Abstract
We reviewed 40 spinal fusions done prior to Risser stage I for idiopathic and paralytic scoliosis to evaluate postoperative curve progression. The 39 patients who had posterior fusion alone had progressive angulation and rotation of the spine over the postoperative follow-up period. The more immature the patient, the greater the resultant progression. This progression is an inevitable consequence of continued anterior spinal growth in the presence of a posterior fusion, and occurs without pseudarthrosis or hardware failure. Younger patients may require anterior and posterior fusion to achieve stable correction.
Original language | English (US) |
---|---|
Pages (from-to) | 541-550 |
Number of pages | 10 |
Journal | Journal of Pediatric Orthopaedics |
Volume | 9 |
Issue number | 5 |
DOIs | |
State | Published - Jan 1 1989 |
Keywords
- Posterior fusion
- Postoperative curve progression
- Risser stage I
- Scoliosis
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Orthopedics and Sports Medicine