TREATMENT OF ADOLESCENT IDIOPATHIC SCOLIOSIS WITH GLOBAL (ROD) DEROTATION MANEUVER USING PEDICLE SCREWS

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dc.contributor.authorYazıcıoğlu, Önder
dc.contributor.authorDomaniç, Ünsal
dc.contributor.authorAkgül, Turgut
dc.contributor.authorDikici, Fatih
dc.contributor.authorKaya, Özcan
dc.contributor.authorOzkunt, Okan
dc.date.accessioned2024-05-19T14:23:50Z
dc.date.available2024-05-19T14:23:50Z
dc.date.issued2018
dc.departmentİstinye Üniversitesien_US
dc.description.abstractIntroduction: Adolescent idiopathic scoliosis is a three dimensional deformity. For the treatment of deformity, nature of deformity should be well understood and treatment strategy has to be directed to the coronal, sagittal and axial components of deformity. Global Derotation (GD) maneuver is based on simple rod derotation from concave side aiming to correct the deformity on coronal, sagittal and axial profile. In this report we reviewed AIS surgery results treated by global derotation maneuver with all pedicle screw instrumentation.Material& Methods: Between 2003 and 2011, 253 patients had been operated using GD technique.80 of 253 patients was included to our study. The patients routinely evaluated with preoperative-postoperative and last follow up standing ortho-x-rays. Coronal and sagittal profile parameters measured on x-rays with digital software using Cobb method. Rotational component of the deformity was measured according to Nash-Moe method at the apical vertebra.Results: 80 patients (71 female ; 9 male)had been followed up average 19,8 (7-37) months. Patients age average were 15,1(12-21) at operation date. Coronal cobb angle measure in thoracic curves preoperative were 48,9° decreased to mean 3,2° postoperatively. The mean coronal thoracolumbar curve were 45,8° preoperatively and decreased to mean 2°. Apical vertebra rotation measure regressed to mean 0,68 (0-1). Thoracic kyphosis showed downward tendency from mean 37,8° to mean 27,8°.Conclusion: Rod derotation technique enable to correct coronal and axial profile. Coronal Cobb angle improvement seen obviously with correction of axial profile rotation. Sagittal hypokyphotic effect of GD should be kept in mind.en_US
dc.identifier.endpage18en_US
dc.identifier.issn2147-5903
dc.identifier.issue1en_US
dc.identifier.startpage13en_US
dc.identifier.trdizinid301065en_US
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/301065
dc.identifier.urihttps://hdl.handle.net/20.500.12713/4140
dc.identifier.volume29en_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.relation.ispartofJournal of Turkish Spinal Surgeryen_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmz20240519_kaen_US
dc.titleTREATMENT OF ADOLESCENT IDIOPATHIC SCOLIOSIS WITH GLOBAL (ROD) DEROTATION MANEUVER USING PEDICLE SCREWSen_US
dc.typeArticleen_US

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