This Article
Right arrow Full Text (PDF)
Right arrow Letters to the Editor: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Letters to the Editor are posted
Right arrow Alert me if a correction is posted
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowReprints and Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Winter, R. B.
Right arrow Articles by Lonstein, J. E.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Winter, R. B.
Right arrow Articles by Lonstein, J. E.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Technorati  
What's this?

The Journal of Bone and Joint Surgery, Vol 66, Issue 8 1188-1197, Copyright © 1984 by Journal of Bone and Joint Surgery, Inc

JOURNAL CONTENTS

Posterior spinal arthrodesis for congenital scoliosis. An analysis of the cases of two hundred and ninety patients, five to nineteen years old

RB Winter, JH Moe and JE Lonstein

We analyzed the results of posterior arthrodesis of the spine for congenital scoliosis, with or without Harrington instrumentation, in 290 of 323 patients who were operated on between the ages of five and nineteen years and were followed for two years or more. The length of follow-up averaged six years and ranged from two to twenty-eight years. The average curve before surgery was 55 degrees (range, 13 to 155 degrees), the average curve at correction was 38 degrees (range, 5 to 102 degrees), and the average curve at final follow-up was 44 degrees (range, 5 to 103 degrees). Bending of the fusion mass of more than 10 degrees was seen in forty patients; pseudarthrosis, in twenty; and adding-on of vertebrae with an increase in the curve of more than 10 degrees, in seven patients. There were four deaths, only one of them in the last twenty-five years. One was due to intraoperative cardiac arrest; one, to intraoperative overtransfusion; one, to postoperative overtransfusion; and one, to gastrointestinal bleeding eight months postoperatively while the patient was in a Risser jacket. Two patients became paraplegic due to excessive distraction with the Harrington rod, and two others had a partial cranial-nerve lesion due to halo traction. Based on these results, we concluded that posterior arthrodesis of the spine is satisfactory for most patients with congenital scoliosis. The most common problem was bending of the fusion mass in growing children, which occurred in 14 per cent of the patients. Use of Harrington instruments allowed slightly better correction (36 per cent compared with 28 per cent) but was associated with the only cases of paraplegia and infection in the series.
Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Technorati Technorati    What's this?


This article has been cited by other articles:


Home page
 JBJSHome page
R. M. Campbell Jr., M. D. Smith, T. C. Mayes, J. A. Mangos, D. B. Willey-Courand, N. Kose, R. F. Pinero, M. E. Alder, H. L. Duong, and J. L. Surber
The Effect of Opening Wedge Thoracostomy on Thoracic Insufficiency Syndrome Associated with Fused Ribs and Congenital Scoliosis
J. Bone Joint Surg. Am., August 1, 2004; 86(8): 1659 - 1674.
[Abstract] [Full Text] [PDF]

Home page
 J Am Acad Orthop SurgHome page
D. Hedequist and J. Emans
Congenital Scoliosis
J. Am. Acad. Ortho. Surg., July 1, 2004; 12(4): 266 - 275.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
R. M. Campbell Jr., M. D. Smith, T. C. Mayes, J. A. Mangos, D. B. Willey-Courand, N. Kose, R. F. Pinero, M. E. Alder, H. L. Duong, and J. L. Surber
The Characteristics of Thoracic Insufficiency Syndrome Associated with Fused Ribs and Congenital Scoliosis
J. Bone Joint Surg. Am., March 11, 2003; 85(3): 399 - 408.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
R. B. WINTER, J. E. LONSTEIN, and O. BOACHIE-ADJEI
Instructional Course Lectures, The American Academy of Orthopaedic Surgeons - Congenital Spinal Deformity*{{dagger}}
J. Bone Joint Surg. Am., February 1, 1996; 78(2): 300 - 11.
[Full Text]