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Korrekturspondylodesen von adoleszenter idiopathischer Skoliose

Ventral, dorsal, ventrodorsal? Einzeitig oder zweizeitig?

Fusion in adolescent idiopathic scoliosis

Anterior, posterior or combined? One-stage or two-stage?

Der Orthopäde volume 44, pages 879–884 (2015)Cite this article

Zusammenfassung

Die Skoliose ist eine komplexe, dreidimensionale Wirbelsäulendeformität unterschiedlicher Genese. Die adoleszente idiopathische Skoliose stellt die häufigste Form dar. Die Indikation zur operativen Therapie besteht ab einem Krümmungswinkel > 45–50° gemessen nach Cobb. Es werden rein dorsale, rein ventrale bzw. kombinierte operative Verfahren unterschieden. Das rein dorsale, transpedikuläre Vorgehen hat die Skoliosechirurgie revolutioniert. Dieser Beitrag gibt einen Überblick der operativen Möglichkeiten in der Skoliosechirurgie.

Abstract

Scoliosis is a complex, three-dimensional spinal deformity with various causes. Adolescent idiopathic scoliosis (AIS) is the most common form. Surgical treatment is indicated for curves greater than 45–50° meaured using the Cobb method. We can distinguish among posterior, anterior or combined surgical procedures. Today, the posterior, transpedicular approach has revolutionized scoliosis surgery. This review gives an overview of current surgical options in scoliosis treatment.

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Affiliations

  1. Klinik für Orthopädie, RWTH Aachen, Universitätsklinikum Aachen, Pauwelsstraße 30, 52074, Aachen, Deutschland

    V. Quack, B. Rath, H. Schenker, A. Schulze, Y. El Mansy, M. Tingart & M. Betsch

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  1. V. Quack
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  2. B. Rath
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  3. H. Schenker
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  4. A. Schulze
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Correspondence to V. Quack.

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V. Quack, B. Rath, H. Schenker, A. Schulze, Y. El Mansy, M. Tingart und M. Betsch geben an, dass kein Interessenkonflikt besteht.

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Quack, V., Rath, B., Schenker, H. et al. Korrekturspondylodesen von adoleszenter idiopathischer Skoliose. Orthopäde 44, 879–884 (2015). https://doi.org/10.1007/s00132-015-3164-2

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  • DOI: https://doi.org/10.1007/s00132-015-3164-2

Schlüsselwörter

  • Deformitätenkorrektur
  • Indikation
  • Operative chirurgische Prozeduren
  • Orthopädische Fixationsvorrichtungen
  • Behandlungsergebnis

Keywords

  • Correction
  • Indication
  • Operative surgical procedures
  • Orthopedic fixation devices
  • Treatment outcome