New Surgical Option in Correction of Scoliotic Seformity – LSZ System

Abstract:

Introduction Between 2004-2006 in Moscow at the Russian University of People’s Friendship Department of Orthopaedic and Traumatology under the lead of Alexandr Laka, there have been created more new instruments, which allowed individualised treatment for each scoliotic patient.Case outline The case that we bring to your attention belongs to the patients group to which the deformation practically reached it’s final form. The patient is known with dextroconvex thoraco-lumbar idiopathic scoliosis that set out at the age of 11 years. Despite a long physical treatment, the deformity progressed reaching by the time she addressed to us, a critical stage with a 90º Cobb angle and 45º rotation at T9 apical vertebrae. Surgery was performed by using LSZ implant for correction of scoliotic deformity. The surgical technique is described step by step and the final result was a good tridimensional correction. Postoperatory X-Ray demonstrates 50% correction, with Cobb angle of 45º and 15% torsion correction.Conclusion The good result obtained in the case described, as well as in the studies published in literature, demonstrates that this technique is efficient for correction of scoliotic deformities both in frontal and sagittal plane, easy to perform and associated with a minimal risk for complications and encourage us to recommend this technique to other spine surgery departments.

• Periodical: Key Engineering Materials (Volume 638)
• Pages: 238-242
• DOI: https://doi.org/10.4028/www.scientific.net/KEM.638.238
• Online since: March 2015
• Authors: Iulian Popa, Manuel Oprea*, Mihai Mardare, Alexandr A. Laka, Dan V. Poenaru
• Keywords: Hooks, Scoliosis, Surgical Correction

References

[1] K. Moen, A. Nachemson, Treatment of scoliosis. An historical perspective, Spine24 (1999) 2570-2575).

[2] M. Dupont, Dictionnaire Historique des médecins dans et hors de la médecine, Larousse/Bordas, Paris, 1999, p.460.

[3] P.R. Harrington, Treatment of scoliosis: correction and internal fixation by spine instrumentation, J. Bone Joint Surg. Am. 44 (1962) 591-610.

DOI: 10.2106/00004623-196244040-00001

[4] E.R. Luque, Segmental spinal instrumentation for correction of scoliosis, Clin Orthop. Relat. Res. 163 (1982) 192-198.

[5] J. Resina, A.F. Ferreira-Alves, A technique of correction and internal fixation for scoliosis, J. Bone Joint Surg. 59-B (1977) 159-165.

DOI: 10.1302/0301-620x.59b2.873976

[6] D.S. Drummond, J. Keene, A. Breed, Segmental spinal instrumentation without sublaminar wires, Arch. Orthop. Trauma Surg. 103 (1985) 378-384.

DOI: 10.1007/bf00435445

[7] Y. Cotrel, J. Dubousset, New universal instrumentation in spinal surgery, Clin. Orthop. 227 (1988) 10-23.

[8] Y. Cotrel, J. Dubousset, Nouvelle technique d'osteosynthese rachidienne segmentaire par voie posterieure, Rev. Chir. Orthop. 6(1984) 489-494.

DOI: 10.1016/j.rcot.2013.12.011

[9] R.E. Rayye, Коррекция деформаций позвоночника с помощью инструментария Cotrel-Dubousset, Проблемы хирургии позвоночника и спинного мозга, Novosibirsk, 1996, p.89.

[10] R.E. Rayye, Итоги оперативного лечения сколиотической болезни, Профилактика, комплексное лечение и медико-социальная реабилитация детей с заболеваниями опорно-двигательного аппарата, Vladimir, 1988, pp.51-55.

[11] R.E. Rayye, К вопросу о тактике хирургического лечения больных сколиозом в зависимости от их возраста и выраженности деформации позвоночника, Тезисы докладов VI съезда травматологов-ортопедов, Talinn, 1990, pp.81-89.

[12] С.Д. Шевченко, И.В. Веселова, О неврологических расстройствах больных сколиозом, Заболевания и повреждения позвоночника у детей, 43 (1981) 30-33.

[13] Ю.Г. Сумин, Хирургическое лечение сколиоза с применением дистракторов у взрослых, Автореф. дисс. канд. мед. наук., Спб., 1995, p.19.

[14] S.L. Weinstein, I.V. Ponseti, Curve progression in idiopathic scoliosis, J. Bone Jt. Surg. 65A (1983) 447-455.

DOI: 10.2106/00004623-198365040-00004

[15] М.Т. Сампиев, А.А. Лака, С.П. Балашов, Опыт применения универсального дорсального инструментария в лечении сколиотической болезни, Хирургия позвоночника 2 (2005) 46-49.