Cotrel-Dubousset instrumentation : results in 52 patients

Fifty-two posterior spinal fusions were performed for pediatric idiopathic, congenital, and neuromuscular scoliotic curves. Cotrel-Dubousset instrumentation was used in all patients. Nine had prior anterior spinal releases and fusions. The patterns were mixed, with a predominance of right thoracic c...

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Bibliographic Details
Published in:Spine (Philadelphia, Pa. 1976) Pa. 1976), 1993-03, Vol.18 (4), p.427-431
Main Authors: GUIDERA, K. J, HOOTEN, J, WEATHERLY, W, HIGHHOUSE, M, CASTELLVI, A, OGDEN, J. A, PUGH, L, COOK, S
Format: Article
Language:English
Subjects:
Adolescent
Adult
Biological and medical sciences
Child
Diseases of the osteoarticular system
Diseases of the spine
Equipment Design
Equipment Failure
Female
Follow-Up Studies
Humans
Male
Medical sciences
Neuromuscular Diseases - complications
Orthopedic Fixation Devices - adverse effects
Radiography
Retrospective Studies
Scoliosis - congenital
Scoliosis - etiology
Scoliosis - surgery
Spine - diagnostic imaging
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Summary:Fifty-two posterior spinal fusions were performed for pediatric idiopathic, congenital, and neuromuscular scoliotic curves. Cotrel-Dubousset instrumentation was used in all patients. Nine had prior anterior spinal releases and fusions. The patterns were mixed, with a predominance of right thoracic curvatures. The average preoperative curve measured 60.6 degrees, with correction to 29. Seven patients required revision surgery, and 17 wore orthoses after operation. There were 17 complications in this group, including hook pullout, prominent hardware, infection, pseudarthrosis, and two cases of broken Cotrel-Dubousset instrumentation rods. Fatigue failure of this instrumentation, secondary to pseudarthrosis, has not been reported previously, and these two cases are presented in detail. The operative morbidity and difficulty were increased in the larger idiopathic curves and in neuromuscular and congenital scoliosis. Cotrel-Dubousset instrumentation is an overall excellent tool for the multiplanar correction of scoliosis and is amenable to revision surgery.
ISSN:0362-2436
1528-1159
DOI:10.1097/00007632-199318040-00003