The Posterior Corrective Spondylodesis - Method of Choice of Surgical Scoliosis Treatment

The adolescent idiopathic scoliosis - AIS over 40° measured by Cobb, are treated by surgery. Most frequently are used corrective spondy-lodesis by Harrington (with hooks), by Luqe (with wires), anterior spondylodesis (with transcorporal screws). In last two decades, the posterior corrective spondylodesis by transpedicular screws is popularized. Aim of this work is to present advantages and disadvantages of posterior corrective spondylodesis of scoliosis. Methodology: Twenty-three patients have been included in this study, average age of 15 y. (10-32), and mostly female gender. The dynamic and quality of postoperative flow after posterior corrective spondylodesis have been analyzed at the AIS patients on the Dept. of orthopedics and traumatology, Clinical centre University of Sarajevo during last three years. Results: The length of postoperative hospitalization in the analyzed group was 7 days, compared with results achieved by other methods. Faster recovery, returning to life activities, final esthetic and functional result were superior, and there was no need for revision surgery. Conclusion of this work is that posterior corrective spondylodesis by transpedicular screws at the AIS patients is method of choice, if all requirements of correct performing of that method are met.