CURRENT DEVELOPMENT OF CORRECTION OF SEVERE AND RIGID SCOLIOSIS_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

ZHOU Chunguang , SONG Yueming.

Department of Orthopedics, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P.R.China.;

Corresponding author：

Keywords：

重度僵硬性脊柱侧凸; 矫正技术; 临床应用

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【Abstract】 Objective To summarize the current development of the correction of severe and rigid scol iosis. Methods Recent l iterature concerning the correction of severe and rigid scol iosis at home and abroad was extensively reviewed, and current developments of the correction of severe and rigid scol iosis were summarized. Results The correction of severe and rigid scol iosis shows developments as follows: the application of Halo-gravity traction increase and Halo-femoral traction is applied in posterior correction surgery. Fixation and correction technique with all pedicle screws was gradually popularized. The applications of posterior vertebral column resection, one-stage anterior and posterior surgery, and posterior-only correction surgery increase. Conclusion The developments of all kinds of correction techniques improve the correction effects of severe and rigid scol iosis. Now there is no standardized treatment protocol for severe and rigid scol iosis. Greater development can be expected in the future.

Citation： ZHOU Chunguang,SONG Yueming.. CURRENT DEVELOPMENT OF CORRECTION OF SEVERE AND RIGID SCOLIOSIS. Chinese Journal of Reparative and Reconstructive Surgery, 2012, 26(2): 238-243. doi: Copy

