Coronal decompensation produced by cotrel-dubousset “derotation” maneuver for idiopathic right thoracic scoliosis

Keith H. Bridwell, John W. Mc Allister, Perry L. Schoenecker, Randall R. Betz, Gail Huss, Michael Clancy

Research output: Contribution to journalArticle

135 Scopus citations

Abstract

From 1985 to 1987,82 patients with idiopathic scoliosis followed 12 to 44 months underwent selective fusion and correction of their right thoracic curves by Cotrel- Dubousset instrumentation using the “derotation” ma-neuver. Preoperative, postoperative, and follow-up standing anteroposterior roentgenograms of the spine were analyzed. For curves in which there was deviation from the midline (plumb line) and rotation of the lumbar segments, an increased incidence of decompensation was produced after surgery, when posterior Cotrel- Dubousset instrumentation and fusion were carried to the “stable” vertebra with one rod bend and hook alignment on the left sided derotation rod. Previous guidelines established for selective fusion with conventional posterior instrumentation (Harrington or Luque rods) may not be applicable to derotation with Cotrel-Dubousset instru-mentation.

Original languageEnglish
Pages (from-to)769-777
Number of pages9
JournalSpine
Volume16
Issue number7
DOIs
StatePublished - Jul 1991

Keywords

  • Cotrel-Doubousset
  • Decompensation
  • Derotation maneuver
  • Stable vertebra

Fingerprint Dive into the research topics of 'Coronal decompensation produced by cotrel-dubousset “derotation” maneuver for idiopathic right thoracic scoliosis'. Together they form a unique fingerprint.

  • Cite this