Curative Effect Observation Of The Treatment Of Congenital Scoliosis And Idiopathic Scoliosis

Objective:Analysis of the clinical effect of posterior pedicle screw rod system, orthopedic surgery in the treatment of congenital idiopathic scoliosis.Methods:a retrospective analysis of our department from June 2012 to March 2015, posterior surgical treatment in 7 cases of adult congenital and idiopathic scoliosis patients clinical data. Patients with preoperative and postoperative Oswesty disability index score on the visual analogue score(Visual analogue scale VAS) rating in before and after 6 months and one year postoperatively measured spine coronal plane main bending cob angle than the preoperative and postoperative 6 and postoperative one year follow-up imaging parameters to evaluate surgical correction of.Results:fusion segments 7-13, average 9.6 segments, operation time 2.25 ~ 7h, average4.03h;intraoperative hemorrhage volume 500-2500 m, average 1400 ml. results 7 patients were for posterior surgical treatment of surgery were successfully completed, no death case,after a mean follow-up of 22.5 months, imaging examination there was no screw loosening,fracture, non secondary scoliosis deformity after operation. Preoperative and postoperative12 months of VAS, Oswesty dysfunction index, Coronal Cobb Angle bending Lord, and evaluation of the quality of life, postoperative improvement rate evaluation. Results after 6months and 12 months after operation, the therapeutic effect was excellent in 7 cases.Patients with preoperative VAS score was 7.00±0.71( 5-8) points, After Januarywas2.20±0.84(1-4)points,And 1 years after the operation was 1.60±0.55 points(1-3),preoperative and postoperative, and the difference was statistically significant. The preoperative ODI score was 73.60% ±3.72%(60%-78%), 27.80%±7.09%(22%-36%) and6.43% years 20.40% ±6.43%(14%-24%) in January. Before and after the operation, the difference was statistically significant. Coronal Cobb ‘s angle of preoperative58.20°±16.16 °(40°~80°), postoperative 32.60°±15.85°(10°~55°), postoperative 1 year33.60°±15.60°(10°~53°), the average correct rate average was 46.67%, during the follow up corrective angle loss rate was 2.14%. Before and after the operation, there was a significant difference between the preoperative and postoperative one year. Thoracic posterior lobe preoperative20.40°±12.20°(7°~39°), postoperative 15.80°±6.72°(9°~40°),postoperative 1 year for 16.60°±6.84 °(9°~41°). The correction rate averaging 22.55%,during the follow up corrective angle loss rate was 2.45%. Before and after the operation,there was a significant difference between the preoperative and postoperative one year.Lumbar anterior lobe preoperative 26.60°±6.50°(6° ~ 35°), postoperative20.60°±3.98°(7° ~ 36°), postoperative 1 year for21.10°±3.81°(8° ~ 38°), correction rate average of22.56%. During the interview, the correction angle loss rate of 2.25%. There was no significant difference between preoperative and postoperative. Preoperative spinal coronal plane balance is 15.40mm±11.72mm(0mm ~ 23mm), after the operation is3.80mm±3.19mm(0mm ~ 5mm), 1 years after the operation is5.40mm±4.04mm(0mm ~6mm). There was no significant change during the follow-up period. There was no significant difference between preoperative and postoperative. Preoperative sagittal balance of the spine was-6.80mm±43.56mm(-46 mm ~ 50mm), postoperative12.80mm±10.04mm(5mm ~ 26mm), 1 years after the operation was14.20mm±10.16mm(5mm ~26mm), no significant changes during the follow-up period.Before and after operation, the difference was statistically significant.Conclusion:Posterior pedicle screw rod system in surgical treatment of adult congenital,idiopathic scoliosis can better correction of spinal deformity, significant improvement inpatients with physical appearance and body balance, and it can significantly improve the patient’s quality of production.