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[MEDIUM-TERM EFFECTIVENESS OF ANTERIOR RELEASE INTERNAL DISTRACTION FOR SEVERE AND RIGID SCOLIOSIS].

Tingxian Ling, Limin Liu, Yueming Song

    Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi = Zhongguo Xiufu Chongjian Waike Zazhi = Chinese Journal of Reparative and Reconstructive Surgery
    |January 12, 2016
    PubMed
    Summary
    This summary is machine-generated.

    Anterior release with internal distraction effectively corrects severe, rigid scoliosis, showing significant improvements in spinal alignment and patient quality of life with a low complication rate.

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    Area of Science:

    • Orthopedic Surgery
    • Spinal Deformity Correction
    • Scoliosis Treatment

    Background:

    • Severe and rigid scoliosis presents significant challenges in spinal deformity correction.
    • Traditional surgical methods may have limitations in achieving optimal correction and maintaining long-term outcomes.

    Purpose of the Study:

    • To evaluate the medium-term clinical and radiological outcomes of anterior release with internal distraction for severe and rigid scoliosis.
    • To assess the safety and efficacy of this surgical technique.

    Main Methods:

    • A cohort of 26 patients with severe, rigid idiopathic scoliosis underwent anterior release, posterior internal distraction, and two-stage posterior spinal fusion.
    • Radiological parameters (Cobb angle, AVT, C7PL-CSVL, SVA, TK) and Scoliosis Research Society-22 (SRS-22) scores were assessed pre- and post-operatively.
    • Follow-up ranged from 2 to 5 years (mean 3.8 years).

    Main Results:

    • Significant reductions in coronal Cobb angle, thoracic kyphosis (TK), and apical vertebral translation (AVT) were observed post-operatively and at final follow-up (P<0.05).
    • No significant changes in C7PL-CSVL and SVA were noted.
    • Patients reported high satisfaction with quality of life scores (SRS-22).
    • One case experienced temporary dyspnea and pleural effusion; one case had screw loosening and pseudoarthrosis requiring revision. No infections or neurological complications occurred.

    Conclusions:

    • Anterior release with internal distraction offers satisfactory correction for severe and rigid scoliosis.
    • The procedure demonstrates a favorable safety profile with a low incidence of complications.
    • This technique provides reliable medium-term clinical and radiological improvements.