Outcomes and Complications of Posterior Spinal Fusion Surgery for Moderate to Severe Adolescent Idiopathic Scoliosis

What this Trial Is About

Adolescent idiopathic scoliosis AIS is the most common type of scoliosis, affecting 1-3% of adolescents worldwide and occurring mostly in females. It involves a sideways curvature of the spine of 10 degrees or more in children aged 10 to 18 years without an underlying cause. The exact cause is unknown but may involve genetic factors and uneven growth of the spine during rapid growth periods, leading to curve progression. Severe scoliosis can cause cosmetic problems, height loss, reduced lung function, and long-term spinal degeneration. Treatment options include observation, bracing, and surgery for curves over 40 degrees. This study focuses on evaluating the outcomes and complications of posterior spinal fusion surgery for AIS patients with moderate to severe curves between 40 and 70 degrees. Posterior surgery is widely used due to advances in technique and training, offering spine correction with less impact on lung function and better sagittal balance correction compared to anterior surgery. Eligible participants are adolescents aged 10 to 18 years with specific curve types and skeletal maturity, who are candidates for surgery due to rapid curve progression or functional limitations. Participants will be followed for two years after surgery. Researchers will assess height, thoracic symmetry, rib hump, the Cobb angle of spinal curvature, and patient satisfaction with surgical outcomes. These evaluations aim to measure the radiological correction and functional results of the posterior spinal fusion. The study involves clinical evaluations over time to monitor correction success and any complications from the surgery.

Surgical Outcomes and Complications of Posterior Spinal Fusion in Adolescent Idiopathic Scoliosis