1.	李明, 刘洋, 朱晓东, 等. 一期前路松解后路三维矫形治疗重度僵硬性脊柱侧凸. 中华骨科杂志, 2004, 24(5): 271-275.
2.	Greiner KA. Adolescent idiopathic scoliosis: radiologic decision-making. Am Fam Physician, 2002, 65(9): 1817-1822.
3.	Yong Q, Zhen L, Feng Z, et al. Comparison of effectiveness of Halo-femoral traction after anterior spinal release in severe idiopathic and congenital scoliosis: a retrospective study. J Orthop Surg, 2007, 2: 23.
4.	Dobbs MB, Lenke LG, Kim YJ, et al. Anterior/posterior spinal instrumentation versus posterior instrumentation alone for the treatment of adolescent idiopathic scoliotic curves more than 90 degrees. Spine (Phila Pa 1976), 2006, 31(20): 2386-2391.
5.	Kuklo TR, Lenke LG, O’Brien MF, et al. Accuracy and efficacy of thoracic pedicle screws in curves more than 90 degrees. Spine (Phila Pa 1976), 2005, 30(2): 222-226.
6.	Watanabe K, Lenke LG, Bridwell KH, et al. Efficacy of perioperative halo-gravity traction for treatment of severe scoliosis (>/=100 degrees). J Orthop Sci, 2010, 15: 720-730.
7.	朱锋, 邱勇, 王斌, 等. Halo轮椅悬吊重力牵引在严重脊柱侧后凸儿童术前的应用价值. 中国脊柱脊髓杂志, 2010, 20(7): 549-553.
8.	Rinella A, Lenke L, Whitaker C, et al. Perioperative halo-gravity traction in the treatment of severe scoliosis and kyphosis. Spine (Phila Pa 1976), 2005, 30(4): 475-482.
9.	Mehlman CT, Sayyad MJ, Crawford AH. Effectiveness of spinal release and halo-femoral traction in the management of severe spinal deformity. J Pediatr Orthop, 2004, 24(6): 667-673.
10.	Sponseller PD, Takenaga RK, Newton P, et al. The use of traction in the treatment of severe spinal deformity. Spine (Phila Pa 1976), 2008, 33(21): 2305-2309.
11.	Hamzaoglu A, Ozturk C, Aydogan M, et al. Posterior only pedicle screw instrumentation with intraoperative halo-femoral traction in the surgical treatment of severe scoliosis. (>100 degrees). Spine (Phila Pa 1976), 2008, 33(9): 979-983.
12.	Zhang HQ, Wang YX, Guo CF, et al. Posterior-only surgery with strong halo-femoral traction for the treatment of adolescent idiopathic scoliotic curves more than 100°. Int Orthop, 2011, 35(7): 1037-1042.
13.	张宏其, 王永福, 唐明星, 等. 牵引结合后路手术治疗重度脊柱侧凸的疗效分析. 中国矫形外科杂志, 2009, 17(21): 1617-1620.
14.	Suk SI, Kim JH, Cho KJ, et al. Is anterior release necessary in severe scoliosis treated by posterior segmental pedicle screw fixation? Eur Spine J, 2007, 16(9): 1359-1365.
15.	Luhmann SJ, Lenke LG, Kim YJ, et al. Financial analysis of circumferential fusion versus posterior-only with thoracic pedicle screw constructs for main thoracic idiopathic curves between 70 degrees and 100 degrees. J Child Orthop, 2008, 2(2): 105-112.
16.	贾全章, 孙景海, 侯明晓, 等. 凹侧双棒全椎弓根螺钉技术对提高重度僵硬性特发性脊柱侧凸矫治效果的作用. 解放军医学杂志, 2009, 34(6): 683-685.
17.	Modi HN, Suh SW, Hong JY, et al. Accuracy of thoracic pedicle screw using ideal pedicle entry point in severe scoliosis. Clin Orthop Relat Res, 2010, 468(7): 1830-1837.
18.	王冰, 吕国华, 陈瑞松, 等. 重度特发性脊柱侧凸胸椎椎弓根螺钉徒手置入精确性的CT评价. 中南大学学报: 医学版, 2009, 34(3): 226-229.
19.	Wang Y, Zheng G, Zhang X, et al. Comparative analysis between shape memory alloy-based correction and traditional correction technique in pedicle screws constructs for treating severe scoliosis. Eur Spine J, 2010, 19(3): 394-399.
20.	Rosales LM, Miramontes V, Reyes AS. External fixation for dynamic correction of severe scoliosis. Spine J, 2005, 5(4): 418-426.
21.	Bullmann V, Halm HF, Schulte T, et al. Combined anterior and posterior instrumentation in severe and rigid idiopathic scoliosis. Eur Spine J, 2006, 15(4): 440-448.
22.	Suk SI, Kim JH, Chung ER, et al. Posterior vertebral column resection for severe rigid scoliosis. Spine (Phila Pa 1976), 2005, 30(14): 1682-1687.
23.	Lenke LG, O’leary PT, Bridwell KH, et al. Posterior vertebral column resection for severe pediatric deformity: minimum two-year follow-up of thirty-five consecutive patients. Spine (Phila Pa 1976), 2009, 34(20): 2213-2221.
24.	Lenke LG, Sides BA, Koester LA, et al. Vertebral column resection for the treatment of severe spinal deformity. Clin Orthop Relat Res, 2010, 468(3): 687-699.
25.	Hamzaoglu A, Alanay A, Ozturk C, et al. Posterior vertebral column resection in severe spinal deformities: a total of 102 cases. Spine (Phila Pa 1976), 2011, 36(5): E340-E344.
