The effect of Harrington rod contouring on lumbar lordosis

The effect of Harrington rod sagittal plane contouring, or lack of it, on total lumbar, segmental lumbar, and lumbosacral lordosis was studied retrospectively in a series of 36 patients operated on for idiopathic scoliosis. Regardless of contouring, there was a decrease in total lumbar lordosis and lordosis above L4, with an increase in lordosis below L5. Although not statistically significant, patients with contoured rods had less loss of segmental (L1-4) lordosis and less increase in segmental lumbosacral lordosis (L4-S1) than the noncontoured group. Although helpful, additional steps beyond concave rod contouring appear to be necessary to consistently preserve lumbar lordosis.