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Yilmaz, G., Borkhuu, B., Dhawale, A.A., Oto, M., Littleton, A.G., Mason, D.E., et al. (2012) Comparative Analysis of Hook, Hybrid, and Pedicle Screw Instrumentation in the Posterior Treatment of Adolescent Idiopathic Scoliosis. Journal of Pediatric Orthopaedics, 32, 490-499. https://doi.org/10.1097/BPO.0b013e318250c629
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TITLE:
Free Hand One Stage Correction of Kyphoscoliosis
AUTHORS:
Mostafa Aboelkhir
KEYWORDS:
Free Hand One Stage Correction, Kyphoscoliosis
JOURNAL NAME:
Open Journal of Modern Neurosurgery,
Vol.12 No.1,
January
27,
2022
ABSTRACT: Background: Scoliosis is a complex musculoskeletal torsional deformity of spine that
includes: Lateral curvature in the anterior-posterior plane with a Cobb angle
greater than 10 degrees, Angulation in the sagittal plane, or Rotation in the transverse plane. Scoliosis classified
into neuromuscular, idiopathic, or congenital. Radiological evaluation
is done by plain radiography, computed tomography (CT), and magnetic resonance
(MR). We aimed to evaluate patients with
idiopathic kyphoscoliosis who underwent a freehand posterior approach
for scoliosis correction through transpedicular screws fixation. Setting: Al-Azhar University
Hospitals. Subjects and Methods: Study was performed on 12 patients with idiopathic kyphoscoliosis who underwent
a freehand posterior approach for scoliosis correction through transpedicular
screws fixation in Al-Azhar University Hospitals between 2015 to 2018 &
follow up for one year. Results: Early outcome showed improved Cobb’s angle and coronal balance significantly
after surgery. Correction is 95% in 2 cases (17%), 80% correction in 8 cases
(66%), 60% correction in 2 cases (17%). 2 cases
have CSF leakage which improved with conservative treatment. Late follow-up shows improvement of patient deformity and cosmetic appearance to the degree of patient satisfaction occur in 7
cases (58%) associated with high SRS-30 total scores. However,
assessment of the pain in comparison to preoperative assessment show
improvement of pain in 4 cases (33%), persistent in 4 cases (33%), appear in 4
cases (33%). Conclusion: Freehand one-stage correction management of idiopathic kyphoscoliosis through
the posterior approach is a safe and effective for near-total correction of
deformity with a good outcome with minimal complications.