Long-Term Anatomic and Functional Changes in Patients with Adolescent Idiopathic Scoliosis Treated by Harrington Rod Fusion

Cochran, Thomas; Irstam, Lars; Nachemson, Alf

doi:10.1097/00007632-198309000-00003

Cited by 353 publications

(114 citation statements)

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“…For structural lumbar/thoracolumbar curves, we would advice instrumentation for cephalad end vertebra to the caudal end vertebra. The philosophy of saving fusion levels holds true when fusing into the lumbar spine, because the incidence of back pain has been shown to increase with more distal fusion into the mid or lower lumbar spine [28,29].…”

Section: Discussionmentioning

confidence: 99%

Clinically orientated classification incorporating shoulder balance for the surgical treatment of adolescent idiopathic scoliosis

et al. 2015

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Section: Discussionmentioning

confidence: 99%

Clinically orientated classification incorporating shoulder balance for the surgical treatment of adolescent idiopathic scoliosis

et al. 2015

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“…Generally, patients with corrected scoliosis tolerate pregnancy, labor, and delivery well. However, studies have demonstrated that the rates of cesarean section in these patients are two to three times higher than those in healthy parturients [2].…”

Section: Discussionmentioning

confidence: 82%

“…Because congenital scoliosis is more frequent in females than in males [1] and because the cesarean delivery rate is greater in women with corrected scoliosis [2], a strategy for obstetric anesthesia in parturients with prior spinal surgery is required. Epidural anesthesia is usually preferred over spinal anesthesia for these tation, was planned.…”

Section: Introductionmentioning

confidence: 99%

Spinal anesthesia using a continuous spinal catheter for cesarean section in a parturient with prior surgical correction of scoliosis

et al. 2006

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This case report demonstrates the successful anesthetic management of cesarean section for a 29-year-old primiparous parturient with a past history of a scoliosis operation at 13 years of age. An Isola hook and screw-rod system had been implanted as posterior spinal instrumentation at the level of T3-L3. We titrated hyperbaric bupivacaine 7 mg combined with fentanyl 15 microg through a continuous spinal catheter, placed with a catheter-over-needle technique in order to avoid unintentional wide spread of anesthetic agents. The anesthetic level was T4 at the start of the operation. Her surgery was carried out without any problems. Headache, as a dural tap-related complication, was not observed. Spinal anesthesia with the titration of anesthetic agents for cesarean section is considered to be one of the choices for a parturient who has had spinal instrumentation.

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“…For this reason, sagittal alignment of the lumbosacral spine and pelvis is a standard consideration for evaluation and surgical planning in patients with adolescent idiopathic scoliosis (AIS) [1,[4][5][6][7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

“…Neck pain appears to be a major symptom at long-term follow-up after scoliosis fusion [25,26]. In addition, several studies have explored the impact surgical treatment has had on the cervical sagittal alignment [6,[15][16][17][18]20]. However, no study to the authors' knowledge has explored how variations in Lenke curve type affect cervical spine alignment at baseline.…”

Section: Introductionmentioning

confidence: 99%

Cervical Spine Compensation in Adolescent Idiopathic Scoliosis

et al. 2015

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Patients with AIS appear to compensate for abnormal thoracic sagittal alignment with changes in cervical sagittal alignment. This seems intuitive for Lenke 1 and 2 curves in which surgical restoration of thoracic kyphosis is a recognized goal and has been shown to improve cervical alignment. Cervical kyphosis was also noted in Lenke 5 and 6 curves, which suggests a need to consider compensatory thoracic and cervical sagittal alignment during surgical planning. Patients with Lenke 3 and 4 curves had more normal cervical alignment, which suggests that with the major portion of the curve located in the middle of the spine, there is more ability above and below to maintain a more normal sagittal alignment.

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Long-Term Anatomic and Functional Changes in Patients with Adolescent Idiopathic Scoliosis Treated by Harrington Rod Fusion

Cited by 353 publications

References 0 publications

Clinically orientated classification incorporating shoulder balance for the surgical treatment of adolescent idiopathic scoliosis

Clinically orientated classification incorporating shoulder balance for the surgical treatment of adolescent idiopathic scoliosis

Spinal anesthesia using a continuous spinal catheter for cesarean section in a parturient with prior surgical correction of scoliosis

Cervical Spine Compensation in Adolescent Idiopathic Scoliosis

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