Surgical management of adult scoliosis

In a retrospective analysis of 62 adult scoliotic patients with an average age of 34 years, 39 patients were treated by single-stage posterior fusions, 19 by Harrington instrumentation, and 20 by Luque instrumentation. Twenty-three patients had staged scoliotic procedures. Overall there was a 47% incidence of complications, with the lowest rate, 20%, found in those patients undergoing single-stage posterior fusion with Luque instrumentation. A 16.7% incidence of pseudarthrosis was found in those patients undergoing posterior fusion with Harrington instrumentation. Pseudarthrosis was not found in patients fused posteriorly with Luque instrumentation or with staged anterior and posterior instrumentation.