A retrospective clinical study of 735 scoliosis treated by posterior segmental rachisynthesis

Abstract

This is a retrospective study of 735 patients with scoliosis who underwent surgery in Pediatric Orthopedic Department of Central Emergengy Hospital for Children “Grigore Alexandrescu” Bucharest and also in the private hospitals “Regina Maria “ and “Sanador “ in a 15 years period between 1999 and 2013. The study relates to the cases of scoliosis treated by segmental rachisynthesis by posterior approach , but also includes some cases in which the posterior and the anterior approach were combined. The patients were between 6 and 44 years old and most of them were female (82%). We used different techniques of rachisynthesis such as: SCS (Spinal Clip System ), Moss-Miami, XIA, CD-Legacy, USS II. Regarding etiology, 93,12 % of scoliosis were idiopathic forms, 2,03% congenital, 1,09% in patients with Recklinghausen disease, 1,09 % in Marfan syndrome, 0,94% in cerebral palsy, 0,63 % in both spinal amyotrophy and posttraumatic and 0,47 % in muscular distrophies. According to topographic form, 37,66 % were double thoracal and lumbar scoliosis, 29,06 % thoracal scoliosis, 18,28% thoracolumbar, 13,12 % lumbar, 1,25 cervicothoracal and 0,63 % triple curve scoliosis.