The Official journal of the China Association of Rehabilitation of Disabled Persons and the 88th Hospital of PLA

Composite Impact Factor:

0. 948 (2015)

Total citation frequency: 3868 (2015)


ISSN 1005-8478

CN 37-1247/R

Growing rods through multi-segment small incisions for idiopathic scoliosis in children

Author : YAN Yi-guo, XUE Jingbo, XIE Yong, OUYANG Zhi-hua, LI Xue-lin, WANG Wen-jun     
Working unit : The First Affiliated Hospital, University of South China, Hengyang 421001, China
Page : 1153-1159
Key words : scoliosis, children, small incision, growing rods
Abstract: [Objective] To evaluate the clinical efficacy of growing rods through multi-segment small incisions for idiopathic scoliosis in children. [Methods] From January 2014 to July 2017, 8 patients, including 3 males and 5 females with an average age of (7.75±1.47) years, were treated with growing rods through multi-segment small incisions for idiopathic scoliosis.Meanwhile, 14 children who underwent the growing rods through a traditional posterior incision for the scoliosis were set as the control, including 4 males and 10 females with age of (7.57±1.71) years old. The incision length, ntraoperative bleeding, operation time, and visual analogue scale (VAS) for pain as well as radiographic measurements, including Cobb angle, correction rate in Cobb angle, the height of vertebral body , as well as the relative vertebral growth rate were compared between the two groups.[Results] There were no significant differences in age, coronal and sagittal Cobb angle between the two groups before operation (P>0.05) . All children had operation performed smoothly without neurological complications and perioperative death. The small incision group had statistically shorter incision length and less blood loss than the traditional incision group (P<0.05) , despite no statistical differences regarding to operation time and postoperative VAS between them (P>0.05) . Both the small incision group and the traditional incision group got statistical improvement in coronal and sagittal Cobb angles immediately after operation (P<0.05) . The children were followed up for 12 to 37 months with an average of (23.61±9.42) months. Statistical increases in vertebral height were noted in both groups, however, small incision group was more obviously enhanced regarding to the vertebral height than the traditional incision group with a statistically significant difference (P<0.05) . During the follow-up period, no complications such as screw broken, rod fracture or loosening were noticed in anyone of the children. [Conclusion] This growing rods through multi-segment small incision with advantages of minimized damage, decreased blood loss and improved recovery over the operation througha traditional incision does achieve satisfactory outcomes for idiopathic scoliosis in children.
summary:
Growing rods through multi-segment small incisions for idiopathic scoliosis in children   
YAN Yi-guo, XUE Jingbo, XIE Yong, OUYANG Zhi-hua, LI Xue-lin, WANG Wen-jun
Orthop J Chin,2018,26(13):   1153-1159