Reconstructive operations of serious scoliotic deformation at children

Abstract

In Clinic of Vertebrology, Orthopedics and Traumotology of the “N.Georgiu” Scientifically-Practical Center of Children’s Surgery 58 children with scoliosis (>70°) of different etiology, have been pre- and postoperatively examined with a follow-up of 1 to 5 years. The comparative analysis of the quality of the life of patients with severe spine deformations (according to a questionnaire „EQ-5D”), before and after surgical intervention, has shown that quality of the life of patients in postoperative period essentially improved, in comparison with the preoperative period, from 12,7±0,3 points to 7,02 ± 0,1. The distant results of surgical treatment were: good – 39 (68,4%), satisfactory – 12 (21,1%), unsatisfactory – 7 (12,3%). The differential election of treatment option in spine deformation management depends on the age of patient, extent of deformation, spine mobility and neurological impairment. Application of high technologies allows achieving good results in these patients.