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Correction of the sagittal plane in idiopathic scoliosis using the Zielke procedure (VDS)

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Summary

This paper reports a retrospective review of 91 patients with idiopathic thoracic scoliosis corrected by Zielke VDS instrumentation. The results were analysed to demonstrate the correction in all three planes. Satisfactory correction was obtained, and was particularly good in the sagittal and horizontal planes. There were no disadvantages from the thoracotomy.

Résumé

Analyse rétrospective de 91 courbures dorsales idiopathiques traitées par l'opération V.D.S. de Zielke. L'amélioration obtenue a été de 68.6% en moyenne dans le plan frontal et la correction de la rotation de 50%. Les lordo-scolioses ont été amenées à 15° de cyphose et les hypercyphoses considérablement réduites. Pendant la période d'observation (de 3.6 ans en moyenne) la capacité vitale a été augmentée de 4.1%.

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References

  1. Aaro S, Dahlborn M (1982) Effect of Harrington instrumentation on the longitudinal axis rotation of the apical vertebra and on the spinal and rib cage deformity in idiopathic scoliosis by computer tomography. Spine 5: 456–462

    Google Scholar 

  2. Adba MA, Tassin JL, Guillaumat M, Eisenmann H (1989) Les scolioses idiopathiques de l'adulte instrumentées selon la technique de Harrington ou de Cotrel-Dubousset. Comparaison des indications, résultats et méthodes de rééducation. Ann Réadapt Méd Phys 32: 77–96

    Google Scholar 

  3. Bergoin M, Bollini G, Hornung H, Tallet JM, Gennari JM (1988) Is the Cotrel-Dubousset really universal in the surgical treatment of idiopathic scoliosis? J Pediatr Orthop 8: 45–48

    Google Scholar 

  4. Birch JG, Herring JA, Roach JW, Johnston CE (1988) Cotrel-Dubousset instrumentation in idiopathic scoliosis. Clin Orthop Relat Res 227: 24–29

    Google Scholar 

  5. Bridwell KH, Betz R, Capelli AM, Huss G, Harvey C (1990) Sagittal plane analysis in idiopathic scoliosis patients treated with Cotrel-Dubousset instrumentation. Spine 15: 644–649

    Google Scholar 

  6. Dran G (1979) Etude radiologique et clinique des courbures sagittales des segments thoraciques et lombo-sacrés de la colonne vertébrale. Dissertation, Université de Lyon

  7. Drerup B (1984) Principles of measurement of vertebral rotation from frontal projections of the pedicles. J Biomechanics 17: 923–935

    Google Scholar 

  8. Ecker ML, Betz RR, Trent PS, Mahboubi S, Mesgarzadeh M, Bonakdapour A (1988) Computer tomography evaluation of Cotrel-Dubousset instrumentation in idiopathic scoliosis. Spine 13: 1141–1144

    Google Scholar 

  9. Fitch RD, Turi M, Bowman BE, Hardaker WT (1990) Comparison of Cotrel-Dubousset and Harrington rod instrumentations in idiopathic scoliosis. J Pediatr Orthop 10: 44–47

    Google Scholar 

  10. Giehl JP, Zielke K, Hack HP (1989) Die Ventrale Derotationsspondylodese nach Zielke. Orthopaede 18: 101–117

    Google Scholar 

  11. Giehl JP, Zielke K (1987) Idiopathic thoracic and thoracolumbar scoliosis. Early and long-term results after VDS and CD with special regard to rotational correction. Paper presented at the XVIIth SICOT Meeting, Munich

  12. Giehl JP (1990) Operative Skoliosetherapie mit der VDS-und der Harrington-Instrumentation. Beitr Orthop Traumatol 37: 517–534

    Google Scholar 

  13. Griss P (1983) Kritische Analyse von 60 VDS-Operationen bei Skoliose (1979–1983). In: Der vordere Zugang der Wirbelsäule. Thieme, Stuttgart, p 116

    Google Scholar 

  14. Hack HP, Harms J, Zielke K (1985) Spinal instrumentation. In: The pediatric spine. Thieme, Stuttgart New York, pp 491–517

    Google Scholar 

  15. Hellinger J, Zinkl M (1983) Die Ventrale Derotations-spondylodese (VDS) nach Zielke zur operativen Skoliosebehandlung. Beitr Orthop Traumatol 30: 411–422

    Google Scholar 

  16. Hellinger J, Hornup H (1984) Erweiterte Indikation für die VDS-Instrumentation nach Zielke. Beitr Orthop Traumatol 31: 143–151

    Google Scholar 

  17. McMaster WC, Silber I (1975) An urological complication of Dwyer instrumentation. Case report. J Bone Joint Surg [Am] 57: 404–408

    Google Scholar 

  18. Nash CL, Moe JH (1969) A study of vertebral rotation. J Bone Joint Surg [Am] 51: 223–229

    Google Scholar 

  19. Ogiela DM, Chan DPK (1986) Ventral derotation spondylodesis. A review of 22 cases. Spine 11: 18–22

    Google Scholar 

  20. Saego RE, Burke SW, French G (1985) Thoracic lordosis and pulmonary function in idiopathic scoliosis. Proceedings of the Scoliosis Research Society

  21. [Reference deleted]

  22. Zielke K (1977) Technique et indications de l'opération VDS. Encycl Chir 44 196: 1–4

    Google Scholar 

  23. Zielke K, Stunktat R, Duquesne J, Beaujean J (1975) Ventrale Derotationsspondylodese. Orthop Praxis 8: 562–569

    Google Scholar 

  24. Zielke K (1982) Ventrale Derotationsspondylodese: Behandlungsergebnisse bei idiopathischen Lumbalskoliosen. Z Orthop 120: 320–329

    Google Scholar 

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Authors and Affiliations

  1. Orthopädische Universitätsklinik und Poliklinik, Eberhard-Karls-Universität Tübingen, Hoppe-Seyler-Strasse 3, W-7400, Tübingen, Germany

    J. P. Giehl & E. Heinrich

  2. Deutsches Skoliosezentrum, Werner-Wicker-Klinik, Im Kreuzfeld 4, W-3590, Bad Wildungen, Germany

    J. Völpel

Authors
  1. J. P. Giehl
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  2. J. Völpel
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  3. E. Heinrich
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  4. K. Zielke
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Giehl, J.P., Völpel, J., Heinrich, E. et al. Correction of the sagittal plane in idiopathic scoliosis using the Zielke procedure (VDS). International Orthopaedics 16, 213–218 (1992). https://doi.org/10.1007/BF00182696

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