Application of TSRH in idiopathic scoliosis / 中国矫形外科杂志

ABSTRACT

[Objective]To review the therapeutic effect of TSRH in correction of coronal plane,sagittal plane and horizontal plane malformation of the idiopathic scoliosis,and to evaluate the result of screw-rod and screw-crook-rod system.[Method]A total of 79 idiopathic scoliosis patients who were corrected with TSRH were analyzed.There were 48 males and 31 females with an average age of 15.5 years.Only pedicle screws system was used in 56 cases,pedicle crook or vertebral plate crook in thoracic vertebra,pedicle screws system in lumbar vertebrae were used in 23 cases,then the results of two groups were compared.[Result]Cobb's angel in coronal plane was corrected from 18 to 31 after operation,the correction rate was from 56 percent to 87 percent,with an average of 68 percent;while Cobb's angel in sagittal plane was corrected from 21 to 33 after operation,with an average of 25.Rotation was corrected by I degree,heights were increased by 3 cm in average.The mean followed-up duration of 63 cases was two years and a half year.There was significant difference between the two groups in correction rate in coronal plane and sagittal plane,also in loss of correction in coronal plane.[Conclusion]TSRH could make satisfying results in correction of idiopathic scoliosis,and the result would be better if pedicle screws system is used.