Surgical treatment of scoliosis associated with Marfan syndrome by using posterior-only instrumentation.
J Pediatr Orthop B
; 20(2): 63-6, 2011 Mar.
Article
en En
| MEDLINE
| ID: mdl-21088623
ABSTRACT
Surgical treatment of scoliosis associated with Marfan syndrome poses a challenge to spine surgeons. This retrospective study was undertaken to determine whether posterior-only surgery with instrumented fixation and fusion addresses the correction of scoliosis and maintains curve correction. Twelve consecutive patients with Marfan syndrome were treated between 2002 and 2007 for scoliosis by posterior segmental instrumentation using pedicle screws or hybrid thoracic-hook and lumbar-screw constructs. Their preoperative Cobb angle averaged 66 ± 10° (range 55-90°). The average operation time was 252 ± 36 min (range 200-300 min) and the average blood loss was 690 ± 117 ml (range 550-920 ml). No significant complications were found. All the patients were followed for a minimum of 2 years (range 2.4-6.8 years). The average Cobb angle was corrected to 23 ± 8° (range 13-35°) immediately after surgery and 28 ± 9° (range 14-43°) with a correction rate of 58 ± 13% at final follow-up. The results indicate that posterior-only surgery with instrumented fixation and fusion is effective and safe for the treatment of scoliosis in selected patients with Marfan syndrome.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Escoliosis
/
Fusión Vertebral
/
Tornillos Óseos
/
Síndrome de Marfan
Tipo de estudio:
Diagnostic_studies
/
Observational_studies
/
Risk_factors_studies
Límite:
Adolescent
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
J Pediatr Orthop B
Asunto de la revista:
ORTOPEDIA
/
PEDIATRIA
Año:
2011
Tipo del documento:
Article
País de afiliación:
China