2020 Volume 11 Issue 2 Pages 46-50
Introduction: Pedicles of the main thoracic curve in patients with adolescent idiopathic scoliosis (AIS) are often narrow on the concave side and within close proximity to risk structures, pedicle screw (PS) insertion can be challenging. Although sublaminar taping may be used as an anchor in such cases, the possibility of its insufficient corrective force remains a concern.
Methods: This study retrospectively investigated the differences in the surgical results of posterior spinal fusion with and without sublaminar taping for AIS Lenke type 1-4 curves. A total of 36 patients with AIS (mean age, 14.7 years) were enrolled.
Results: Corrective surgery with sublaminar taping achieved a Cobb angle correction rate of 63.3% and rotational correction rate of 48.8% at 1 year after surgery, which were comparable to the results of PS fixation (59% and 46%, respectively).
Conclusions: Thus, AIS deformity correction with sublaminar taping may be a suitable option in Lenke 1-4 cases with very narrow pedicles.
