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Revista de la Asociación Argentina de Ortopedia y Traumatología
On-line version ISSN 1852-7434
Abstract
TELLECHEA, Mauricio et al. Control radiologico en la cirugia de la escoliosis idiopatica del adolescente: Evaluacion del seguimiento posoperatorio. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2016, vol.81, n.1, pp.14-19. ISSN 1852-7434.
Introduction: In our center, clinical and radiological controls are a common practice in the first year after surgery for adolescent idiopathic scoliosis, usually they are performed at the immediate post-surgery period, and at 3, 6, 9 and 12 months. The negative impact of these radiations on the human body is a well-known consequence and there are not clear clinical guides about what would be the optimal radiological monitoring approach. Methods: Fifty-five patients with pedicles screws and no symptoms or loss of clinical correction were retrospectively evaluated. Radiological findings in the first year post-surgery were assessed, as well as the intercurrent processes and their impact on the therapeutic behavior. Results: Mean age: 15.1; mean Risser: 3.7 (range 0-5); percentage of instrumented pedicles: 81.7%; mean correction in the principal curve: 74%; mean X-rays 3.7 ± 0.93 (each X-ray consists of a front and a side face). Clinical behavior was not modified based on the radiological findings in any patient. Conclusion: In patients with adolescent idiopathic scoliosis who underwent surgery with pedicle screws and without symptoms of radiculopathy, persistent pain or loss of clinical correction, the X-ray controls could be reduced to three in the first year after surgery.
Keywords : Adolescent idiopathic scoliosis; Radiological control.