Scoliosis Surgery in Young Children
Author Information
Author(s): Şarlak Ahmet Yılmaz, Atmaca Halil, Buluç Levent, Tosun Bilgehan, Musaoğlu Resul
Primary Institution: Kocaeli University, School of Medicine, Department of Orthopaedics and Traumatology
Hypothesis
The study aims to evaluate the effectiveness of segmental pedicle screw fixation in treating juvenile idiopathic scoliosis.
Conclusion
Routine combined anterior fusion may not be necessary for preventing crankshaft phenomenon in juvenile idiopathic scoliosis treated with posterior segmental pedicle screw instrumentation.
Supporting Evidence
- The preoperative thoracic curve was corrected from 56° to 24°.
- The lumbar curve was corrected from 43° to 23°.
- None of the patients showed coronal decompensation at the latest follow-up.
- Four patients had no evidence of crankshaft phenomenon.
Takeaway
Doctors studied 7 kids with scoliosis to see if a certain surgery would help their backs. They found that the surgery worked well without needing extra procedures.
Methodology
Retrospective analysis of 7 patients who underwent segmental pedicle screw fixation and fusion, with radiographic evaluations at multiple time points.
Potential Biases
Potential bias due to the retrospective nature of the study and the small number of participants.
Limitations
The study is limited by its small sample size and retrospective design.
Participant Demographics
Average age of participants was 7.4 years, with a male/female ratio of 1:6.
Statistical Information
P-Value
0.001
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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