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Research ArticleNew Technology

Preservation of Spine Motion in the Surgical Treatment of Adolescent Idiopathic Scoliosis Using an Innovative Apical Fusion Technique: A 2-Year Follow-Up Pilot Study

POORIA HOSSEINI, ALLEN CARL, MICHAEL GREVITT, COLIN NNADI, MARTIN REPKO, DENNIS G. CRANDALL, UFUK AYDINLI, ĽUBOŠ REHÁK, MARTIN ZABKA, STEVEN SEME and BEHROOZ A. AKBARNIA
International Journal of Spine Surgery August 2018, 12 (4) 441-452; DOI: https://doi.org/10.14444/5053
POORIA HOSSEINI
1San Diego Spine Foundation, San Diego, California
MD
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ALLEN CARL
2Albany Medical Center, Albany, New York
MD
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MICHAEL GREVITT
3Nottingham University Queens Medical Centre, Nottingham, UK
MD
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COLIN NNADI
4Nuffield Orthopaedic Centre, Oxford University Hospital, Headington, Oxford, UK
MD
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MARTIN REPKO
5University Hospital Brno, Orthopaedic Department Faculty, Brno, Czech Republic
MD
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DENNIS G. CRANDALL
6Sonoran Spine Center, Tempe, Arizona
MD
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UFUK AYDINLI
7Medicabil Hospital, Nilufer, Bursa, Turkey
MD
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ĽUBOŠ REHÁK
8Comenius University, Bratislava, Slovakia
MD, PhD
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MARTIN ZABKA
9Department of Orthopaedics and Traumatology, University Hospital Bratislava, Ruzinovska, Bratislava, Slovakia
MD
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STEVEN SEME
10Seme Device Consulting, Savage, Minnesota
MS
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BEHROOZ A. AKBARNIA
1San Diego Spine Foundation, San Diego, California
MD
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    Figure 1

    Depiction of 3-window surgical technique.

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    Figure 2

    Mobile Heim anchors utilized at upper instrumented vertebra and lowest instrumented vertebra allow relative motion of the rod (eg, bending, flexion-extension, axial slide).

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    Figure 3

    (a) Depiction of the deformity correction forces applied through L-shaped member. (b–e) Photographs showing axial correction during tightening of L-shaped member, done at initial surgery.

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    Figure 4

    Radiograph image of typical postcorrection construct.

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    Figure 5

    Standing AP radiographs. (a) preoperative, (b) postoperative, (c) 3 months postoperative, (d) 6 months postoperative, (e) 12 months postoperative, (f) 24 months postoperative, (g) 4 months postremoval, (h) 10 months postremoval.

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International Journal of Spine Surgery
Vol. 12, Issue 4
1 Aug 2018
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Preservation of Spine Motion in the Surgical Treatment of Adolescent Idiopathic Scoliosis Using an Innovative Apical Fusion Technique: A 2-Year Follow-Up Pilot Study
POORIA HOSSEINI, ALLEN CARL, MICHAEL GREVITT, COLIN NNADI, MARTIN REPKO, DENNIS G. CRANDALL, UFUK AYDINLI, ĽUBOŠ REHÁK, MARTIN ZABKA, STEVEN SEME, BEHROOZ A. AKBARNIA
International Journal of Spine Surgery Aug 2018, 12 (4) 441-452; DOI: 10.14444/5053

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Preservation of Spine Motion in the Surgical Treatment of Adolescent Idiopathic Scoliosis Using an Innovative Apical Fusion Technique: A 2-Year Follow-Up Pilot Study
POORIA HOSSEINI, ALLEN CARL, MICHAEL GREVITT, COLIN NNADI, MARTIN REPKO, DENNIS G. CRANDALL, UFUK AYDINLI, ĽUBOŠ REHÁK, MARTIN ZABKA, STEVEN SEME, BEHROOZ A. AKBARNIA
International Journal of Spine Surgery Aug 2018, 12 (4) 441-452; DOI: 10.14444/5053
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Keywords

  • adolescent idiopathic scoliosis
  • short apical fusion
  • motion preservation

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