- 期刊
Anterior Zielke Instrumentation for Idiopathic Thoracolumbar and Lumbar Scoliosis
並列摘要
From July, 1987 through June, 1989, 24 patients with thoracolumbar or lumbar idiopathic scoliosis were encountered at our hospital. Among them, 18 patients were adolescent idiopathic scoliosis, 6 were adult type. Their average curve was 54.4 degrees preoperatively. Anterior spinal fusion with Zielke instru-mentation was undergone for all patients, and the length of fusion did not extend beyond the major curve. The averaged curve correction was 80.8% in adolescent cases, and 57.3% in adult cases. The kyphogenic effect of the instru-mentation was not significant. The tilt angle of the vertebra at the lower end of the curve was reduced significantly. The fusion rate was 91.6%. Two of the patient developed pseudarthrosis. There was no major complication. The Zielke instrumentation system in the management of idiopathic thoracolumbar and lumbar scoliosis offers the advantages of a relatively good correction and mini-mal segment fusion.