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Tuesday, August 27, 2019

C-Arm Free Technique for Anterior Correction of Adolescent Idiopathic Scoliosis: A Technical Note: Crimson Publishers


C-Arm Free Technique for Anterior Correction of Adolescent Idiopathic Scoliosis: A Technical Note by Tanaka M* in Researches in Arthritis & Bone Study Crimson Publishers: Journal of Bone Disease



Adolescent idiopathic scoliosis (AIS) is the most common type of spinal deformity [1]. Scoliosis is defined as a lateral curvature of spinal column greater than 10 degrees and it associate with rotation [2]. Treatment of AIS is aimed at achieving a solid fusion and a balanced spine following correction of the deformity. Thoracolumbar curve or lumbar curves are among the most commonly observed AIS patients [3]. Anterior spinal instrumentation and fusion has been the treatment of choice for this curve. The anterior approach allows best control of the coronal and axial deformity with a smaller incision [4]. Many authors reported excellent results of anterior correction and fusion for AIS [5,6]. For this technique the C-arm is necessary to check the screw length and direction. This causes long OR time and radiation exposure to all operating room staff. However, there is no reports which indicated utility of navigation and O arm for anterior correction for AIS safely. So, the authors hereby report a technique of Navigation +O arm -assisted anterior correction for lumbar scoliosis thus avoiding C-arm fluoroscopy in a lateral decubitus position


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