosis. OBJECTIVE: To observe the correction effect of posterior screw-rod fixation for idiopathic scoliosis, and explore the relevant factors influencing its effectiveness. METHODS: We retrospectively analyzed 80 cases receiving pedicle screw fixation in the treatment of idiopathic scoliosis in the latest four years. Age, gender, disease duration, preoperative and postoperative X-ray measurement of coronal Cobb’s angle, and trunk deviation were recorded, and statistically analyzed. RESULTS AND CONCLUSION: Univariate analysis showed that gender and disease duration were not significantly correlated with postoperative correction results(P > 0.05). However, the age distribution of patients, the location of scoliosis, and scoliosis flexibility were associated with curative effects of internal fixation(P < 0.05). Posterior screw-rod fixation for idiopathic scoliosis can achieve significant effects. The patient’s age, location and flexibility of scoliosis have a significant effect on the effects of fixation. The patient’s gender and disease duration had no significant effect on fixation effects.
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