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Early experience in surgical treatment of adolescence idiopathic scoliosis: a report of four cases

Ismail, Mohamad Wafiuddin and Mor Japar Khan, Ed Simor Khan and Karupiah, Rajandra Kumar and Zakaria@Mohamad, Zamzuri and Nusuruddin, Muhammad Haidar and Roslan, Ahmad Faizal and Abd Bakar, Luqman and Yunus, Syafik and Zamri, Fawwaz (2020) Early experience in surgical treatment of adolescence idiopathic scoliosis: a report of four cases. Borneo Journal of Medical Sciences, 14 (1). pp. 39-47. ISSN 1985-1758 E-ISSN 2710-7353

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Adolescent idiopathic scoliosis (AIS) is the most common spinal deformity among teenager. 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 cosmetic can be expected. In this case report, there is the management of four 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. A thorough explanation was done to patient and parents regarding procedure, risk and benefit. All patients were treated using the same surgical technique. Neuromonitoring was used throughout the whole surgery until skin closure. All patients were hospitalized around one week. Post-operatively patients were followed up at two weeks, six weeks, three months, and every six months thereafter. It is important for clinicians to identify patients with AIS as early detection and timely treatment will change the natural history of curve progression. 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.

Item Type: Article (Journal)
Additional Information: 8895/79274
Uncontrolled Keywords: adolescent idiopathic scoliosis, posterior spinal instrumentation and fusion, spinal deformity
Subjects: R Medicine > R Medicine (General)
R Medicine > RD Surgery > RD701 Orthopedics
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button): Kulliyyah of Medicine > Department of Department of Orthopaedics, Traumatology & Rehabilitation
Kulliyyah of Medicine
Date Deposited: 03 Mar 2020 17:21
Last Modified: 03 Mar 2020 17:21
URI: http://irep.iium.edu.my/id/eprint/79274

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