History of scoliosis surgery in Greece
Keywords:
history; scoliosis; Surgery
Abstract
This is a review of scoliosis surgery in Greece and its great development after 1975, which is linked with the establishment of Scoliosis and Spine Unit at KAT Hospital since 1975.
We focus particularly on the transpedicular screw that revolutionized surgery for scoliosis and the spine in general.
Spine surgery appears at the beginning of the 19th century with a simple access to the spine, without instrumentation, and mostly to treat conditions such as tuberculosis large-scale deformities and poliomyelitis only by debridement and graft-based spinal fusion.
The first scoliosis operation using metal devices was published in 1945 in the US by Paul Harrington, while the revolution of materials was made by the French Cotrel and Dubousset (1982) with the design of CD instrumentation, initially with hooks and later included the transpedicular screw (1986), which was originally used by the French Roy Camille and then by Magerl and Dick.
At the same time as the surgery the Greek orthopaedic since 1975 made so much progress that it does not fall short of foreign colleagues in technological equipment or in training and experience, shortly afterwards followed by neurosurgeons.
The trigger in surgery was given the working-shops lessons during the scoliosis symposiums on cadaver preparations where almost all the pioneers of the time taught.
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References
1. Archive of the Department of Scoliosis and Spine of KAT Hospital, Kifissia
2. Constantinos Zachariou Archive
3. Dilip Kumar Sengupta, J.K. Webb, Scoliosis-the current concepts: Indian J Orthop 2010 Jan-Mar; 44910:5-8. AO ASIF Principles in Spine surgery
4. Aebi Max, Thalgott S J; J k Webb, AO ASIF Principles in spine Surgery, book, 1998. Springer-Verlag.
5. D. Korres; k. Markatos, book,216, The Greek Contribution in Spine Bibliography, DOI: 10.13140/RG2.1.2005.2882, Athens
6. Kostas Markatos. The history of Spinal Surgery from the middle of the 19th century to the end of the 20th century in Greece, PhD Thesis, Athens Sept. 2015
7. K. Markatos et all. Nicholas Giannestras (1908-1978): a distinguish orthopaedic surgeon, his work, life, and times. August 2015. International Orthopaedics 39 (11)
8. Erel N et all. Transverse process wiring for thoracic scoliosis: a new technic, 2003 Acta Orthop Scan Jun; 74(3): 312-21
9. Oxford Academic, Neurosurgery, CNS, ‘’Review in spinal Surgery. The register of the Neurosurgery MEME, No 2, August 2017
10. Aebi, M; Etter, C; Kehl, T, and Thalgott, J: Stabilization of the lower thoracic and lumbar spine with the internal spinal skeletal fixation system: Indications, technics, and first results treatment. Spine 12 :544-551, 1987
11. Kushagra Verna, John Houten, Thomas Errico, History of spinal instrumentation: Modern Era, clinical gate, Chapter 2 of spinal instrumentation
12. Carol C. Hasler. A brief overview of 100 years of history of surgical treatment for adolescent idiopathic scoliosis. J Child Orthop. Feb; 20137(1): 57-62
13. Bridwell KH, McAllister JW, Betz RR, Huss G, et all. (1991) Coronal decompression produced by Cotrel-Dubousset ‘’derotation’’ maneuver for idiopathic right thoracic scoliosis. Spine 16:769-77
14. Cortel, Y.; Dubousset, J.; and Guillaumat, M.: New universal instrumentation in spinal surgery. Clin. Orthop. Rel. Res. 227: 10-23, 1988.
15. Cortel Y, Dubousset J. A new technic for segmental spinal osteosynthesis using the posterior approach. Rev Chir Orthop Reparatrice Appar Mot. 1984; 70:489-494. [PubMed] [Google Scholar]
16. Cortel Y, Dubousset J, Gauillaumat M (1988) New universal instrumentation in spinal surgery. Clin Orthop 227:10-23
17. Dick W, Kluger P, Magerl F, Woersdorfer O, Zach C (1985) A new device for internal fixation of thoracolumbar and lumbar spine fractures: the “fixateur interne”. Paraplegia 23:225-232
18. Dick, W.: The “fixateur interne” as a versatile implant for the spine surgery. Spine 12:882-900, 1987.
19. Dickson JH, Erwin WD, Rossi D (1990) Harrington instrumentation and arthrodesis for idiopathic scoliosis. A twenty-one-year follow-up. J Bone Joint Surg [Am] 72:678-683.
