Ventral derotation spondylodesis: a review of 22 cases

Twenty-two patients with major lumbar or thoracolumbar curves were treated with Zielke's modification of the Dwyer instrumentation, termed the "ventral derotation spondylodesis (VDS) system. In 16 patients, this was followed by planned second-stage posterior Harrington instrumentation and...

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Bibliographic Details
Published in:Spine (Philadelphia, Pa. 1976) Pa. 1976), 1986, Vol.11 (1), p.18-22
Main Authors: OGIELA, D. M, CHAN, D. P. K
Format: Article
Language:English
Subjects:
Adolescent
Adult
Biological and medical sciences
Diseases of the osteoarticular system
Diseases of the spine
Female
Humans
Male
Medical sciences
Middle Aged
Orthopedic Fixation Devices
Postoperative Care
Postoperative Complications
Scoliosis - surgery
Spinal Fusion
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Summary:Twenty-two patients with major lumbar or thoracolumbar curves were treated with Zielke's modification of the Dwyer instrumentation, termed the "ventral derotation spondylodesis (VDS) system. In 16 patients, this was followed by planned second-stage posterior Harrington instrumentation and fusion. Six patients with adolescent idiopathic scoliosis were treated with VDS instrumentation and fusion alone. In neuromuscular and adult idiopathic scoliosis, a combined approach resulted in excellent curve correction and a high rate of successful fusion. In adolescent idiopathic scoliosis, VDS instrumentation alone resulted in excellent curve correction while permitting a shorter fusion length than conventional posterior Harrington instrumentation.
ISSN:0362-2436
1528-1159
DOI:10.1097/00007632-198601000-00005