Early onset scoliosis is challenging cases in management .different techniques used to correct the deformity ranging between fusionlees and fusion surgery. Fusionless surgery permits developments of vertebral column and lung to avoid thoracic insufficiency syndrome. Fusion surgeries for complicated and high curves .New fusionless technique that I will use in my research is to modulate and guide the growth of the Apex of deformity through tethering the convex side and modulate the concave side and follow up the patients to see the results on their radiological and clinical parameters.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
15
Tethering the convex side of Apex and modulation of the concave side .proximal and distal anchoring screws. Dominos between rods to slide and permits the growth of the vertebral column
Al-Azhar University Hospital, Assiut
Asyut, Asyut Governorate, Egypt
RECRUITINGChange in major coronal Cobb angle
Radiographic correction of the primary scoliotic curve measured as the change in the major coronal Cobb angle (degrees) on standing posteroanterior whole-spine radiographs
Time frame: Baseline to 12 months after Active Apex Correction (APC) surgery
Change in thoracic spinal growth
Change in T1-T12 spinal height (mm) measured on standing whole-spine radiographs.
Time frame: Baseline to 12 months
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