20. Dubousset J (1996) A tribute to Pierre Stagnara. Spine (Phila Pa 1976) 21:2176-2177
21. Harrington PR (1988) The history and development of Harrington instrumentation. Clin Orthop 227:3-5
22. Henstorf, J.E.; Gaines, R.W.; and Steffee, A.D.: Transpedicular fixation of spinal disorders with Steffee plates. Surg. R. for Ortho. 3:35-43, 1987
23. Lagrone MO, Bradford DS, Moe JH, Lonstein JE, Winter RB, Ogilvie JW (1988) Treatment of symptomatic flatback after spinal fusion. J Bone Joint Surg [Am] 70:569-580.
24. Lenke LG, Bridwell KH, Baldus C, Blanke K (1992) Preventing decompensation in King type II curves treated with Cortel-Dubousset instrumentation. Strict guidelines for selective thoracic fusion. Spine 17: S274-S281
25. Luque ER (1982) Segmental spinal instrumentation for correction of scoliosis. Clin Orthop Relat Res 163:192-198 [PubMed]
26. Luque ER (1982a) The anatomic basis and development of segmental spinal instrumentation. Spine 7:256-259
27. Magerl F (1982) External skeletal fixation of the lower thoracic and the lumbar spine. In: Uhthoff H (ed) Current concepts of external fixation of fractures. Springer, Berlin, pp 353-366
28. Margel, F.: External spinal skeletal fixation. In the External Fixator, Edited by Weber, B.G., and Magerl, F. Springer-Verlag, New York, 1985.
29. McAfee PC, Weiland DJ (1991) Survival analysis of pedicular fixation systems. 16: S422-S427
30. Mielke CH, Lonstein JE, Denis F, Vandebrink K, Winter RB (1989) Surgical treatment of adolescent idiopathic scoliosis. A comparative analysis. J Bone Joint Surg [Am] 71: 1170-1177
31. Roy-Camille R, Roy-Camille M, Demeulenaere C. Osteosynthesis of dorsal, lumbar, and lumbosacral spine with metallic plates screwed into vertebral pedicles and articular apophyses. Presse Med. 1970; 78:1447-1448. [PubMed] [Google Scholar]
32. Steffee AD, Brantigan JW (1993) The variable screw placement spinal fixation system. Report of a prospective study of 250 patients enrolled in Food and Drug Administration clinical trials. Spine 18:1160-1172
33. Steffee, A.D.: The variable screw placement system with posterior lumbar interbody fusion. In Principles and Techniques in Spine Surgery, pp. 81-93. Edited by Lin, P.M., Gill, K. Aspen Publishers, 1989.
34. Suk SI, Kim JH, Kim SS, et al. Pedicle screw instrumentation in adolescent idiopathic scoliosis (AIS) Eur Spine J. 2012;21:13-22. doi: 10.1007/s00586-011-1986-0. [PubMed] [CrossRef] [Google Scholar]
35. Suk SI, Lee CK, Kim WJ, et al. Segmental Pedicle screw fixation in the treatment of thoracic idiopathic scoliosis. Spine (Phila Pa 1976) 1995; 20:1399-1405. [PubMed] [Google Scholar]
36. Vaccaro AR, Rizzolo SJ, Allardyce TJ, Ramsey M, Salvo J, Balderston RA, Cotler JM (1995) Placement of pedicle screws in the thoracic spine. Morphometric analysis of the thoracic vertebrae. J Bone Joint Surg [Am] 77:1193-1199.
37. Webb JK, Burwell RG, Cole AA, Lieberman I (1995) Posterior instrumentation in scoliosis. Eur Spine J 4:2-5
38. White AA, Panjabi MM (1990) Clinical biomechanics of the spine, 2nd edn. Lippincott, Philadelphia, pp 590-608
39. Remi M. Ajiboye, Jayme C. B. Koltsov,2 Brian Karamian,2 Steven Swinford,2 Blake K. Montgomery,2 Alexander Arzeno,2 Chason Ziino,2 and Ivan Cheng2: Computer-assisted surgical navigation is associated with an increased risk of neurological complications: a review of 67,264 posterolateral lumbar fusion cases. J Spine Surg. 2019 Dec; 5(4): 457–465.
40.
