Динаміка змін симетрії тулуба після хірургічного лікування у хворих на ідіопатичний сколіоз
Improving of the shape of the body is the main aim of conservative or surgical treatment of scoliotic curvature. Topicality of our work is in comparison of the cosmetic outcomes of surgical treatment of idiopathic scoliosis. Objective: To determine and compare the dynamics of changes in the symmetry of the body in patients with idiopathic scoliosis after anterior and posterior corrective spinal fusion. Methods: A prospective study was performed in 36 patients aged from 12 to 28 years with idiopathic scoliosis type Lenke 1A and 5C. Patients were divided into two groups (18people in each) depending on the method of treatment: I group - anterior spinalfusion (ASF), II-posterior spinalfusion (PSF). We performed an assessment of the cosmetic outcome of treatment using the posterior symmetry index trunk (PSIT) before, immediately after and after 1 and 2 years after surgery. Results: the same changes in dynamics of PSIT during the observation period were defined in both groups of patients. Prior to surgery PSIT in group I was 19,7 ± 12,69, in II - 18,7 ± 11,5, and after correction of the curvature index turned out well to improve by 41.3 and 41 %, respectively. One year after surgery PSIT in group I was 6,4 ± 4,3, in II - 5,4 ± 3,2, and after 2 years - 5,4 ± 3,2 and 4,5 ± 3,3, respectively. Conclusions: The use of ASF and PSF allows to reach an identical cosmetic outcome and dynamics of changes in the symmetry of the trunk in patients with idiopathic scoliosis. Under identical indications for corrective ASF or PSF an advantage of the first one is the reduction in the length of fixation of the spine in combination of the same cosmetic effect. Key words: idiopathic scoliosis, the symmetry of the trunk, ventral and posterior spinalfusion.