Curve Progression in Risser Stage 0 or 1 Patients After Posterior Spinal Fusion for Idiopathic Scoliosis

Roberto, Rolando Figueroa; Lonstein, John E.; Winter, Robert B.; Denis, Francis

doi:10.1097/01241398-199711000-00005

Cited by 33 publications

(22 citation statements)

References 8 publications

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“…Traditional posterior spinal arthrodesis with or without instrumentation in this age group should be supplemented by anterior arthrodesis to prevent crankshaft phenomenon. 21,22 Circumferential arthrode- sis will halt curve progression; however, at the same time, it prevents future spinal and thoracic growth. Furthermore, studies have shown that fusion surgery at an early age does not improve respiratory function.…”

Section: Discussionmentioning

confidence: 98%

Dual Growing Rod Technique for the Treatment of Progressive Early-Onset Scoliosis

Akbarnia¹,

Marks²,

Boachie-Adjei³

et al. 2005

Spine

559

346

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Section: Discussionmentioning

confidence: 98%

Dual Growing Rod Technique for the Treatment of Progressive Early-Onset Scoliosis

Akbarnia¹,

Marks²,

Boachie-Adjei³

et al. 2005

Spine

559

346

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“…This is determined based on the patient's Risser stage (stages 0-2), status of triradial cartilage (open), and amount of predicted residual curve (> 30°) after posterior correction. In a retrospective review of 86 immature patients undergoing posterior thoracic fusion for idiopathic scoliosis, Roberto, et al, [42] found that 75% of patients who were Tanner Stage 1 with open triradial cartilages developed the crankshaft effect (progression of > 10°) compared with no patients who were Tanner Stage 4 (unpublished data).…”

Section: Posterior Approachmentioning

confidence: 99%

“…Postoperatively her curve measured 37° and the lateral subluxation of L-3 on L-4 was decreased to 4 mm (C, D). Note the use of interbody cages packed with rib autograft to [42,45] (Fig. 6).…”

Section: Combined Anterior-posterior Approachmentioning

confidence: 99%

“…[42,61] Patients present with back pain, signs of inflammation, or drainage months to years after spinal surgery. The most common infectious organisms are Staphylococcus epidermidis, Propionibacterium acnes, and other skin flora.…”

Section: Postoperative Infectionsmentioning

confidence: 99%

“…[3,[5][6][7]21,22,27,34,40,42,49] It has a proven track record of success, with excellent fusion rates and good curve correction (Table 3).…”

Section: Posterior Approachmentioning

confidence: 99%

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Surgical approaches for the management of idiopathic thoracic scoliosis and the indications for combined anterior-posterior technique

Rauzzino

Shaffrey

Wagner³

et al. 1999

FOC

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The indications for surgical intervention in patients with idiopathic scoliosis have been well defined. The goals of surgery are to achieve fusion and arrest progressive curvature while restoring normal coronal and sagittal balance. As first introduced by Harrington, posterior fusion, the gold standard of treatment, has a proven record of success. More recently, anterior techniques for performing fusion procedures via either a thoracotomy or a retroperitoneal approach have been popularized in attempts to achieve better correction of curvature, preserve motion segments, and avoid some of the complications of posterior fusion such as the development of the flat-back syndrome. Anterior instrumentation alone, although effective, can be kyphogenic and has been shown to be associated with complications such as pseudarthrosis and instrumentation failure. Performing a combined approach in patients with scoliosis and other deformities has become an increasingly popular procedure to achieve superior correction of deformity and to minimize later complications. Indications for a combined approach (usually consisting of anterior release, arthrodesis with or without use of instrumentation, and posterior segmental fusion) include: prevention of crankshaft phenomenon in juvenile or skeletally immature adolescents; correction of large curves (75°) or excessively rigid curves in skeletally mature or immature patients; correction of curves with large sagittal-plane deformities such as thoracic kyphosis (> 90°) or thoracic lordosis (> 20°); and correction of thoracolumbar curves that need to be fused to the sacrum. Surgery may be performed either in a staged proceedure or, more commonly, in a single sitting. The authors discuss techniques for combined surgery and complication avoidance.

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Myelomeningocele

Karlin

2022

The Growing Spine

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Curve Progression in Risser Stage 0 or 1 Patients After Posterior Spinal Fusion for Idiopathic Scoliosis

Cited by 33 publications

References 8 publications

Dual Growing Rod Technique for the Treatment of Progressive Early-Onset Scoliosis

Dual Growing Rod Technique for the Treatment of Progressive Early-Onset Scoliosis

Surgical approaches for the management of idiopathic thoracic scoliosis and the indications for combined anterior-posterior technique

Myelomeningocele

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