Abstract: The use of temporary distraction rod technique for correction of severe thoracolumbar scoliosis is gaining popularity. It is a good alternative to Halo traction as it is directly applied to the spine, giving more correction force when compared to Halo traction. It also obviates the need for anterior release.
Temporary distraction rod technique is indicated in severe thoracolumbar deformities, including severe pelvic obliquity.
Once the patient gets to the operating room, assembly of the neuromonitoring pads and hooks for Somato-Sensory Evoked Potential (SSEP) and Motor Evoked Potential (MEP) is done. Cefuroxime and Vancomycin are used as antibiotic prophylaxis to cover staph-aurous, staph-epidermedis as well as gram-negative bacteria. Tranexemic acid is used for bleeding prophylaxis. Infusion starts with anesthesia induction with 100 mg/kg as a loading dose, followed by 10 mg/kg/hour for maintenance during surgery (3).
Case: 1 18 years female with adolescent idiopathic scoliosis (AIS) Lenke type 4 (4). Cobb’s angle of the main thoracic curve measures 120 degrees. MRI was negative.
Case: 2 17 years female with adolescent idiopathic scoliosis (AIS), Lenke type 4. Cobb’s angle of the main thoracic curve measures 140 degrees. MRI was negative.
Keywords: Staged Posterior Correction, Somato-Sensory Evoked Potential (SSEP), Motor Evoked Potential (MEP).
Title: Case series: Staged Posterior Correction for Severe Thoracolumbar Scoliosis Using Temporary Distraction Rod Technique
Author: Fahad Al Mulhim
International Journal of Healthcare Sciences
ISSN 2348-5728 (Online)
Research Publish Journals
