Two staged surgical correction of Scheuermann's disease

Twelve patients with Scheuermann's disease had a two-staged surgical procedure for the correction of their deformity. The age at surgery averaged 18 years + 5 months. The deformity measured an average of 86 degrees. All patients had an anterior release and fusion followed one week later by posterior correction, instrumentation and fusion. The average curve immediately after surgery was 43 degrees. The patients were followed up for an average of 3.5 years, with an average loss of correction of 4 degrees. Generally, there was no postoperative neurological deficit and no metal failure

Single stage osteotomy for congenital lumbar spine deformities

This study included 15 patients who had congenital spinal deformities due to hemi-vertebrae in the lumbar spine. The average age at surgery was 15 years. The mean preoperative Cobb angle for scoliosis was 57.7 degrees [ranged from 15-90 degrees] and that for kyphosis was 53.2 degrees [ranged from 9-118 degrees]. These patients had a single staged spinal osteotomy with posterior excision of the hemi-vertebra. The patients were instrumented and fused. Postoperatively, the index angle was 25.3 degrees, resulting in an average correction of 56% and the kyphosis was corrected to an angle of 27.9 degrees [ranged from 9-63 degrees]. The patients were followed up for an average of 28 months. There were no neurological complications and the complications were acceptable