Cases of Early Onset Scoliosis
Conditions
Brief summary
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.
Interventions
PROCEDUREActive Apex correction of scoliotic deformity
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
Sponsors
Al-Azhar University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
1 Years to 10 Years
Healthy volunteers
Yes
Inclusion criteria
* patients with early-onset scoliosis below 10 years * patients not operated on before.
Exclusion criteria
* Patients above 10 years. * Patients operated on before
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in major coronal Cobb angle | Baseline to 12 months after Active Apex Correction (APC) surgery | Radiographic correction of the primary scoliotic curve measured as the change in the major coronal Cobb angle (degrees) on standing posteroanterior whole-spine radiographs |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in thoracic spinal growth | Baseline to 12 months | Change in T1-T12 spinal height (mm) measured on standing whole-spine radiographs. |
Countries
Egypt
Contacts
CONTACTmahmoud gaber
Outcome results
None listed