caa a22 4500 445832819 CHVBK 20180317145321.0 cr unu---uuuuu 170323e20111001xx s 000 0 eng 10.1007/s00586-011-1861-z doi (NATIONALLICENCE)springer-10.1007/s00586-011-1861-z Anterior and posterior vertebral column resection for severe and rigid idiopathic scoliosis [Elektronische Daten] [Chunguang Zhou, Limin Liu, Yueming Song, Hao Liu, Tao Li, Quan Gong, Jiancheng Zeng, Qingquan Kong] A total of 16 patients with severe and rigid idiopathic scoliosis treated by anterior and posterior vertebral column resection (APVCR) were retrospectively reviewed after a minimum follow-up of 2years. The indication for APVCR was scoliosis more than 90° with flexibility less than 20%. The radiographic parameters were evaluated, and clinical records were reviewed. All patients underwent APVCR with posterior pedicle screw instrumentation in a two-stage surgery. The rib hump was reduced from 7.2cm preoperatively to 1.8cm at final follow-up (75% correction). Preoperative curves ranged from 93° to 110° Cobb angle. Coronal plane correction of the major curve averaged 67% with an average loss of correction of 1.4%. The apical vertebral translation of the major curve was corrected by 63.5%. The preoperative coronal imbalance of 0.9cm (range 0-2.4) was improved to 0.8cm (range 0.1-1.7) at the most recent follow-up. The preoperative sagittal imbalance of 1.0cm (range −3.1 to 4.6) was improved to 0.9cm (range −2.6 to 3.0) at the most recent follow-up. Complications were encountered in four patients. One patient required ventilator support for 12h after anterior surgery. Malposition of one pedicle screw was found in one patient. Malposition of titanium mesh cage happened to two patients. There were no neurological complications, deep wound infections or pseudarthrosis. APVCR is an effective alternative for severe and rigid idiopathic scoliosis. Springer-Verlag, 2011 Idiopathic scoliosis nationallicence Anterior fusion nationallicence Posterior fusion nationallicence Vertebral column resection nationallicence Posterior instrumentation nationallicence Zhou Chunguang Department of Orthopedics, West China Hospital of Sichuan University, 610041, Chengdu, Sichuan, People's Republic of China aut Liu Limin Department of Orthopedics, West China Hospital of Sichuan University, 610041, Chengdu, Sichuan, People's Republic of China aut Song Yueming Department of Orthopedics, West China Hospital of Sichuan University, 610041, Chengdu, Sichuan, People's Republic of China aut Liu Hao Department of Orthopedics, West China Hospital of Sichuan University, 610041, Chengdu, Sichuan, People's Republic of China aut Li Tao Department of Orthopedics, West China Hospital of Sichuan University, 610041, Chengdu, Sichuan, People's Republic of China aut Gong Quan Department of Orthopedics, West China Hospital of Sichuan University, 610041, Chengdu, Sichuan, People's Republic of China aut Zeng Jiancheng Department of Orthopedics, West China Hospital of Sichuan University, 610041, Chengdu, Sichuan, People's Republic of China aut Kong Qingquan Department of Orthopedics, West China Hospital of Sichuan University, 610041, Chengdu, Sichuan, People's Republic of China aut European Spine Journal Springer-Verlag 20/10(2011-10-01), 1728-1734 0940-6719 20:10<1728 2011 20 586 https://doi.org/10.1007/s00586-011-1861-z text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00586-011-1861-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Zhou Chunguang Department of Orthopedics, West China Hospital of Sichuan University, 610041, Chengdu, Sichuan, People's Republic of China aut NATIONALLICENCE 700 1- Liu Limin Department of Orthopedics, West China Hospital of Sichuan University, 610041, Chengdu, Sichuan, People's Republic of China aut NATIONALLICENCE 700 1- Song Yueming Department of Orthopedics, West China Hospital of Sichuan University, 610041, Chengdu, Sichuan, People's Republic of China aut NATIONALLICENCE 700 1- Liu Hao Department of Orthopedics, West China Hospital of Sichuan University, 610041, Chengdu, Sichuan, People's Republic of China aut NATIONALLICENCE 700 1- Li Tao Department of Orthopedics, West China Hospital of Sichuan University, 610041, Chengdu, Sichuan, People's Republic of China aut NATIONALLICENCE 700 1- Gong Quan Department of Orthopedics, West China Hospital of Sichuan University, 610041, Chengdu, Sichuan, People's Republic of China aut NATIONALLICENCE 700 1- Zeng Jiancheng Department of Orthopedics, West China Hospital of Sichuan University, 610041, Chengdu, Sichuan, People's Republic of China aut NATIONALLICENCE 700 1- Kong Qingquan Department of Orthopedics, West China Hospital of Sichuan University, 610041, Chengdu, Sichuan, People's Republic of China aut NATIONALLICENCE 773 0- European Spine Journal Springer-Verlag 20/10(2011-10-01), 1728-1734 0940-6719 20:10<1728 2011 20 586 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer