Management of Early Onset Scoliosis by Active Apex Correction Technique

Condition(s) studied

Investigational drug(s) / intervention(s)

Active Apex correction of scoliotic deformity: Tethering the convex side of Apex and modulation of the concave side .proximal and distal anchoring screws. Dominos between rods to slide and permits the growth of the vertebral column

Study summary

Early onset scoliosis is challenging cases in management .different techniques used to correct the deformity ranging between fusionlees and fusion surgery. Fusionless surgery permits developments of vertebral column and lung to avoid thoracic insufficiency syndrome. Fusion surgeries for complicated and high curves .New fusionless technique that I will use in my research is to modulate and guide the growth of the Apex of deformity through tethering the convex side and modulate the concave side and follow up the patients to see the results on their radiological and clinical parameters.

Eligibility

Primary outcome measure(s)

• Change in major coronal Cobb angle — Baseline to 12 months after Active Apex Correction (APC) surgery
  Radiographic correction of the primary scoliotic curve measured as the change in the major coronal Cobb angle (degrees) on standing posteroanterior whole-spine radiographs

Trial sites (1)

More Al-Azhar University trials in Egypt