Eighty-six @entity1 with @entity2112 who underwent a posterior spinal fusion using sublaminar segmental spinal instrumentation were analyzed retrospectively. There were two operative groups: group 1, 66 @entity1 who had Harrington rod instrumentation and segmental wiring, and group 2, 20 @entity1 who had Luque rod instrumentation. The clinical and radiographic data of the two groups were similar except for the passage of more sublaminar wires and increased intraoperative @entity190 in group 2. Twenty intraoperative or postoperative complications occurred in 19 @entity1 (22%) including 14 @entity16 . Three @entity1 (3%) had major @entity1566 , while 11 @entity1 (13%) had transient sensory changes. There was no significant difference in the incidence of @entity16 between group 1 or group 2. The remaining intraoperative complications were due either to anesthesia, positioning during surgery, or technique (dural tear). Late complications occurred in two @entity1 in group 1 only: one each with rod breakage and hook displacement. Only one @entity1 (1%) has required additional surgery. Our results indicate that although segmental instrumentation can be beneficial in @entity2112 , the incidence of complications, primarily neurologic, will be higher than expected. The major reason appears to be surgeon inexperience with passage of sublaminar wires. As experience increases, the incidence of complications declines and becomes comparable with conventional Harrington rod instrumentation alone.

Segmental spinal instrumentation in XXXX . A preliminary report.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity190 :: ('MESH:D006473', 'Disease') :: ['blood loss'] @entity16 :: ('MESH:D009422', 'Disease') :: ['neurologic complications'] @entity2112 :: ('MESH:C564593', 'Disease') :: ['idiopathic scoliosis'] @entity1566 :: ('MESH:D013119', 'Disease') :: ['spinal cord injuries']
@entity2112 :: (MESH:C564593,Disease) :: ['idiopathic scoliosis']