26.	Matsumoto M, Watanabe K, Tsuji T, et al. Progressive kyphoscoliosis associated with tethered cord treated by posterior vertebral column resection: a case report. Spine (Phila Pa 1976), 2009, 34(26): E965-E968.
27.	Smith JS, Wang VY, Ames CP. Vertebral column resection for rigid spinal deformity. Neurosurgery, 2008, 63(3 Suppl): 177-182.
28.	Nepple JJ, Lenke LG. Severe idiopathic scoliosis with respiratory insufficiency treated with preoperative traction and staged anteroposterior spinal fusion with a 2-level apical vertebrectomy. Spine J, 2009, 9(7): e9-e13.
29.	Xie J, Wang Y, Zhao Z, et al. One-stage and posterior approach for correction of moderate to severe scoliosis in adolescents associated with Chiari I malformation: is a prior suboccipital decompression always necessary? Eur spine J, 2011, 20(7): 1106-1113.
30.	郭海龙, 郑新峰, 盛伟斌, 等. 后路楔形截骨治疗僵硬性脊柱侧弯．中国修复重建外科杂志, 2010, 24(7): 885-888．.
31.	李超, 周宇, 付青松, 等. 经后路胸膜外松解脊椎楔形截骨治疗重度特发性脊柱侧凸. 中国脊柱脊髓杂志, 2009, 19(3): 182-187．.
32.	李超, 付青松, 周宇, 等. 一期胸腰椎两处截骨治疗重度先天性脊柱侧凸并脊髓拴系综合征. 中国脊柱脊髓杂志, 2010, 20(12): 1003-1007.
33.	Bakaloudis G, Lolli F, Di MS, et al. Thoracic pedicle subtraction osteotomy in the treatment of severe pediatric deformities. Eur Spine J, 2011, 20(Suppl 1): S95-104.
34.	Cho KJ, Bridwell KH, Lenke LG, et al. Comparison of smith-petersen versus pedicle subtraction osteotomy for the correction of fixed sagittal imbalance. Spine (Phila Pa 1976), 2005, 30(18): 2030-2037.
35.	Bridwell KH. Decision making regarding Smith-Petersen vs. pedicle subtraction osteotomy vs. vertebral column resection for spinal deformity. Spine (Phila Pa 1976), 2006, 31(19 Suppl): S171-S178.
36.	Sucato DJ. Management of severe spinal deformity: scoliosis and kyphosis. Spine (Phila Pa 1976), 2010, 35(25): 2186-2192.
37.	Diab MG, Franzone JM, Vitale MG. The role of posterior spinal osteotomies in pediatric spinal deformity surgery: indications and operative technique. J Pediatr Orthop, 2011, 31(1 Suppl): S88-S98.
38.	Suh SW, Modi HN, Yang J, et al. Posterior multilevel vertebral osteotomy for correction of severe and rigid neuromuscular scoliosis: a preliminary study. Spine (Phila Pa 1976), 2009, 34(12): 1315-1320.
39.	Modi HN, Suh SW, Hong JY, et al. Posterior multilevel vertebral osteotomy for severe and rigid idiopathic and nonidiopathic kyphoscoliosis: a further experience with minimum two-year follow-up. Spine (Phila Pa 1976), 2011, 36(14): 1146-1153.
40.	Wang Y, Mao K, Xiao S, et al. Clinical application of computer-designed polystyrene models in complex severe spinal deformities: a pilot study. Eur Spine J, 2010, 19(5): 797-802.
41.	Wu Z, Huang L, Sang H, et al. Accuracy and safety assessment of pedicle screw placement using the rapid prototyping technique in severe congenital scoliosis, 2010.
42.	Yang JC, Ma XY, Lin J, et al. Personalised modified osteotomy using computer-aided design-rapid prototyping to correct thoracic deformities. Int Orthop, 2011, 35(12): 1827-1832.
43.	Shen J, Qiu G, Wang Y, et al. Comparison of 1-stage versus 2-stage anterior and posterior spinal fusion for severe and rigid idiopathic scoliosis—a randomized prospective study. Spine (Phila Pa 1976), 2006, 31(22): 2525-2528.
44.	Li M, Ni J, Li Y, et al. Single-staged anterior and posterior spinal fusion: a safe and effective alternative for severe and rigid adolescent idiopathic scoliosis in china. J Paediatr Child Health, 2009, 45(5): 246-253.
45.	Sucato DJ, Erken YH, Davis S, et al. Prone thoracoscopic release does not adversely affect pulmonary function when added to a posterior spinal fusion for severe spine deformity. Spine (Phila Pa 1976), 2009, 34(8): 771-778.
46.	Mirzanli C, Ozturk C, Karatoprak O, et al. Double-segment total vertebrectomy for the surgical treatment of congenital kyphoscoliosis: a case report. Spine J, 2008, 8(4): 683-686.
47.	Lonner BS, Murthy SK, Boachie OA. Single-staged double anterior and posterior spinal reconstruction for rigid adult spinal deformity: a report of four cases. Spine J, 2005, 5(1): 104-108.
48.	张宏其, 鲁世金, 陈静, 等. 广泛后路松解三维矫形治疗重度特发性脊柱侧凸. 中国脊柱脊髓杂志, 2007, 17(4): 274-279.
49.	马华松, 周建伟, 邹德威, 等. 重度僵硬型脊柱侧凸的后路非全椎体截骨手术治疗. 中国矫形外科杂志, 2010, 18(16): 1323-1326．.
50.	马华松, 邹德威, 周建伟, 等. 重度脊柱侧后凸畸形的后路分期手术治疗. 中国脊柱脊髓杂志, 2009, 19(8): 588-592.

