[Multiple derotation plus costotransversectomy for severe and XXXX ].

@entity1 @entity2003 @entity39 @entity190 @entity1513 @entity1514 @entity1635 @entity1515
OBJECTIVE: To explore the outcomes of multiple derotation plus costotransversectomy for @entity1 with severe and @entity2003 . METHODS: Clinical analyses were conducted for the clinical data of operative duration, @entity190 volume and SRS-22 scale. Radiographic data included Cobb angle of coronal curves, apical vertebral translation, coronal balance and sagittal balance. All measurements were taken pre-operation, post-operation and during the final follow-up period. RESULTS: The mean follow-up period was 4.1    0.7 (3-5.5) years, mean operative duration 33    8.4 min and mean @entity190 volume 2303.5    9.0 ml. Preoperative major curves ranged from 65   to 110   Cobb angle. Coronal plane correction of major curve from 10   to 41   Cobb angle (mean 30.8    9.8  ). And there was a mean loss of correction of 3.6% during the final follow-up. The magnitudes of @entity1513 and @entity1515 were 31.1    12.4  , 45.5    10.5   pre-operation, 25.6    5.5  , 33.43    5.45   post-operation and 28.6    6.1  , 35.26    4.2   during the final follow-up. The apical vertebral translation of major curve was corrected by 73.2%. The coronal imbalance, sagittal imbalance and apical vertebral translation indifferently was 3.2    1.1, 2.3    1.1, 6.35    1.65 cm pre-operation, 0.9    1.0, 0.4    0.5, 2.4    1.2 cm post-operation and 1.2    1.1, 0.6    0.5, 2.6    1.4 cm during the final follow-up. Incomplete @entity1514 occurred in one case and superficial dermatoedge @entity39 in another recovered within 2 weeks. Neither malposition of pedicle screw nor complication of instrumentation was found. Excellent outcomes were obtained according to SRS-22 score. CONCLUSION: For @entity1 with severe and @entity2003 , the technique of multi-rod-derotation and rib resection may achieve a good correction of @entity1635 without serious complications and avoid a resection of vertebral column.
