The previous technique has a lot of morbidity risks than the technique which was applied in this case. Meanwhile spinal column in this case with direct contra bending procedure was preserved. Spinal column in the previous technique was attacked by anterior release and/or corpectomy procedure to weakened the column and make it easy to be manipulated.
![contra 5 screws contra 5 screws](https://auviras.lt/41457720-large_default/mcgard-dk-mc-28020su.jpg)
īasically the difference between the rod and screw corrective manipulation approach and the previous one is the management of spinal column (Figure 1). Nowadays, there were similar results between patients that were treated with an anterior release with an open thoracotomy to those who underwent posterior-only approach and avoided the negative effects on pulmonary function which the anterior release causes. In the past, the treatment of severe idiopathic scoliosis with the main curve more than 80 degrees was performed by an anterior release with an open thoracotomy. Progress in surgical techniques and technology of scoliosis treatment is significantly supported by progress in anesthesia for spinal surgery and by more sophisticated and precise diagnostic imaging and differentiated application of invasive and functional diagnostic tests, increased patient awareness, and the patient’s unwillingness to accept their limitations and pains. The last is type 3 which is divided into secondary adult curves in the context of an oblique pelvis, for example, due to a leg length discrepancy or hip pathology as well as a secondary curve in idiopathic, neuromuscular, and congenital scoliosis and also asymmetrical anomalies at the lumbosacral junction, and in the context of a metabolic bone disease (mostly osteoporosis) combined with asymmetric arthritic disease and/or vertebral fractures. Some patients had no surgical treatment or surgical correction or fusion in adolescence in the thoracic or thoracolumbar spine. Type 2 is idiopathic adult scoliosis of the thoracic and/or lumbar spine which progresses in adult life and is usually combined with secondary degeneration and/or imbalance. The first is type 1, primary degenerative scoliosis, mostly on the basis of a disc and/or facet joint arthritis, affecting those structures asymmetrically with predominantly back pain symptoms, often accompanied with or without spinal stenosis (central as well as lateral stenosis) it is also classified as “de novo” scoliosis. Adult scoliosis can be separated into three major groups. IntroductionĪdult scoliosis is defined as a spinal deformity in a skeletally mature patient with a Cobb angle of more than 10 degrees in the coronal plain. There is no complaint at two months after surgery he has already come back to normal activity with good functional activity.
![contra 5 screws contra 5 screws](https://ae01.alicdn.com/kf/H6f952f61dade4bcc89b354f487a6a6b5R/5-pcs-x-Cartridge-for-NSK-Style-Dental-Contra-Low-Speed-Handpiece-Ball-Bearing-Wrench.jpg)
![contra 5 screws contra 5 screws](https://image.made-in-china.com/2f0j00NcTUSGdEhMou/High-Quality-Dental-Ra-Stainless-Steel-Burs-for-Low-Speed-Contra-Angle.jpg)
After surgery the main thoracic Cobb angle becomes 83 degrees and lumbar Cobb angle becomes 40 degrees, with 5 days length of stay and less than 800 mL blood loss during surgery. His curve underwent direct contra bending posterior approach using rod and screw corrective manipulation technique to achieve optimal correction. It consists of main thoracic curve of 150 degrees and lumbar curve of 89 degrees. We reported a case of 25-year-old male adult idiopathic scoliosis with double curve. It also avoids the complications related to the thoracic approach. Posterior-only approach with rod and screw corrective manipulation to add strength of contra bending manipulation has correction achievement similar to that obtained by conventional combined anterior release and posterior approach. Adult scoliosis is defined as a spinal deformity in a skeletally mature patient with a Cobb angle of more than 10 degrees in the coronal plain.