+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Adult idiopathic scoliosis treated by posterior spinal fusion and Harrington instrumentation

Adult idiopathic scoliosis treated by posterior spinal fusion and Harrington instrumentation

Spine 12(1): 32-36

Ninety-one patients with idiopathic scoliosis, who underwent posterior spinal fusion and instrumentation from January 1977 to December 1982, were reviewed. All patients were 20 years or older at the time of surgery and none had undergone a prior surgical procedure. Indications for surgery included pain, progressive deformity, and pulmonary symptoms. All patients had a posterior spinal fusion with Harrington instrumentation and autogenous iliac bone graft, with the addition of segmental wiring in only eight. No patient had an anterior fusion or fusion to the sacrum. Follow-up averaged 3.5 years (range: 2-7 years). The average correction at the time of surgery was 38%, and 32% at the time of last follow-up. Seventy nine percent of the patients reported complete relief of the symptom(s) for which they had surgery. There were 34 complications in 30 (33%) patients. Pseudoarthrosis occurred in 14 (15%), requiring 15 additional procedures to achieve a solid arthrodesis. Urinary tract infection occurred in 8 (9%) patients and Harrington hook dislodgement in 5 (5%). One patient sustained a partial paraparesis with recovery to a minimal deficit. No deaths occurred. Although largely succesful, posterior fusion with Harrington instrumentation for adult scoliosis has a significant incidence of pseudoarthrosis and instrumentation problems.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 004682461

Download citation: RISBibTeXText

PMID: 3554557

DOI: 10.1097/00007632-198701000-00006

Related references

Early ambulation following spinal fusion and Harrington instrumentation in idiopathic scoliosis. Clinical Orthopaedics and Related Research .(110): 54-62, 1975

The progression of idiopathic scoliosis after removal of Harrington instrumentation following spinal fusion. International Orthopaedics 7(2): 85-89, 1983

Low back pain after spinal fusion and Harrington instrumentation for idiopathic scoliosis. International Orthopaedics 29(1): 47-50, 2005

The role of Harrington instrumentation and posterior spine fusion in the management of adolescent idiopathic scoliosis. Orthopedic Clinics of North America 19(2): 257-267, 1988

Adult thoracolumbar and lumbar scoliosis treated with long vertebral fusion to the sacropelvis: a comparison between new hybrid selective spinal fusion versus anterior-posterior spinal instrumentation. Spine Journal 14(4): 637-645, 2014

Intraoperative Blood Loss during Anterior Spinal Fusion/Posterior Spinal Fusion with Instrumentation Comparison of Patients with Idiopathic Scoliosis Versus Neuromuscular Scoliosis. Anesthesiology Abstracts of Scientific Papers Annual Meeting (2001): Abstract No A-1258, 2002

Results of Harrington instrumentation and fusion in the adult idiopathic scoliosis patient. Journal of Bone and Joint Surgery. American Volume 57(6): 797-801, 1975

Selection of Fusion Levels in Idiopathic Adolescent Scoliosis Treated by Harrington-DDT Instrumentation. Journal of Pediatric Orthopaedics B 4(1): 86-90, 1995

Adult idiopathic scoliosis treated by anterior and posterior spinal fusion. Journal of Bone and Joint Surgery. American Volume 69(6): 843-850, 1987

Combined Dwyer and Harrington instrumentation and fusion in the treatment of selected patients with painful adult idiopathic scoliosis. Spine 3(2): 135-141, 1978

Selection of fusion levels in idiopathic adolescent scoliosis treated by Harrington-DDT instrumentation: a short-term radiologic study. Journal of Pediatric Orthopedics. Part B 4(1): 86-90, 1995

Treatment of idiopathic scoliosis by preoperative localiser cast followed by Harrington rod fixation and posterior spinal fusion. Singapore Medical Journal 29(3): 197-197, 1988

Idiopathic scoliosis treatment by pre operative risser's localizer cast followed by harrington rodding and posterior spinal fusion. SMJ Singapore Medical Journal 29(3): 219-221, 1988

Posterior spinal fusion and instrumentation in the treatment of adolescent idiopathic scoliosis. Annals of the Royal College of Surgeons of England 67(5): 313-317, 1985

Spinal deformity progression after posterior segmental instrumentation and fusion for idiopathic scoliosis. Journal of Children's Orthopaedics 9(1): 29-37, 2015