Classics. The results 3 years later and the technic of alloplasty of the muscles in scoliosis

This abstract was not part of the original article by Adam Gruca and was added by the Editors of Chirurgia Narządów Ruchu i Ortopedia Polska – Polish Orthopaedics. The author of the article presented three-year results of the treatment of 3 series of patients treated for scoliosis of the 1st, 2nd an...

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Main Author: Adam Gruca
Format: Article
Language:English
Published: Polish Society of Orthopaedics and Traumatology (PTOiTr) 2025-03-01
Series:Chirurgia Narządów Ruchu i Ortopedia Polska
Subjects:
Online Access:http://polishorthopaedics.pl/gicid/01.3001.0055.0520
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author Adam Gruca
author_facet Adam Gruca
author_sort Adam Gruca
collection DOAJ
description This abstract was not part of the original article by Adam Gruca and was added by the Editors of Chirurgia Narządów Ruchu i Ortopedia Polska – Polish Orthopaedics. The author of the article presented three-year results of the treatment of 3 series of patients treated for scoliosis of the 1st, 2nd and 3rd degree with the technique of so-called muscle alloplasty. In 1st degree scoliosis, posterior alloplasty with spring attachment on the transverse and spinous processes causes complete or almost complete correction of the curvature in all cases. The results are stable. In lumbar scoliosis, iliolumbar alloplasty is preferred over intertransverse alloplasty. In 2nd and 3rd degree scoliosis, posterior alloplasty causes partial correction of the curvature in 70-80% of cases (second series), promoting rotation of the apical vertebrae. Anterior interpedicular or iliolumbar alloplasty causes a reduction of the rib prominence and vertebral rotation; curvature is reduced in all cases. Correction was 25% better than in the case of posterior alloplasty. Anterior interpedicular alloplasty is recommended in moderate and severe scoliosis, especially in pre-pubertal children. In severe prepubertal and very severe postpubertal scoliosis (curvatures greater than 90), wedge resection of the apical vertebral bodies and correction of the curvature followed by application of a cast and secondary anterior alloplasty, gives promising results.
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spelling doaj-art-474f1b68540d4c7d9b86e6dd63d9ca432025-08-20T03:08:09ZengPolish Society of Orthopaedics and Traumatology (PTOiTr)Chirurgia Narządów Ruchu i Ortopedia Polska0009-479X2956-47192025-03-01901214810.31139/chnriop.2025.90.1.301.3001.0055.0520Classics. The results 3 years later and the technic of alloplasty of the muscles in scoliosisAdam Gruca0Department of Orthopaedics, Medical Academy, Warsaw, PolandThis abstract was not part of the original article by Adam Gruca and was added by the Editors of Chirurgia Narządów Ruchu i Ortopedia Polska – Polish Orthopaedics. The author of the article presented three-year results of the treatment of 3 series of patients treated for scoliosis of the 1st, 2nd and 3rd degree with the technique of so-called muscle alloplasty. In 1st degree scoliosis, posterior alloplasty with spring attachment on the transverse and spinous processes causes complete or almost complete correction of the curvature in all cases. The results are stable. In lumbar scoliosis, iliolumbar alloplasty is preferred over intertransverse alloplasty. In 2nd and 3rd degree scoliosis, posterior alloplasty causes partial correction of the curvature in 70-80% of cases (second series), promoting rotation of the apical vertebrae. Anterior interpedicular or iliolumbar alloplasty causes a reduction of the rib prominence and vertebral rotation; curvature is reduced in all cases. Correction was 25% better than in the case of posterior alloplasty. Anterior interpedicular alloplasty is recommended in moderate and severe scoliosis, especially in pre-pubertal children. In severe prepubertal and very severe postpubertal scoliosis (curvatures greater than 90), wedge resection of the apical vertebral bodies and correction of the curvature followed by application of a cast and secondary anterior alloplasty, gives promising results.http://polishorthopaedics.pl/gicid/01.3001.0055.0520idiopathic scoliosisGruca’s spring techniquemuscle alloplastyanterior interpedicular alloplastyvertebral body tethering
spellingShingle Adam Gruca
Classics. The results 3 years later and the technic of alloplasty of the muscles in scoliosis
Chirurgia Narządów Ruchu i Ortopedia Polska
idiopathic scoliosis
Gruca’s spring technique
muscle alloplasty
anterior interpedicular alloplasty
vertebral body tethering
title Classics. The results 3 years later and the technic of alloplasty of the muscles in scoliosis
title_full Classics. The results 3 years later and the technic of alloplasty of the muscles in scoliosis
title_fullStr Classics. The results 3 years later and the technic of alloplasty of the muscles in scoliosis
title_full_unstemmed Classics. The results 3 years later and the technic of alloplasty of the muscles in scoliosis
title_short Classics. The results 3 years later and the technic of alloplasty of the muscles in scoliosis
title_sort classics the results 3 years later and the technic of alloplasty of the muscles in scoliosis
topic idiopathic scoliosis
Gruca’s spring technique
muscle alloplasty
anterior interpedicular alloplasty
vertebral body tethering
url http://polishorthopaedics.pl/gicid/01.3001.0055.0520
work_keys_str_mv AT adamgruca classicstheresults3yearslaterandthetechnicofalloplastyofthemusclesinscoliosis