Coronal Decompensation Produced by Cotrel—Dubousset “Derotation” Maneuver for Idiopathic Right Thoracic Scoliosis
作者:
KEITH BRIDWELL,
JOHN McALLISTER,
RANDALL BETZ,
GAIL HUSS,
MICHAEL CLANCY,
PERRY SCHOENECKER,
期刊:
Spine
(OVID Available online 1991)
卷期:
Volume 16,
issue 7
页码: 769-777
ISSN:0362-2436
年代: 1991
出版商: OVID
关键词: Cotrel—Doubousset;derotation maneuver;stable vertebra;decompensation
数据来源: OVID
摘要:
From 1985 to 1987,82 patients with idiopathic scoliosis followed 12 to 44 months underwent selective fusion and correction of their right thoracic curves by Cotrel—Dubousset instrumentation using the “derotation” maneuver. Preoperative, postoperative, and follow-up standing anteroposterior roentgenograms of the spine were analyzed. For curves in which there was deviation from the midline (plumb line) and rotation of the lumbar segments, an increased incidence of decompensation was produced after surgery, when posterior Cotrel—Dubousset instrumentation and fusion were carried to the “stable” vertebra with one rod bend and hook alignment on the left sided derotation rod. Previous guidelines established for selective fusion with conventional posterior instrumentation (Harrington or Luque rods) may not be applicable to derotation with Cotrel—Dubousset instrumentation.
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