- See:
Multisegmented Hook Instrumentation
- Discussion:
- are excellent for the treatment of thoracic or
thoracolumbar frx;
- these rods can be used with hooks and/or screws;
- if hooks are used, do not place them adjacent to any area of canal comprimise;
- because rods are very flexible, this system may not be sufficiently rigid to maintain sagittal
plane correction in larger individuals;
- because the rods can be used with screws, they are excellent, esp when trying to instrument
as short an area as possible;
- Sciolosis:
- w/ a mobile lumbar or thoracolumbar curve, CD instrumentation can provide permanent derotation and
restoration of lumbar lordosis and thoracic kyphosis;
- in other words there is improved saggital plane correction;
- indications:
- single thoracic curve (method of choice);
- especially indicated if thoracic spine is hypokyphotic;
- in the study by Lenke et al 1998, on average preoperative Cobb angles were 53 deg and postoperatively,
the average Cobb angle was down to 28 deg;
- indicated for treatment of double curves and lumbar curves because it may
restore &
preserve the sagittal contour;
- post op:
- no bracing is needed for adolescents;
- bracing is indicated in adults w/ thoracolumbar, lumbar, or double curve;
Cotrel-Dubousset instrumentation for adolescent idiopathic scoliosis.
Effectiveness of preoperative Cotrel traction for correction of idiopathic scoliosis.
Cotrel-Dubousset instrumentation in neurofibromatosis spinal problems.
Cotrel-Dubousset instrumentation in idiopathic scoliosis. A preliminary report.
Comparison of Cotrel-Dubousset and Harrington instrumentations in idiopathic scoliosis.
Operative treatment of adolescent idiopathic thoracic scoliosis.
Radiographic results of arthrodesis with Cotrel-Dubousset Instrumentation for the treatment of adolescent idiopathic scoliosis;
A five to ten year follow up study.
LG Lenke MD et al.
JBJS Vol 80-A. No 6. Jun 1998. p 807.
