Re: And yet another failed surgical type

[Guest guest]

i just found this summary reguarding this study:

Luque Trolley and Convex Epiphysiodesis in the Management of

Infantile and Juvenile Idiopathic Scoliosis

Roland K. Pratt, K. Webb, R. Geoffrey Burwell, and nah L.

Cummings

The results from the follow-up assessment performed 5 years after

treatment with Luque trolley with and without a convex

epiphysiodesis for patients with progressive infantile and juvenile

idiopathic scoliosis were evaluated. Combined Luque trolley and

convex epiphysiodesis provides advantages to the prolonged use of

plaster jackets or braces in the management of infantile idiopathic

scoliosis.

HOW CAN THEY SAY THAT!! Even according to the study:

Results. Changes in Cobb angle from 8-week to 5-year follow-up are

>as follows. For Luque trolley alone, Cobb angle worsened for all

> patients. For progressive infantile scoliosis managed with Luque

> trolley and convex epiphysiodesis, Cobb angle worsened in seven,

> remained unchanged in four, and improved in two patients.

For juvenile idiopathic scoliosis managed with Luque

> trolley and convex epiphysiodesis, Cobb angle worsened in three

> patients and improved in one.

Conclusions. Luque trolley

> instrumentation alone does not prevent curve progression.

Additional

> convex epiphysiodesis results in curve resolution in some

patients,

> which suggests a growth effect. Both spine and rib factors predict

> Cobb angle at 5-year follow-up.

>

HELLO!!!! How does it making it WORSE or only work in ONE OR TWO

CHILDREN provide advantages?? Unless the advantage is to have pain

and scars from surgery... um.... am I the only one confused here???