+ Site Statistics
References:
52,572,879
Abstracts:
28,705,754
PMIDs:
27,750,366
DOIs:
25,464,004
+ 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

Early ambulation following spinal fusion and Harrington instrumentation in idiopathic scoliosis



Early ambulation following spinal fusion and Harrington instrumentation in idiopathic scoliosis



Clinical Orthopaedics and Related Research 1975(110): 54-62



Eighty-six patients with idiopathic scoliosis managed by Harrington instrumentation and spinal arthrodesis were ambulated 10 days following surgery. Preoperative reduction of the curves was obtained by Cotrel traction and modified Cotrel localizer cast. Patients were kept immobilized in plaster cast for 7 months following operation. No significant loss of correction was found in these patients ambulated early as compared to a previous group kept recumbent for 3 to 6 months and reported by the authors (DBL). The only exception to this was a patient with double structural curve patterns. A successful surgical program for most cases of idiopathic scoliosis included: (1) Preoperative reduction and balancing of curves by non-skeletal traction and/or correction body cast; (2) Meticulous spinal arthrodesis and employment of Harrington distraction internal fixation; (3) Autogenous iliac bone graft; (4) Ambulation at two weeks following surgery in a well fitting body cast and removal of this cast after 7 months. Deep infection rate was 1 per cent without the use of routine prophylatic antibiotics. One neurological complication resulted from the use of a single distraction rod bridging two curves where the rod was not prebent to allow for kyphosis. There were no pseudarthroses. The average follow-up was 28 months with a range of 18-39 months.

Please choose payment method:






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

Accession: 039887611

Download citation: RISBibTeXText

PMID: 1157401

DOI: 10.1097/00003086-197507000-00010


Related references

Low back pain after spinal fusion and Harrington instrumentation for idiopathic scoliosis. International Orthopaedics 29(1): 47-50, 2004

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

Adult idiopathic scoliosis treated by posterior spinal fusion and Harrington instrumentation. Spine 12(1): 32-36, 1987

Early experience with harrington rod instrumentation and drummonds segmental spinal wiring in adolescent idiopathic scoliosis treatment. Orthopaedic Transactions 14(3): 784-785, 1990

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

Surgical results of harrington instrumentation and fusion in patients with idiopathic scoliosis. Orthopaedic Transactions 11(1): 77, 1987

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

Pseudarthrosis following treatment of idiopathic scoliosis by Harrington instrumentation and fusion without added bone. Journal of Pediatric Orthopedics 7(2): 152-154, 1987

Twenty year follow up of patients with idiopathic scoliosis having harrington instrumentation and fusion. Orthopaedic Transactions 11(1): 182-183, 1987

The destroyed lung syndrome: report of a case after Harrington rod instrumentation and fusion for idiopathic scoliosis. Spine 27(14): E337-E341, 2002

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

Scoliosis treatment by spinal fusion, Harrington instrumentation, and Milwaukee brace. Alabama Journal of Medical Sciences 16(4): 370-373, 1979

Treatment of scoliosis in cerebral palsy with spinal fusion and harrington instrumentation. Developmental Medicine & Child Neurology 11(2): 252, 1969

Treatment of idiopathic scoliosis by Harrington instrumentation and fusion with fresh autogenous iliac bone grafts. Journal of Bone and Joint Surgery. American Volume 51(2): 209-222, 1969