İdiopatik skolyozda hibrid posterior enstrümentasyonun etkinliği ve güvenilirliliği

Year 2014, Volume: 36 Issue: 3, 368 - 375, 27.06.2014

Utku Demir Gündüz Tezeren Seyran Kılınç Okay Bulut Hayati Öztürk Zekeriya Öztemur

https://doi.org/10.7197/cmj.v36i3.5000038449

Abstract

Özet

Amaç. Biz bu çalışmada skolyoz deformiteli hastalarımızda uyguladığımız cerrahi tedavilerin sonuçlarını retrospektif olarak değerlendirmeyi amaçladık. Yöntem. 2002-2010 yılları arasında kliniğimizde 21 olguya cerrahi tedavi uygulanmış olup bunlardan 13 idiopatik skolyozlu olgu kriterlere uygun bulunup çalışma kapsamına alınmıştır. Bulgular. Tüm olgulara hibrid sistem (üst torakal bölgeye çengel, lomber bölgeye poliaksiyel transpediküler vida kombinasyonu) titanyum posterior enstrümentasyon uygulanmıştır. Ek olarak tüm olgulara otolog greftler ile füzyon yapılmıştır. Ortalama takip süresi 49,7 aydır (14-92 ay). Ortalama Cobb açısı preoperatif 47^o, postoperatif 19,4^o, son kontrolde 25^o idi. Sonuç. Hibrid sistem posterior enstrümentasyon uyguladığımız idiopatik skolyozun cerrahi tedavisi etkin ve güvenilir bulunmuştur.

Anahtar sözcükler: İdiyopatik skolyoz, hibrid sistem, posterior enstrümantasyon

 

Abstract

Aim. In this study, we aimed to evaluate retrospectively results of surgical treatment of scoliosis deformity in our patients. Method. In our clinic 20 cases underwent posterior instrumentation and fusion. Of them, 13 patient were included in the study. Results. All cases underwent hybrid system instrumentation (upper hooks and lower polyaxial transpedicle screws), with titanium implants and fusion with autologous grafts.Mean follow-up was 49.7 months (range 14-92). Mean cobb angle was 47^o preoperatively, 19.4^o postoperatively, 25^o at last follow-up. Conclusion. Hybrid system posterior instrumentation was safe and effective method in the surgical treatment of idiopathic scoliosis.

Keywords: Idiopathic scoliosis, hybrid system, posterior instrumentation.

Keywords

İdiyopatik skolyoz, hibrid sistem, posterior enstrümantasyon

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