BackgroundIdiopathic scoliosis is the most common type of spinal deformity. Scoliosis is defined as a lateral curvature of the spine greater than 10° accompanied by rotation of the vertebrae. The treatment available for adolescent idiopathic scoliosis is observation, orthosis, and surgery. The surgical options include open anterior release and instrumentation, posterior instrumentation, and thoracoscopic approaches. The Scoliosis Research Society Questionnaire (SRS-30) is a specific instrument to measure health-related quality of life in patients with scoliosis, who had or had not undergone surgery. The purpose was to assess the post-operative functional outcome using SRS-30 in children who underwent anterior release, instrumentation, and fusion using autogenous rib graft for adolescent idiopathic scoliosis (AIS).MethodsIn a retrospective cohort study, 25 patients between the ages of 11 and 17 years, who underwent anterior release, instrumentation, and fusion using autogenous rib graft for adolescent idiopathic scoliosis (AIS) between 2008 and 2014, were included in the study.ResultsThe total average score was 4.26 with a SD of 0.014 and had maximum average score 4.5 (for pain) and minimum average score 3.8 (for self-image).ConclusionAnterior release, instrumentation, and fusion using autogenous rib graft is having good functional outcome in all domains.
Acetabular fractures are one of the rare injuries. They are usually occurring following a high energy trauma. The type of acetabular fractures is mainly depend on the position of the femoral head at the time of injury. The acetabular fracture are usually associated with visceral and neurovascular injuries. There can be anterior, posterior or central fracture dislocation associated with this injury. A closed degloving injury of the subcutaneous tissue which is detached from the underlying fascia-Morel-Lavelle lesion is also common feature. The sciatic nerve injury can be associated with posterior wall or column injuries. The most commonly used investigation are anteroposterior, Judet views and 2D/3D computerized tomography. Most commonly used classification is modified Judet and Letournel classification. They divided acetabular fractures into five simple fracture patterns and five associated fracture pattern. The Orthopedic trauma association modified Letournel classification and gave computerized coding. In this chapter, we are describing the clinical features and classification of acetabular fracture in a simple and vivid manner.
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