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Mir SR, Cole JR, Lardone J, et al. Early ambulation following spinal fusion and Harrington instrumentation in idiopathic scoliosis. Clin Orthop Relat Res. 1975;(110):54-62doi: 10.1097/00003086-197507000-00010.
Mir, S. R., Cole, J. R., Lardone, J., & Levine, D. B. (1975). Early ambulation following spinal fusion and Harrington instrumentation in idiopathic scoliosis. Clinical orthopaedics and related research, (110), 54-62. https://doi.org/10.1097/00003086-197507000-00010
Mir, S R, et al. "Early ambulation following spinal fusion and Harrington instrumentation in idiopathic scoliosis." Clinical orthopaedics and related research vol. ,110 (1975): 54-62. doi: https://doi.org/10.1097/00003086-197507000-00010
Mir SR, Cole JR, Lardone J, Levine DB. Early ambulation following spinal fusion and Harrington instrumentation in idiopathic scoliosis. Clin Orthop Relat Res. 1975 Jul-Aug;(110):54-62. doi: 10.1097/00003086-197507000-00010. PMID: 1157401.
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Clin Orthop Relat Res. 1975 Jul-Aug;(110):54-62. doi: 10.1097/00003086-197507000-00010.

Early ambulation following spinal fusion and Harrington instrumentation in idiopathic scoliosis.

Clinical orthopaedics and related research

S R Mir, J R Cole, J Lardone, D B Levine

PMID: 1157401 DOI: 10.1097/00003086-197507000-00010

Abstract

Eighty-six patients with idiopathic scoliosis managed by Harrington instrumentation and spinal arthrodesis were ambulated 10 days following surgery. Preoperative reduction of the curves was obtained by Cotrel traction and modified Cotrel localizer cast. Patients were kept immobilized in plaster cast for 7 months following operation. No significant loss of correction was found in these patients ambulated early as compared to a previous group kept recumbent for 3 to 6 months and reported by the authors (DBL). The only exception to this was a patient with double structural curve patterns. A successful surgical program for most cases of idiopathic scoliosis included: (1) Preoperative reduction and balancing of curves by non-skeletal traction and/or correction body cast; (2) Meticulous spinal arthrodesis and employment of Harrington distraction internal fixation; (3) Autogenous iliac bone graft; (4) Ambulation at two weeks following surgery in a well fitting body cast and removal of this cast after 7 months. Deep infection rate was 1 per cent without the use of routine prophylatic antibiotics. One neurological complication resulted from the use of a single distraction rod bridging two curves where the rod was not prebent to allow for kyphosis. There were no pseudarthroses. The average follow-up was 28 months with a range of 18-39 months.

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