Convex spinal epiphysiodesis in the management of progressive infantile idiopathic scoliosis.

Study Design: Retrospective review of patient records with current clinical and radiographic assessment.

Objective: To evaluate the long-term result of anterior and posterior convex spinal growth arrest, with or without instrumentation, in managing infantile idiopathic scoliosis.

Summary Of Background Data: There were 12 male and 10 female patients studied, with a mean follow-up period of 10 years, 9 months.

Long-term results of combined anterior and posterior convex epiphysiodesis for congenital scoliosis due to hemivertebrae.

Study Design: Retrospective review of patient records with recent clinical and radiologic assessment.

Objective: To evaluate the long-term result of anterior and posterior convex ephiphysiodesis in the management of congenital scoliosis resulting from fully segmented nonincarcerated hemivertebra.

Summary Of Background Data: Thirty patients (16 male/14 female patients) were reviewed.

Long-term results of convex epiphysiodesis for congenital scoliosis.

The objective of this study was to evaluate the long term outcome of combined anterior and posterior convex spinal epiphysiodesis in the treatment of congenital scoliosis. The study covered 53 patients (27 male, 26 female) with a minimum follow up period from surgery of 3 years (mean 8.8 years, range 3-22.

Growth modification in the treatment of scoliosis.

Structural deformities, of which scoliosis is a notable example, imply a skeletal length discrepancy which may involve all three dimensions. Once the deformity is established, secondary mechanisms come into action. Physiological treatment concerns modifying spinal growth and the convex side can be retarded, the concave side stimulated, the neurocentral physis arrested to correct rotation, and the forces acting along the ribs can be altered.

Pseudarthrosis following treatment of idiopathic scoliosis by Harrington instrumentation and fusion without added bone.

A retrospective review was conducted to assess the incidence of pseudarthrosis among 381 patients who had surgical treatment of idiopathic scoliosis by Harrington distraction rod and posterior fusion without added bone. In 260 patients where the lowest level of fusion was at or above the third lumbar vertebra, there were no cases of pseudarthrosis. In the remaining 121 patients with fusion extending below the third lumbar level, there were eight cases, an incidence of 6.