SURGICAL TREATMENT OF CONGENITAL SCOLIOSIS IN PATIENTS OVER 10 YEARS OLD
Objective. To assess the results of surgery for congenital scoliosis of the spine in patients over 10 years old. Material and Methods. The age of patients at the time of treatment was at least 10 years, follow-up period - at least 2 years. A total of 104 patients with mean age of 15.9 years were treated with mean follow-up period of 3.4 years. Results. Congenital scoliotic deformities are highly rigid. The average Cobb angle of the primary curve was 76.7°, preoperative mobility - 19.7 %; during the operation the curve was corrected to 50.9° (25.8 %), postoperative progression was 4°. The secondary curve in 60 patients was 52.4°, its mobility - 37.4 %, the curve was corrected to 36.1° (31.1 %), postoperative progression was 5.4°. All anthropometric indicators have improved, and the SRS-24 survey also showed positive patient-reported outcomes. Complications were quite frequent, as well as initial involvement of the spinal canal content in the pathological process (12 patients). Conclusion. Diagnosis of congenital scoliosis should be as early as possible. This will help to avoid many of the problems and improve the quality of life of patients. Please cite this paper as: Mikhailovsky MV, Novikov VV, Vasyura AS, Udalova IG. Surgical treatment of congenital scoliosis in patients over 10 years old. Hir. Pozvonoc. 2015;12(4):42-48. In Russian. DOI: http://dx.doi.org/10.14531/ss2015.4.42-48.