We reviewed the results of spinal arthrodesis that was performed, with
sublaminar wires that were attached to either double L-shaped Luque rods or
to a Harrington rod, in forty-two adults who had idiopathic scoliosis. The
minimum length of follow-up was two years; the maximum, five years; and the
average, three years. The average scoliosis measured 67 degrees
preoperatively, was corrected to 37 degrees at operation, and was 44
degrees at the time of follow-up. The final correction averaged 34 per
cent. A single Harrington rod and multiple sublaminar wires were used in
thirty-one patients. Eighteen of the thirty-one patients had a posterior
arthrodesis only and thirteen, a preliminary anterior arthrodesis followed
by a posterior arthrodesis. Eleven patients had instrumentation with double
L-shaped Luque rods; six of them had posterior arthrodesis only and five, a
preliminary anterior arthrodesis followed by a posterior arthrodesis. One
patient had neurological deficit that was related to the operation. Three
patients had a pseudarthrosis, which was in the lumbar area in all of them.
All three patients had had only a posterior operation. No statistically
significant difference in the amount of final correction was demonstrated
between the subgroups.