Apical Sublaminar Wires versus Pedicle Screws – Which Provides Better Results for Surgical Correction of Adolescent Idiopathic Scoliosis?
• a, d, e – Medtronic Sofamor Danek Introduction: Despite the reports of satisfactory correction of scoliotic curves by both apical sublaminar wire instrumentation and apical pedicle screw instrumentation, no reports on the comprehensive comparison of hybrid (hook/sublaminar wire/pedicle screw) instrumentation versus segmental pedicle screw instrumentation exist. Objective: To comprehensively compare the 2-year minimum postoperative results of posterior correction and spinal fusion (PSF) using translational correction through either hybrid hook/apical sublaminar wire/pedicle screw constructs (SLW) versus in-situ rod-contouring correction with pedicle screw constructs (PS) in the treatment of adolescent idiopathic scoliosis (AIS) at two institutions. Materials and Methods: 50 AIS patients at two institutions who underwent a posterior spinal fusion with SLW (25) or PS (25) constructs were sorted and matched according to four criteria; similar age at surgery (14.2 years – SLW and 14.4 yea