Early experience in surgical treatment of adolescence idiopathic scoliosis: a report of four cases
Adolescent idiopathic scoliosis (AIS) is the most common spinal deformity among teenager. For those indicated, early surgical intervention allows better surgical correction due to flexibility of the spine during teenage years, hence good functional outcome and better cosmetic can be expected....
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Faculty of Medicine & Health Sciences Universiti Malaysia Sabah
2020
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/79274/ http://irep.iium.edu.my/79274/ http://irep.iium.edu.my/79274/1/79274_Early%20Experience%20in%20Surgical%20Treatment.pdf |
| Summary: | Adolescent idiopathic scoliosis (AIS) is the most
common spinal deformity among teenager. For
those indicated, early surgical intervention allows
better surgical correction due to flexibility of the
spine during teenage years, hence good functional
outcome and better cosmetic can be expected.
In this case report, there is the management of
four patients surgically using the posterior spinal
instrumentation and fusion. Pre-operatively
patients were examined at IIUM Medical Centre
spine clinic, all necessary investigations were
carried out. A thorough explanation was done to
patient and parents regarding procedure, risk and
benefit. All patients were treated using the same
surgical technique. Neuromonitoring was used
throughout the whole surgery until skin closure.
All patients were hospitalized around one week.
Post-operatively patients were followed up at
two weeks, six weeks, three months, and every six
months thereafter. It is important for clinicians to
identify patients with AIS as early detection and
timely treatment will change the natural history
of curve progression. Surgical intervention
when necessary will be easier and with less risk
of complications when surgery was carried out
during teenage years as the spine is more flexible
and the deformity is less severe. |
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