EVALUATION OF ADOLESCENTS WITH IDIOPATHIC SCOLIOSIS TREATED WITH POSTERIOR SPINAL FUSION

Abstract

Objective: In this investigation, we sought to assess the surgical and radiological results of patients with adolescent idiopathic scoliosis (AIS) who attended our clinic and underwent treatment. Materials and Methods: Twenty-eight individuals with AIS with adequate follow-up and documentation who underwent posterior instrumentation and fusion surgery between 2011 and 2022 were retrospectively evaluated. Analysis of the clinical and radiological outcomes from the preoperative period, immediate postoperative period, and final examination were noted. Participants completed the Scoliosis Research Society (SRS)-22 questionnaire during the most recent follow-up. Results: A total of 78.6% of patients were female and 21.4% were male. The average follow-up was 28.79±16.098 months, and the mean age was 14.79±1.969 years. Lenke classification was as follows: 57.1%, Type I; 3.6%, Type II; 3.6%, Type III; 25%, Type V; and 10.7%, Type VI. According to the Risser findings, 7.1% were in Stage 2, 14.3% in Stage 3, 57.1% in Stage 4, and 21.4% in Stage 5. The mean Cobb angle was 52.11° before surgery, 7.11° postoperatively, and 11.07° final postoperatively. The mean preoperative kyphosis angle was 29.21°, 27.25°, and 29.71°. The mean preoperative lumbar lordosis angle was 41.89°, postoperative 40.07°, and final 41.68°. The Cobb angle changed significantly (p<0.05). The preoperative and postoperative SRS-22 questionnaire ratings differed (p<0.05). Conclusion: Early diagnosis and treatment are crucial for scoliosis. Posterior instrumentation and fusion are appropriate treatment options. To assess the complication rates and outcomes more fully, additional studies with larger sample sizes and control groups are required.