1. 李明, 刘洋, 朱晓东, 等. 一期前路松解后路三维矫形治疗重度僵硬性脊柱侧凸. 中华骨科杂志, 2004, 24(5): 271-275.
2. Greiner KA. Adolescent idiopathic scoliosis: radiologic decision-making. Am Fam Physician, 2002, 65(9): 1817-1822.
3. Yong Q, Zhen L, Feng Z, et al. Comparison of effectiveness of Halo-femoral traction after anterior spinal release in severe idiopathic and congenital scoliosis: a retrospective study. J Orthop Surg, 2007, 2: 23.
4. Dobbs MB, Lenke LG, Kim YJ, et al. Anterior/posterior spinal instrumentation versus posterior instrumentation alone for the treatment of adolescent idiopathic scoliotic curves more than 90 degrees. Spine (Phila Pa 1976), 2006, 31(20): 2386-2391.
5. Kuklo TR, Lenke LG, O’Brien MF, et al. Accuracy and efficacy of thoracic pedicle screws in curves more than 90 degrees. Spine (Phila Pa 1976), 2005, 30(2): 222-226.
6. Watanabe K, Lenke LG, Bridwell KH, et al. Efficacy of perioperative halo-gravity traction for treatment of severe scoliosis (>/=100 degrees). J Orthop Sci, 2010, 15: 720-730.
7. 朱锋, 邱勇, 王斌, 等. Halo轮椅悬吊重力牵引在严重脊柱侧后凸儿童术前的应用价值. 中国脊柱脊髓杂志, 2010, 20(7): 549-553.
8. Rinella A, Lenke L, Whitaker C, et al. Perioperative halo-gravity traction in the treatment of severe scoliosis and kyphosis. Spine (Phila Pa 1976), 2005, 30(4): 475-482.
9. Mehlman CT, Sayyad MJ, Crawford AH. Effectiveness of spinal release and halo-femoral traction in the management of severe spinal deformity. J Pediatr Orthop, 2004, 24(6): 667-673.
10. Sponseller PD, Takenaga RK, Newton P, et al. The use of traction in the treatment of severe spinal deformity. Spine (Phila Pa 1976), 2008, 33(21): 2305-2309.
11. Hamzaoglu A, Ozturk C, Aydogan M, et al. Posterior only pedicle screw instrumentation with intraoperative halo-femoral traction in the surgical treatment of severe scoliosis. (>100 degrees). Spine (Phila Pa 1976), 2008, 33(9): 979-983.
12. Zhang HQ, Wang YX, Guo CF, et al. Posterior-only surgery with strong halo-femoral traction for the treatment of adolescent idiopathic scoliotic curves more than 100°. Int Orthop, 2011, 35(7): 1037-1042.
13. 张宏其, 王永福, 唐明星, 等. 牵引结合后路手术治疗重度脊柱侧凸的疗效分析. 中国矫形外科杂志, 2009, 17(21): 1617-1620.
14. Suk SI, Kim JH, Cho KJ, et al. Is anterior release necessary in severe scoliosis treated by posterior segmental pedicle screw fixation? Eur Spine J, 2007, 16(9): 1359-1365.
15. Luhmann SJ, Lenke LG, Kim YJ, et al. Financial analysis of circumferential fusion versus posterior-only with thoracic pedicle screw constructs for main thoracic idiopathic curves between 70 degrees and 100 degrees. J Child Orthop, 2008, 2(2): 105-112.
16. 贾全章, 孙景海, 侯明晓, 等. 凹侧双棒全椎弓根螺钉技术对提高重度僵硬性特发性脊柱侧凸矫治效果的作用. 解放军医学杂志, 2009, 34(6): 683-685.
17. Modi HN, Suh SW, Hong JY, et al. Accuracy of thoracic pedicle screw using ideal pedicle entry point in severe scoliosis. Clin Orthop Relat Res, 2010, 468(7): 1830-1837.
