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Subject Area

Neurosurgery

Article Type

Original Study

Abstract

Objective This study involved an assessment of surgical outcome of cosmetic parameters of adolescent idiopathic scoliosis and time of surgery and blood loss and possible complications. Background Idiopathic scoliosis is the most common type and accounts for 80% of scoliosis cases. The posterior-only approach is less invasive than combined approaches with comparable outcomes. Patients and methods A retrospective case series study was carried out on 32 consecutive patients with adolescent idiopathic scoliosis in Menoufia University and Alexandria University. All patients had adolescent idiopathic scoliosis and underwent posterior approach surgery. The patients were assessed radiologically and clinically and followed up for 1 year for the cosmetic parameters and the degree of correction and the duration of surgery and complications. Results The preoperative curve magnitude was 96.75° Cobb angle. Flexibility index was 16%. The correction rate was 69%, and the loss of correction percentage was 1% on follow-up. The mean operating time in the study was 318.75 min. The Complications reported in the present study were permanent paraplegia neurological complications 6.3%), superficial infection (infection 6.3%), cosmetic complications (six shoulder imbalance, two coronal imbalance with proximal junctional kyphosis) (cosmetic complications 25.0%), and (respiratory complications 6.3%). Conclusion This study of the posterior approach has comparable outcome with other studies of the posterior-only approach and combined approaches.

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