Z Orthop Unfall
DOI: 10.1055/a-0983-1265
Review/Übersicht
Georg Thieme Verlag KG Stuttgart · New York

Dynamic Scoliosis Correction as Alternative Treatment for Patients with Adolescent Idiopathic Scoliosis: a Non-Fusion Surgical Technique

Article in several languages: English | deutsch
Per David Trobisch
1  Department of Spinal Surgery, Eifelklinik St. Brigida, Simmerath
,
Philipp Kobbe
2  Department of Trauma Surgery, University Hospital RWTH Aachen
,
Alice Baroncini
1  Department of Spinal Surgery, Eifelklinik St. Brigida, Simmerath
› Author Affiliations
Further Information

Publication History

Publication Date:
18 September 2019 (eFirst)

Abstract

Anterior dynamic scoliosis correction is an innovative non-fusion option in the treatment of patients with severe adolescent scoliosis. Growth modulation and sometimes intraoperative curve correction is achieved by convex insertion of segmental screws and a flexible polyethylene cord. The present review analyses and discusses the current literature and proposes a new treatment algorithm that is based on our own experience. Short term results are published for approximately 100 patients from different institutions. Fusion could be prevented in the vast majority of patients. Perioperative complication rate is very low but a few cases of cord rupture and overcorrection are reported. Anterior dynamic scoliosis correction has promising short term results but there is a paucity of literature and optimal criteria for the best candidate has yet to be defined.