Laine T, Lund T, Ylikoski M, Lohikoski J, Schlenzka D.: Accuracy of pedicle screw insertion with and without computer assistance: a randomised controlled clinical study in 100 consecutive patients. Eur Spine J. 2000 Jun;9(3):235-40. Roger Härtl Khai S Lam, London Bridge Hospital Jeffrey Wang, Andreas Korge, Schön Klinik München Harlaching
41.
Worldwide Survey on the Use of Navigation in Spine Surgery March 2012 World Neurosurgery 79(1)
42.
Theodore, Nicholas MD, FACS, FAANS; Ahmed, A. Karim. The History of Robotics in Spine Surgery, SPINE: April 1, 2018 - Volume 43 - Issue 7S - p S23
2. Constantinos Zachariou Archive
3. Dilip Kumar Sengupta, J.K. Webb, Scoliosis-the current concepts: Indian J Orthop 2010 Jan-Mar; 44910:5-8. AO ASIF Principles in Spine surgery
4. Aebi Max, Thalgott S J; J k Webb, AO ASIF Principles in spine Surgery, book, 1998. Springer-Verlag.
5. D. Korres; k. Markatos, book,216, The Greek Contribution in Spine Bibliography, DOI: 10.13140/RG2.1.2005.2882, Athens
6. Kostas Markatos. The history of Spinal Surgery from the middle of the 19th century to the end of the 20th century in Greece, PhD Thesis, Athens Sept. 2015
7. K. Markatos et all. Nicholas Giannestras (1908-1978): a distinguish orthopaedic surgeon, his work, life, and times. August 2015. International Orthopaedics 39 (11)
8. Erel N et all. Transverse process wiring for thoracic scoliosis: a new technic, 2003 Acta Orthop Scan Jun; 74(3): 312-21
9. Oxford Academic, Neurosurgery, CNS, ‘’Review in spinal Surgery. The register of the Neurosurgery MEME, No 2, August 2017
10. Aebi, M; Etter, C; Kehl, T, and Thalgott, J: Stabilization of the lower thoracic and lumbar spine with the internal spinal skeletal fixation system: Indications, technics, and first results treatment. Spine 12 :544-551, 1987
11. Kushagra Verna, John Houten, Thomas Errico, History of spinal instrumentation: Modern Era, clinical gate, Chapter 2 of spinal instrumentation
12. Carol C. Hasler. A brief overview of 100 years of history of surgical treatment for adolescent idiopathic scoliosis. J Child Orthop. Feb; 20137(1): 57-62
13. Bridwell KH, McAllister JW, Betz RR, Huss G, et all. (1991) Coronal decompression produced by Cotrel-Dubousset ‘’derotation’’ maneuver for idiopathic right thoracic scoliosis. Spine 16:769-77
14. Cortel, Y.; Dubousset, J.; and Guillaumat, M.: New universal instrumentation in spinal surgery. Clin. Orthop. Rel. Res. 227: 10-23, 1988.
15. Cortel Y, Dubousset J. A new technic for segmental spinal osteosynthesis using the posterior approach. Rev Chir Orthop Reparatrice Appar Mot. 1984; 70:489-494. [PubMed] [Google Scholar]
16. Cortel Y, Dubousset J, Gauillaumat M (1988) New universal instrumentation in spinal surgery. Clin Orthop 227:10-23
17. Dick W, Kluger P, Magerl F, Woersdorfer O, Zach C (1985) A new device for internal fixation of thoracolumbar and lumbar spine fractures: the “fixateur interne”. Paraplegia 23:225-232
18. Dick, W.: The “fixateur interne” as a versatile implant for the spine surgery. Spine 12:882-900, 1987.
19. Dickson JH, Erwin WD, Rossi D (1990) Harrington instrumentation and arthrodesis for idiopathic scoliosis. A twenty-one-year follow-up. J Bone Joint Surg [Am] 72:678-683.
20. Dubousset J (1996) A tribute to Pierre Stagnara. Spine (Phila Pa 1976) 21:2176-2177
21. Harrington PR (1988) The history and development of Harrington instrumentation. Clin Orthop 227:3-5
22. Henstorf, J.E.; Gaines, R.W.; and Steffee, A.D.: Transpedicular fixation of spinal disorders with Steffee plates. Surg. R. for Ortho. 3:35-43, 1987
23. Lagrone MO, Bradford DS, Moe JH, Lonstein JE, Winter RB, Ogilvie JW (1988) Treatment of symptomatic flatback after spinal fusion. J Bone Joint Surg [Am] 70:569-580.
