Adult XXXX treated by posterior spinal fusion and Harrington instrumentation.

@entity1 @entity2112 @entity358 @entity158 @entity204 @entity293 @entity1516
Ninety-one @entity1 with @entity2112 , who underwent posterior spinal fusion and instrumentation from January 1977 to December 1982, were reviewed. All @entity1 were 20 years or older at the time of surgery and none had undergone a prior surgical procedure. Indications for surgery included @entity158 , @entity358 . All @entity1 had a posterior spinal fusion with Harrington instrumentation and autogenous iliac bone graft, with the addition of segmental wiring in only eight. No @entity1 had an anterior fusion or fusion to the sacrum. Follow-up averaged 3.5 years (range: 2-7 years). The average correction at the time of surgery was 38%, and 32% at the time of last follow-up. Seventy-nine percent of the @entity1 reported complete relief of the symptom(s) for which they had surgery. There were 34 complications in 30 (33%) @entity1 . @entity1516 occurred in 14 (15%), requiring 15 additional procedures to achieve a solid arthrodesis. @entity293 occurred in 8 (9%) @entity1 and Harrington hook dislodgement in 5 (5%). One @entity1 sustained a partial paraparesis with recovery to a minimal deficit. No @entity204 occurred. Although largely successful, posterior fusion with Harrington instrumentation for adult scoliosis has a significant incidence of @entity1516 and instrumentation problems.
