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. 2020 Sep-Oct;11(5):830-838.
doi: 10.1016/j.jcot.2020.07.011. Epub 2020 Jul 22.

Minimal invasive surgery techniques for patients with adolescent idiopathic and early onset scoliosis

Alaaeldin Azmi Ahmad  1   2   3
Affiliations

Minimal invasive surgery techniques for patients with adolescent idiopathic and early onset scoliosis

Alaaeldin Azmi Ahmad. J Clin Orthop Trauma. 2020 Sep-Oct.

Erratum in

  • Erratum regarding previously published articles.
    [No authors listed] [No authors listed] J Clin Orthop Trauma. 2021 Aug 5;21:101558. doi: 10.1016/j.jcot.2021.101558. eCollection 2021 Oct. J Clin Orthop Trauma. 2021. PMID: 34414072 Free PMC article.

Abstract

Objective: Provide an update on minimal invasive surgery (MIS) techniques for surgical management of pediatric spine.

Methods: Minimal Invasive surgery for pediatric spine deformity has evolved significantly over the past decade. We include updated information about the surgical management of patients with adolescent idiopathic and Early Onset Scoliosis through MIS techniques. We take into consideration the implementation of this technique in Low-to-Middle Income Countries (LMICs).

Results: Although MIS began as a technique in adult and degenerative spine, recent publications on MIS in pediatric spine cases report benefits of decreased blood loss and infection incidence, and cosmetic advantages from fewer incision numbers. Adoption of MIS techniques in pediatric spine can be facilitated with pre- and intraoperative use of pertinent medical systems.

Conclusion: With appropriate considerations and training, MIS is a safe procedure for pediatric spine correction surgery and can be applicable in LMICs.

Keywords: Adolescent idiopathic scoliosis; Early onset scoliosis; Minimal invasive surgery.

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Figures

Fig. 1
Fig. 1
3 incisions were done for scoliosis correction.
Fig. 2a
Fig. 2a
Pre operative x rays of a 12 years old boy with Adolescent idiopathic scoliosis.
Fig. 2b
Fig. 2b
Post operative x ray with clear correction of the scoliosis correction of the deformity coronal and sagittal.
Fig. 3
Fig. 3
Pre and post operative with good correction and compensation with less invasive technique.
Fig. 4
Fig. 4
Mini thoracotomy for anterior instrumentation with Permission from Professor Azmi HamzaOglu.
Fig. 5
Fig. 5
Minimal incisions for anterior instrumentation in AISwith Permission from Professor Azmi HamzaOglu.
Fig. 6
Fig. 6
Putting screws in the same way as open technique with Permission from Professor Azmi HamzaOglu.
Fig. 7
Fig. 7
Efficiency of anterior tethering in Juvenile idiopathic scoliosis with Permission from Professor Azmi HamzaOglu.
Fig. 8
Fig. 8
With the difference in concept between the SHILLA and APC.
Fig. 9
Fig. 9
Years old female with early onset scoliosis increased despite brace treatment.
Fig. 10
Fig. 10
With correction of the deformity with APC technique with the arrows showing the percutaneous screws site in the Apex.
Fig. 11
Fig. 11
The use of tubular dilators during less invasive technique in AIS.
See this image and copyright information in PMC

References

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