18. 王冰, 吕国华, 陈瑞松, 等. 重度特发性脊柱侧凸胸椎椎弓根螺钉徒手置入精确性的CT评价. 中南大学学报: 医学版, 2009, 34(3): 226-229.
19. Wang Y, Zheng G, Zhang X, et al. Comparative analysis between shape memory alloy-based correction and traditional correction technique in pedicle screws constructs for treating severe scoliosis. Eur Spine J, 2010, 19(3): 394-399.
20. Rosales LM, Miramontes V, Reyes AS. External fixation for dynamic correction of severe scoliosis. Spine J, 2005, 5(4): 418-426.
21. Bullmann V, Halm HF, Schulte T, et al. Combined anterior and posterior instrumentation in severe and rigid idiopathic scoliosis. Eur Spine J, 2006, 15(4): 440-448.
22. Suk SI, Kim JH, Chung ER, et al. Posterior vertebral column resection for severe rigid scoliosis. Spine (Phila Pa 1976), 2005, 30(14): 1682-1687.
23. Lenke LG, O’leary PT, Bridwell KH, et al. Posterior vertebral column resection for severe pediatric deformity: minimum two-year follow-up of thirty-five consecutive patients. Spine (Phila Pa 1976), 2009, 34(20): 2213-2221.
24. Lenke LG, Sides BA, Koester LA, et al. Vertebral column resection for the treatment of severe spinal deformity. Clin Orthop Relat Res, 2010, 468(3): 687-699.
25. Hamzaoglu A, Alanay A, Ozturk C, et al. Posterior vertebral column resection in severe spinal deformities: a total of 102 cases. Spine (Phila Pa 1976), 2011, 36(5): E340-E344.
26. Matsumoto M, Watanabe K, Tsuji T, et al. Progressive kyphoscoliosis associated with tethered cord treated by posterior vertebral column resection: a case report. Spine (Phila Pa 1976), 2009, 34(26): E965-E968.
27. Smith JS, Wang VY, Ames CP. Vertebral column resection for rigid spinal deformity. Neurosurgery, 2008, 63(3 Suppl): 177-182.
28. Nepple JJ, Lenke LG. Severe idiopathic scoliosis with respiratory insufficiency treated with preoperative traction and staged anteroposterior spinal fusion with a 2-level apical vertebrectomy. Spine J, 2009, 9(7): e9-e13.
29. Xie J, Wang Y, Zhao Z, et al. One-stage and posterior approach for correction of moderate to severe scoliosis in adolescents associated with Chiari I malformation: is a prior suboccipital decompression always necessary? Eur spine J, 2011, 20(7): 1106-1113.
30. 郭海龙, 郑新峰, 盛伟斌, 等. 后路楔形截骨治疗僵硬性脊柱侧弯．中国修复重建外科杂志, 2010, 24(7): 885-888．.
31. 李超, 周宇, 付青松, 等. 经后路胸膜外松解脊椎楔形截骨治疗重度特发性脊柱侧凸. 中国脊柱脊髓杂志, 2009, 19(3): 182-187．.
32. 李超, 付青松, 周宇, 等. 一期胸腰椎两处截骨治疗重度先天性脊柱侧凸并脊髓拴系综合征. 中国脊柱脊髓杂志, 2010, 20(12): 1003-1007.
33. Bakaloudis G, Lolli F, Di MS, et al. Thoracic pedicle subtraction osteotomy in the treatment of severe pediatric deformities. Eur Spine J, 2011, 20(Suppl 1): S95-104.
34. Cho KJ, Bridwell KH, Lenke LG, et al. Comparison of smith-petersen versus pedicle subtraction osteotomy for the correction of fixed sagittal imbalance. Spine (Phila Pa 1976), 2005, 30(18): 2030-2037.
35. Bridwell KH. Decision making regarding Smith-Petersen vs. pedicle subtraction osteotomy vs. vertebral column resection for spinal deformity. Spine (Phila Pa 1976), 2006, 31(19 Suppl): S171-S178.
