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Orthopaedic Proceedings
Vol. 103-B, Issue SUPP_11 | Pages 21 - 21
1 Sep 2021
Shah P Rajesh M Sedra F Aftab S Nadarajah R Montgomery A Ranganathan A
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Introduction

Traditionally correction of idiopathic paediatric scoliosis is done by hybrid fixation. This involves a judicious combination of mono-axial and poly-axial screw constructs. This has inherent perceived advantages with better deformity correction and maintaining alignment without loss of correction over time.

Study design

Single centre retrospective review of prospective collected data on the radiological analysis of idiopathic paediatric scoliosis corrections. The study compared hybrid screw constructs (poly-axial & mono-axial) to all poly-axial screw constructs over 28 months.


Orthopaedic Proceedings
Vol. 96-B, Issue SUPP_6 | Pages 27 - 27
1 Apr 2014
Eseonu K Hunt R Athanassacopoulos M Leong J Lam K Lucas J Ember T Tucker S Nadarajah R
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Aims:

Identifying and scoring risk factors that predict early wound dehiscence and progression to metalwork infection. Results of wound healing, eradication of infection and union of with the use of vacuum dressing. Compare results of serial washouts against early vacuum dressing in this group of children with significant medical co-morbidities.

Method:

A retrospective review of 300 patients with neuromuscular scoliosis who underwent posterior instrumented correction and fusion between 2008 and 2012 at two institutions. 10 patients had an early wound dehiscence which progressed to deep seated infection requiring wound washout(s) and subsequent vacuum dressing. Medical notes, clinical photographs and imaging were reviewed. Minimum follow up period was 14 months.