THE MINIMALLY INVASIVE BIPOLAR TECHNIQUE FOR THE TREATMENT OF SPINAL DEFORMITIES IN CHILDREN AND ADOLESCENTS

TÉCNICA BIPOLAR MINIMAMENTE INVASIVA PARA O TRATAMENTO DE DEFORMIDADES DA COLUNA VERTEBRAL EM CRIANÇAS E ADOLESCENTES

TÉCNICA BIPOLAR MÍNIMAMENTE INVASIVA PARA EL TRATAMIENTO DE DEFORMIDADES DE LA COLUMNA VERTEBRAL EN NIÑOS Y ADOLESCENTES

ABSTRACT

Scoliosis is a three-dimensional deformity of the spine that occurs during growth. Surgery is indicated when the curve progresses despite conservative treatment. The traditional surgical treatment involves correction of the deformity using segmental spinal fixation to obtain solid bone fusion by decortication and bone grafting. Vertebral osteotomies or even vertebrectomies may be required for huge deformities. These techniques provide good results, but they are invasive, involving lengthy surgery, increased blood loss, and longer recovery times. Therefore, we developed another technique: The Minimally Invasive Bipolar Technique, based on gradual internal correction of the deformity secondary to viscoelastic relaxation of the trunk. This method is aimed at reducing surgical risks while providing satisfactory results and improving quality of life for the patients and their families. Additionally, this technique is cost effective for public health. T ype of the study: Update article.

Minimally Invasive Surgery; Scoliosis; Neuromuscular Diseases; Deformity