Deformity correction surgery in adolescent idipathic scoliosis-our early experience

Introduction: Adolescent Idiopathic Scoliosis (AIS) is the most common spinal deformity among teenage girls. It is defined as three dimensional lateral curvature in coronal plane of more than 10 degrees. For those indicated, early surgical intervention allows better surgical correction due to flexib...

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Main Authors: Mor Japar Khan, Ed Simor Khan, Karupiah, Rajandra Kumar, Ahmad, Muhammad Wafiuddin, Roslan, Ahmad Faizal, Jasni, Muhammad Jasfizal, Zakaria@Mohamad, Zamzuri
Format: Article
Language:English
Published: Kulliyyah of Medicine, International Islamic University Malaysia 2018
Subjects:
Online Access:http://irep.iium.edu.my/64280/
http://irep.iium.edu.my/64280/1/Deformity%20Correction%20Surgery%20in%20Adolescent%20Idipathic%20Scoliosis-Our%20%282%29.pdf
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author Mor Japar Khan, Ed Simor Khan
Karupiah, Rajandra Kumar
Ahmad, Muhammad Wafiuddin
Roslan, Ahmad Faizal
Jasni, Muhammad Jasfizal
Zakaria@Mohamad, Zamzuri
author_facet Mor Japar Khan, Ed Simor Khan
Karupiah, Rajandra Kumar
Ahmad, Muhammad Wafiuddin
Roslan, Ahmad Faizal
Jasni, Muhammad Jasfizal
Zakaria@Mohamad, Zamzuri
author_sort Mor Japar Khan, Ed Simor Khan
building IIUM Repository
collection Online Access
description Introduction: Adolescent Idiopathic Scoliosis (AIS) is the most common spinal deformity among teenage girls. It is defined as three dimensional lateral curvature in coronal plane of more than 10 degrees. For those indicated, early surgical intervention allows better surgical correction due to flexibility of the spine during teenage years, hence good functional outcome and better cosmesis can be expected. Materials and Methods: We reported our early experience in managing five patients surgically using the Posterior Spinal Instrumentation and fusion. Pre-operatively patients were examined at IIUM Medical Centre spine clinic, all necessary investigations were carried out. Thorough explanation was done to patient and parents regarding procedure, risk and benefit. All patients were treated using same surgical technique. Neuromonitoring were used throughout the whole surgery until skin closure. All patients were hospitalised around one week. Post-operatively patients were follow-up at two weeks, six weeks, three months, and every six months thereafter. Result: It is important for clinicians to identify patients with AIS as early detection and timely treatment will change the natural history of curve progression. Conclusion: Surgical intervention when necessary will be easier and with less risk of complications when surgery was carried out during teenage years as the spine is more flexible and the deformity is less severe.
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spelling iium-642802019-01-15T07:31:25Z http://irep.iium.edu.my/64280/ Deformity correction surgery in adolescent idipathic scoliosis-our early experience Mor Japar Khan, Ed Simor Khan Karupiah, Rajandra Kumar Ahmad, Muhammad Wafiuddin Roslan, Ahmad Faizal Jasni, Muhammad Jasfizal Zakaria@Mohamad, Zamzuri RD701 Orthopedics Introduction: Adolescent Idiopathic Scoliosis (AIS) is the most common spinal deformity among teenage girls. It is defined as three dimensional lateral curvature in coronal plane of more than 10 degrees. For those indicated, early surgical intervention allows better surgical correction due to flexibility of the spine during teenage years, hence good functional outcome and better cosmesis can be expected. Materials and Methods: We reported our early experience in managing five patients surgically using the Posterior Spinal Instrumentation and fusion. Pre-operatively patients were examined at IIUM Medical Centre spine clinic, all necessary investigations were carried out. Thorough explanation was done to patient and parents regarding procedure, risk and benefit. All patients were treated using same surgical technique. Neuromonitoring were used throughout the whole surgery until skin closure. All patients were hospitalised around one week. Post-operatively patients were follow-up at two weeks, six weeks, three months, and every six months thereafter. Result: It is important for clinicians to identify patients with AIS as early detection and timely treatment will change the natural history of curve progression. Conclusion: Surgical intervention when necessary will be easier and with less risk of complications when surgery was carried out during teenage years as the spine is more flexible and the deformity is less severe. Kulliyyah of Medicine, International Islamic University Malaysia 2018-12-14 Article PeerReviewed application/pdf en http://irep.iium.edu.my/64280/1/Deformity%20Correction%20Surgery%20in%20Adolescent%20Idipathic%20Scoliosis-Our%20%282%29.pdf Mor Japar Khan, Ed Simor Khan and Karupiah, Rajandra Kumar and Ahmad, Muhammad Wafiuddin and Roslan, Ahmad Faizal and Jasni, Muhammad Jasfizal and Zakaria@Mohamad, Zamzuri (2018) Deformity correction surgery in adolescent idipathic scoliosis-our early experience. International Medical Journal Malaysia, 17 (Supplementary Issue 1). p. 83. ISSN 1823-4631 http://iiumedic.net/imjm/v1/download/vol_17_no_3_supp_1/MRS2018-84.pdf
spellingShingle RD701 Orthopedics
Mor Japar Khan, Ed Simor Khan
Karupiah, Rajandra Kumar
Ahmad, Muhammad Wafiuddin
Roslan, Ahmad Faizal
Jasni, Muhammad Jasfizal
Zakaria@Mohamad, Zamzuri
Deformity correction surgery in adolescent idipathic scoliosis-our early experience
title Deformity correction surgery in adolescent idipathic scoliosis-our early experience
title_full Deformity correction surgery in adolescent idipathic scoliosis-our early experience
title_fullStr Deformity correction surgery in adolescent idipathic scoliosis-our early experience
title_full_unstemmed Deformity correction surgery in adolescent idipathic scoliosis-our early experience
title_short Deformity correction surgery in adolescent idipathic scoliosis-our early experience
title_sort deformity correction surgery in adolescent idipathic scoliosis-our early experience
topic RD701 Orthopedics
url http://irep.iium.edu.my/64280/
http://irep.iium.edu.my/64280/
http://irep.iium.edu.my/64280/1/Deformity%20Correction%20Surgery%20in%20Adolescent%20Idipathic%20Scoliosis-Our%20%282%29.pdf