Publication details

Srovnání výsledků dvou typů operačního léčení idiopatických hrudních křivek - přední versus zadní výkon

Title in English Comparison of two surgical methods for treatment of idiopathic thoracic scoliosis - anterior versus posterior approaches

CHALOUPKA Richard REPKO Martin TICHÝ Vladimír LEZNAR Milan KRBEC Martin

Year of publication 2012
Type Article in Periodical
Magazine / Source Acta Chirurgiae orthopaedicae et Traumatologiae Čechoslovaca
MU Faculty or unit

Faculty of Medicine

Field Traumatology and orthopaedic surgery
Keywords idiopathic thoracic scoliosis; surgical treatment; posterior approach; anterior approach; randomised study
Description There were compared anterior and posterior approaches in th treatment of right idiopathic thoracic scoliosis, managed by fusion and segmantal instrumentation. The posterior group compreise 31 girls, with an average age 14,5 years. The curves were improved from 54,3 to 18,7 degrees. Thoracic kyphosis was changed from 30,0 to 20,5 degrees. the average hosptia stay lasted 10,2 days. The anterior approach was used in 25 girls and 6 boys, with an average age of 15,3 years. Thoracic curve was improved, on the average from 53,7 to 23,6 degrees, thoracic kyphosis from 21,5 to 28,5 degrees, the average hospital stay lasted 15,5 days. In anterior group we found lower costs, shorter operative time and lower intraoperative blood loss, but higher postoperative drained blood loss and longer hospital stay - all differences were statistically significant at 0,05. všechny rozdíly byly statisticky významné. The majority of idiopathic scoliosis is indicated for posterior approach, dné zadní výkony, the anterior one is indicated mainly in significant thoracic hypokyphosis or lordosis.

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