Surgical management of scoliosis has undergone dramatic changes over a 50year period. Starting with relatively simple posterior systems such as the Harrington and Luque rods, it evolved to concepts of anterior only procedures and combined procedures from a patient’s front and back. Recently introduced implant systems allow for unprecedented deformity correction from back-sided (posterior) only surgery. Experts from the University of Washington and elsewhere outline the relative merits and drawbacks of these various surgical approaches. They present modern techniques of anchoring a spinal deformity construct to the pelvis with the goal of preventing deformity recurrence.
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Carlo Bellabarba, M.D., associate professor, Orthopaedic Surgery; joint associate professor, Neurological Surgery. Harborview Medical Center, Seattle, Washington
Rick Bransford, M.D., assistant professor, Department of Orthopaedic Surgery and Sports Medicine. Harborview Medical Center, Seattle, Washington
Theodore Wagner, M.D., professor of orthopaedic surgery and sports medicine, University of Washington Medical Center
Kit Song, MD, Orthopaedics, Children’s Hospital and Regional Medical Center, Seattle
John Smith, MD, Pediatric Orthopaedic Surgery, Primary Children’s Medical Center, Salt Lake City, Utah