Long-Term Results of Surgery for Idiopathic Scoliosis in Adolescents: A Meta-Analysis

The paper presents an analysis of the English-language literature on the results of surgical treatment of adolescent idiopathic scoliosis observed in the period from 5 to 30 years after surgery. Seventy-one selected publications were analyzed after division into two groups according to the used endocorrector: the Harrington distractor or CD instrumentation and other 3rd generation instrumentation. The 3rd generation instrumentation provides better deformity correction and its maintenance. Pseudarthrosis following fusion and complications associated with implants are approximately equifrequent in both groups. Surgical wound suppuration is more frequent in CDI Group, and reoperation - in the Harrington Group. Reproductive function of women after surgery does not differ from that in the general population. Health-related quality of life does not change depending on the remoteness of intervention. No significant dependence of pain syndrome on the location of lower instrumented vertebra and the time after surgery was observed.