Surgical treatment of congenital scoliosis in patients older than 10 years
The results of surgical treatment of patients with congenital scoliotic spine deformities have been presented. The age of the patients at the time of treatment was at least 10 years, follow-up period – at least 2 years. There were 104 patients in total; the average age was 15.9 years, mean follow– up was 3.4 years. Congenital scoliotic deformations are of high rigidity. The average Cobb angle of the main curve was 76.7º, preoperative mobility was 19.7 % and during the operation the curve was diminished to 50.9º (25.8 %), postoperative progression – 4º. The secondary curve in 60 patients was 52.4º, mobility 37.4º, it was corrected to 36.1º (31.1 %), postoperative progression – 5.4º. All anthropometric indicators have been improved, the survey SRS-24 data also show positive evaluation of patients outcomes. At the same time, the complications are quite frequent, as well as the original involvement of the spinal canal contents (12 patients) in the pathological process. Treatment of such patients is challenging, the early detection and prompt treatment of patients with congenital scoliosis are necessary.
About Authors (Correspondence):
Mikhaylovskiy M.V. – doctor of medical sciences, professor, head of department of pediatric and adolescent spine, е-mail: MMihailovsky@niito.ru
Novikov V.V. – candidate of medical sciences, senior researcher of department of pediatric and adolescent spine, е-mail: VNovikov@niito.ru
Vasyura A.S. – candidate of medical sciences, senior researcher of department of pediatric and adolescent spine, е-mail: AVasura@niito.ru
Udalova I.G. – candidate of medical sciences, neuropathologist of department of pediatric and adolescent spine, е-mail: IUdalova@niito.ru