An Evaluation of Correction of Idiopathic Kyphoscoliosis by Axial Translation Technique with Pedicle Screw and Rod

  • Md. Anowarul Islam Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Fahad Goni Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Qumruzzam Parvez Bangabandhu Sheikh Mujib Medical University, Dhaka
Keywords: Adolescent idiopathic scoliosis, Axial translation technique, Top opening pedicle screw

Abstract

As sufficient study not available in this subcontinent about correction of idiopathic kyphoscoliosis by axial translation technique, a group of patients of Adolescent Idiopathic Scoliosis (AIS) was selected to evaluate the outcome of rod rotation technique. The curve correction with more screw on the concave site was assessed, patient satisfaction and correction of cobb angle. Post operative radiological and functional outcome were assessed. Twenty consecutive patients (8 males, 12 females) with an age range from 10 to 24 years. Post operatively all were followed-up for 18 months. All patients were under went pedicle screw instrumentation through posterior approach. More screw inserted in the concave side. X-ray evaluation done by pre-operative and 1, 3, 6 ,12 and 18 months after surgery. Scoliosis Research Society (SRS) questionnaire was done for clinical evaluation. Radiological evaluation done by preoperative cobb angle was significantly reduced in postoperative period. The mean postoperative SRS scores were improved from 3.38 to 4.13. These results were statistically significant and so it may be concluded that the axial translation technique with more screw in the concave side is ideal technique with good postoperative outcome both clinically and radiologically.

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Author Biographies

Md. Anowarul Islam, Bangabandhu Sheikh Mujib Medical University, Dhaka
Associate Professor, Department of Orthopaedic Surgery
Fahad Goni, Bangabandhu Sheikh Mujib Medical University, Dhaka
Resident
Qumruzzam Parvez, Bangabandhu Sheikh Mujib Medical University, Dhaka
Resident
Published
2018-11-22
How to Cite
Islam, M., Goni, F., & Parvez, Q. (2018). An Evaluation of Correction of Idiopathic Kyphoscoliosis by Axial Translation Technique with Pedicle Screw and Rod. Bangladesh Medical Research Council Bulletin, 44(2), 98-102. https://doi.org/10.3329/bmrcb.v44i2.38704
Section
Research Papers