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Abstract deformities has received great attention for many years, yet, despite extensive rnarch, they continued to present difficult problems to the affected patients and surgeons. iosis remains one of the most challenging spinal deformities in orthopaedic 1ictice. iopathic scoliosis is the commonest type of structural scoliosis ( 85 %), in which the 1olescent variety is the commonest subgroup. re is still a considerable debate over whether thoraco-lumbar ( lumbar ) curves ould be treated with posterior segmental instrumentation or with anterior segmental Linlentation. any authors considered anterior spinal fusion and instrumentation to be the treatment (26O2643O4-3 06.308,320,326.3 28)choice for thoraco-lumbar and lumbar curves. wever, the results of treatment are unpredictable and not always satisfactory. aim of this work is to evaluate the results of anterior spinal fusion and itrumentation in the treatment of thoraco-lumbar and lumbar scoliosis, in order to ne how far it could be an applicable. iccessful and safe technique in Trectiiig different patterns of scoliotic deformities. study was carried on 50 patients suffering from thoraco-lumbar or lumbar lescent idiopathic scoliosis and had undergone anterior spinal fusion and ion. Twenty five patients ( 50 % ) were studied in Canada, and the other nty five ( 50 % ) were studied in the UK. :e types of instrumentations were used in this study: interior Zielke instrumentation. It was used in 6 cases (12 %). Anterior Texas Scottish Rite Hospital ( anterior TSRH ) instrumentation. It was in 19 cases ( 38 % )Anterior Webb-Morley ( W-M ) instrumentation. It was used in 25 cases ( 50 %). |