Surgical corrections in scoliosis: a meta-analysis

A meta-analysis of the acute correction outcomes in adolescent idiopathic scoliosis is reported. Posterior instrumentation systems generally gave similar coronal plane corrections with average corrections for differing systems ranging from 48% to 67%. There was significant overlap of corrections rep...

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Bibliographic Details
Published in:	Journal of pediatric orthopaedics. B Vol. 7; no. 2; p. 111
Main Authors:	Stasikelis, P J, Pugh, L I, Allen, Jr, B L
Format:	Journal Article
Language:	English
Published:	United States 01-04-1998
Subjects:	Humans Internal Fixators Osteogenesis, Distraction - instrumentation Scoliosis - surgery Treatment Outcome
Online Access:	Get more information
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Summary:	A meta-analysis of the acute correction outcomes in adolescent idiopathic scoliosis is reported. Posterior instrumentation systems generally gave similar coronal plane corrections with average corrections for differing systems ranging from 48% to 67%. There was significant overlap of corrections reported for each of the systems. Anterior instrumentation gave better results with average corrections ranging from 71% to 93%. No instrumentation demonstrated a consistent ability to restore a normal thoracic kyphosis, but all seemed to maintain preoperative kyphosis measures. All systems, including newer multihook systems, showed a small loss of lumbar lordosis postoperatively. The available data demonstrates that no posterior implant produces vertebral derotation.
ISSN:	1060-152X
DOI:	10.1097/01202412-199804000-00004