Posterior Column Spinal Osteotomies in the Treatment of Adolescent Idiopathic Scoliosis

Launched by TURKU UNIVERSITY HOSPITAL · May 17, 2022

Keywords

ClinConnect Summary

This clinical trial is studying a surgical technique called posterior column osteotomies (PCO) to see if it helps improve the correction of spine curves in adolescents with idiopathic scoliosis, a condition where the spine bends abnormally. The researchers want to find out if using PCO during spinal fusion surgery leads to better results in correcting the spine's shape compared to not using this technique. The trial will involve 60 adolescents, aged 10 to 21, who are undergoing surgery for a significant spinal curve (Cobb angle of 45 degrees or more).

Participants in the trial will be randomly assigned to either the PCO group or a group that does not receive PCO, and all surgeries will be performed at multiple centers. Throughout the study, researchers will look at various outcomes, such as how well the spine's shape improves, any changes in quality of life, pain levels after surgery, and the length of hospital stays. Importantly, ethical approval for the study has been obtained, and all participants and their families will provide informed consent before joining. There are no extra costs for participants since the information gathered will be part of the standard care for scoliosis surgery.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Adolescent idiopathic scoliosis (Lenke 1 to 4)
• • Age at surgery between 10 and 21 years
• • Cobb angle of 45 degrees or more
• • Posterior spinal fusion
• Exclusion Criteria:
• • Anteroposterior surgery
• • Vertebral column resection
• • Smoking
• • Diabetes mellitus
• • Bleeding disorder