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Wheeless' Textbook of Orthopaedics

Thoracolumbar Scoliosis





- Choices for Instrumentation:
      - Zielke Instrumentation:
            - used for treatment of rigid or mobile lumbar or thoracolumbar
                    Scoliosis w/ lordosis;
      - CD instrumentation:
            - for patients who have a mobile lumbar or thoracolumbar curve;
            - may provide a permanent derotation & restoration of lordosis;
- Indications for Surgery:
      - thoracolumbar or lumbar curves greater than 40 to 45 deg;
      - marked imbalance w/ shift to one side;
      - substantial pain;
      - progression of deformity;



Original Text by Clifford R. Wheeless, III, MD.