Rod derotation and translation techniques provide comparable functional outcomes for surgical correction of adolescent idiopathic scoliosis - A retrospective, cross-sectional study

Didik Librianto; Ifran Saleh; Fachrisal; Widyastuti Srie Utami; Witantra Dhamar Hutami

doi:10.1016/j.amsu.2021.103188

Rod derotation and translation techniques provide comparable functional outcomes for surgical correction of adolescent idiopathic scoliosis - A retrospective, cross-sectional study

Ann Med Surg (Lond). 2021 Dec 26:73:103188. doi: 10.1016/j.amsu.2021.103188. eCollection 2022 Jan.

Authors

Didik Librianto¹, Ifran Saleh², Fachrisal¹, Widyastuti Srie Utami³, Witantra Dhamar Hutami⁴

Affiliations

¹ Consultant Orthopaedic Spine Surgeon, Department of Orthopaedic & Traumatology, Fatmawati Hospital, Jalan RS Fatmawati No. 4, Cilandak, Jakarta Selatan, Jakarta 12430, Indonesia.
² Consultant Orthopaedic Spine Surgeon, Department of Orthopaedic & Traumatology, Cipto Mangunkusumo National Central Hospital and Faculty of Medicine, Universitas Indonesia, Jalan Diponegoro No. 71, Jakarta Pusat, Jakarta 10430, Indonesia.
³ Orthopaedic Spine Surgeon, Tarakan General Hospital, Jalan Kyai Caringin No.7, Cideng, Gambir, Jakarta Pusat, 10150, Indonesia.
⁴ Department of Orthopaedic & Traumatology, Cipto Mangunkusumo National Central Hospital and Faculty of Medicine, Universitas Indonesia, Jalan Diponegoro No. 71, Jakarta Pusat, Jakarta 10430, Indonesia.

Abstract

Objectives: To compare the functional outcome of the two most commonly used methods of Adolescence Idiopathic Scoliosis (AIS) correction surgery using rod rotation and translation techniques from a single center in Indonesia.

Method: We performed retrospective, cross-sectional study of patients with AIS who underwent deformity correction surgery by either technique in Fatmawati General Hospital from January 2016 to March 2018. All patients were asked to complete scoliosis research society (SRS)-22 questionnaire.

Result: Both methods of surgical correction yielded similar functional outcome as recorded in SRS-22 score, 3.67 for rod derotation technique and 3.44 for translation technique (p = 0.235).

Conclusion: Both rod derotation and translation technique resulted in equally desirable quality of life for AIS patients, in line with what would be expected from the literatures. Neither technique can be judged superior to the other. Therefore, the decision to use rotation or translation technique, as well as to compliment it with additional correction methods, should be made by the surgeon according to personal preference, experience, and comfort.

Keywords: Adolescent idiopathic scoliosis; Functional outcomes; Rod derotation technique; Surgical correction; Translation technique.