We reviewed 40 spinal fusions done prior to Risser stage I for idiopathic and paralytic scoliosis to evaluate postoperative curve progression. The 39 patients who had posterior fusion alone had progressive angulation and rotation of the spine over the postoperative follow-up period. The more immature the patient, the greater the resultant progression. This progression is an inevitable consequence of continued anterior spinal growth in the presence of a posterior fusion, and occurs without pseudarthrosis or hardware failure. Younger patients may require anterior and posterior fusion to achieve stable correction.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1097/01241398-198909010-00008 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
[Basics and Surgical Techniques for Adult Spinal Deformity].
No Shinkei Geka
January 2025
Department of Neurosurgery, Ayabe Renaiss Hospital.
Adult spinal deformity(ASD) is a condition in which the spinopelvic alignment changes owing to age-related degeneration, making it difficult to maintain a standing position. The goal of surgery for ASD is to correct the spine and obtain normal alignment. Here, we discuss the pathophysiology of ASD, spinopelvic alignment, surgical methods, and complications.
View Article and Find Full Text PDF[Posterior Lumbar Fusion:Indications, Surgical Techniques and Tips for Safety].
No Shinkei Geka
January 2025
Department of Neurosurgery, Mie University.
Lumbar posterior fixation is a fundamental spinal technique typically performed in patients with instability, although no absolute criteria exist for diagnosing instability. Interbody fusion procedures, such as posterior lumbar interbody fusion and transforaminal lumbar interbody fusion involve the insertion of cages or grafts between vertebrae to achieve solid bone fusion. These techniques provide strong stabilization of the spine.
View Article and Find Full Text PDF[Posterior Decompression Surgery for Degenerative Lumbar Disease:Basic Principles and Advantages/Disadvantages of Exoscopic Surgery].
No Shinkei Geka
January 2025
Department of Neurosurgery, Tominaga Hospital.
This paper examines advancements in minimally invasive posterior decompression techniques for lumbar degenerative diseases. It focuses on the unilateral approach for bilateral decompression and bilateral approach for contralateral decompression, in which the entry side is determined independently of the symptomatic side to achieve a facet joint preservation rate of ≥ 70%, while also emphasizing contralateral foraminal decompression(CFD). These techniques address spinal instability by minimizing facet joint resection, reducing postoperative instability.
View Article and Find Full Text PDF[Posterior Cervical Fixation:Indications, Fixation Methods, and Surgical Safety].
No Shinkei Geka
January 2025
Department of Neurosurgery, Tsukazaki Hospital.
It is important to be aware of the indications, surgical procedure selection, and associated complications. This chapter focuses on basic screw placement techniques, emphasizing on safety with each anchor placement. Familiarity with managing surgical accidents is also important.
View Article and Find Full Text PDFPre-operative Emergency Department Usage Is a Sentinel Marker of Worsened Posterior Lumbar Interbody Fusion Outcome.
World Neurosurg
January 2025
Department of Neurological Surgery, Oregon Health & Science University, Portland, OR. Electronic address:
Background: Utilization of the emergency department (ED) is associated with medical and social comorbidities. These factors may also be associated with medical complications after complex surgeries. This study investigated how pre-operative ED use increases risk of posterior lumbar interbody fusion (PLIF) complications.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!