Abstract :

Introduction: Scoliosis with rotational imbalance is mainly characterized by the vertebral rotation related to the curve in the coronal plan.
Aims and objectives: The basic aim of the study is to assess the average correction of Cobb’s angle in congenital scoliosis using growing rode as a mode of correction.
Material and methods: This descriptive study was conducted in DHQ hospital Sargodha during 2019 to 2021 for the period of two years. The data was collected with the permission of ethical committee of hospital. The data was collected from 12 patients from age range 4-12 years. Among that 12 patients there were 7 male and 5 female patients. We carried out a convenience sampling, including all scoliosis patients who received surgical treatment with elongating rods in the period studied, and excluded all patients diagnosed with syndromic scoliosis, and with incomplete records in their clinical history.
Results: There were 12 patients of scoliosis under 10 were reviewed. Of these, 35 (5%) required surgical treatment with growing rods and met the selection criteria. The presurgical and postsurgical radiographic change showed a 47.7% reduction in the Cobb angle (31.8° ± 14.6° difference), which was statistically significant (p<0.001; t-student). During the study period, 8 patients showed some procedure-related complication; another 2 patients (22.9%) showed instrumentation failures, and 2 cases (5.7%) showed infection in the operated area which, it should be noted, was associated with instrumentation failure. Univariate analysis was performed to define which variables could be potential predictor factors of complications in our patient sample. Conclusion: Treatment of scoliosis in patients under age 10 with growing rods has achieved a significant reduction in the magnitude of the deformity before final bone fusion.

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Keywords :

Life, Patients, Rationales, Scoliosis.

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References :

1. Buckley PS, Guille JT. Evaluation of the Patient with a Congenital Spinal Deformity. Semin Spine Surg. 2010;22:113–117.
2. Hedequist D, Emans J. Congenital Scoliosis A Review and Update. J Pediatr Orthop & Volume 27. 2007 Jan-Feb;1
3. Masquijo JJ, Bassini O, Paganini F, Goyeneche R, Miscione H. Congenital Elevation of the Scapula. Surgical Treatment With Mears Technique. J Pediatr Orthop & Volume 29. 2009 Apr-May;3
4. Akbarnia BA, Yazici M, Thompson GH. The growing spine — management of spinal disorders in young children. Berlin, Germany: Springer Verlag; 2011.
5. Arlet V, Odent T, Aebi M. Congenital scoliosis. Eur Spine J. 2003;12:456–463.
6. Fernandes P, Weinstein SL. Natural History of Early Onset Scoliosis. The Journal of Bone & Joint Surgery. Jbjs.Org. 2007;89-A
7. Banagan KE, Sponseller PD. Surgical treatment of congenital scoliosis. Current Opinion in Orthopaedics. 2007;18:248–252.
8. Bowen RE, Scaduto AA, Banuelos S. Decreased Body Mass Index and Restrictive Lung Disease in Congenital Thoracic Scoliosis. J Pediatr Orthop & Volume 28. 2008 Sep;6
9. O’Leary PT, Sturm PF, Hammerberg KW, Lubicky JP, Mardjetko SM. Convex hemiepiphysiodesis: the limits of vertebral stapling. Spine (Phila Pa 1976) 2011 Sep 1;36(19):1579–1583.
10. Bollini G, Launay F, Docquier PL, Viehweger E, Jouve JL. Congenital abnormalities associated with hemivertebrae in relation to hemivertebrae location. Journal of Pediatric Orthopaedics B. 2010;19:90–94
11. Obeid I, Bourghli A, Vital JM. Lumbar hemivertebra resection by posterior approach for congenital scoliosis. Eur Spine J. 2012;21(12):2721–2723.
12. Obeid I, Bourghli A, Vital JM. Thoracic hemivertebraresection by posterior approach for congenital scoliosis. Eur Spine J. 2013;22(3):678–680.
13. Ruf M, Harms J. Hemivertebra resection by a posterior approach: innovative operative technique and first results. Spine. 2002;27:1116–1123.
14. Hall JE, Herdron WA, Levine CR. Surgical treatment of congenital scoliosis with or without Harrington instrumentation. J Bone Joint Surg (Am) 1981;63-A:608–619.
15. Steyerberg EW, Eijkemans MJ, Harrell FE Jr, Habbema JD. Prognostic modeling with logistic regression analysis: in search of a sensible strategy in small data sets. Med Decis Making. 2001;21(1):45-56.