Spinal loop rectangle and sub laminar wiring as a technique for scoliosis correction

Area of Science:

• Spinal surgery
• Orthopedic research
• Scoliosis correction techniques

Background:

• Traditional scoliosis correction often relies on expensive third-generation instrumentation.
• There is a need for cost-effective and efficient methods for treating spinal deformities.

Purpose of the Study:

• To evaluate the efficacy of spinal loop rectangle and sublaminar wires for scoliosis correction.
• To assess patient satisfaction and clinical outcomes associated with this method.

Main Methods:

• Posterior spinal arthrodesis was performed on 36 patients (ages 8-23) with various scoliosis etiologies.
• Patients were treated using stainless steel Hartshill loop rectangle and sublaminar wires.
• Clinicoradiological evaluation and patient satisfaction (SRS 24) were assessed at an average 6.5-year follow-up.

Main Results:

• Average preoperative Cobb's angle was 73.25 degrees, with an average correction of 64.34% (47.13 degrees).
• Idiopathic scoliosis group showed 69.19% correction.
• Minimal complications and encouraging patient satisfaction (80.2% willing to repeat surgery) were observed.

Conclusions:

• Segmental spinal fixation using locally manufactured spinal loop rectangle and sublaminar wires is a viable alternative for correcting scoliotic deformities.
• This method provides comparable results to more advanced instrumentation at a lower cost.