Surgical Correction of Spinal Deformity in Idiopathic Scoliosis: The History and Current State (Review)

Abstract

The article presents the historical and contemporary aspects of the state of the question correct scoliosis spine with dorsal and ventral spinal systems. The variants of spinal deformity correction method from Harrington to modern surgical techniques using both hook and metal screw. Detailed technological aspects of surgical interventions for the correction of spinal deformity using a variety of spinal structures. A comparative estimate of the correction of spinal deformity, the impact on the result of the initial mobility of the spine, level metallofiksatsii vertebral-motor segment, as well as the degree of true derotation vertebrae at the top of the curvature in a variety of surgical procedures. Describes the advantages and disadvantages of options for surgery.

The substantiation of the elastic–viscoplastic model of the human spine for modeling the correction process of kyphoscoliotic deformation

“…In the pathology of the musculoskeletal system, idiopathic scoliosis occupies one of the first places, and the number of children with spine disease is up to 17%. [ 1 ] With the progression of spine deformity and the curvature of the spine >40°, a surgical method of treatment is used.…”

“…The modern stage in the development of surgical methods for the treatment of scoliosis begins in 1947 when Harrington developed an endocorrector and later the basic principles of surgical correction. [ 1 2 ] Harrington's method and devices have been used for about 40 years,[ 3 4 ] although the problem has not been finally solved. [ 1 ] The most important condition for achieving a positive result of treatment of patients with various vertebral pathologies is the correction of the axis of the spinal column and the physiological curvature of its departments.…”