COMPARATIVE ANALYSIS OF THE CORRECTION OF IDIOPATHIC SCOLIOSIS THORACIC LOCALIZATION IN CHILDREN
Until now, the development and improvement of various surgical technologies aimed at achieving the optimal result of correction of deformity, restoring the sagittal balance of the spine, and obtaining the true vertebral vertebral effect at the top of the scoliotic arch continue to be developed and improved. A comparative analysis of the efficiency of spine deformity correction and aphotal vertebrae deletion in 65 children with idiopathic scoliosis of thoracic localization was performed using hybrid and transpedicular spinal systems. All children had a right-sided type of deformation. The main deformation arc was 380 to 920 Cobb. Depending on the anatomical and anthropometric features of the bony structures of the vertebrae entering the arc of curvature, one of the three options for surgical treatment was used to correct the deformity. Correction of deformity in the first variant was performed in 39 patients, in the second variant in 6 patients, in the third variant in 20 patients. In the first group, correction of deformation in the frontal plane was 92-99%, and aprotic vertebral correction in the first group was 41.15%. In the second group, the deformity correction in the frontal plane varied within the range of 91-100%, the apopal vertebral fission correction from 11.4% to 29.4%. Correction of deformation in the frontal plane in the third group was observed in the range of 78-92%, the apoptotic vertebral prophylaxis correction was from 8.1% to 22.9%. The size of thoracic kyphosis after surgery was 18,36±4,62° in group 1, 17,38±5,36° in group 2, 16,15±4,53° in group 3. The use of transpedicular metal structures and the VCM system in correcting the idiopathic scoliosis of the thoracic localization allows to achieve complete correction of the scoliotic and kyphotic components of deformation, to realize the true degeneration of vertebral bodies at the apex of the main arc.