History of Spinal Deformity Surgery Part II: The Modern Era.

Cho,  Samuel K; Kim,  Yongjung J

doi:2011.8.1.9

Review

Korean J Spine 2011;8(1): 9-23.

DOI: https://doi.org/10.14245/kjs.2011.8.1.9

History of Spinal Deformity Surgery Part II: The Modern Era.

Samuel K Cho, Yongjung J Kim

¹Spine Service, Leni and Peter May Department of Orthopaedics, Mount Sinai School of Medicine, New York, NY, USA.
²Spine Service, Department of Orthopaedic Surgery, Columbia University College of Physicians and Surgeons, New York, NY, USA. yk2299@columbia.edu

Abstract

Following Dwyer introduction of anterior spinal instrumented fusion surgery, Zielke, Moss-Miami, and Kaneda had made a significant progression on anterior spinal instrumented fusion which allowed excellent correction without significant loss of correction or implant failure. King and Moe deveoped classification of thoracic major curve following Harrington rod intrumentation. King classification presented a stable vertebra concept and selective fusion concept. Surgical classification of Adolescent Idiopathic Scoliosis (AIS) developed by Harms study group provided a more sophisticated two dimensional understanding of curve nature. Surgical intervention of adult scoliosis and sagittal imbalance is still challenging and evolving. Several evidences such as sacropelvic fixation and bone morphogenetic protein helped us to deal with adult deformity. The surgical decision making on spinal deformity surgery is still yet evolving.

Keywords: Anterior spinal instrumentation;King and Moe;Adolescent Idiopathic Scoliosis;Sacroplevic fixation