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KMID : 0361619720070040431
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Journal of the Korean Orthopaedic Association
1972 Volume.7 No. 4 p.431 ~ p.438
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Surgical Treatment of Scoliosis
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Abstract
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Harrington instrumentation with posterior spinal fusion were carted out on 9 patients among 62 scoliotic patients at Department of Orthopedic Surgery, Seoul National University. Hospital from January 1968 to September 1972.
The youngest patient was 13 years old and the oldest was 17. Six cases were idiopathic and, three cases were paralytic type.
Preoperative localizer cast was. applied and posterior window was made through which snrgery was performed. Harrington instrumentation was applied in all cases with meticulous posterior fusion and massive autogenous iliac bone graft in Goldstein method.
Postoperative immobilization in localizer cast was continued between 25 to 34 weeks, in average of 29.5 weeks. -
Average preoperative scoliotic curvature was 87.6 degrees ranging from 59 to 118 degrees. Correction obtained by preoperative localizer cast was 37.4 degrees -with correction rate of 42.9 percent. Immediate postoperative correction by Harrington instrumentation was from 41 to 69
degrees with average of 50.1 degrees and correction rate of 63.5 percent. The loss of correction in average after two years follow up was 5.2 degrees with rate of 10.2 percent
Solid bony union was obtained in all cases with satifactory result.
This treatment is considered excellent method of scoliosis correction and maintenance.
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KEYWORD
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