Selective anterior or posterior surgery for thoracic AIS Lenke5 type comparison and strategic analysis of spontaneous correction.docVIP

 PAGE \* MERGEFORMAT 13 Selective anterior or posterior surgery for thoracic AIS Lenke5 type comparison and strategic analysis of spontaneous correction Of: Yao Yu, Ni Jianqiang, Li He Shisheng, side show system Gusu Xi, Zhu Xiaodong, Zhang Lin screen [Abstract] [Objective] To compare selective anterior or posterior surgery Lenke5 type of adolescent idiopathic scoliosis without fusion spontaneous thoracic curve correction after the situation. [Method] May 1997 ~ October 2005, a total of Lenke5 72 patients undergoing surgery for adolescent idiopathic type scoliosis patients, of which 40 cases were treated with selective anterior (A group, 32 patients with selective posterior surgery (B group, followed up for at least 2 years. [Results ] last visit found that patients were no postoperative complications occurred in 1 case, A group of patients the average chest bend 30 °, after an average of 16 °, B preoperative 33 °, postoperative 18 °. two groups of patients undergoing Most of the thoracic curve, not fusion has been significantly improved, and the improvement rate in patients with no difference in the two groups, but the last follow-up found that 72 patients, 4 patients (C group was increased thoracic curve, trunk imbalance occurred, A group , B group 2 patients. The 4 patients (TL / L: TCobb’s average ratio of 1.09, and the remaining 68 patients (D group ratio of mean 1.59.C, D groups were thoracic curve flexibility is also a difference, C group than in the D group stiffness (34.2% and 57.3%, respectively. [Conclusion] selective anterior or posterior surgery Lenke5 type adolescent idiopathic scoliosis, thoracic curve fusion spontaneous correction is not quite effective, but patients before surgery (TL / L : TCobb’s ratio and the assessment of the thoracic curve flexibility is important. [Keywords:] adolescent idiopathic scoliosis (AIS, Lenke5 type, Cobb’s ratio (TL / L: T, elective surgery, pedicle screw technique Abstract: [Objective] To compare sp