Posterior Thoracic Instrumentation for Scoliosis
Adult and adolescent forms of idiopathic scoliosis are commonly encountered deformities of the lumbar and thoracic spine. In some cases, there is a need to treat these curvatures. A number of options exist including nonoperative and operative treatments. Surgery for correction of these curvatures presents a unique challenge in the thoracic spine. Thoracic spine anatomy is diverse and therefore both technically challenging and prone for possible complications. A sound knowledge of the relevant anatomy and adequate skills in both radiographic and surgical techniques are required for success. Pedicle screw technology is now the most frequently used instrumentation and provides substantial advantages over methods such as hook constructs in both biomechanical strength and safety. New technologies and techniques are under development and will provide additional tools for correction of thoracic deformity.
KeywordsAdult/adolescent idiopathic scoliosis Thoracic scoliosis Pedicle screw instrumentation
- 11.Theologis AA, Sing DC, Chekeni F, Diab M. National trends in the surgical management of adolescent idiopathic scoliosis: analysis of a national estimate of 60,108 children from the national inpatient sample over a 13-year time period in the United States. Spine Deform. 2017;5:56–65.CrossRefGoogle Scholar
- 25.Shi YB, Binette M, Martin WH, Pearson JM, Hart RA. Electrical stimulation for intraoperative evaluation of thoracic pedicle screw placement. Spine (Phila Pa 1976). 2003;28:595–601.Google Scholar