24. Lenke LG, Bridwell KH, Baldus C, Blanke K (1992) Preventing decompensation in King type II curves treated with Cortel-Dubousset instrumentation. Strict guidelines for selective thoracic fusion. Spine 17: S274-S281
25. Luque ER (1982) Segmental spinal instrumentation for correction of scoliosis. Clin Orthop Relat Res 163:192-198 [PubMed]
26. Luque ER (1982a) The anatomic basis and development of segmental spinal instrumentation. Spine 7:256-259
27. Magerl F (1982) External skeletal fixation of the lower thoracic and the lumbar spine. In: Uhthoff H (ed) Current concepts of external fixation of fractures. Springer, Berlin, pp 353-366
28. Margel, F.: External spinal skeletal fixation. In the External Fixator, Edited by Weber, B.G., and Magerl, F. Springer-Verlag, New York, 1985.
29. McAfee PC, Weiland DJ (1991) Survival analysis of pedicular fixation systems. 16: S422-S427
30. Mielke CH, Lonstein JE, Denis F, Vandebrink K, Winter RB (1989) Surgical treatment of adolescent idiopathic scoliosis. A comparative analysis. J Bone Joint Surg [Am] 71: 1170-1177
31. Roy-Camille R, Roy-Camille M, Demeulenaere C. Osteosynthesis of dorsal, lumbar, and lumbosacral spine with metallic plates screwed into vertebral pedicles and articular apophyses. Presse Med. 1970; 78:1447-1448. [PubMed] [Google Scholar]
32. Steffee AD, Brantigan JW (1993) The variable screw placement spinal fixation system. Report of a prospective study of 250 patients enrolled in Food and Drug Administration clinical trials. Spine 18:1160-1172
33. Steffee, A.D.: The variable screw placement system with posterior lumbar interbody fusion. In Principles and Techniques in Spine Surgery, pp. 81-93. Edited by Lin, P.M., Gill, K. Aspen Publishers, 1989.
34. Suk SI, Kim JH, Kim SS, et al. Pedicle screw instrumentation in adolescent idiopathic scoliosis (AIS) Eur Spine J. 2012;21:13-22. doi: 10.1007/s00586-011-1986-0. [PubMed] [CrossRef] [Google Scholar]
35. Suk SI, Lee CK, Kim WJ, et al. Segmental Pedicle screw fixation in the treatment of thoracic idiopathic scoliosis. Spine (Phila Pa 1976) 1995; 20:1399-1405. [PubMed] [Google Scholar]
36. Vaccaro AR, Rizzolo SJ, Allardyce TJ, Ramsey M, Salvo J, Balderston RA, Cotler JM (1995) Placement of pedicle screws in the thoracic spine. Morphometric analysis of the thoracic vertebrae. J Bone Joint Surg [Am] 77:1193-1199.
37. Webb JK, Burwell RG, Cole AA, Lieberman I (1995) Posterior instrumentation in scoliosis. Eur Spine J 4:2-5
38. White AA, Panjabi MM (1990) Clinical biomechanics of the spine, 2nd edn. Lippincott, Philadelphia, pp 590-608
39. Remi M. Ajiboye, Jayme C. B. Koltsov,2 Brian Karamian,2 Steven Swinford,2 Blake K. Montgomery,2 Alexander Arzeno,2 Chason Ziino,2 and Ivan Cheng2: Computer-assisted surgical navigation is associated with an increased risk of neurological complications: a review of 67,264 posterolateral lumbar fusion cases. J Spine Surg. 2019 Dec; 5(4): 457–465.
40.
Laine T, Lund T, Ylikoski M, Lohikoski J, Schlenzka D.: Accuracy of pedicle screw insertion with and without computer assistance: a randomised controlled clinical study in 100 consecutive patients. Eur Spine J. 2000 Jun;9(3):235-40. Roger Härtl Khai S Lam, London Bridge Hospital Jeffrey Wang, Andreas Korge, Schön Klinik München Harlaching
41.
Worldwide Survey on the Use of Navigation in Spine Surgery March 2012 World Neurosurgery 79(1)
42.
Theodore, Nicholas MD, FACS, FAANS; Ahmed, A. Karim. The History of Robotics in Spine Surgery, SPINE: April 1, 2018 - Volume 43 - Issue 7S - p S23
Published
2021-04-26
Section
Historical Article
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