36. Sucato DJ. Management of severe spinal deformity: scoliosis and kyphosis. Spine (Phila Pa 1976), 2010, 35(25): 2186-2192.
37. Diab MG, Franzone JM, Vitale MG. The role of posterior spinal osteotomies in pediatric spinal deformity surgery: indications and operative technique. J Pediatr Orthop, 2011, 31(1 Suppl): S88-S98.
38. Suh SW, Modi HN, Yang J, et al. Posterior multilevel vertebral osteotomy for correction of severe and rigid neuromuscular scoliosis: a preliminary study. Spine (Phila Pa 1976), 2009, 34(12): 1315-1320.
39. Modi HN, Suh SW, Hong JY, et al. Posterior multilevel vertebral osteotomy for severe and rigid idiopathic and nonidiopathic kyphoscoliosis: a further experience with minimum two-year follow-up. Spine (Phila Pa 1976), 2011, 36(14): 1146-1153.
40. Wang Y, Mao K, Xiao S, et al. Clinical application of computer-designed polystyrene models in complex severe spinal deformities: a pilot study. Eur Spine J, 2010, 19(5): 797-802.
41. Wu Z, Huang L, Sang H, et al. Accuracy and safety assessment of pedicle screw placement using the rapid prototyping technique in severe congenital scoliosis, 2010.
42. Yang JC, Ma XY, Lin J, et al. Personalised modified osteotomy using computer-aided design-rapid prototyping to correct thoracic deformities. Int Orthop, 2011, 35(12): 1827-1832.
43. Shen J, Qiu G, Wang Y, et al. Comparison of 1-stage versus 2-stage anterior and posterior spinal fusion for severe and rigid idiopathic scoliosis—a randomized prospective study. Spine (Phila Pa 1976), 2006, 31(22): 2525-2528.
44. Li M, Ni J, Li Y, et al. Single-staged anterior and posterior spinal fusion: a safe and effective alternative for severe and rigid adolescent idiopathic scoliosis in china. J Paediatr Child Health, 2009, 45(5): 246-253.
45. Sucato DJ, Erken YH, Davis S, et al. Prone thoracoscopic release does not adversely affect pulmonary function when added to a posterior spinal fusion for severe spine deformity. Spine (Phila Pa 1976), 2009, 34(8): 771-778.
46. Mirzanli C, Ozturk C, Karatoprak O, et al. Double-segment total vertebrectomy for the surgical treatment of congenital kyphoscoliosis: a case report. Spine J, 2008, 8(4): 683-686.
47. Lonner BS, Murthy SK, Boachie OA. Single-staged double anterior and posterior spinal reconstruction for rigid adult spinal deformity: a report of four cases. Spine J, 2005, 5(1): 104-108.
48. 张宏其, 鲁世金, 陈静, 等. 广泛后路松解三维矫形治疗重度特发性脊柱侧凸. 中国脊柱脊髓杂志, 2007, 17(4): 274-279.
49. 马华松, 周建伟, 邹德威, 等. 重度僵硬型脊柱侧凸的后路非全椎体截骨手术治疗. 中国矫形外科杂志, 2010, 18(16): 1323-1326．.
50. 马华松, 邹德威, 周建伟, 等. 重度脊柱侧后凸畸形的后路分期手术治疗. 中国脊柱脊髓杂志, 2009, 19(8): 588-592.

Chinese Journal of Reparative and Reconstructive Surgery

CURRENT DEVELOPMENT OF CORRECTION OF SEVERE AND RIGID SCOLIOSIS

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