Abstract
Background: To describe – Forced traction radiographs under GA for operative planning; The use of segmental orthogonal image-intensification for screw insertion in thoracic & lumbar pedicles; An audit of X-ray exposure during these procedures; The use of multiple Chevron osteotomies as an alternative to anterior release; The correction of scoliosis with convex cantilever, Cotrel-Debousset manoeuvre, segmental translation, segmental rotation,” lumbar-levelling”.
Methods: We present our operative technique in addressing deformity. This represents an eclectic evolution, which we feel is sufficiently dissimilar to current standards to merit presentation. Pedicle screws are inserted at multiple levels with no recourse to hook or wires. Five reduction techniques are used and repeated.
Results: The complications of 1500 thoracic pedicle screws; the predictive value of forced traction films under GA; the Fulcrum Bending Correction Index and operative parameters of our series are submitted separately.
Conclusion: We commend consideration of some or all of our techniques to the society.
The abstracts were prepared by Mr Colin E. Bruce. Correspondence should be addressed to Colin E. Bruce, Consultant Orthopaedic Surgeon, Alder Hey Children’s Hospital, Eaton Road, Liverpool, L12 2AP.
