Published in:
01-06-2013 | Original Article
Our experience and early results with a complementary implant for the correction of major thoracic curves
Published in: European Spine Journal | Issue 6/2013
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Purpose
In our article, we would like to introduce a new auxiliary implant called the CAB hook, for use in posterior approach scoliosis surgery.
Methods
Since 2007, we operated 42 patients with the CAB hook with an average preoperative Cobb angle of 59.3° (28°–92°). In three cases, the posterior approach was preceded by ventral release and Halo traction. In four cases, besides the CAB hooks, SCS hooks and pedicular screws, in three cases both CAB and SCS hooks, in nine cases CAB hooks with SCS pedicular screws, and in 23 cases, only CAB were used. The average follow-up time was 21.6 month (2–51).
Results
All the patients are satisfied with the results. No reoperation was needed due to the loss of correction, pain, implant failure, or infection. The average postoperative Cobb angle decreased to 24.7° (4°–60°). Based on this we calculated the Cincinnati Correction Index (CCI), which was 1.53 (0.7–4.8), which means that our correction exceeded the flexibility of the spine based on the lateral bending X-ray by 53 %.
Conclusion
As with all new surgical techniques and implants after the short learning curve, we were able to improve the degree of correction and decrease the time of surgery. One of the advantages of the CAB hook is that besides a few implant-specific instruments, no special instrumentation is required for insertion, and image intensifier need not be used.